Remaking collective knowledge: An analysis of the complex and multiple effects of inquiries into historical institutional child abuse

The effect of complex posttraumatic stress and poverty on quality of life among adult survivors of childhood institutional maltreatment: evidence from survivors of the 'Hyeongje Welfare Institution' in South Korea

Background: Childhood institutional maltreatment (IM) is associated with both complex posttraumatic stress disorder (CTPSD) and poverty in adulthood life, each of which may impact an individual's quality of life (QoL). To find implications for clinical practice and policy making for adult survivors with childhood IM experiences, it is necessary to conduct research examining their current QoL and identifying related factors.Objective: By applying the model of the conservation of resources theory, we focused on how adulthood QoL can be indicated by childhood IM as well as the life outcomes of IM such as additional lifetime trauma, CPTSD, and poverty.Methods: In a cross-sectional study, self-report data were collected from 127 adults who were survivors of the 'Hyeongje' childhood IM in South Korea. We conducted regression analyses of childhood IM experiences, trauma experiences after escape from the institution, current CPTSD symptoms, and current poverty experiences on current QoL.Results: The duration of placement at the 'Hyeongje' (β = .24, p = .009) was associated with trauma experiences after escape from the institution. Trauma experiences after escape from the institution (β = .25, p = .007) were associated with CPTSD symptoms. CPTSD symptoms (β = .26, p = .005) were associated with poverty, and both CPTSD symptoms (β = -.52, p < .001) and poverty (β = -.26, p = .003) were negatively associated with current QoL.Conclusions: Prolonged childhood IM brings about loss spirals by increasing an individual's exposure to experiences of further cumulative trauma, CPTSD, and poverty. There is a need for due diligence-based policy making and public support from the government to help create upward spirals for QoL. This may include the imminent detection and rescue of children as well as providing a safe environment, offering multidisciplinary interventions including evidence-based treatment for CPTSD, and considering economic support including collective reparations.

Testimonies about child sexual abuse in the family. Challenges of addressing the private sphere

BACKGROUND

This article is based on a study analysing survivors' testimonies (n = 870) about child sexual abuse (CSA) within the family. The context of the study is the Independent Inquiry into Child Sexual Abuse in Germany (IICSA). The Inquiry's work is based on the concept of witnessing and supporting mainly survivors of CSA to share their stories. Since 2016 the Inquiry has collected more than 2000 written and oral reports.

OBJECTIVE

The article explores the challenges of working through and coming to terms with past and present aspects of child sexual abuse (CSA) in the private space of the family. The main focus here is on findings from the statistical analysis on perpetrators and bystanders.

PARTICIPANTS AND SETTING

The study involved an evaluation of 870 reports by survivors and third parties.

METHODS

Descriptive analysis was carried out on mentions of perpetrators, strategies of perpretators, climate in the family, bystanders in the family.

RESULTS

Significantly more female than male survivors have contacted the Inquiry. The youngest people who approached the Inquiry were adolescents and young adults between 16 and 21 years of age. The oldest people were between 76 and 80 years old (for reasons of secure pseudonymisation, spans of five years are given). The results pointed to insights about male and female perpetrators and the situation of the affected children in the family. In 47 % of the mentions of perpetrators, fathers and stepfathers were named, in 9 % it was the mother or stepmother, and in 11 % biological siblings were named. There is a proportion of cases in which more than one perpetrator is mentioned.

CONCLUSIONS

One aim was to identify common characteristics in the actions of perpetrators within families as well as insights into the structures in families that promote child sexual abuse. The discussion shed light on the importance of the third party and the possibilities for the perpetrators to shape the environment of the family as a whole. Witnessing by survivors is an important epistemological, ethical, and political instrument for creating knowledge.

The truth project paper one-how did victims and survivors experience participation? Addressing epistemic relational inequality in the field of child sexual abuse

The last 30 years has seen an exponential increase in Historical Institutional Abuse Inquiries. One feature of these has been to place adult survivor voices at the center of Inquiry work, meaning that child abuse victims and survivors are engaging with Inquiries, sharing their experiences, with this participation often presented as empowering and healing. This initiative challenges long held beliefs that child sexual abuse survivors are unreliable witnesses, which has led to epistemic injustice and a hermeneutical lacunae in survivor testimony. However to date there has been limited research on what survivors say about their experiences of participation. The Truth Project was one area of work of the Independent Inquiry into Child Sexual Abuse in England and Wales. It invited survivors of Child Sexual Abuse to share their experiences including the impacts of abuse and their recommendations for change. The Truth Project concluded in 2021 and heard from more than 6,000 victims of child sexual abuse. The evaluation of the Trauma Informed Approach designed to support survivors through their engagement with the project was a mixed methods, two phase methodology. A total of 66 survey responses were received. Follow-up interviews were conducted with seven survey respondents. The Trauma Informed Approach was found to be predominantly helpful in attending to victim needs and minimizing harm. However, a small number of participants reported harmful effects post-session. The positive impacts reported about taking part in the Truth Project as a one-off engagement challenges beliefs that survivors of child sexual abuse cannot safely talk about their experiences. It also provides evidence of the central role survivors should have in designing services for trauma victims. This study contributes to the epistemic justice literature which emphasizes the central role of relational ethics in the politics of knowing, and the importance of developing a testimonial sensibility when listening to marginalized groups.

Why Didn't They Intervene? Examining the Role of Guardianship in Preventing Institutional Child Sexual Abuse

In recent years, the failings of institutions to safeguard children from sexual abuse have been brought to light through investigations and commissions of inquiries such as Australia's Royal Commission into Institutional Responses to Child Sexual Abuse. The role of adults as guardians, to protect children within these institutions, has been afforded particular scrutiny, highlighting past ineffective and harmful intervention and responses to abuse, and even inaction. Despite this attention, limited research to date has explored the barriers underpinning guardianship behavior in this setting. Enhanced understanding of the potential barriers to guardianship is key for informing improved guardianship behavior in the future. Using data from Australia's Royal Commission, this study applies Reynald's (2010) model of capable guardianship to investigate dimensions of guardianship in youth-serving institutional settings. Three discrete settings were examined: outside school hours care, schools, and sporting institutions. Results support the utility of Reynald's (2010) model for advancing knowledge about guardianship behavior in youth-serving institutions, providing valuable lessons for future policy directions, to enhance safeguarding practices.

Waiting for redress: Child sexual abuse survivors' experiences of Australia's National Redress Scheme

BACKGROUND

Governments in multiple countries have established redress schemes to acknowledge institutional responsibility for child maltreatment; to provide survivors with access to compensation, counselling and apologies; and to prompt better practice to prevent child maltreatment. Establishing a National Redress Scheme was recommended by Australia's Royal Commission into Institutional Responses to Child Sexual Abuse. The Scheme commenced in 2018 and will run for a decade.

OBJECTIVE

This study sought to understand the ways survivors have experienced applying for redress under the National Redress Scheme, and how Scheme processes could be improved for survivors.

PARTICIPANTS AND SETTING

Participants were 322 survivors of child sexual abuse who had applied for redress or considered doing so during the first two years of the Scheme's operation. Two thirds (68%) were aged 55 or over and over half (55%) were men.

METHODS

To provide feedback about their experiences and perceptions of the National Redress Scheme, participants completed closed and open-ended survey questions.

RESULTS

Only a minority rated the Scheme as either good (16%) or very good (11%). Survey comments provide insight into the ways waiting has contributed to survivors' negative experiences of the Scheme. Survivors waited for the Scheme to be established, for institutions to opt-in, for decisions, and for direct personal responses. Waiting compounded uncertainty and was retraumatising for survivors. Some avoided seeking redress due to likely delays and risks of retraumatisation.

CONCLUSIONS

Australia's National Redress Scheme is an ambivalent policy innovation which can both facilitate support and exacerbate harm. The design of redress schemes should pre-emptively address their potential to generate harm, including by recognising that rapid responses are essential to procedural justice, and particularly important for older survivors of child sexual abuse.

'Cold feet': The attrition of historic child sexual abuse cases reported to the police in a Northern Canadian Territory

BACKGROUND

Most previous sexual assault attrition research has not differentiated between cases reported promptly and non-recent (or historic) reports, obscuring differences in attrition patterns. Historic child sexual abuse [HCSA] presents challenges for investigation and prosecution, including a lack of physical evidence, and complainant and witness memory issues.

OBJECTIVE

To determine attrition patterns and analyze complainant reasons for withdrawal in HCSA cases in a region with a large Indigenous population.

SAMPLE AND SETTING

This study examined 231 non-institutional HCSA complaints reported to the police in a Northern Canadian Territory.

METHODS

Files were coded for a range of complainant, suspect, and offence variables. Reasons given by complainants were examined using thematic analysis. Logistic regression was performed, looking for factors connected with complainants' likelihood of continuation.

RESULTS

Overall attrition was 68.8%, with 159 cases not resulting in convictions. The leading cause of attrition, at 39.6%, (n = 63) was initiated by complainants, many of whom withdrew during the early stages of the investigative process. Thematic analysis of reasons for complainant withdrawal yielded two main themes ('cold feet' and 'therapeutic'). Logistic regression results showed that three complainant-related variables were significant [p = 0.001] for complainant continuation: multi-complainant cases; previous disclosure by complainants; and complainant age (15-17 years old) at offence.

CONCLUSIONS

Results showed less attrition overall than for recent sexual assault, and highlighted the need to support HCSA complainants from early in the process, especially those reporting abuse for the first time. It was also found that some complainants were satisfied without going to court.

Thirty years of the convention on the rights of the child: Developments in child sexual abuse and exploitation

Since its adoption by the United Nations in November 1989, the Convention on the Rights of the Child (CRC) has become the most universally ratified human rights treaty in history; presently only the United States has not ratified it. The CRC articulates children's human rights and notably includes freedom from sexual abuse and exploitation. Yet thirty years after the Convention was adopted, child sexual abuse and exploitation (CSA/E) remain serious, persistent, and evolving global issues. This overview both describes the current state of research on child sexual abuse and exploitation and evaluates the CRC's legacy in terms of State-level responses to CSA/E. Points of agreement and disagreement over what constitutes CSA/E and how widespread it is are explored. Also presented are the contexts in which CSA/E takes place, and factors associated with children's risk of being sexually abused or exploited. Emerging issues in these areas are the internet and children's use of it, as children may now become subject to abuse or exploitation even when physically alone. The second part of the paper addresses the CRC's influence on States' domestic legislation and States' responses to CSA/E more broadly. Gaps in efforts to monitor and report on the CRC's implementation with respect to its impact on CSA/E are described. The discussion offers guidance for future efforts to research and respond to child sexual abuse and exploitation, and in particular the ongoing need for support to survivors beyond the legal response paradigm.

"Some call it resilience": A profile of dynamic resilience-related factors in older adult survivors of childhood institutional adversity and maltreatment

BACKGROUND

Childhood adversity and maltreatment can have lasting negative effects into later life. However, emerging research suggests that certain factors may facilitate resilience in adults with experiences of childhood adversity and maltreatment.

OBJECTIVE

Using conceptual models of resilience, this qualitative study investigated factors associated with resilience in older adult survivors of childhood institutional adversity and maltreatment.

PARTICIPANTS AND SETTING

Participants consisted of 17 adults, 10 females and 7 males, aged between 50-77 years (mean age = 60 years). All participants had experienced childhood adversity and maltreatment within institutional care settings during childhood and/or adolescence.

METHODS

In-depth, semi-structured interviews were conducted, lasting between 60-120 min. Transcribed interviews were analysed using the Framework Analysis method.

RESULTS

Nine themes were derived from the data, including core, internal, and external resilience factors: Individual characteristics, personality characteristics, support systems, goal attainment, adaptive belief systems, processing, influential events and experiences, recognition and collective identity, and access to services.

CONCLUSIONS

Results support a dynamic concept of resilience that can be understood not only as an inherent trait, but also as a learnable set of behaviours, thoughts, and attitudes, which can be supported by external resources in an older adults' environment. These findings add a novel contribution to the literature in the identification of a distinct cluster of personal and contextual factors underpinning resilience in this sample of survivors of childhood institutional adversity and maltreatment, which may inform the psychological treatment of this population and provide a focus for further research.

Understanding trauma as a system of psycho-social harm: Contributions from the Australian royal commission into child sex abuse

This article examines how particular understandings of trauma as a systemic form of psychosocial harm framed the establishment of the Australian Royal Commission into Institutional Responses to Child Sexual Abuse, informed its successful investigatory process, and shaped its recommendations and outcomes. In so doing, the Royal Commission makes an important contribution to the field of trauma studies, which has been characterized by contested histories and is subject to continuing debate in clinical and academic research. For much of the twentieth century, trauma and its impacts have been typically articulated through a bio-medical discourse of individual harm and health outcomes. We argue that the establishment of the Royal Commission reflected an expanded understanding of trauma, constitutive of moral, political and psychological arenas as evidenced in its methodology, conceptual approach and treatment of survivor testimony. We also argue that the institutionalization of an historically situated and politically engaged approach to trauma within the Royal Commission itself was effective in contesting narrow psychological or juridical concepts of harm by developing approaches to trauma as a system of harm with complex impacts on families, communities and indeed the nation. We evaluate the implications and consequences of this shift in the work of the Royal Commission, with particular attention to the development of an interdisciplinary relational approach to the study of trauma as a key principle in the emergence of a trauma-informed culture.

The Australian Royal Commission into Institutional Responses to Child Sexual Abuse and the Roman Catholic Church

The Australian Royal Commission into Institutional Responses to Child Sexual Abuse received more reports of sexual abuse of minors from victims of personnel from the Catholic Church than from any other source. It looked beyond the circumstances of the individual reports, to the response of Church leaders. It then took the inquiry to the more fundamental issue of the elements of the Church's structure and its unique culture that enabled sexual abuse and supported the hierarchy's counter-productive responses. This commentary looks at the structural and cultural aspects of the institutional Church most directly connected to sexual abuse by clerics and the ensuing cover-up and it examines their theological and historical foundations. The reality that sexual abuse by clerics was not only known but condoned and covered up cannot be justified but it can be explained in great part by the Church's justification for its own structure and the role of its clerics.

The barriers to a national inquiry into child sexual abuse in the United States

There is an often-overlooked but critical factor at the center of institutional child sexual abuse that must be acknowledged and addressed: adults tend to place the interest of institutions and other adults above the protection of children. As the Australian Royal Commission into Institutional Responses to Child Sexual Abuse has shown, this phenomenon is evident across institutional settings and any institutional reform aimed at improving child safety must therefore guard against this tendency if it is to be effective in protecting children. In the United States there are also other barriers to dealing with child sexual abuse in institutional contexts. State government responses to the challenges of child sexual abuse have varied. However, the federal governmsent has been silent on the problem of religious institutional sexual abuse. This commentary considers how the politics of religious liberty in the United States inhibits action by protecting institutions that cover up child sexual abuse.

Optimising implementation of reforms to better prevent and respond to child sexual abuse in institutions: Insights from public health, regulatory theory, and Australia's Royal Commission

The Australian Royal Commission Into Institutional Responses to Child Sexual Abuse has identified multiple systemic failures to protect children in government and non-government organizations providing educational, religious, welfare, sporting, cultural, arts and recreational activities. Its recommendations for reform will aim to ensure organizations adopt more effective and ethical measures to prevent, identify and respond to child sexual abuse. However, apart from the question of what measures institutions should adopt, an under-explored question is how to implement and regulate those measures. Major challenges confronting reform include the diversity of organizations providing services to children; organizational resistance; and the need for effective oversight. Failure to adopt theoretically sound strategies to overcome implementation barriers will jeopardize reform and compromise reduction of institutional child sexual abuse. This article first explains the nature of the Royal Commission, and focuses on key findings from case studies and data analysis. It then analyzes public health theory and regulatory theory to present a novel analysis of theoretically justified approaches to the implementation of measures to prevent, identify and respond to CSA, while isolating challenges to implementation. The article reviews literature on challenges to reform and compliance, and on prevention of institutional CSA and situational crime prevention, to identify measures which have attracted emerging consensus as recommended practice. Finally, it applies its novel integration of regulatory theory and public health theory to the context of CSA in institutional contexts, to develop a theoretical basis for a model of implementation and regulation, and to indicate the nature and functions of a regulatory body for this context.

Getting evidence into action to tackle institutional child abuse

The Australian Royal Commission into Institutional Responses to Child Sexual Abuse is an example of a government response to survivors' demands to address the harm they suffered. It is also a major response by a national government to improve child safety in the future. Facing up to child abuse is difficult and in other countries similar inquiries have suffered delays and derailing. This commentary uses an evidence-to-action lens to explore why clear evidence of child sexual abuse may be ignored and side-lined. It argues that where evidence challenges the powerful, is surprising and shocking, or undercuts current institutional and policy arrangements, then that evidence is likely to be ignored, undermined or refuted - all factors which are present in the case of historical institutional child sexual abuse.

The impacts of institutional child sexual abuse: A rapid review of the evidence

While awareness of institutional child sexual abuse has grown in recent years, there remains limited understanding of its occurrence and outcomes as a distinct form of abuse. Drawing on research commissioned by the Australian Royal Commission into Institutional Responses to Child Sexual Abuse, this article presents a rapid review of available evidence on the impacts of institutional abuse on victim/survivors. Literature searches identified 75 sources spanning international peer reviewed work and reports to Government that document or quantify the impacts of mostly historical child sexual abuse occurring in religious, educational, sporting and residential or out-of-home care settings. Consistent with child sexual abuse in other contexts, institutional child sexual abuse is found to be associated with numerous, pervasive and connected impacts upon the psychological, physical, social, educative and economic wellbeing of victims/survivors. Further, institutional child sexual abuse is associated with vicarious trauma at the individual, family and community level, and with impacts to the spiritual wellbeing of victims/survivors of abuse that occurs in religious settings. The identified literature suggests the trauma of institutional child sexual abuse may be exacerbated by the interplay of abuse dynamics in institutional settings, which may reduce or impede circumstances supporting disclosure, belief, support and protection from future harm. Acknowledging the limitations of the present study and the available evidence, this narrative synthesis provides insights into the complex impacts of institutional child sexual abuse.

The Australian Royal Commission into Institutional Responses to Child Sexual Abuse

The Royal Commission into Institutional Responses to Child Sexual Abuse is the largest royal commission in Australia's history and one of the largest public inquiries into institutional child abuse internationally. With an investment from the Australian government of half a billion dollars, it examined how institutions with a responsibility for children, both historically and in the present, have responded to allegations of child sexual abuse. Announced in the wake of previous Australian and international inquiries, public scandals and lobbying by survivor groups, its establishment reflected increasing recognition of the often lifelong and intergenerational damage caused by childhood sexual abuse and a strong political commitment to improving child safety and wellbeing in Australia. This article outlines the background, key features and innovations of this landmark public inquiry, focusing in particular on its extensive research program. It considers its international significance and also serves as an introduction to this special edition on the Australian Royal Commission, exploring its implications for better understanding institutional child sexual abuse and its impacts, and for making institutions safer places for children in the future.