1. Children with Sexual Behavior Issues Jane F. Gilgun, PhD, LICSW School of Social Work University of Minnesota, Twin Cities jgilgun@umn.edu http://ssw.che.umn.edu\faculty\jgilgun.htm Day 1 June 19, 2007

2. Topics A Continuum of Child Sexual Behaviors Typologies of Children with Sexual Behavior Issues Risks and Protective Processes Related to Children’s Sexual Behavior Issues Family Issues Related to Children’s Sexual Behaviors Emotion Regulation and Trauma

3. Children’s Sexual Behaviors Begin in womb Continue over the life course

4. Children’s Sexual Behaviors Sex in US culture –Taboo –Fascinating –Linked to violence –Rarely life-enhancing

5. A Continuum of Child Sexual Behaviors Developmentally Appropriate Inappropriate but Easily Correctable Inappropriate and Problematic –Origin not known –Abuse-reactive Sexually manipulative Sexually abusive

6. Harborview Medical Center Clinical Typology of Problematic Child Sexual Behaviors Precocious Inappropriate Coercive Source: Berliner, L, O. Manaois, & C. Monastersky (1986). Child sexual behavior disturbance: An assessment and treatment model. Seattle, WA: Harborview Medical Center.

7. A Continuum of Problematic Child Sexual Behaviors Sexually Inappropriate Sexually Intrusive Sexually Aggressive Source: Bonner, Walker, & Berliner (2004)

8. Johnson’s Clinical Typology of Child Sexual Behaviors Natural and Healthy Of Concern Seek Professional Help Source: Johnson, Toni Cavanagh (n.d.). Understanding children’s sexual behaviors: What’s natural and healthy. www.TCavJohn.comwww.TCavJohn.com

9. Johnson’s Clinical Continuum of Child Sexual Behaviors Natural and healthy Sexually reactive Children who molest Source: Johnson, Toni Cavanagh (n.d.). Understanding children’s sexual behaviors: What’s natural and healthy. www.TCavJohn.com www.TCavJohn.com

10. Johnson’s Clinical Continuum of Child Sexual Behaviors Natural and healthy Sexually reactive Children who molest Source: Johnson, Toni Cavanagh (n.d.). Understanding children’s sexual behaviors: What’s natural and healthy. www.TCavJohn.com www.TCavJohn.com

11. A Clinical Continuum of Sexualized Behaviors Normal SexualSexually Extensive MutualChildren Exploration ReactiveSexual BehaviorsWho Molest Source: Gil & Johnson (1993)

12. A Typology of Children with Problematic Sexual Behaviors Angry Anxious Hollow Disassociated Emotionally Disorganized

13. Risks & Protective Factors Related to Children’s Sexual Behavior Issues Assess child, family, and other ecologies –Identify risks –Identify competencies and resources

14. Risks & Protective Factors Related to Children’s Sexual Behavior Issues Assess child, family, and other ecologies Identify risks Identify competencies and resources How can treatment build on protective processes to manage risks?

15. Family Issues Related to Children’s Sexual Behaviors Low Risks/High Protective Factors High Risks/High Protective Factors High Risks/Low Protective Factors

16. Emotion Regulation & Trauma Emotion Regulation: Capacities to modulate emotional responses in a range of situations Trauma: life events that overwhelm everyday coping capacities

17. Regulation & Dysregulation Occurs across systems Related to –Styles of attachment –Internalized working models –Gender –Genes

18. Trauma An event that overwhelms everyday coping capacities Persistent re-experiencing of the event Persistent avoidance of situations associated with trauma and/or numbing of general responsiveness Physiological arousal

21. From LeDoux (1996)