Research: Secondary Harm

Secondary harm may occur when a childhood sexual experience is reinterpreted as abusive, or when police or parents intervene in an intergenerational relationship.

Evidence that secondary harm occurs

Howard Kline has collected a number of studies that support the concept of secondary harm on his personal website, cerius.org. Further evidence includes:

Ethnic differences in the effects of 'child sexual abuse'

The harm of CSA varies significantly between ethnic groups, presumably due to cultural differences. This is the closest substitute to comparisons between socities for which data is available.

• Roosa, Mark W., Reinholtz, Cindy, and Angelini Patti Jo (1999). "The relation of child sexual abuse and depression in young women: comparisons across four ethnic groups," Journal of Abnormal Child Psychology, 25:65-76.

  "This study has shown that severity of CSA was a significant predictor of depression scores among young non-Hispanic white and Mexican American women after controlling for background factors. [...] CSA was not a significant predictor of depressive symptoms for African American or Native American women."

Conservative parental attitudes are related to harm

• Higgins, D. J., & McCabe, M. P. (2003). "Maltreatment and Family Dysfunction in Childhood and the Subsequent Adjustment of Children and Adults," Journal of Family Violence, 18(2)

  Three co-published studies. In Study 1, "Parental sexual punitiveness, traditionality, family adaptability and family cohesion significantly predicted scores on 4 maltreatment scales and children's externalizing behavior problems." In Study 2, "Parental sexual punitiveness, traditionality, family adaptability, and family cohesion during childhood predicted the level of maltreatment and current psychopathology."

Intervention can be harmful

• Henry, J. (1997). "System intervention trauma to child sexual abuse victims following disclosure," Journal of Interpersonal Violence, 12(4), 499-512.

  "Results indicated that higher trauma scores, as measured by the Trauma Symptom Checklist, were related to an increased number of interviews, even when other aspects of the abuse such as seriousness were controlled for." (As cited in Investigation & Prosecution in Child Sexual Abuse)

• Berliner, L., & Conte, J. R. (1995). "The effects of disclosure and intervention on sexually abused children," Child Abuse and Neglect, 19(3), 371-384.

  "Having contact with a greater number of professionals following disclosure was related to greater negative impact of the abuse." (As cited in Investigation & Prosecution in Child Sexual Abuse)

Other

• Encyclopaedia Britannica (2006). "Sexual behaviour, human; Psychological aspects > Effects of early conditioning."

  ""[A few children have] atypical sexual experiences, such as witnessing or hearing sexual intercourse or having sexual contact with an older person. The effects of such atypical experiences depend upon how the child interprets them and upon the reaction of adults if the experience comes to their attention. Seeing parental coitus is harmless if the child interprets it as playful wrestling but harmful if he considers it as hostile, assaultive behaviour. Similarly, an experience with an adult may seem merely a curious and pointless game, or it may be a hideous trauma leaving lifelong psychic scars. In many cases the reaction of parents and society determines the child's interpretation of the event. What would have been a trivial and soon-forgotten act becomes traumatic if the mother cries, the father rages, and the police interrogate the child."

In Victimologists' Own Words

• APA press release: Online Sex Abuse Cases Not Characterized By Deception, Abduction And Force, Research Shows

  "The authors also recommend training for law enforcement since some of the targeted youth may not initially see themselves as victims and may require sensitive interviewing in order to cooperate with investigators."