Silent screams: Listening to and making meaning from the voices of abused children

Background Sexual violence against children is a major clinical, public health and human rights concern globally. Specifically, child sexual violence (CSV) is one of the world's leading causes of trauma in children. In extreme cases, victims of CSV grow up with a plethora of maladaptive behavio...

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Veröffentlicht in:Child : care, health & development health & development, 2022-09, Vol.48 (5), p.702-707
Hauptverfasser: Iorfa, Steven Kator, Effiong, James Edem, Apejoye, Alice, Johri, Tanya, Isaiah, Uwemedimo Sunday, Eche, Grace Oyikowo, Ottu, Iboro F. A.
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container_end_page 707
container_issue 5
container_start_page 702
container_title Child : care, health & development
container_volume 48
creator Iorfa, Steven Kator
Effiong, James Edem
Apejoye, Alice
Johri, Tanya
Isaiah, Uwemedimo Sunday
Eche, Grace Oyikowo
Ottu, Iboro F. A.
description Background Sexual violence against children is a major clinical, public health and human rights concern globally. Specifically, child sexual violence (CSV) is one of the world's leading causes of trauma in children. In extreme cases, victims of CSV grow up with a plethora of maladaptive behaviours, which may be salient in the course of growth but later present in adulthood as severe cases of comorbid psychopathologies. It is expected therefore that CSV cases be treated with urgency and policies/laws against perpetrators be translated into visible outcomes. However, many CSV cases go unreported; and where there are attempts at reporting, the manner and approach of handling these cases is discouraging and futile. In this study, we explored the lived experiences of CSV survivors in Nigeria who tried reporting and opening up their experiences. Method Using the hermeneutic phenomenological approach, responses from 11 girls aged 15 to 17 years at the time of the study and 8 to 16 years at onset of abuse were obtained. Data were gathered through interviews, and the victims' experiences were aggregated using content analysis. Results The major findings were summarized under the following themes: (a) silent screams, (b) trauma and the search for a therapeutic ear, (c) stigma and (d) withdrawal: our last resort. Respondents reported crying out and begging perpetrators to stop the act. They also reported experiencing trauma and related physical/mental health issues after the act. As they sought whom to disclose to, they reported feeling stigmatized and eventually having to withdraw and recoil. Conclusions Implications of the study cut across medical practice, social work, therapeutics and policy formation/implementation for the prevention of CSV and attending to CSV victims in hospitals, homes and schools. The importance of empathic therapeutic processes was discussed. The need for a multisectoral and multistakeholder approach in tackling CSV was also highlighted.
doi_str_mv 10.1111/cch.12975
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A.</creator><creatorcontrib>Iorfa, Steven Kator ; Effiong, James Edem ; Apejoye, Alice ; Johri, Tanya ; Isaiah, Uwemedimo Sunday ; Eche, Grace Oyikowo ; Ottu, Iboro F. A.</creatorcontrib><description>Background Sexual violence against children is a major clinical, public health and human rights concern globally. Specifically, child sexual violence (CSV) is one of the world's leading causes of trauma in children. In extreme cases, victims of CSV grow up with a plethora of maladaptive behaviours, which may be salient in the course of growth but later present in adulthood as severe cases of comorbid psychopathologies. It is expected therefore that CSV cases be treated with urgency and policies/laws against perpetrators be translated into visible outcomes. However, many CSV cases go unreported; and where there are attempts at reporting, the manner and approach of handling these cases is discouraging and futile. In this study, we explored the lived experiences of CSV survivors in Nigeria who tried reporting and opening up their experiences. Method Using the hermeneutic phenomenological approach, responses from 11 girls aged 15 to 17 years at the time of the study and 8 to 16 years at onset of abuse were obtained. Data were gathered through interviews, and the victims' experiences were aggregated using content analysis. Results The major findings were summarized under the following themes: (a) silent screams, (b) trauma and the search for a therapeutic ear, (c) stigma and (d) withdrawal: our last resort. Respondents reported crying out and begging perpetrators to stop the act. They also reported experiencing trauma and related physical/mental health issues after the act. As they sought whom to disclose to, they reported feeling stigmatized and eventually having to withdraw and recoil. Conclusions Implications of the study cut across medical practice, social work, therapeutics and policy formation/implementation for the prevention of CSV and attending to CSV victims in hospitals, homes and schools. The importance of empathic therapeutic processes was discussed. The need for a multisectoral and multistakeholder approach in tackling CSV was also highlighted.</description><identifier>ISSN: 0305-1862</identifier><identifier>EISSN: 1365-2214</identifier><identifier>DOI: 10.1111/cch.12975</identifier><identifier>PMID: 35083769</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Abused children ; Aggregate data ; Child Abuse ; Child abuse &amp; neglect ; Child Advocacy ; child sexual violence ; Children ; Comorbidity ; Content analysis ; Crying ; Exegesis &amp; hermeneutics ; Girls ; Health services ; Health status ; Hospitals ; Human rights ; Implementation ; Listening ; Medicine ; Mental health ; Perpetrators ; Phenomenology ; physicians ; Policy Formation ; Policy making ; Professional practice ; Public health ; Public schools ; Respondents ; Schools ; Sex crimes ; Sexual violence ; Social work ; Stigma ; therapeutic listening ; Trauma ; Treatment methods ; Urgency ; Victims ; Victims of Crime ; Violence</subject><ispartof>Child : care, health &amp; development, 2022-09, Vol.48 (5), p.702-707</ispartof><rights>2022 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2022 The Authors. 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A.</creatorcontrib><title>Silent screams: Listening to and making meaning from the voices of abused children</title><title>Child : care, health &amp; development</title><addtitle>Child Care Health Dev</addtitle><description>Background Sexual violence against children is a major clinical, public health and human rights concern globally. Specifically, child sexual violence (CSV) is one of the world's leading causes of trauma in children. In extreme cases, victims of CSV grow up with a plethora of maladaptive behaviours, which may be salient in the course of growth but later present in adulthood as severe cases of comorbid psychopathologies. It is expected therefore that CSV cases be treated with urgency and policies/laws against perpetrators be translated into visible outcomes. However, many CSV cases go unreported; and where there are attempts at reporting, the manner and approach of handling these cases is discouraging and futile. In this study, we explored the lived experiences of CSV survivors in Nigeria who tried reporting and opening up their experiences. Method Using the hermeneutic phenomenological approach, responses from 11 girls aged 15 to 17 years at the time of the study and 8 to 16 years at onset of abuse were obtained. Data were gathered through interviews, and the victims' experiences were aggregated using content analysis. Results The major findings were summarized under the following themes: (a) silent screams, (b) trauma and the search for a therapeutic ear, (c) stigma and (d) withdrawal: our last resort. Respondents reported crying out and begging perpetrators to stop the act. They also reported experiencing trauma and related physical/mental health issues after the act. As they sought whom to disclose to, they reported feeling stigmatized and eventually having to withdraw and recoil. 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A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Silent screams: Listening to and making meaning from the voices of abused children</atitle><jtitle>Child : care, health &amp; development</jtitle><addtitle>Child Care Health Dev</addtitle><date>2022-09</date><risdate>2022</risdate><volume>48</volume><issue>5</issue><spage>702</spage><epage>707</epage><pages>702-707</pages><issn>0305-1862</issn><eissn>1365-2214</eissn><abstract>Background Sexual violence against children is a major clinical, public health and human rights concern globally. Specifically, child sexual violence (CSV) is one of the world's leading causes of trauma in children. In extreme cases, victims of CSV grow up with a plethora of maladaptive behaviours, which may be salient in the course of growth but later present in adulthood as severe cases of comorbid psychopathologies. It is expected therefore that CSV cases be treated with urgency and policies/laws against perpetrators be translated into visible outcomes. However, many CSV cases go unreported; and where there are attempts at reporting, the manner and approach of handling these cases is discouraging and futile. In this study, we explored the lived experiences of CSV survivors in Nigeria who tried reporting and opening up their experiences. Method Using the hermeneutic phenomenological approach, responses from 11 girls aged 15 to 17 years at the time of the study and 8 to 16 years at onset of abuse were obtained. Data were gathered through interviews, and the victims' experiences were aggregated using content analysis. Results The major findings were summarized under the following themes: (a) silent screams, (b) trauma and the search for a therapeutic ear, (c) stigma and (d) withdrawal: our last resort. Respondents reported crying out and begging perpetrators to stop the act. They also reported experiencing trauma and related physical/mental health issues after the act. As they sought whom to disclose to, they reported feeling stigmatized and eventually having to withdraw and recoil. Conclusions Implications of the study cut across medical practice, social work, therapeutics and policy formation/implementation for the prevention of CSV and attending to CSV victims in hospitals, homes and schools. The importance of empathic therapeutic processes was discussed. The need for a multisectoral and multistakeholder approach in tackling CSV was also highlighted.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>35083769</pmid><doi>10.1111/cch.12975</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5571-2713</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abused children
Aggregate data
Child Abuse
Child abuse & neglect
Child Advocacy
child sexual violence
Children
Comorbidity
Content analysis
Crying
Exegesis & hermeneutics
Girls
Health services
Health status
Hospitals
Human rights
Implementation
Listening
Medicine
Mental health
Perpetrators
Phenomenology
physicians
Policy Formation
Policy making
Professional practice
Public health
Public schools
Respondents
Schools
Sex crimes
Sexual violence
Social work
Stigma
therapeutic listening
Trauma
Treatment methods
Urgency
Victims
Victims of Crime
Violence
title Silent screams: Listening to and making meaning from the voices of abused children
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