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Children with Sexual Behavior Issues
Jane F. Gilgun, PhD, LICSWSchool of Social Work
University of Minnesota, Twin [email protected]
http://ssw.che.umn.edu\faculty\jgilgun.htmDay 1
June 19, 2007
Topics
• A Continuum of Child Sexual Behaviors• Typologies of Children with Sexual
Behavior Issues• Risks and Protective Processes Related to
Children’s Sexual Behavior Issues• Family Issues Related to Children’s Sexual
Behaviors • Emotion Regulation and Trauma
Children’s Sexual Behaviors
• Begin in womb
• Continue over the life course
Children’s Sexual Behaviors
• Sex in US culture
– Taboo
– Fascinating
– Linked to violence
– Rarely life-enhancing
A Continuum of Child Sexual Behaviors
• Developmentally Appropriate
• Inappropriate but Easily Correctable
• Inappropriate and Problematic
– Origin not known
– Abuse-reactive
• Sexually manipulative
• Sexually abusive
Harborview Medical Center Clinical Typology of Problematic
Child Sexual Behaviors
• Precocious
• Inappropriate
• Coercive
Source: Berliner, L, O. Manaois, & C. Monastersky (1986). Child sexual behavior disturbance: An assessment and treatment model. Seattle, WA: Harborview Medical Center.
A Continuum of Problematic Child Sexual Behaviors
• Sexually Inappropriate
• Sexually Intrusive
• Sexually Aggressive
Source: Bonner, Walker, & Berliner (2004)
Johnson’s Clinical Typologyof Child Sexual Behaviors
• Natural and Healthy
• Of Concern
• Seek Professional Help
Source: Johnson, Toni Cavanagh (n.d.). Understanding children’s sexual behaviors: What’s natural and healthy. www.TCavJohn.com
Johnson’s Clinical Continuum of Child Sexual Behaviors
• Natural and healthy
• Sexually reactive
• Children who molest
Source: Johnson, Toni Cavanagh (n.d.). Understanding children’s sexual behaviors: What’s natural and healthy. www.TCavJohn.com
Johnson’s Clinical Continuum of Child Sexual Behaviors
• Natural and healthy
• Sexually reactive
• Children who molest
Source: Johnson, Toni Cavanagh (n.d.). Understanding children’s sexual behaviors: What’s natural and healthy. www.TCavJohn.com
A Clinical Continuum of Sexualized Behaviors
Normal Sexual Sexually Extensive Mutual Children
Exploration Reactive Sexual Behaviors Who Molest
Source: Gil & Johnson (1993)
A Typology of Children with Problematic Sexual Behaviors
• Angry
• Anxious
• Hollow
• Disassociated
• Emotionally Disorganized
Risks & Protective Factors Related to Children’s
Sexual Behavior Issues
• Assess child, family, and other ecologies
– Identify risks
– Identify competencies and resources
Risks & Protective FactorsRelated to Children’s
Sexual Behavior Issues
• Assess child, family, and other ecologies
• Identify risks
• Identify competencies and resources
• How can treatment build on protective processes to manage risks?
Family Issues Related to Children’s Sexual Behaviors
• Low Risks/High Protective Factors
• High Risks/High Protective Factors
• High Risks/Low Protective Factors
Emotion Regulation & Trauma
• Emotion Regulation: Capacities to modulate emotional responses in a range of situations
• Trauma: life events that overwhelm everyday coping capacities
Regulation & Dysregulation
• Occurs across systems
• Related to
– Styles of attachment
– Internalized working models
– Gender
– Genes
Trauma• An event that overwhelms everyday
coping capacities
• Persistent re-experiencing of the event
• Persistent avoidance of situations associated with trauma and/or numbing of general responsiveness
• Physiological arousal
The Effects of Protective Factors
on Human Functioning After Trauma Jane Gilgun, Ph.D., LICSW
emotion
cognition
memory
sympathetic nervous system
Time
From LeDoux (1996)
