Child Welfare Professionals and Incest Families: A Difficult Encounter Book

	Figures and Tables
	Preface
	Table of Statutes
	List of Abbreviations
1	Development of Child Welfare Responses to Child Sexual Abuse	1
	The 'punishment vs. treatment' controversy - child physical abuse	4
	Iatrogenesis in the child welfare system	8
	Legal and clinical responses to child sexual abuse	9
	Rationale for use of criminal justice system	11
	Lack of debate	13
	Emotional reactions to child sexual abuse	16
2	The Research	23
	Summary of issues	23
	Focus of research	24
	Methodology	25
	Limitations of study	29
3	Child Welfare System - England and Canada	31
	Child protection system in England	31
	Child protection system in Quebec, Canada	38
	Criminal justice system	44
4	Description of Samples - England and Canada	51
	General description of the samples	52
	Sexual behaviour	56
	Characteristics of the victim's family	67
	Victim characteristics	72
	Characteristics of victim's mother	75
	Characteristics of the perpetrator	75
5	Disclosure of Sexual Abuse and Initial Professional Responses	81
	Professional involvement with the families prior to present disclosure of sexual abuse	81
	Disclosure of present perpetrator's sexual abuse of victim and initial professional responses	82
	Police and medical investigation	92
6	Major Professional Interventions Following Disclosure of Sexual Abuse	97
	Criminal proceedings - English sample	97
	Criminal proceedings - Canadian sample	105
	Comparison of the Canadian and English legal decisions	107
	Child abuse team decisions - English sample	107
	Child abuse team decisions - Canadian sample	131
	Summary of child protection decisions - England and Canada	143
7	Follow-up of Victim, Perpetrator and Family - England and Canada	155
	Major changes	155
	Symptoms of victim/s	158
	Recidivism of sexual abuse by same perpetrator	161
	Sexual abuse of victim by others	163
	Recidivism of perpetrator with other victims	164
	Other circumstances noted at follow-up	164
8	Path Analysis of the Combined Samples	169
	Introduction	169
	Differences between Britain and Canada	173
9	Conclusions and Implications of the Study	183
	Description of samples	183
	Different professional responses in two samples and their impact on the families	186
	Factors contributing to the different professional responses in the two samples	214
	Implications of study for social responses to incest	218
	Developments in child welfare services post research	223
App. 1	Roles of the Organisations Chiefly Concerned in Cases of Non-accidental Injury to Children {LASSL(76)26}	233
App. 2	Guidelines for Workers re Voluntary Measures - Quebec, Canada - Article 54	236
	List of Abbreviations - Appendix 3 and 4	238
	App. 3: Cases in English Sample	239
	App. 4: Cases in Canadian Sample	253
	Bibliography	264