“A burden in your heart”: Lessons of disclosure from female preadolescent and adolescent survivors of sexual abuse
Abstract
Objectives To enhance understanding of the sexual abuse disclosure process from the perspective of preteen and teenage survivors. To reconsider prominent models of the disclosure process in light of our findings. Methods We conducted a secondary analysis of data from four focus groups in which 34 preadolescent and adolescent female survivors of sexual abuse had been asked about their treatment experiences. Girls often recounted disclosing their victimization to others. Using the disclosure segment as our unit of analysis, we isolated 106 for study. During analysis, we wrote narrative summaries of each segment's significance, grouped these conceptually, and examined their interconnectedness. When synthesized, individual experiences of disclosing contributed to understanding the overall disclosure process. Results Three phases were identified: Self, where children come to understand victimization internally; Confidant Selection-Reaction, where they select a time, place, and person to tell and then weather that person's reaction (supportive or hostile); and Consequences (good and bad) that continued to inform their on-going strategies of telling. The actions and reactions of adults were significant and informed the girls' decisions. Conclusions We advocate integrating existing theories and research into a model which views the disclosure process from the child's perspective and includes pre-disclosure and a post-initial public disclosure stages. The model conceptualizes disclosure as an iterative process in which children interact with adults and incorporate responses into their on-going decisions about telling (recant, deny, affirm, etc.). The combined model should recognize the concerns and position of adults as well as the perspective and logic of youth.
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How parents respond strongly shapes what follows a child's disclosure; children interpret and react to adults' reactions, so disclosure is interactive.
“Parental reaction was found to be critical to the outcome when children disclosed, as Staller, and Nelson-Gardell (2005) noted that “disclosure is not a one-way process.Children receive, process, evaluate, and react to information based on how adults respond to them” (p.1423).”
From The Disclosure Experiences of Male Child Sexual Abuse Survivors (2016) · cites this paper as Staller, and Nelson-Gardell (2005)
Disclosure does not unfold in a straight line; it may emerge in fragments over a survivor's life, sometimes unintentionally and sometimes deliberately.
“Staller, and Nelson-Gardell (2005) added that since disclosure it not a linear process it often comes out in incomplete slices throughout a victim's life; sometimes by accident, other times purposefully.”
From The Disclosure Experiences of Male Child Sexual Abuse Survivors (2016) · cites this paper as Staller, and Nelson-Gardell (2005)
The literature identifies disclosure as a process involving multiple interacting influences rather than singular events that unfold linearly.
“The literature has identified disclosure as a 'process' thus clearly reflecting the complexity of the situation experienced by the victims, involving multiple levels of interacting influences rather than singular events that evolve in a linear fashion”
From The Disclosure Experiences of Male Child Sexual Abuse Survivors (2016) · cites this paper as Staller, & Nelson-Gardell, 2005
Feeling safe, believed, and emotionally comforted are critical to a positive disclosure experience.
“feeling safe was found to be critical when disclosing (Alaggia, 2004;Staller, & Nelson-Gardell, 2005), as well as being believed and comforted emotionally.”
From The Disclosure Experiences of Male Child Sexual Abuse Survivors (2016) · cites this paper as Staller, & Nelson-Gardell, 2005
The findings of Ungar et al. (2009a) lend support to studies that have identified similarly interactive models of disclosure.
“Findings lend support to studies that have identified similarly interactive models of disclosure such as those detailed by Alaggia (2004) and Staller and Nelson-Gardell (2005).”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Staller and Nelson-Gardell (2005)
In Staller and Nelson-Gardell (2005), the consequences phase was further subdivided into four aspects: gossiping and news networks, changing relationships, institutional responses and the afterlife of telling, and insider and outsider communities.
“The consequences phase was further subdivided into four aspects: (1) gossiping and news networks, (2) changing relationships, (3) institutional responses and the afterlife of telling, and (4) insider and outsider communities”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Staller and Nelson-Gardell (2005)
Staller and Nelson-Gardell (2005) provided a contextual examination of the entire disclosure process, closer to the point in time when the abuse and disclosure occurred.
“This study provided a contextual examination of the entire disclosure process, closer to the point in time when the abuse and disclosure occurred.”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Staller and Nelson-Gardell (2005)
In Staller and Nelson-Gardell (2005), findings are reported in three major domains: self-phase, confidant selection-reaction phase, and consequences phase.
“Findings are reported in three major domains: (1) self-phase: where children come to understand victimization internally; (2) confidant selection-reaction phase: where they select a time, place, and person to tell and then whether that person’s reaction was supportive or hostile; and (3) consequences phase: good and bad that continued to inform their ongoing strategies of telling.”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Staller and Nelson-Gardell (2005)
In Staller and Nelson-Gardell (2005), the actions and reactions of adults were significant and informed the girls' decisions.
“The actions and reactions of adults were significant and informed the girls’ decisions.”
From Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016) (2019) · cites this paper as Staller and Nelson-Gardell (2005)
Cites
Why children tell: a model of children’s disclosure of sexual abuse
Goodman-Brown, T. B., Edelstein, R. S., Goodman, G. S., Jones, D. P. H., & Gordon, D. S. (2003) · Child Abuse & Neglect · doi:10.1016/s0145-2134(03)00037-1 · Cited by 560 · see citing works
Factors influencing children to self-disclose sexual abuse
Paine, M. L., & Hansen, D. J. (2002) · Clinical Psychology Review · doi:10.1016/s0272-7358(01)00091-5 · Cited by 502 · see citing works
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Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016)
Alaggia, R., Collin-Vézina, D., & Lateef, R. (2019) · Trauma, Violence, & Abuse · doi:10.1177/1524838017697312 · Cited by 532 · see citing works
Collin-Vézina, D., De La Sablonnière-Griffin, M., Palmer, A. M., & Milne, L. (2015) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2015.03.010 · Cited by 298 · see citing works
"I keep that hush-hush": Male survivors of sexual abuse and the challenges of disclosure.
Sorsoli, L., Kia-Keating, M., & Grossman, F. K. (2008) · Journal of Counseling Psychology · doi:10.1037/0022-0167.55.3.333 · Cited by 201 · see citing works
Social Support, Reciprocity, and Anonymity in Responses to Sexual Abuse Disclosures on Social Media
Andalibi, N., Haimson, O. L., Choudhury, M. D., & Forte, A. (2018) · ACM Transactions on Computer-Human Interaction · doi:10.1145/3234942 · Cited by 200 · see citing works
The Disclosure Experiences of Male Child Sexual Abuse Survivors
Gagnier, C., & Collin-Vézina, D. (2016) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2016.1124308 · Cited by 144 · see citing works
Reitsema, A. M., & Grietens, H. (2016) · Trauma, Violence, & Abuse · doi:10.1177/1524838015584368 · Cited by 129 · see citing works
Recipients of children’s and adolescents’ disclosures of childhood sexual abuse: A systematic review
Manay, N., & Collin-Vézina, D. (2021) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104192 · Cited by 100 · see citing works
- Authors
- Staller, K. M., & Nelson-Gardell, D.
- Affiliations
- University of Michigan (US)
- University of Alabama (US)
- Corresponding author
- Staller, Karen M.
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2005-12
- Volume
- 29
- Issue
- 12
- Pages
- 1415-1432
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W1987203870
- Cited by
- 156
- References
- 2
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 8 · 2023: 3 · 2022: 10 · 2021: 10 · 2020: 13 · 2019: 14 · 2018: 5 · 2017: 11 · 2016: 4 · 2015: 12 · 2014: 8 · 2013: 12 · 2012: 6
- FWCI
- 3.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- 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
- child sexual abuse, disclosure of victimization, adolescent survivors, preadolescent girls, children's perspectives
- MeSH terms
- Adolescent, Child, Child Abuse, Sexual, Confidentiality, Family Relations, Female, Humans, Models, Theoretical, Truth Disclosure
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