Showing posts with label Roland Summit. Show all posts
Showing posts with label Roland Summit. Show all posts

Wednesday, April 24, 2013

Honoring Roland C. Summit, MD

April is Sexual Assault Awareness Month

Honoring Roland C. Summit, MD




Dr. Roland Summit was a blazing pioneer in the anti-rape movement when it came to protecting children, along with adult survivors of child abuse.  He was both highly respected and shunned for speaking out for both child and adult survivors when no one else was willing to put their reputations out on the line.  

Roland C. Summit was the medical director of the Community Consultation Service, Clinical Assistant Professor of Psychiatry, Harbor UCLA Medical Center, Torrance, CA; along with being the author of the historic document: "The Child Sexual Abuse Accommodation Syndrome", along with being the author of numerous articles and books on the topic of child abuse.  Dr. Summit was a founding member of the boards of directors of Parents Anonymous and the American Professional Society on the Abuse of Children. Dr. Summit founded the Los Angeles County Child Sexual Abuse Project and the UCLA Family Support Program.


Back in 1981 Roland Summit was quoted as saying "As much money must be spent on the victims of child abuse as is spent by society to incriminate and punish those who abuse the youngsters", at a conference in California. 

He also stated that "For centuries, sexual abuse of children was treated as a myth, said to be exaggerated or even blamed in some cases on the children themselves".

Dr. Summit continued by saying ''We are seeing sexual child abuse in a radically different light than we did 10 short years ago. In a way, we're discovering it now - we believe it now.'' 

''The difference is that a few years ago children would encounter sexual abuse and would find nobody in the adult world who understood them when they attempted to make their problems known.'' He said "statistics show that most adults who abuse children sexually are neither mentally nor emotionally ill".


Also see:

1980s

  1. Spend same on abused, abuser, MD says (11/17/1982)
  2. The Child Sexual Abuse Accommodation Syndrome (1983)
  3. A Mute Girl's Story: Child Abuse and the System  (05/02/1984)
  4. Experts on sexual child abuse try to defuse the time (01/27/1985)
  5. The Stigma Being Wrongly Accused of Child Sex Abuse  (02/02/1985)
  6. No One Invented McMartin `Secret' Techniques Were Right Ones to Get at Facts, Help Victims  (02/25/1986)
  7. Study Focuses on Sexual Abuse of Boys Males May Be Victims in Up to 25% of Cases  (10/28/1986)
  8. Sex offenders often victims of abuse  (07/18/1987)
  9. Youth Groups Fear Specter of Sexual Abuse  (09/28/1988)


1990s

  1. New Puzzle: High-Tech Pedophilia Technology: Computer disks confiscated in Glendora arrest contain sexually explicit material involving young boys. Police say the greater use of such equipment is more difficult to track down  (03/05/1993)


2000s
  1. Scientific studies dispute writer's claim  (11/08/2004)
  2. New Rule For Priests Avoids Facing Problem  (12/12/2005)


Monday, December 12, 2005

New Rule For Priests Avoids Facing Problem

New Rule For Priests Avoids Facing Problem
By William Butte
South Florida Sun - December 12, 2005


Is the Catholic Church ready to endure a persistent pedophilia problem?
That seems the obvious question to ask in light of the Vatican's new, long-anticipated "instruction," which bans men who "practice homosexuality or present profoundly deeply-rooted homosexual tendencies or support the so-called `gay culture' " from seminaries and religious orders. The new policy allows for men whose "homosexual tendencies must be overcome at least three years," as well as accepting current gay clergy.
But what the directive fails to address are men who have a deeply rooted sexual fixation toward children.
When the church's child abuse scandal erupted in 2002, the hierarchy initially dismissed the young abuse victims as unrepentant liars. But as the scope of the scandal quickly grew, and the church's own complicity in covering it up was exposed, the episcopate, seeking a new victim to blame, embraced an old stereotype and pointed its collective finger at the church's multitude of gay priests.
And when a study of the scandal commissioned by the U.S. Bishops Conference showed about 80 percent of the abused victims were adolescent boys 11 to 17 years old, the episcopate and other conservative Catholics felt vindicated in their finger-pointing.
But the study doesn't answer one vital question: Were the clergymen who abused adolescent boys gay men?
To the sexually unsophisticated this is a ridiculous question, since men who have sex with boys obviously must be homosexual. However, Roland Summit, a psychiatrist at Harbor-UCLA Medical Center specializing in child sexual abuse since 1975, says the habitual molester of adolescent boys is rarely attracted to adult males, and the vast majority of men who molest boys identify themselves as heterosexual and (aside from Roman Catholic clergy) are in adult heterosexual relationships.
Why would heterosexual men sexually abuse adolescent boys? As with men who rape women, pedophilia usually has less to do with sexual attraction than relieving feelings of personal inadequacy by dominating a victim. And from the 1960s through 1980s, when the majority of the abuse accusations occurred, priests had more access to boys than girls with the traditional use of altar boys for Mass and sex-segregated Catholic schools.
It's also reasonable to think that there have been numerous younger religious Catholic men who, realizing their sexual attraction to children, tried to avoid it by turning to the celibacy of the priesthood in an effort to seek spiritual redemption. The new Vatican policy won't change these attempts at atonement.
But if the pope truly believes gay priests endanger children, why didn't he ban already ordained gay clergy? Could it be Benedict realizes with their prevalence the church couldn't function without them, and has hypocritically put the church's needs above Catholic children's safety?
Or maybe he's less concerned with priests molesting children than with "the increasing numbers of homosexual men being ordained changing the culture of the priesthood," as the Rev. Anthony Figueiredo, who has assisted the pope, put it.
The new instruction acknowledges men desiring the priesthood are "responding to the call of God," though the policy asserts the church's supremacy over God's calling by noting "there is no right to receive ordination" as well as asserting the church's power "to discern the qualification" of future seminary candidates to see if they are "in possession of the requisite qualities."
As one priest has pointed out, a document that tells God who God can and can't choose commits the sin of pride.
But one question remains: Does God call gay men to the priesthood? That would seem to be the case. Despite Scripture claiming homosexuality comes from rejecting God, an estimated 25 to 50 percent of priests are gay men who have embraced God. And despite Scripture's claims to the contrary, while interviewing gay priests for his landmark book, The Changing Face of the Priesthood, the Rev. Donald Cozzens discovered many men who only realized their homosexuality after their ordination.
The Vatican's new homophobic policy also besmirches the memory of the Rev. Mychal Judge, the beloved New York City Fire Department chaplain recognized as the first victim of 9-11. Though he lived a celibate life, he was an openly gay man who prayed with AIDS patients and was a member of Dignity, the gay Catholic organization.
Today there is a budding grass-roots effort to have "Father Mike" canonized for sainthood, after three families, who either prayed to him or with him saw their seriously ill children seemingly miraculously recover.
Perhaps we should all pray to Father Mike to keep all Catholic children out of harm's way.

Monday, November 08, 2004

Scientific studies dispute writer's claim


Scientific studies dispute writer's claim
By Charles Hundey
News Gazette - November 8, 2004


To the editor:
In a recent letter, a man stated that he was "preyed on" by homosexuals as a child. The Child Welfare League of America, the American Academy of Child Psychiatrists, the National Association of Social Workers, and the American Psychological Association have all taken the position that there is no correlation between homosexuality and sexual abuse of children.
Roland Summit, head physician of Community Consultation Service at Harbor UCLA Medical Center made the following statement: "The vast majority of offenders are heterosexual men. Male offenders who abuse young boys maintain adult heterosexual relationships. The habitual molester of boys is rarely attracted to adult males."
A. Nicholas Groth, Ph.D, then director of the Sex Offender Program at Connecticut Department of Corrections and co-director of the St. Joseph College Institute for the Treatment and Control of Child Sexual Abuse wrote, "The belief that homosexuals are particularly attracted to children is completely unsupported by our data. The child offenders who engaged in adult relationships as well were heterosexuals. There were no homosexual adult-oriented offenders in our samples who turned to children." (Groth, A. Nicholas & Birnbaum, B., Adult Sexual Orientation and Attraction to Underage Persons. Archives of Sexual Behavior 7:175181, 1978.)
If this man was preyed on by men as a boy, they were pedophiles, not homosexuals. If they also maintained adult relationships, they were almost certainly heterosexual ones.




Friday, March 05, 1993

New Puzzle: High-Tech Pedophilia Technology: Computer disks confiscated in Glendora arrest contain sexually explicit material involving young boys. Police say the greater use of such equipment is more difficult to track down

New Puzzle: High-Tech Pedophilia Technology: Computer disks confiscated in Glendora arrest contain sexually explicit material involving young boys. Police say the greater use of such equipment is more difficult to track down
By Vicki Torres
Los Angeles Times and Associated Press- March 5, 1993



Computers, telephone modems and videos-the high-tech tools of communication-were the sophisticated wares that accused pedophile Ed Scott used to lure and contact hundreds of boys nationwide, authorities say.
It is a troubling example, they say, of how child molesters are increasingly reaching across the country to find victims with the aid of technology.
When Glendora police raided Scott's trailer home in a mobile home park on Alosta Avenue in January, they confiscated five computers, five videocassette recorders, nearly 300 videocassettes and hundreds of computer disks.
The disks contained sexual chats with boys who used code names and talked with Scott via their computers from cities across the country, Glendora Police Detective Brett Mickelson said.
Some of Scott's computer programs bore photographic images of naked boys, Mickelson said. Harmless cartoons on videocassettes disguised X-rated images of youths that were revealed only when the tape tracking device was manipulated, the detective said.
"Lots of the stuff requires (computer) passwords and we can't get into it," Mickelson said.
"Glendora police have contacted the FBI and other agencies to get help," said Deputy Dist. Atty. Jim Belna, who is prosecuting Scott. "It's beyond the resources of a suburban police force."
Scott, accused of molesting four boys, faces a preliminary hearing on 24 criminal charges Tuesday in Citrus Municipal Court in West Covina. He is in County Jail in lieu of $1-million bail and faces up to 54 years in state prison if convicted, Belna said.
Although the case is a rare one for Glendora-a town of 47,828 residents and 55 police officers tucked in the foothills of the San Gabriel Mountains-it reflects a broader danger, police say.
"It's a relatively small problem that's rapidly getting larger and larger," said Dallas Police Lt. Bill Walsh, whose investigators two years ago lured one accused pedophile from Woodland Hills to Texas via computers.
"These people will travel to meet kids," Walsh said. "There are a lot of different angles."
The growing nature of the problem was illustrated Thursday when the U.S. Customs Service said that federal agents had raided 40 locations nationwide in a crackdown on a worldwide computerized child pornography ring.
In California, 19 Customs agents and five police officers searched 11 locations, including Los Angeles, Westminster, Moreno Valley in Riverside County and Lakeside in San Diego County.
"Basically what we have here is a bunch of computer perverts," said William Rosenblatt, chief of the Customs Service in Miami. Computer transmissions are quickly taking over from traditional magazine formats among pedophiles, he said.
No arrests were made, but if possession is verified, suspects can be charged with federal counts that could put them in prison for 15 to 20 years, he said.
Police began discovering the technological menace only during the past five years, said Bill Dworin, a detective with the Los Angeles Police Department's sexually exploited child unit. Investigators found pedophiles using electronic bulletin boards to exchange computerized pornography and lists of youthful victims with other pedophiles, Dworin said.
Computerized pornography is more than just crude images, Walsh said. Computer scanners, sound effects and color screens enable lifelike images, culled from photographs, to be transferred to the computer and programmed with motion and sound into short, television-like X-rated scenes, the Dallas police official said. Further, interactive programs exist in which the pedophile chooses the plot line as he progresses.
Pedophiles also seduce young computer users, mainly adolescent boys who are drawn to computer technology, Dworin said. Police are often unable to investigate such crimes because many departments lack the technical expertise, time and budget to investigate high-tech computer pedophilia, the Los Angeles detective said.
In the Los Angeles area, authorities say, more than 1,600 electronic bulletin boards of all types exist. New ones can be created with link-up equipment costing a few hundred dollars.
Meanwhile, sophisticated computer users can conceal child pornography on a disk. Officers who raid a suspected pedophile's house will often find no photos and no lists, only computer disks to which, without the correct password, they have no access, police said.
Pedophiles may find computers perfectly suited to their activities, experts say. Many pedophiles keep detailed records of their victims, said forensic psychiatrist William Vicary of Los Angeles. The computer provides a compact way to keep track of the pedophile's victims and hundreds of photos and documents. Because pedophiles generally lose interest in their sexual victims once the youths reach adulthood, pedophiles must continue searching for youthful victims, said Roland Summit, an associate professor of psychiatry at Harbor-UCLA Medical Center. Computers can aid in the search, he said.
Computers also can be a focus for what psychiatrists call "grooming techniques," by which pedophiles offer to teach adolescents a specialized skill or expose them to activities to which they otherwise would not have access, psychiatrists say.
Police said Scott used this approach in finding his victims in the San Gabriel Valley.
"He's a very smooth talker," Mickelson said. "What he targets are young boys who are runaways, or who have problems at home. . . . A lot of the boys are looking for a male figure in their lives."
Scott befriended the boys, gave them money for cleaning the windows on his trailer, suggested outings to the movies and then invited them into his trailer to play computerized video games, Glendora police say. Sexual material was introduced with a game found in the trailer called "Strip Poker," Mickelson said. Scott then allegedly progressed to taking the boys' pictures and then engaging in sex acts, the detective said.
In the Jan. 11 raid, Glendora police found more than 400 photos of young boys dating to the mid-1970s and about 60 letters from boys throughout the United States, Canada and England dating to the mid-1980s, Mickelson said. But much of the evidence was found on the computer disks and videocassettes.
"He would take a camcorder and video these boys at this house and put it on a computer disk," Mickelson said.
Police are also investigating possible fraud charges against Scott. Officers found about 400 credit cards and fake identification cards, some bearing the names "Roger Shafer" and "Roger James." Some cards identified Scott as a Texas special investigator. Mickelson said Scott was convicted of posing as a police officer in Colorado. Scott, 48, a native of Trinidad, Colo., was born Edward James Aragon. He attended schools in Trinidad, where his mother still lives, and in Colorado Springs.
For the past 12 years, Scott worked as a records manager at Mayflower Moving in West Los Angeles. When the company computerized its records, Scott became a computer whiz, said a spokesman for Scott's employer.
Police would not have suspected Scott if not for a 17-year-old boy who came to police with a tale of abuse.
The victim, who spoke to a Glendora officer three days before Christmas, said he moved in with Scott, then living in a Pomona trailer park, at age 12. The boy said arguments with his mother prompted him to live for three years with the kind, fatherly man who took an interest in him. But that interest included sex, as often as three or four times a day, Mickelson said the boy told officers.
After the boy spent two years in another home, away from Scott, he developed a romantic relationship with a girl and realized the abuse he had endured, Mickelson said. He then contacted police.
In examining Scott's photos, Glendora officers recognized a 12-year-old local boy, who led them to two other youths, 13 and 14. Two of the boys said they had been sexually molested and additional charges were filed against Scott. Police were led to a 19-year-old man who said he was molested by Scott six years ago.
Walsh said parents should discuss which computer bulletin boards their child may use, occasionally monitor the child's computer use and examine phone bills to see if long-distance computer calls to one location are common. But a good relationship between parent and child is the best protection, say police and psychiatrists.
"Very few of us listen to our children," Dworin said. "Basically, you have to learn to talk to your children."




Wednesday, September 28, 1988

Youth Groups Fear Specter of Sexual Abuse


Youth Groups Fear Specter of Sexual Abuse

By Barbara Baird
Los Angeles Times - September 28, 1988


Shirley Rudolph relishes her unofficial title as the Lawndale Little League's mother-in-residence.
Often a crestfallen youngster will crawl up on her lap for consolation after a difficult game, or an exuberant teen-ager will throw his arms around her to help celebrate a big win.
Rudolph, a Lawndale recreation commissioner, and her husband, Lawndale Councilman Larry Rudolph, have been Little League volunteers since 1969, when the first of their three sons joined. Now, to their delight, they have a 6-year-old grandson in the league.
Rudolph enjoys her maternal role and prides herself in the open communication she maintains with boys and girls in the league.
But in recent years, Rudolph said, she has become more cautious about giving youngsters a reassuring hug or a peck on the cheek.
Because of the McMartin Preschool child molestation case, now in its second year of trial, South Bay parents are well aware of the specter of child sexual abuse, Rudolph said.
Little League Manager Accused
Their fears were reinforced, she said, when a Lawndale Little League team manager was accused in July of molesting four players by pulling down their pants and spanking them on repeated occasions. William Anthony Boguille, 23, pleaded no contest to two misdemeanor charges of sexual battery. None of the incidents were so egregious or sustained as to warrant the original felony charges, the prosecutor said. A first-time offender, Boguille was sentenced to perform community service, serve three years' probation and undergo psychological counseling. The terms of his probation prohibit him from coaching youth sports or contacting children under 15 without another adult present.
In the aftermath of this case, Rudolph said, "My No. 1 priority is the safety of the players. I am going to do everything in my power to ensure the safety of the kids."
The Lawndale Parks, Recreation and Social Services Commission on Tuesday will discuss whether the city should establish a policy requiring groups like the Little League that use city parks to screen volunteers, she said. The Little League board will also be seeking ways to weed out potential molesters as it prepares for January sign-ups.
Although Rudolph applauds current vigilance against child sexual abuse, she said that sometimes innocent expressions of affection can fall under suspicion.
"I am one of the people most involved with the kids in the league," said Rudolph, who recently was elected league president. "Even though I have my own kids, and people have known me for years, I can't completely be myself with the kids. I don't know whether to give them a hug or a kiss on the cheek. Sometimes I just freeze."
Rudolph's discomfiture reflects the uncertainty local youth organizations are confronting as they try to eliminate potential molesters from such All-American organizations as the Little League, Scouts and the YMCA.
Lawndale Little League officials said that although this is the first case of its kind in the organization's 31-year history, the arrest and sentencing of Boguille prompted a redoubling of efforts to detect potential molesters.
"We screen applicants closely," said Jim Watson, last year's league president. "It's not like we take anybody off the street."
He said that the league contacted Boguille's references and they checked out "A-OK. . . . There was nothing in his background to indicate there would be a problem." Officials from the Sheriff's Department confirmed that Boguille had no prior police record.
The Lawndale case illustrates one of the most intractable problems youth organizations face in identifying potential molesters: for a number of reasons, including the reluctance of young victims to report abuse, many child molesters and victims do not come to the attention of police or child protection agencies, authorities said.
"Unfortunately, most pedophiles do not have a prior record, so there is no way of detecting and identifying these people until the police become involved after the fact," said Detective Gary Lyon, a nine-year veteran of the Los Angeles Police Department's Sexually Exploited Child Unit.
Molesters go undetected because children often are afraid to report molestation, believing that "somehow it's their fault. . . . They feel guilty and they just don't talk about it," Lyon said.
Lyon's conclusions are supported by an authoritative nationwide poll on child sexual abuse conducted by the Los Angeles Times in 1985. (See related story, this page.)
"Unfortunately," said Dr. Roland Summit, a Harbor-UCLA Medical Center psychiatrist and sexual abuse expert, "most of those identified (accused) as molesters are never booked; most of those who are booked are dismissed without charges. And any charges are often negotiated down so that they are not recognizable as a sexual crime. The effective child molester will be active all his life without attracting accusations. Only the inept losers get caught."
According to an FBI study published by the National Center for Missing & Exploited Children in Washington, pedophiles seek out youth organizations as a place to meet children.
"Pedophiles are frequently `nice guys' in the neighborhood who like to entertain the children after school or take them on day or weekend trips," said the FBI's Kenneth V. Lanning in his report, "Child Molesters: A Behavioral Analysis." Pedophiles often take jobs dealing with children and "may often become a Scout leader, Big Brother, foster parent (or) Little League coach," he said in his 58-page report.
"Some pedophiles can watch a group of children for a brief period of time and then select a potential target," Lanning said. "More often than not, the selected child turns out to be from a broken home or the victim of emotional or physical neglect. This skill is developed through practice and experience."
Only the most disturbed or desperate molesters target children who are strangers, said Deputy Dist. Atty. Ken Freeman, who specialized for six years in prosecuting child sexual abuse cases.
More typically, he said, molesters present a likable appearance that wins the confidence of the child and parents alike.
Detective Lyon said child molesters are often "the people you'd be least likely to suspect.

`A Very Nice Person'
"Every pedophile I have come across is `a very nice person.' These individuals are good citizens, all except for their problem with kids. Their stock in trade is being a nice guy. They have to endear themselves to children, and more importantly to parents of the children, so parents will entrust their children to them," said Lyon.
Rather than forcing their attentions on a child, molesters often engage in a "seduction" period during which they befriend youngsters and shower them with attention and gifts, according to the FBI report. "If you understand the courtship process, it should not be difficult to understand why some child victims develop positive feelings for the offender," Lanning said in the report.
Dan Sexton, director of a national child abuse hot line sponsored by the nonprofit Childhelp USA, which operates a residential center in Beaumont for sexually abused children, said molesters often do not believe they are hurting children.
"Pedophiles do not go out looking to hurt kids, they go out to make friends," he said. They frequently target children of a specific sex and age range, he said.
Research shows that most child molesters were sexually abused as children, Lanning said in the FBI report. Other hints that someone could be a pedophile are premature separation from the military, frequent and unexpected moves, being over 25 and never married, living alone or with parents, a lack of peer and dating relationships and an excessive interest in children, the report said.
One of the most reliable indicators that a person is a molester, according to the FBI, is possession of a collection of child pornography or erotica.
"Child pornography . . . is the single most valuable piece of evidence of sexual abuse that any investigator can have," the report said. "The effects on a jury of viewing seized child pornography is devastating to the defendant's case."
While a combination of traits might make investigators suspicious, by no means does that prove a person is a molester, law enforcement officials say. There is no test or method that is 100% reliable in detecting molesters, they say, cautioning that youth organizations might have a false sense of security from testing or screening applicants.

Screening Methods Vary
Approaches among local youth organizations range from minimal screening to an intensive three-month selection process devised by Big Brothers of Greater Los Angeles. A spot sampling showed the following approaches:
"We don't screen anybody as such," said Dominic Iapello of the Long Beach Council, Boy Scouts of America. The organization is concerned that fingerprinting and criminal checks represent an invasion of the applicant's privacy, he said.
About 90% of the Boy Scouts' adult volunteers are parents of boys in the program, he said. The group does, however, check with the national organization to detect possible problems of a newcomer to the area.
The American Youth Soccer Organization screens volunteers informally at the local level, according to Tim Thompson, national executive director of Hawthorne-based organization.
Officials would become concerned "if a coach becomes overly social with the children," seeking social contact outside the games and practices, he said. "Ninety-nine out of 100 volunteers after the game are going to want to go home and turn on a Lakers game," Thompson said.
Soccer officials want to avoid jumping to conclusions because child molestation charges are so damaging, he said. A false accusation by a distraught child could ruin a person's reputation, he said.
Because the Hawthorne YMCA offers day-care programs, which must be licensed by the state Department of Social Services, the Y must submit fingerprints of all employees and volunteers for a criminal records check by the state Department of Justice.
In addition, said executive director Quin Gustason, the Y relies on "a lot of networking and closeness" among workers to detect signs of possible abuse.
Unlike other youth organizations, in which adults and children interact for the most part in public places under the scrutiny of other adults and children, Big Brothers of Greater Los Angeles specializes in developing personal, mostly private relationships between boys from single-parent families and men who are to serve as positive male role models.
With at least five Los Angeles-area Big Brothers convicted of molestation-related charges since 1982, the organization has developed a three-month intensive screening process that has won the admiration of law enforcement officials.
"They may screen people out who would be OK, but it's better to err on the side of caution," said Deputy Dist. Atty. Freeman
Nancy Dufford, spokeswoman for Big Brothers of Greater Los Angeles, said: "We are pretty confident that our interview techniques and process can weed out a person who might not be appropriate for any reason," including possible intent to molest.
The screening process includes fingerprinting and a check of state and federal criminal records, plus a check of military discharge records and references-including the applicant's employer and wife or girlfriend, Dufford said.
Applicants then undergo a three- to four-hour intensive interview covering their family background, social habits and sexual history, she said. Interviewers are looking for "a series of things that don't fit," such as a person who has failed to develop adult relationships or spends most of his time with children, she said.
If there are any doubts about the applicant, he must undergo further scrutiny, Dufford said. Only about 10% of applicants are accepted.
The Big Brothers program also approaches the problem from the youngsters' perspective, teaching boys how to identify and report molestation. "We want the kids to be knowledgeable about `good touch' versus `bad touch,' " Dufford said, using phrases coined to help children distinguish an affectionate touch from molestation.

Advice for Parents
A primary responsibility for preventing abuse rests with parents, said Childhelp's Sexton, who conducts clinical training in sex abuse prevention nationwide. Parents should "not be paranoid, just more careful," he said, advising parents to regularly set aside time when children know they can discuss their problems and feelings.
Children who may not be able to tell their parents they have been abused provide behavioral clues, such as sleeplessness, loss of appetite, acting up, doing poorly in school or suddenly not wanting to be around a certain person, he said.
Authorities cautioned against going to extremes in response to the problem of child sexual abuse. There are dangers both in denying that the problem exists and, at the other extreme, of overreacting to harmless demonstrations of affection, they said.
Child sexual abuse is such an unthinkable crime that some adults may refuse to heed the behavioral signs, experts said.
Denial gives people the "psychological comfort" of believing that children are rarely victimized, although research findings would show otherwise, said psychiatrist Summit, who participated in a Los Angeles County task force formed in response to the McMartin case.
Summit, in the committee's voluminous 1984 report to the County Board of Supervisors, said that denial of the problem allows adults to "be more secure in the serene assurance that young children are safe in trusted environments." Society has engaged in "a vast conspiracy of silence" about child sexual abuse, he said in the report and reiterated in an interview last week.
The psychological defenses of victims themselves may help perpetuate the silence, Summit wrote, adding that victims "commonly grow up with no memory of the experience. The victim often remembers the perpetrator only in an idealized, blameless image. The most persistent, savage abuse may create in the victim the most loyal, slave-like identification with the aggressor."

Effect on Adults
Other experts said that one of the unfortunate side-effects of recent nationwide publicity on child abuse is that some adults have become hesitant to touch children because they fear being accused of molestation.
"Recent allegations of sexual abuse of preschool and school-aged children have set off a multitude of responses," said Dr. Michael Durfee, a child psychiatrist who is coordinator of the child abuse prevention program for the Los Angeles County Department of Health Services.
"Many, perhaps most, reactions will ultimately prove useful. The one clear short-term loss is an increased anxiety about touching and intimacy in any form. . . . Not touching a child is more than a hazard for general growth and development. Removing touch, removing intimacy, generates children who are only more susceptible to molestation."
It is up to parents to provide a loving, supportive, open environment at home so children learn from the earliest age about normal, healthy intimacy, Durfee said.
And one of the most foolproof ideas for preventing child sexual abuse is used by Lawndale Little League parent Daniel Lara. "Parents should get more involved instead of just dropping their kids off and leaving them with the coaches," he said. "At least that would lower the chances of something happening.

Saturday, July 18, 1987

Sex offenders often victims of abuse


Sex offenders often victims of abuse
By Kim Pemberton
The Vancouver Sun - July 18, 1987


Innovative treatment programs for sexual offenders are rare because society, and even some professionals working with child abusers, refuse to believe many offenders were themselves abused children, says a Los Angeles child abuse expert.
Dr. Roland Summit spoke earlier this week at a symposium on clinical implications of childhood sexual trauma in Vancouver.
Until sex offenders are given the emotional support necessary to deal with their own childhood abuse, the majority will never overcome their behavioral problems, he said.
"The therapist needs to provide the kind of support a child would need in dealing with the rage because these patients are children who never grew up. They are in a frozen childhood and they need a mother and father all over again," Summit said.
"Once the therapist can provide that experience and the patient gets some confidence to get in touch with the child-like parts in him, then he can begin developing relationships with adults as an adult."
He said a U.S. program works with molesters who would probably not have confronted their behavioral problems without a criminal conviction.
"A person who has learned to molest children, and it usually starts when he was a victim himself, also learns it is okay to do this. All his arguments for molesting become powerfully entrenched. But, by spending time in jail, he realizes his rationalizations aren't so smart."
Summit said not all children who are molested grow up to abuse other children. He said some may show other signs, such as obesity, suicidal depression, self-mutilation or drug and alcohol abuse.

Tuesday, October 28, 1986

Study Focuses on Sexual Abuse of Boys Males May Be Victims in Up to 25% of Cases


Study Focuses on Sexual Abuse of Boys Males May Be Victims in Up to 25% of Cases

By Kathleen Doheny
Los Angeles Times - October 28, 1986


While other 9-year-old boys think about buying a better skateboard or asking for a raise in their allowance, Jeffrey has very different concerns.
He's afraid to be alone, too frightened to walk down his tree-lined street. A single fear dominates his thoughts. He worries that the two teens who sexually molested him two years ago will return to hurt him, as they threatened to do if he told on them.
The incident was far more than a curiosity-based sexual encounter. Jeffrey (not his real name) was forced to perform humiliating sexual acts with both the teen-age girl and the teen-age boy who assaulted him.

At Odds With Reality
Jeffrey doesn't fit the normal stereotype of childhood sexual abuse. Most people think of a female victim and a male offender. But that image is often at odds with reality, two San Diego-area physician-researchers say.
Sexual abuse of boys is much more common than most experts believe, according to Dr. Patricia Dunklee and Dr. Mary J. Spencer. They estimate that as many as 25% of all reported childhood sexual molestations involve boys.
The two base their findings, reported recently in the journal Pediatrics, on their own small-scale study and reviews of previous medical research reports. Their estimate is strikingly higher than those of other researchers, who have generally estimated that only 9% to 14% of reported child sexual abuse involves boys.
"It is difficult to estimate the true incidence of sexual abuse in boys, but boys, as well as girls, appear to be at significant risk. . . , " wrote Dunklee, a clinical professor of pediatrics at the UC San Diego School of Medicine and a physician at the Center for Child Protection at Children's Hospital and Health Center in San Diego, and Spencer, an associate clinical professor of pediatrics at the UCSD School of Medicine who practices in Escondido.
In their research, the two physicians found age-related patterns. "Adolescent boys who are molested are more apt to be molested by strangers," Spencer said in a telephone interview. "The little guys-ages 2, 3 and 4-are more likely to be molested by someone in the household. As the child gets more mobile-5, 6 or 7-it's more likely to be neighbors, sons of baby sitters and baby sitters (who molest)."
Estimates from the American Assn. for Protecting Children, a division of the American Humane Assn. in Denver, concur with those of Dunklee and Spencer. About 22% of the 200,000 reported cases of child sexual abuse in 1984-or 44,000-involved boys, according to Katie Bond, an association spokesperson.
Bond said reported cases probably make up only a tiny proportion of the total number that actually occur.
The San Diego study began after the two doctors realized that few researchers were focusing specifically on sexual abuse of boys. "There were so few (studies on sexual abuse of boys) that I thought we needed an update," Spencer said.
In their study, Dunklee and Spencer reviewed the medical records of 140 boys, ages 1 to 17, who were treated for sexual abuse at the Center for Child Protection at Children's Hospital and Health Center. Among the findings:
-Eighty-five percent of the victims were abused by a relative or acquaintance. Family members who abused boys younger than 13 were most likely to be the father, stepfather or the mother's boyfriend.
-Types of abuse reported by victims, whose average age was about 7, ran the gamut, but most common was attempted or actual anal-penile penetration.
-Physical evidence (such as bruises and rectal lacerations) was present in 68% of the boys, a finding that Spencer described as unexpected. "It's a message for both parents and physicians," she added.
-Multiple assaults, occurring over time periods ranging from a few days to six years, were reported by 53% of victims.
By nature, boys tend not to disclose sexual abuse, according to the San Diego researchers as well as Los Angeles-area experts. "Boys are not encouraged (by society) to be vulnerable and do not envision themselves as powerless," said Richard Embry, a social worker who counseled Jeffrey and specializes in the treatment of both sexually-abused victims and sex offenders at the Valley Child Guidance Clinic in Lancaster. "That works against boys disclosing (abuse)," he said.
While girls may "internalize" an assault and feel guilty, boys are more likely to block it out of their memory, according to Dr. Roland Summit, head physician for the Community Consultation Service in the Department of Psychiatry at Harbor-UCLA Medical Center in Torrance. "If it's too bad, they put it away as if it didn't happen," said Summit. But deep-seated rage can result, he said.
Embry and other counselors have discovered another troubling phenomenon among sexually abused boys. Some themselves become offenders-often at an early age. One 9-year-old boy, in counseling with Embry after two teen-agers sexually molested him, in turn molested two playmates. In a group of 30 sex offenders, ages 12 to 18, Embry found that more than 30% had earlier been victims of sexual abuse.
Dunklee, Spencer and other researchers urged physicians and parents to become even more aware of the possibility of sexual abuse.
Parents should be wary, Dunklee noted, of sudden behavior changes that might indicate sexual abuse of either boys or girls. Among such changes are a refusal or reluctance to go to school, to a baby sitter's or to a Boy Scout or Cub Scout meeting, for example. Nightmares, other sleep disturbances and mood swings might also indicate sexual abuse.
"Pay attention when a child (says he) has pain in the rectum," suggested Dunklee, who also encouraged mothers and fathers to pay more attention when they do the laundry. One tip-off to possible abuse, she explained, is extensive fecal soiling in a toilet-trained child. Such soiling can result, she said, when rectal muscles become lax after repeated sexual abuse.
Physical findings, however, are not always present, Summit emphasized. He suggested that parents also be wary if an adult-even a trusted family friend in a position of authority-forms what he terms a "remarkable" friendship with a child. "Normal adults don't prefer the company of children," he contends, "(even though) they may enjoy kids and work with kids."

Wednesday, February 05, 1986

No One Invented McMartin `Secret' Techniques Were Right Ones to Get at Facts, Help Victims


No One Invented McMartin `Secret' Techniques Were Right Ones to Get at Facts, Help Victims
By Roland Summit
Los Angeles Times - February 5, 1986



The latest pronouncement in the McMartin Preschool saga takes us further into Wonderland. Like some hapless Alice plunging into a rabbit hole, the case has been trapped in paradox for two years, growing and shrinking on cue, both too large to fit in and too small to climb out. And somewhere in the uneasy alliance of adversary attorneys is a cardboard monarchy dispensing justice. The edict is clear: "Off with their heads." The question of whose head must roll shifts as capriciously as the apparent size of the case.
With the announcement by Dist. Atty. Ira Reiner that all charges would be dropped against five of the seven defendants, the case is small again. Now those five have gone from supposed villains to certified victims.
"There simply isn't any evidence" to justify their extended ordeal throughout the monstrous preliminary hearing, Reiner's office says. And hundreds of parents and their children are cast as fools.
Everyone caught up in this case has reason for agony and fury. Someone must be stupid or evil or both. But who? Now the legal adversaries are in concert: The blame lies on the head of the messenger. The social workers who claimed to speak for the children gave us an unacceptable message.
What about these messengers? Were their controversial techniques so unusual or inappropriate? Did they reward children for the wrong stories? If we don't trust the sometimes fabulous stories told by children, should we trust those who claim to translate such fancies into fact?
Whatever the eventual judgments in the McMartin case, it should be clear that there was both reason and precedent for the methods used in the initial interviews with children. And, despite all the wondrous processing of those interviews through the tunnels of the adversary process, it is not too late to recover the light of reason that those recorded images can provide.
Child psychiatrists have recognized for most of this century that children don't freely voice their complaints. Psychiatric diagnosis depends on inferences drawn from the way a child relates through toys in a structured playroom. Words and conflicts too difficult to verbalize may be expressed through puppets and dolls, trucks and tanks, crayons and clay.
But it was not until 23 years ago that pediatricians discovered the concept of child abuse, the "battered-child syndrome," through patterns disclosed in X-rays. In turn they learned that victimized children were seldom able to speak about what had been done to them; they were too fearful of adults in positions of authority. Something more incisive than therapeutic play was needed in order to unlock those secrets.
With this dreadful knowledge of the battered-child syndrome came the obligation to recognize signs of abuse and to provide protective intervention. Emerging specialists developed interviewing techniques that combined interpretation of play with direct questions and gentle reassurance to coax children into sharing their fearful secrets.
Sexual abuse was eventually found to be the most sinister of those secrets. It took 15 years of child-abuse awareness before child-protection workers, emergency-room nurses, rape counselors, sociologists and others discovered that sexual assaults against children were a substantial and almost totally neglected problem.
By 1978 professional and popular information about the sexual abuse of children had proliferated. Specialists in police departments pioneered the use of anatomically specific dolls to help children find words and gestures to express the unspeakable. Federally supported sexual-abuse treatment centers attracted thousands of previously silent victims. For the first time in history, police, treatment specialists and prosecutors developed teamwork to hold child molesters accountable.
The one person in the country who shepherded this growth and who was most known and respected throughout the field was a young social worker, Kee MacFarlane, the coordinator for sexual-abuse programs at the National Center on Child Abuse and Neglect in Washington.
When MacFarlane came to Los Angeles in 1982 to become director of the Child Sexual Abuse Diagnostic Center at the Children's Institute International, she brought with her the state of the art in clinical evaluation of suspected sexual abuse. That art-highly evolved, intensely specific and largely unknown outside the fledgling specialty of child-abuse diagnosis-is an amalgam of several roles. It combines the knowledge of a child-development specialist to understand and translate toddler language, a therapist to guide and interpret interactive play, a police interrogator to develop evidentiary information and a child-abuse specialist to recognize the distinctive and pathetic patterns of sexual victimization.
Most of that specialist understanding is both unexpected and counterintuitive. Sexual assault is not a rarity for children. Only molestation by strangers is rare; 90% of the risk is from people whom we know and trust. Molestation leaves only subtle traces, usually not evident to parents or doctors. Even when bleeding or discharge is present, parents and doctors will usually find some harmless reassurance to explain the injuries. Children who have been molested are typically ashamed, fearful and specifically forbidden to tell. Mothers are usually the last to know. Children are especially afraid of telling them for fear of causing distress or losing their love. Even if children can be encouraged to admit to abuse, they may withhold the worst problems at first and may take back various disclosures if the accounts are seen to be upsetting or unbelievable to their listeners. A forthcoming, clear, consistent, durable accounting is not only rare but also suspicious. It is simply not normal for a child to tell, or for a parent to believe, that a solid citizen could be sexually dangerous.
At the clinical level the goal of most child-abuse diagnostic specialists is to discover and help victims. If a child suspected of being abused is unable to volunteer information, it must be elicited with warm reassurance and specific, potentially leading questions. A child who can only answer "yes" to specific questions, and who is obviously terrified at the mention of a suspect's name, is of no value as a witness for the prosecution. But that provisional confirmation can lead to therapy and healing for the child and family.
To apply a criminal-justice standard to clinical diagnosis is an absurdity confined to this unformed, multiturf world of child sexual abuse. It's like saying that we should discard any culture for strep throat if it merely diagnoses the illness without proving who is to blame for infecting the patient. By further analogy to the theories of the courtroom, if the doctor can't prove where the infection came from, then we'll blame the doctor for implanting the germs.
Fortunately, we do not have to depend on courtroom oratory or reductionist strategies to search for the lessons in the McMartin ordeal. The entire diagnostic process at Children's Institute International is recorded on videotape. Videotaping was intended to reduce the number of interviews in the investigative process. It also helped families in the crisis of fear and denial. Parents could believe from a tape what they might never personally hear from their children. The tapes built an unexpected support between parents and children and a bridge to follow-up communication and recovery. Unfortunately, the tapes also provided shortcuts from standard witness-screening practices. This left prosecutors poorly acquainted with their witnesses and unprepared for their testimony.
The preliminary hearing process of the McMartin case has shown us a few moments out of thousands of hours of videotape records. Furthermore, these are fragments selected by defense attorneys to make the diagnostic procedures look corrupt. Professional skeptics have used a microscope to pick out a few bacteria that don't fit the streptococcal pattern. Accurate diagnosis requires an overview of the whole growth.
Since the case in court continues to shrink, there will be no access there for understanding the plight of hundreds of children who were diagnosed as abused but discarded by the criminal-justice system. Any child who can't prove a charge beyond reasonable doubt doesn't count.
The residual dust of the case must be viewed as the most meticulous pickings from the millstones of justice. This processed flour offers no track to the bundles of grain that went into the mill. Most of the wheat has been discarded along with the chaff. We would do well to develop some process of secondary recovery to examine the lawyers' dumpheap before it is lost to the broader interests of society.
We need to know what happened-not only what happened to the children but what happened to the investigation. No citizen should be branded and criminalized for two years (or even two days) without evidence. A public should not be polarized into fearful, warring camps over false issues. And professionals attempting to help children and families should not be sources of confusion or potential abuse.
But if there is a danger out there-if children aren't always safe with people whom we trust, if some apparently safe places must be unmasked as fronts for perversion and exploitation-then we must look to sources apart from the criminal-justice system to show us the danger.
I watched the McMartin investigation develop. I heard MacFarlane's dismay as she recorded unexpected accounts from increasing numbers of children. I talked to parents searching for answers. And I have seen all of us-parents, professionals, police, prosecution, press and public-paralyzed and befuddled by the immensity of the implications and the shrinking away of the proofs. I know that the process of investigation was an honest one, just as I know that everyone involved was handicapped with imperfect knowledge, inadequate resources and intolerable urgency.
MacFarlane and the Children's Institute were asked to do a job that seemed at first to be perfectly matched to their resources. For all the burgeoning and punishing demands on that one agency, there emerged hundreds of children who could share with their parents and therapists a secret so dangerous that no one had shared it before.
Now some would say that MacFarlane invented the secret. Let it be a hysteria rather than a horror-merely a reinforcement of fantasy between children and "the puppet lady." But this is missing the point. Her diagnostic techniques were meant to find victims of abuse, not prosecute the perpetrators. Rather than discredit MacFarlane, the criminal-justice system needs to better understand the problem of child sexual abuse and make accommodations to new sources of evidence.
The court record will not reflect the representative experience of the children. And charges, convictions or acquittals will not guide our trust and judgment toward the many institutions still clouded with uncharged suspicions and incredible accusations. The record that we need to see and the testimony that must be analyzed remain under wraps-never transcribed or indexed, never even reviewed by any single observer-encrypted on miles of magnetic tape.
If the process was honest, if the stories of all the children interviewed combine into an integrity that could not have been suggested by the contributions of the interviewers, then we deserve to know that, especially if the stories define a public health hazard that cannot be proved in courts of law. If those stories do match with physical injuries as indicated in the preliminary hearing, what can we expect of medicine to define the hazard? We must remember that the battered-child syndrome came out of a medical publication, not a court decree. There was no attempt to prove who broke the bones pictured in those X-rays.
There is still another rational, clinical record deserving of attention. There are children examined in other clinics, some in other states, who gave indication of abuse in the McMartin school.
We are not trapped in Wonderland unless we choose to be. The way out was charted on the way in. Rather than decapitate the messenger, we might better take a second look at the message.