By Kathleen Coulborn Faller (auth.)
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Additional info for Child Sexual Abuse: An Interdisciplinary Manual for Diagnosis, Case Management, and Treatment
For an extensive discussion of the clinical characteristics of these casetypes, see chapter 3. 11. 4% The largest percentage of cases fall into the stepfather-livingtogether-partner casetype, followed closely by the polyincestuous family and the biofather married to the mother (classical incest) case types. Noncustodial parent, adolescent perpetrator, and unrelated perpetrator cases are the next most numerous. Other types of sexual abuse appear in smaller percentages, among them single-parent cases, old men perpetrators, and pedophiles.
However, often when there were a lot of guilt feelings about the sexual abuse, the perpetrator staunchly denied having committed it. In such cases, we sometimes could rate his superego functioning based upon guilt feelings in other areas. Yet there were cases where the perpetrator had good superego functioning in most areas and lacunae in his superego regarding sexual functioning. Thus, coding superego functioning presented some difficulties. We used a fivecategory Likert scale to code superego functioning: (1) strong superego; (2) moderate superego; (3) somewhat impaired superego; (4) quite impaired superego; and (5) no superego, no apparent conscience.
4% The findings are similar to those for informal supports. Although more than 40 percent of the cases had few or no agency supports, in general the sample cannot be described as totally isolated. However, a family defined as having few supports was one where only protective services was involved-the agency to which they were referred for child sexual abuse. Those who have some supports were usually involved with protective services and the courts. About one-fifth of the sample could be said to have adequate agency relationships.