Male Survivors of Sexual Abuse: Becoming Gender-Sensitive and Trauma-Informed
While there is a wide body of literature examining the behavioral, emotional, and social consequences associated with being sexually abused, comparatively few studies have focused on males. Sexual abuse victimization among males remains largely under-reported, under-treated, and under-recognized by researchers, practitioners, and the public. Researchers trying to clarify why sexual abuse in males has been overlooked point to prevailing cultural norms, myths, assumptions, stigma, and biases about masculinity. Consequently, there is often an assumption that males are not negatively affected by sexual abuse. Drawing extensively from the literature, this article provides a critical review of: (1) the nature, experience and impact of sexual abuse victimization for males; and (2) the multidimensional processes that promote and inhibit resilient outcomes. It concludes with a discussion of trauma-informed and gender-responsive recommendations and future directions for social work practice, policy, and research.
Avery, L., Massat, C., & Lundy, M. (2000). Posttraumatic stress and mental health functioning of sexually abused children. Child and Adolescent Social Work Journal, 17(1), 19-34. doi: https://doi.org/10.1023/A:1007563509000
Bal, S., Van Oost, P., De Bourdeaudhuij, I., & Crombez, G. (2003). Avoidant coping as a mediator between self-reported sexual abuse and stress. Child Abuse & Neglect, 27, 883-897. doi: https://doi.org/10.1016/S0145-2134(03)00137-6
Banyard, V. L., Williams, L. M., & Siegel, J. A. (2004). Childhood sexual abuse: A gender perspective on context and consequences. Child Maltreatment, 9(3), 223-238. doi: https://doi.org/10.1177/107755904266914
Bergen, H. A., Martin, G., Richardson, A. S., Allison, S., & Roeger, L. (2003). Sexual abuse and suicidal behavior: A model constructed from a large community sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 42(11), 1301-1309. doi: https://doi.org/10.1097/01.chi.0000084831.67701.d6
Bergen, H. A., Martin, G., Richardson, A. S., Allison, S., & Roeger, L. (2004). Sexual abuse, antisocial behaviour and substance use: Gender differences in young community adolescents. Australian & New Zealand Journal of Psychiatry, 38, 34-41. doi: https://doi.org/10.1111/j.1440-1614.2004.01295.x
Briere, J., & Elliott, D. (2003). Prevalence and psychological sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women. Child Abuse & Neglect, 27, 1205-1222. doi: https://doi.org/10.1016/j.chiabu.2003.09.008
Briere, J., & Lanktree, C. (2013). Integrative treatment of complex trauma for adolescents (ITCT-A) treatment guide (2nd ed). Long Beach, CA: MCAVIC-USC, National Child Traumatic Stress Network, U.S. Department of Substance Abuse and Mental Health Services Administration.
Bryant-Davis, T., Ellis, M. U., Burke-Maynard, E., Moon, N., Counts, P. A., & Anderson, G. (2012). Religiosity, spirituality, and trauma recovery in the lives of children and adolescents. Professional Psychology: Research and Practice, 43(4), 306-314. doi: https://doi.org/10.1037/a0029282
Buckle, S., Lancaster, S., Powell, M., & Higgins, D. (2005). The relationship between child sexual abuse and academic achievement in a sample of adolescent psychiatric patients. Child Abuse & Neglect, 29, 1031-1047. doi: https://doi.org/10.1016/j.chiabu.2004.12.013
Clervil, R., & DeCandia, C. (2013). Integrating and Sustaining Trauma-Informed Care Across Diverse Service Systems. The National Center on Family Homelessness at the American Institutes for Research Committee. Retrieved from http://www.fredla.org/wp-content/uploads/2016/01/Tap-Trauma-informed-Systems-of-Care-Brief_092713_Ack.pdf
Chappell, B. (2012, June 21). Penn State abuse scandal: A guide and timeline. National Public Radio. Retrieved from http://www.npr.org/2011/11/08/142111804/penn-state-abuse-scandal-a-guide-and-timeline
Child Welfare Information Gateway. (2012). Mandatory reporters of child abuse and neglect. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau. Retrieved from https://www.childwelfare.gov/topics/systemwide/laws-policies/statutes/manda/
Corbin, T. J., Rich, J. A., Bloom, S. L., Delgado, D., Rich, L. J., & Wilson, A. S. (2011). Developing a trauma-informed, emergency department–based intervention for victims of urban violence. Journal of Trauma & Dissociation, 12(5), 510-525. doi: https://doi.org/10.1080/15299732.2011.593260
Crable, A. R., Underwood, L. A., Parks-Savage, A., & Maclin, V. (2013). An examination of a gender-specific and trauma-informed training curriculum: Implications for providers. International Journal of Behavioral Consultation and Therapy, 7(4), 30-37. doi: https://doi.org/10.1037/h0100964
Crete, G., & Singh, A. (2015). Resilience strategies of male survivors of childhood sexual abuse and their female partners: A phenomenological inquiry. Journal of Mental Health Counseling, 37(4), 341-354. doi: https://doi.org/10.17744/mehc.37.4.05
Dhaliwal, G, Gauzas, L., Antonowicz, D., & Ross, R. (1996). Adult male survivors of childhood sexual abuse: Prevalence, sexual abuse characteristics and long term effects. Clinical Psychology Review, 16(7), 619-639. doi: https://doi.org/10.1016/S0272-7358(96)00018-9
Dilorio, C., Hartwell, T., & Hansen, N. (2002). Childhood sexual abuse and risk behaviors among men at high risk for HIV infection. American Journal of Public Health, 92(2), 214-219. doi: https://doi.org/10.2105/AJPH.92.2.214
Dong, M., Anda, R., Dube, S., Giles, W., & Felitti, V. (2003). The relationship of exposure to childhood sexual abuse to other forms of abuse, neglect, and household dysfunction during childhood. Child Abuse & Neglect, 27, 625-639. doi: https://doi.org/10.1016/S0145-2134(03)00105-4
Dube, S., Anda, R., Whitfield, C., Brown, D., Felitti, V., Dong, M., & Giles, W. (2005). Long-term consequences of childhood sexual abuse by gender of victim. American Journal of Preventive Medicine, 28(5), 430-438. doi: https://doi.org/10.1016/j.amepre.2005.01.015
Duke, N. N., Pettingell, S. L., McMorris, B. J., & Borowsky, I. W. (2010). Adolescent violence perpetration: Associations with multiple types of adverse childhood experiences. Pediatrics, 125(4), e778-e786. doi: https://doi.org/10.1542/peds.2009-0597
Easton, S. D., Renner, L. M., & O’Leary, P. (2013). Suicide attempts among men with histories of child sexual abuse: Examining abuse severity, mental health, and masculine norms. Child Abuse & Neglect, 37(6), 380-387. doi: https://doi.org/10.1016/j.chiabu.2012.11.007
Fallot, R., & Bebout, R. (2012). Acknowledging and embracing "the boy inside the man:" Trauma-informed work with men. In N. Poole & L. Greaves (Eds.), Becoming trauma-informed (pp. 165-174). Toronto, ON: Centre for Addiction and Mental Health.
Feiring, C., Rosenthal, S., & Taska, L. (2000). Stigmatization and the development of friendship and romantic relationships in adolescent victims of sexual abuse. Child Maltreatment, 5(4), 311-322. doi: https://doi.org/10.1177/1077559500005004003
Feiring, C., Taska, L., & Chen, K. (2002). Trying to understand why horrible things happen: Attribution, shame and symptom development following sexual abuse. Child Maltreatment, 7(1), 26-41. doi: https://doi.org/10.1177/1077559502007001003
Feiring, C., Taska, L., & Lewis, M. (1999). Age and gender differences in children's and adolescents' adaptation to sexual abuse. Child Abuse & Neglect, 23(2), 115-128. doi: https://doi.org/10.1016/S0145-2134(98)00116-1
Foster, G., Boyd, C., & O'Leary, P. (2012). Improving policy and practice responses for men sexually abused in childhood (ACSSA Wrap No. 14). Melbourne: Australian Centre for the Study of Sexual Assault, Australian Institute of Family Studies.
Gagnier, C., & Collin-Vézina, D. (2016). The disclosure experiences of male child sexual abuse survivors. Journal of Child Sexual Abuse, 25(2), 221-241. doi: https://doi.org/10.1080/10538712.2016.1124308
Gover, A. (2004). Childhood sexual abuse, gender and depression among incarcerated youth. International Journal of Offender Therapy and Comparative Criminology, 48(6), 683-696. doi: https://doi.org/10.1177/0306624X04264459
Harris, M., & Fallot, R. D. (Eds.). (2001). Using trauma theory to design service systems. San Fransisco: Jossey-Bass.
Hebert, M., Parent, N., Daignault, I., & Tourigny, M. (2006). A typological analysis of behavioral profiles of sexually abused children. Child Maltreatment, 11(3), 203-216. doi: https://doi.org/10.1177/1077559506287866
Heger, A., Ticson, L., Velasquez, O., & Bernier, R. (2002). Children referred for possible sexual abuse: Medical findings in 2384 children. Child Abuse & Neglect, 26, 645-659. doi: https://doi.org/10.1016/S0145-2134(02)00339-3
Heru, A. (2001). The linkages between gender and victimhood. International Journal of Social Psychiatry, 47(3), 10-20. doi: https://doi.org/10.1177/002076400104700302
Holmes, W. C. (2008). Men’s self-definitions of abusive childhood sexual experiences, and potentially related risky behavioral and psychiatric outcomes. Child Abuse & Neglect, 32(1), 83-97. doi: https://doi.org/10.1016/j.chiabu.2007.09.005
Holmes, W. C., & Slap, G. B. (1999). Sexual abuse of boys: Definition, prevalence, correlates, sequelae, and management. JAMA, 281(23), 631-632. doi: https://doi.org/10.1097/00004583-199905000-00032
Homma, Y., Wang, N., Saewyc, E., & Kishor, N. (2012). The relationship between sexual abuse and risky sexual behavior among adolescent boys: A meta-analysis. Journal of Adolescent Health, 51, 18-24. doi: https://doi.org/10.1016/j.jadohealth.2011.12.032
Hopper, E. K., Bassuk, E. L., & Olivet, J. (2010). Shelter from the storm: Trauma-informed care in homelessness services settings. Open Health Services and Policy Journal, 2, 131-151. Retrieved from http://www.traumacenter.org/products/pdf_files/shelter_from_storm.pdf
Hughes, D., Rodriguez, J., Smith, E. P., Johnson, D. J., Stevenson, H. C., & Spicer, P. (2006). Parents' ethnic-racial socialization practices: A review of research and directions for future study. Developmental Psychology, 42(5), 747-770. doi:https://doi.org/10.1037/0012-1622.214.171.1247
Hunter, S. V. (2011). Disclosure of child sexual abuse as a life‐long process: Implications for health professionals. Australian and New Zealand Journal of Family Therapy, 32(2), 159-172. doi: https://doi.org/10.1375/anft.32.2.159
John Jay College Research Team. (2004). The nature and scope of sexual abuse of minors by Catholic priests and deacons in the United States, 1950-2002. Washington, DC: United States Conference of Catholic Bishops (USCCB).
Jones, D. J., Lewis, T., Litrownik, A., Thompson, R., Proctor, L. J., Isbell, P., ...,Runyan, D. (2013). Linking childhood sexual abuse and early adolescent risk behavior: The intervening role of internalizing and externalizing problems. Journal of Abnormal Child Psychology, 41(1), 139-150. doi: https://doi.org/10.1007/s10802-012-9656-1
Kelly, E. (2013). The Jerry Sandusky effect: Child abuse reporting laws should no longer be don’t ask, don’t tell. University of Pittsburgh Law Review 75, 209-233. doi: https://doi.org/10.5195/lawreview.2013.305
Kelly, P., Koh, J., & Thompson, J. (2006). Diagnostic findings in alleged sexual abuse: Symptoms have no predictive value. Journal of Paediatrics and Child Health, 42, 112-117. doi: https://doi.org/10.1111/j.1440-1754.2006.00808.x
Kenny, M.C. & Abreu, R.L. (2015). Training mental health professionals in child sexual abuse: Curricular guidelines. Journal of Child Sexual Abuse, 24(5), 572-591. doi: http://dx.doi.org/10.1080/10538712.2015.1042185
Kenny, M. C., & McEachern, A. G. (2000). Racial, ethnic, and cultural factors of childhood sexual abuse: A selected review of the literature. Clinical Psychology Review, 20, 905–922. doi: https://doi.org/10.1016/S0272-7358(99)00022-7
Kia-Keating, M., Grossman, F., Sorsoli, L., & Epstein, M. (2005). Containing and resisting masculinity: Narratives of renegotiation among resilient male survivors of childhood sexual abuse. Psychology of Men & Masculinity, 6(3), 169-185. doi: https://doi.org/10.1037/1524-9126.96.36.199
Kim, J., & Cicchetti, D. (2004). A longitudinal study of child maltreatment, mother-child relationship quality and maladjustment: The role of self-esteem and social competence. Journal of Abnormal Child Psychology, 32(4), 341-354. doi: https://doi.org/10.1023/B:JACP.0000030289.17006.5a
Knight, C. (2015). Trauma-informed social work practice: Practice considerations and challenges. Clinical Social Work Journal, 43(1), 25-37. doi: https://doi.org/10.1007/s10615-014-0481-6
Lab, D., & Moore, E. (2005). Prevalence and denial of sexual abuse in a male psychiatric inpatient population. Journal of Traumatic Stress, 18(4), 323-330. doi: https://doi.org/10.1002/jts.20036
Manly, J. (2005). Advances in research definitions of child maltreatment. Child Abuse & Neglect, 29, 425-439. doi: https://doi.org/10.1016/j.chiabu.2005.04.001
Masten, A., Roisman, G., Long, J., Burt, K., Obradovic, J., & Riley, J. (2005). Developmental cascades: Linking academic achievement and externalizing and internalizing symptoms over 20 years. Developmental Psychology, 41(5), 733-746. doi: https://doi.org/10.1037/0012-16188.8.131.523
McGuffey, C. S. (2005). Engendering trauma: Race, class and gender reaffirmation after child sexual abuse. Gender & Society, 19(5), 621-643. doi: https://doi.org/10.1177/0891243205277310
McGuffey, C. S. (2008). "Saving masculinity": Gender reaffirmation, sexuality, race, and parental responses to male child sexual abuse. Social Problems, 55(2), 216-237. doi: https://doi.org/10.1525/sp.2008.55.2.216
McLeod, D. A. (2015). Female offenders in child sexual abuse cases: A national picture. Journal of Child Sexual Abuse, 24(1), 97-114. doi: https://doi.org/10.1080/10538712.2015.978925
Miller, A. B., Esposito-Smythers, C., Weismoore, J. T., & Renshaw, K. D. (2013). The relation between child maltreatment and adolescent suicidal behavior: A systematic review and critical examination of the literature. Clinical Child and Family Psychology Review, 16(2), 146-172. doi: https://doi.org/10.1007/s10567-013-0131-5
Newcomb, M. D., Munoz, D. T., & Carmona, J. V. (2009). Child sexual abuse consequences in community samples of Latino and European American adolescents. Child Abuse & Neglect, 33(8), 533-544. doi: https://doi.org/10.1016/j.chiabu.2008.09.014
Ohene, S., Halcon, L, Ireland, M., Carr, P & McNeely, C. (2005). Sexual abuse history, risk behavior, and sexually transmitted diseases: The impact of age of abuse. Sexually Transmitted Diseases, 32(6), 358-363. doi: https://doi.org/10.1097/01.olq.0000154505.68167.d1
O’Leary, P. J., & Barber, J. (2008). Gender differences in silencing following childhood sexual abuse. Journal of Child Sexual Abuse, 12, 133-143. doi: https://doi.org/10.1080/10538710801916416
Ompad, D., Ikeda, R., Shah, N., Fuller, C., Bailey, S., Morse, E.,…Strathdee, S. A.. (2005). Childhood sexual abuse and age at initiation of injection drug use. American Journal of Public Health, 95(4), 703-709. doi: https://doi.org/10.2105/AJPH.2003.019372
Paul, J., & Paul, W. (2016). Counselor attitudes of effectiveness with sexually abused men. Community Mental Health Journal, 52, 1057-1063. doi: https://doi.org/10.1007/s10597-015-9838-8
Persky, A.S. (2012). Beyond the Penn State scandal: Child abuse reporting laws. Washington Lawyer, 21(10). Retrieved from https://www.dcbar.org/bar-resources/publications/washington-lawyer/articles/june-2012-child-abuse.cfm
Pietrantonio, A. M., Wright, E., Gibson, K. N., Alldred, T., Jacobson, D., & Niec, A. (2013). Mandatory reporting of child abuse and neglect: Crafting a positive process for health professionals and caregivers. Child Abuse & Neglect, 37, 102-109. doi: https://doi.org/10.1016/j.chiabu.2012.12.007
Pintello, D., & Zuravin, S. (2001). Intrafamilial child sexual abuse: Predictors of postdisclosure maternal belief and protective action. Child Maltreatment, 6(4), 344-352. doi: https://doi.org/10.1177/1077559501006004007
Quas, J., Goodman, G., & Jones, D. (2003). Predictors of attributions of self-blame and internalizing behavior problems in sexually abused children. Journal of Child Psychology and Psychiatry, 44(5), 723-736. doi: https://doi.org/10.1111/1469-7610.00158
Richardson, M., Henry, J., Black-Pond, C., & Sloane, M. (2004). Multiple types of maltreatment: Behavioral and developmental impact on children in the child welfare system. Journal of Child and Adolescent Trauma, 1, 317-330. doi: https://doi.org/10.1080/19361520802505735
Rosenthal, S., Fiering, C., & Taska, L. (2003). Emotional support and adjustment over a year's time following sexual abuse discovery. Child Abuse & Neglect, 27, 641-661. doi: https://doi.org/10.1016/S0145-2134(03)00104-2
Simon, V. A., Feiring, C., & McElroy, S. K. (2010). Making meaning of traumatic events: Youths’ strategies for processing childhood sexual abuse are associated with psychosocial adjustment. Child Maltreatment, 15(3), 229-241. doi: https://doi.org/10.1177/1077559510370365
Sorsoli, L., Kia-Keating, M., & Grossman, F. K. (2008). "I keep that hush-hush": Male survivors of sexual abuse and the challenges of disclosure. Journal of Counseling Psychology, 55(3), 333. doi: https://doi.org/10.1037/0022-0184.108.40.2063
Spataro, J., Mullen, P., Burgess, P., Wells, D., & Moss, S. (2004). Impact of child sexual abuse on mental health. British Journal of Psychiatry, 184, 416-421. doi: https://doi.org/10.1192/bjp.184.5.416
Speigel, J. (2003). Sexual abuse of males: The SAM model of theory and practice. NY: Brunner/Rutledge.
Stander, V., Olson, C., & Merrill, L. (2002). Self-definition as a survivor of childhood sexual abuse among navy recruits. Journal of Consulting and Clinical Psychology, 70(2), 369-377. doi: https://doi.org/10.1037/0022-006X.70.2.369
Stevens, T., Ruggiero, K., Kilpatrick, D., Resnick, H., & Saunders, B. (2005). Variables differentiating singly and multiply victimized youth: Results from the National Survey of Adolescents and the implications for secondary prevention. Child Maltreatment, 10(3), 211-223. doi: https://doi.org/10.1177/1077559505274675
Teram, E., Stalker, C., Hovey, A., Schachter, C., & Lasiuk, G. (2006). Towards malecentric communication: Sensitizing health professionals to the realities of male childhood sexual abuse survivors. Issues in Mental Health Nursing, 27, 499-517. doi: https://doi.org/10.1080/01612840600599994
Ullman, S., & Filipas, H. (2005). Gender differences in social reactions to abuse disclosures, post-abuse coping, and PTSD of child sexual abuse survivors. Child Abuse & Neglect, 29, 767-782. doi: https://doi.org/10.1016/j.chiabu.2005.01.005
Walrath, C., Ybarra, M., Holden, E., Liao, Q., Santiago, R., & Leaf, P. (2003). Children with reported histories of sexual abuse: Utilizing multiple perspectives to understand clinical and psychosocial profiles. Child Abuse & Neglect, 27, 509-524. doi: https://doi.org/10.1016/S0145-2134(03)00035-8
Wekerle, C. (2013). Resilience in the context of child maltreatment: Connections to the practice of mandatory reporting. Child Abuse & Neglect, 37, 93-101. doi: https://doi.org/10.1016/j.chiabu.2012.11.005
Wolfe, D. A., Francis, K. J., & Straatman, A. L. (2006). Child abuse in religiously-affiliated institutions: Long-term impact on men's mental health. Child Abuse & Neglect, 30(2), 205-212. doi: https://doi.org/10.1016/j.chiabu.2005.08.015
Yasui, M., & Dishion, T. J. (2007). The ethnic context of child and adolescent problem behavior: Implications for child and family interventions. Clinical Child and Family Psychology Review, 10(2), 137-179. doi: https://doi.org/10.1007/s10567-007-0021-9
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