The role of multiple attachments in intergenerational transmission of child sexual abuse among male victims.

BACKGROUND: According to Finkelhor (1984), difficulties child sexual abusers have in establishing adaptive adult relationships are a consequence of attachment problems with parents. Research shows that insecure attachment is associated with both the experience of child sexual abuse (CSA) as a victim and perpetration of CSA as an adult. Attachment may thus be a key factor in intergenerational transmission (IT) of CSA. OBJECTIVE: The study aims to examine the direct, interactive, and mediated effects linking attachment in different relationships (mother, father, romantic partner) to IT of CSA among male victims. PARTICIPANTS AND SETTING: Thirty-two abusing and 27 non-abusing male CSA survivors were recruited, respectively, in a prison and via networks of former foster children or CSA victims. METHOD: All participants completed the Attachment Multiple Model Interview to assess attachment along four dimensions (security, deactivation, hyperactivation, and disorganization) in the relationship with mother, father, and partner. RESULTS: Partial least square modeling suggests that the partner carries forward (mediates) the increased risk of committing sexual abuse associated with insecure/disorganized attachment with the father. A significant partner-mother interaction also suggests that the deleterious effects of attachment to the mother in terms of committing CSA are countered by more secure/organized attachment to the partner. CONCLUSIONS: Findings highlight the pivotal role of the romantic partner in IT of CSA. Beyond early intervention, therapy in adulthood aimed at fostering adaptive ways of finding emotional security in the relationship with an adult could thus be encouraged.

Empathy and recognition of facial expressions of emotion in sex offenders, non-sex offenders and normal controls.

Research conducted on empathy and emotional recognition in sex offenders is contradictory. The present study was aimed to clarify this issue by controlling for some affective and social variables (depression, anxiety, and social desirability) that are presumed to influence emotional and empathic measures, using a staged multicomponent model of empathy. Incarcerated sex offenders (child molesters), incarcerated non-sex offenders, and non-offender controls (matched for age, gender, and education level) performed a recognition task of facial expressions of basic emotions that varied in intensity, and completed various self-rating scales designed to assess distinct components of empathy (perspective taking, affective empathy, empathy concern, and personal distress), as well as depression, anxiety, and social desirability. Sex offenders were less accurate than the other participants in recognizing facial expressions of anger, disgust, surprise and fear, with problems in confusing fear with surprise, and disgust with anger. Affective empathy was the only component that discriminated sex offenders from non-sex offenders and was correlated with accuracy recognition of emotional expressions. Although our findings must be replicated with a larger number of participants, they support the view that sex offenders might have impairments in the decoding of some emotional cues conveyed by the conspecifics' face, which could have an impact on affective empathy.