Adolescents who experienced sexual abuse: fears, needs and impediments to disclosure
Abstract
Objective Understanding the impediments that prevented sexually abused adolescents from disclosure to their family or to professionals, and analyzing the responses they received when they did disclose.Methods In depth anonymous interviews were conducted in Italy through a toll-free telephone line with 36 young people who experienced sexual abuse in adolescence. A qualitative analysis was carried out of the adolescents' feelings, fears and needs, and of the help received, if any.Results The main impediments to disclose to a family member were fear of not being believed, shame, and fear of causing trouble to the family. The main impediments for not seeking services were ignorance of the existence/functioning of protective agencies, wish to keep the secret, lack of awareness of being abused, mistrust of adults and professionals, and fear of the consequences of disclosure. When they did disclose to professionals, the teens received very limited support.Conclusion Adolescents need to receive proper information about the risk of being sexually abused and about the help they can receive from their social network and protective agencies. There is a crucial need for appropriate training of professionals.
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In Crisma et al. (2004), the main impediments for not seeking services were being unaware of appropriate services, wish to keep the secret, lack of awareness of being abused, mistrust of adults and professionals, and fear of the consequences of disclosing sexual abuse.
“The main impediments for not seeking services were: unaware of appropriate services, wish to keep the secret, lack of awareness of being abused, mistrust of adults and professionals, and fear of the consequences of disclosing sexual abuse.”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Crisma, Bascelli, Paci, and Romito (2004)
In Crisma et al. (2004), when teens did disclose to professionals, they received very limited support as many professionals were not trained on sexual abuse and could not offer appropriate interventions to victims.
“When they did disclose to professionals, teens received very limited support as many professionals were not trained on sexual abuse and could not offer appropriate interventions to victims”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Crisma, Bascelli, Paci, and Romito (2004)
Crisma et al. (2004) was conducted in Italy and it is not clear what sexual abuse response.
“The study was conducted in Italy and it is not clear what sexual abuse response”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Crisma, Bascelli, Paci, and Romito (2004)
Shame, self-blame, and fear are psychological barriers to disclosure.
“Internal: Shame, self-blame, and fear are psychological barriers.”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Crisma et al., 2004
Internal factors that facilitate disclosures include symptoms that become unbearable, getting older with increased developmental efficacy, and realizing that an offence was committed.
“Internal factors that facilitate disclosures include symptoms that become unbearable, getting older with increased developmental efficacy, and realizing that an offence was committed (Collin-Vézina et al., 2015; Crisma et al., 2004; Easton, 2013; Hershkowitz et al. 2007; McElavaney, Greene, & Hogan, 2014; Schaeffer et al., 2011).”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Crisma et al., 2004
Many of the children and youth did not know whether relationships were abusive or not.
“Many of the children and youth did not know whether relationships were abusive or not (CWC & UNICEF, 2016; Crisma et al., 2004).”
From Safe schools for teens: Preventing sexual abuse of urban poor teens, proof-of-concept study-improving teachers'and students'knowledge, skills and attitudes (2020) · cites this paper as Crisma et al., 2004
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- Authors
- Crisma, M., Bascelli, E., Paci, D., & Romito, P.
- Affiliations
- University of Trieste (IT)
- Corresponding author
- Crisma, Micaela
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2004-10
- Volume
- 28
- Issue
- 10
- Pages
- 1035-1048
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W2078512340
- Cited by
- 157
- References
- 39
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 6 · 2023: 9 · 2022: 10 · 2021: 12 · 2020: 20 · 2019: 6 · 2018: 6 · 2017: 12 · 2016: 6 · 2015: 10 · 2014: 12 · 2013: 4 · 2012: 4
- FWCI
- 3.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
- Keywords
- adolescent sexual abuse, disclosure of abuse, barriers to disclosure, shame, family disclosure, help-seeking, professional training, risk information
- MeSH terms
- Adolescent, Adult, Counseling, Family, Female, Humans, Italy, Male, Self Disclosure, Sex Offenses
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