Case management

A Filipino nation working together to stop child sexual abuse
USING OUR STRENGTH OF COLLABORATION AND
INTERDEPENDENCE.
CASE MANAGEMENT TRAINING FOR THE
MULTI- DISCIPLINARY TEAMS
DAY 1
Welcome!
June 6-7, 2013
Good Neighbors International Philippines Field Office
Prieto Diaz, Sorsogon

INTERDEPENDENCE.
OBJECTIVES
At the end of the 3-day training, the participants were able to:
• Enhance their knowledge on the dynamics of child sexual
abuse and its impact to children.
• Identify the roles and functions of the MDT members in the
case management of child sexual abuse cases.
• Enhance their skills in handling disclosures (for non-social
workers) and in interviewing sexually abused children (for
social workers and police officers).
• Concretize MDT’s commitment as the technical advisory team
of the PSL implementing schools by preparing an
implementation plan.

INTERDEPENDENCE.
SONIA’s STORY
Instructions:
1. Rate the characters 1 to 5, such that #1 is the most offensive and
#5 is the least offensive. You have 5 minutes to write down your
answers silently. (Characters: Sonia, Greg, Jose, Bong, Lito)
2. Discuss with the group your answers for 20 minutes.
3. Assign a reporter in your group to write your ratings on the board.
2 minutes given to discuss the group’s rating of the characters.

INTERDEPENDENCE.
SONIA’S STORY
Once upon a time, there was a girl named Sonia who was
in love with a man named Greg. Greg lived on the other
side of the river where Sonia lived. The river that
separated the two lovers was teeming with man-eating
crocodiles. Sonia wanted to cross the river to be with
Greg. Unfortunately, the bridge had been washed out. So
she went to ask Jose, a boatman, to take her across. But
the look in his eyes frightened Sonia, so she went to her
friend Bong and explained her plight to him. Bong did not
want to be involved at all in the situation. Sonia felt that
her only alternative was to take the boat, even though
she did not trust Jose.

INTERDEPENDENCE.
When the boat was already in the middle of the river,
Jose told Sonia that he couldn’t control himself and he
wanted to make love to her. When Sonia refused, he
threatened to throw her overboard. But if she complied,
he said he would deliver her safely to the other side.
Sonia did not want to be eaten alive by the crocodiles,
but she didn’t see any alternative for herself, so she did
not resist Jose. Jose gratified his desire for Sonia, then
delivered her to the other shore where Greg lived.
SONIA’S STORY

INTERDEPENDENCE.
SONIA’S STORY
When Sonia told Greg what had happened, he blamed her
because of the way she dressed. He saw her as unclean
and cast her aside with disdain. Heartsick and dejected,
Sonia turned to Lito, a karate black-belter. Lito felt anger
for Greg and compassion for Sonia. He sought out Greg
and beat him brutally. Sonia was overjoyed at the sight of
Greg getting his due. As the sun sets on the horizon, we
hear Sonia laughing at Greg.

INTERDEPENDENCE.
Each of the characters in the story represents a member
of society:
1. Jose
2. Greg
3. Bong
4. Lito
5. Sonia
WHO ARE WE IN THE STORY?
SONIA’S STORY

INTERDEPENDENCE.
WHAT IS CHILD SEXUAL
ABUSE?

INTERDEPENDENCE.

INTERDEPENDENCE.
any act on a child by an
adult/older/more powerful
person
for the sexual gratification
of the older person/adult/more
powerful person.

INTERDEPENDENCE.
EXAMPLES OF CHILD SEXUAL ABUSE
Non-touching
• Exhibitionism
• Voyeurism
• Pornography
• Verbal sexual stimulation
• Obscene calls
• Letting down the bars of privacy so that the child watches or
hears sexual acts
Touching
• Kissing
• Touching of breasts or genitals
• Fondling
• Fellatio / cunnilingus
• Vaginal or anal intercourse or attempted intercourse
• Prostitution

INTERDEPENDENCE.
FIRST CHARACTERISTIC OF
CHILD SEXUAL ABUSE
1. GROOMING
ACCOMMODATION SYNDROME

INTERDEPENDENCE.
SECOND CHARACTERISTIC OF CHILD SEXUAL ABUSE
LACK OF CONSENT
Consent – power is equal as well as level of maturity and
knowledge.

INTERDEPENDENCE.
THIRD CHARACTERISTIC OF CHILD SEXUAL ABUSE
Ambivalence
- refers to the confusion of the child.

INTERDEPENDENCE.
•HAPPY?
•SAD?
•ANGRY?
•SCARED?

INTERDEPENDENCE.
FOURTH CHARACTERISTIC OF CHILD SEXUAL ABUSE
Exploitation
Refers to the differential of power and that the
more powerful person is having his/her needs
met at the expense of the child.

INTERDEPENDENCE.
FIFTH CHARACTERISTIC OF CHILD SEXUAL ABUSE
Force
Includes violent and psychological
threats

INTERDEPENDENCE.
SIXTH CHARACTERISTIC OF CHILD SEXUAL ABUSE
Intent
-The intent is always for the sexual gratification of
the abuser.
Intention VS. Effect

INTERDEPENDENCE.
SEVENTH CHARACTERISTIC OF CHILD SEXUAL ABUSE
Secrecy
-Offenders depend on secrecy and the lack of caregivers to
deal with sexual issues.

INTERDEPENDENCE.
Finkelhor’s Four Preconditions to
Child Sexual Abuse
1. The motivation for sex with children
2. Overcoming internal inhibitors
3. Overcoming external inhibitors
4. Overcoming the resistance of the child

INTERDEPENDENCE.
First Precondition to Child Sexual Abuse
The motivation for sex with children
Theories:
1.Psychological theory
• Fixated
• Regressed
2. Social Learning theory

INTERDEPENDENCE.
Second Precondition to Child
Sexual Abuse
Overcoming internal inhibitors
Internal Inhibitors
– factors in us which help us do the right thing.
• empathy
•decision-making
• hiya
•anger-management
•impulse-control skills
These are learned in the family, in schools, in religious settings
and through societal laws, among others.

INTERDEPENDENCE.
CHARACTERISTICS OF THE
SEXUAL OFFENDER
•Lack of empathy
•Emotionally/socially immature
•Cognitive distortions / Denial
•Others which overcome internal inhibitors:
alcohol or drug abuse, feelings of inadequacy,
depression, poor impulse control, and poor self-
concept.

INTERDEPENDENCE.
TYPES OF DENIAL
Complete Denial of Responsibility:
I didn’t do it.
I was out of the state at the time.
She’s lying; she made it up.
I was drunk. I must have blacked out.
Denial of Intent:
It just happened.
I didn’t want it to happen, things got out of control.
Denial of Harm:
I did it, but it didn’t hurt him, certainly not as bad as they say.
It didn’t hurt me when I was abused.

INTERDEPENDENCE.
TYPES OF DENIAL
Denial of Frequency:
I did it, but only a few times, not the 20 times he says.
Denial of Intrusiveness:
I only fondled her.
I didn’t sodomize him, no matter what he says.
Making Excuses:
I was teaching him about sex.
I was checking her out because she said she’s hurt down there.
Minimization of Behavior:
I only touched her.
It wasn’t a big deal.
I only put the “tip” in.

INTERDEPENDENCE.
Third Precondition to Child Sexual Abuse
Overcoming external inhibitors
External Inhibitors
– those variables protecting the child,
including parents, neighbors, teachers,
police, religious leaders, etc.

INTERDEPENDENCE.
WHAT ARE THE NORMS THAT TOLERATE
THE ABUSE OF CHILDREN? (15 MINS)
Family norms Religious
norms
Societal norms

INTERDEPENDENCE.
NORMS TOLERATING
THE ABUSE OF CHILDREN
•Difficult implementation of laws
•Lower status for women and children
•Male as head of household
•Media portrayal of women and children as
“objects”
•Adultifying children in the media
•Respect for adults and those in authority
•Religious value for family sanctity
•Religious value of forgiveness
•Children as being owned by parents
•“Mind your own business”
•Utang na loob

INTERDEPENDENCE.
The most common characteristics of an
incestuous family
•A father who is dominant and often uses force or violence to
meet his needs
•A mother who is either physically or mentally absent, often
sickly, passive
•A daughter who takes on the role of the mother,
“parentification”, acts like a little mother, who often makes sure
that the father is happy and the needs of the siblings are met
•Separated from support either due to geographical boundaries
(such as farmers in the province) or socially isolated themselves
(no friends).

INTERDEPENDENCE.
Fourth Precondition to Child
Sexual Abuse
Overcoming the resistance of the child
Certain traits that all children share that make them
vulnerable to sexual offenders include:
•A child’s natural gift of love and need for
affection
•Lack of resources to the child except through the
family
•Lack of vocabulary
•Lack of context for such as sex or role models
other than the family

INTERDEPENDENCE.
TRAUMAGENIC DYNAMICS OF CHILD
SEXUAL ABUSE
Finkelhor & Browne
• Traumatic Sexualization
• Stigmatization
• Betrayal
• Powerlessness

INTERDEPENDENCE.
Traumatic sexualization
Dynamics = such as child rewarded for sexual
behavior, offender exchanges attention and
affection for sex, conditioning of sexual
activity with negative emotions and
memories, sexual parts of child fetishized,
offender transmits misconceptions about
sexual behavior and sexual morality

INTERDEPENDENCE.
Psychological Impact = such as increased
salience of sexual issues, confusion about
sexual identity, confusion about sexual norms,
aversion to sex-intimacy, negative associations
to sexual activities and arousal sensations,
confusion of sex with love and care-
getting/care-giving

INTERDEPENDENCE.
Behavioral Manifestations = such as sexual
preoccupation and compulsive sexual
behaviors, precocious sexual activity,
aggressive sexual behaviors, promiscuity,
prostitution, avoidance of or phobic reactions
to sexual intimacy, sexual dysfunction
(flashbacks, difficulty in arousal, orgasms), and
inappropriate sexualization of parenting

INTERDEPENDENCE.
Stigmatization
• Dynamics = such as offender blames and
denigrates victim, offender and others
pressure child for secrecy, child infers
attitudes of shame about activities, others
have shocked reaction to disclosure, others
blame child for events, victim is stereotypes as
damaged goods

INTERDEPENDENCE.
Stigmatization
Psychological Impact = such as guilt, shame,
lowered self-esteem, sense of differentness
from others

INTERDEPENDENCE.
Stigmatization
Behavioral Manifestations = such as isolation,
drug or alcohol abuse, criminal involvement,
self-mutilation, suicide

INTERDEPENDENCE.
Betrayal
Dynamics = such as trust and vulnerability
manipulated, violation of expectation that
others will provide care and protection, child’s
well-being disregarded, lack of support and
protection from parent(s)

INTERDEPENDENCE.
Betrayal
Psychological Impact = such as grief, depression,
extreme dependence, impaired ability to
judge trustworthiness of others, mistrust
(particularly of men), anger, hostility

INTERDEPENDENCE.
Betrayal
Behavioral Manifestations = such as clinging,
vulnerability to subsequent abuse and
exploitation, allowing own children to be
victimized, isolation, discomfort in intimate
relationship, marital problems, aggressive
behavior, delinquency

INTERDEPENDENCE.
Powerlessness
Dynamics = such as body territory invaded
against the child’s wishes, vulnerability to
invasion continues over time, offender uses
force or trickery to involve child, child feels
unable to protect self and halt abuse,
repeated experience of fear, child is unable to
make others believe

INTERDEPENDENCE.
Powerlessness
Psychological Impact = such as anxiety, fear,
lowered sense of efficacy, perception of self as
victim, need to control, identification with the
aggressor

INTERDEPENDENCE.
Powerlessness
Behavioral Manifestations = such as
nightmares, phobias, somatic complaints
(eating and sleeping disorders), depression,
disassociation, running away, school
problems, truancy, employment problems,
vulnerability to subsequent victimization,
aggressive behavior, bullying, delinquency,
becoming an abuser

INTERDEPENDENCE.
FILM SHOWING
Traumagenic Dynamics of Child Sexual Abuse

INTERDEPENDENCE.
Effects of CSA
1. Distrust of others & themselves
2. Terror and Anxiety
3. Shame guilt and Responsibility
4. Alienation from their bodies
5. Isolation and Withdrawal
6. Powerlessness. Depression, & Extreme Passivity
7. Anger
8. Obsession with Sex or Complete Aversion to it
9. Questioning their sexual identity & gender
10. Drug and alcohol use & abuse
11. Eating disorders
12. Perfectionism & workaholism
13. Mental illness & suicide
14. Sexual offending

INTERDEPENDENCE.
Mabalos Po!

Case management

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Was ist angesagt?

Was ist angesagt? (20)

Ähnlich wie Case management

Ähnlich wie Case management (20)

Case management