Brief communicationA comparison of physical and sexual abuse: histories of sexual and non-sexual offenders with intellectual disability
Introduction
The link between physical and sexual abuse in childhood and psychological and emotional problems in later life is now well established Beitchman et al 1992, Kendall-Tackett et al 1993. Further investigation of abuse has suggested that specific forms of abuse may be related to specific maladaptive, emotional, and behavioral outcomes in adulthood. Briere and Runtz (1990) found that physical abuse was linked to aggression towards others, while sexual abuse was related to maladaptive sexual behavior in adulthood. Findings such as these give some support to the fairly long-standing hypothesis that sex offenders are individuals who themselves have been molested in childhood (Finkelhor, 1984). However, as Finkelhor (1984) himself has elucidated, the etiology of sex offenses cannot be explained by such a simple hypothesis. Groth (1979) reports that 32% of a group of 106 men who offended against children had themselves been abused in childhood. Dhawan and Marshall (1996) found rates of 58% of individuals experiencing sexual abuse in childhood among a cohort of sex offenders, and 20% of subjects being sexually abused in childhood in a cohort of nonsexual offenders.
Hanson and Slater (1988) accept the intuitive attraction of the “cycle of abuse” to explain sexual offending. In their meta analysis of the literature on child molesters who were themselves sexually abused as children, they conclude that around 28% of 1717 offenders reported a history of sexual abuse in childhood. They cite several psychological issues that confound the studies, including problems with control and possible tendencies to overestimate abuse as an event from the individual’s past that might mitigate current offending. For example, Groth (1979) employed a control group of 64 police officers of whom only 3% reported sexual abuse in childhood. However, it is clear that this is an inappropriate control since it may be that individuals with similar social and educational backgrounds to the offenders may have had similar levels of abuse in childhood. In addition, not all abuse victims go on to become offenders (Briggs & Hawkins, 1996), while a proportion of sex offenders have not been abused in childhood (Langevin, Wright & Handy, 1989).
In a prospective study of 908 substantiated cases of childhood sexual abuse, neglect, and physical abuse, Widom and Ames (1994) found that sexually abused children were significantly more likely to have been arrested for prostitution. However, they found no significant differences between the groups in relation to arrest for any sex crime in adulthood. In a further prospective study, Williams et al. (1995), reported in Cycle of Sexual Abuse (1996), did not find a significant difference in the number of sex offenses committed by a sample of individuals who had been sexually abused in childhood, compared with appropriate controls. Several studies have found a relationship between childhood abuse and neglect in general, and an increase in adult criminal behavior. Widom (1989) noted that childhood abuse increased the risk of delinquency, adult criminal behavior, and violent criminal behavior. Perez and Widom (1994) found that abused and neglected children were significantly poorer in intelligence quotient (IQ) and reading ability than control subjects were. All of these authors are careful to note that the majority of abused and neglected children do not become delinquent, criminal, or violent. In a report to the House of Representatives (Cycle of Sexual Abuse, 1996) it was concluded that “the experience of childhood sexual victimization is quite likely neither a necessary nor a sufficient cause of adult sexual offending.”
Bearing in mind these caveats, there is some evidence that different types of abuse may have a tendency to promote different types of problems in adulthood. In a study of a variety of types of childhood maltreatment, Briere and Runtz (1990) linked physical abuse in childhood to aggression towards others in adulthood, emotional abuse in childhood to low self-esteem in adulthood, and sexual abuse in childhood to maladaptive sexual behavior in adulthood. However, Mullen, Martin, Anderson, Romans, and Herbison (1996), in a study of 2250 women who had been physically, emotionally, and/or sexually abused as children, found that the similarities in the adult sequelae of the three types of abuse were more striking than the differences. There was a trend for sexual abuse to be associated with sexual problems, emotional abuse to low self-esteem, and physical abuse to marital breakdown.
The present study investigates these issues in relation to offenders with intellectual disability. A cohort of individuals who were charged with sex offenses will be compared to a cohort charged with nonsexual offenses. Comparisons are made on the incidence of sexual abuse in childhood and the incidence of physical abuse in childhood. It is hypothesized that sex offenders will have a higher incidence of sexual abuse histories than those charged with nonsexual offenses, while (consistent with the study by Briere & Runtz, 1990) nonsexual offenders will have a higher incidence of physical abuse histories than those charged with sexual offenses.
Section snippets
Subjects
Subjects were consecutive referrals to the authors for assessment and treatment from 1990 through 1996. Forty-six sexual offenders [18 (40%) offenders against children, 9 (20%) against women, 11 (23%) exhibitionists, and 8 (17%) prostitution] were included in the cohort. The authors are sympathetic to the argument that the prostitution offenses should not be included in this cohort. However, other reviews Day, 1994, Walker and McCabe, 1973 on sex offenders with intellectual disability included
Results
Thirty-eight percent (38%) of the sex offenders group and 12.7% of the nonsex offenders group were classified as having been sexually abused. χ2 analysis indicated a significant difference between the two groups, with the sex offenders group significantly more likely to have been sexually abused in childhood (χ2(1) = 5.01, p < .05).
Thirteen percent (13%) of the sex offenders group and 33% of the nonsex offenders group were classified as having been physically abused in childhood. χ2 analysis
Discussion
In the present study, subjects were in treatment, the criminal justice aspects of the cases have been completed, and there is no tradition within the cohort to identify an event of sexual abuse in the past to explain current or recent offending. In addition, information on offending is gathered over longer periods of time (at least a year). Therefore, the authors feel they have a reasonably accurate account of the incidents of abuse in the histories of these subjects.
The rates of sexual abuse
Acknowledgements
The authors would like to thank the anonymous reviewers for their interesting insights and comments on the study.
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