By Rebecca M. Bowen

This book has three important sections. The first section sets the stage for this book by reviewing the historical context within which early theories of child sexual abuse were developed. The second section of the book then turns to the task of reviewing the empirical knowledge base that defines the scope of the problem of child sexual abuse. This section considers the prevalence and incidence of child sexual abuse, extrafamilial and intrafamilial abuse, factors associated with risk of abuse and of offending, and nonoffending guardians. It is argued throughout this section that child sexual abuse is an epidemic fueled by sociocultural structures and values. The final section considers the aftermath of child sexual abuse—the professional response to child sexual abuse. In the important final chapter of this book, the scope of the problem of child sexual abuse—as illustrated in the empirical knowledge base—is compared to that of the professional response to child sexual abuse. This comparison provides striking evidence that society’s response to child sexual abuse is failing profoundly. By reviewing the assumptions underlying society’s response to child sexual abuse, I argue that the reason for such a complete system failure is that the systemic response is grounded in the historical and often myth-bound conceptualization of child sexual abuse rather than in the empirical literature.

New York, Boston, Dordrecht, London, Moscow: Kluwer Academic, 2002. 321p.