PsychiatricTimes Members: Login | Register

|     

PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home »

Psychiatric Times. Vol. 25 No. 14
Pages: 1  2  3  4  
Previous Next
FORENSIC PSYCHIATRY 

Forensic Issues in Child Sexual Abuse Allegations

By Charles L. Scott, MD | December 1, 2008
Dr Scott is professor of clinical psychiatry, chief of the Division of Psychiatry and the Law, and director of Forensic Psychiatry Residency at the University of California, Davis. He reports no conflicts of interest concerning the subject matter of this article.

In trying to understand how children could make such bizarre and graphic allegations, researchers have described 6 problematic techniques that were discovered when the transcripts of the McMartin interviews were reviewed. These techniques are sometimes referred to as the “McMartin factors”7:

1. Suggestive questions: This potentially corruptive technique consists of introducing new information during the interview when the child has not yet provided that information. For example, the question, “Did he touch you on your privates?” represents a highly leading question if the child had not mentioned any type of inappropriate touching.

(MORE: Child Abuse—or Cultural Norm?—in a Developing Nation)

2. Asked-and-answered: This tech­­­nique consists of asking the child a question that he has clearly just answered. The transcript excerpt from the McMartin case illustrates this particular technique:

Interviewer      Did your teacher touch you in your private area?
Child                No.
Interviewer      No? Are you sure?
Child                No, he didn’t.
Interviewer     Do you remember him touching you at all down there?
Child                Yeah, well, I guess so.

3. Inviting speculation: An investigator using this technique asks the child to guess about something that may have happened. As a tool to elicit allegations, the child is asked to pretend or use his imagination. The interviewer in this situation might make comments such as “Let’s pretend and see what might have happened,” or “Can you try to close your eyes and imagine what he did to you?”

4. Other people: Here the child is told that the interviewer has already received information from someone else regarding the subject to be discussed. The following exchange illustrates this technique:

Interviewer      Your mommy told me that Johnny touched you when she left the kitchen.
Child                Uh huh.

5. Positive consequences: In this situation, the interviewer provides praise or approval, or communicates to the child that he is being helpful or smart when making an allegation. For example, an interviewer who tells a child that he is “so smart” or “a really good kid” after the child has answered that he was abused is providing a verbal reward for the child’s response. Giving a child a gift (such as a teddy bear or toy) following a disclosure also communicates to the child that he is being rewarded when he accuses others of inappropriate sexual behaviors.

6. Negative consequences: This technique uses responses that are the opposite of positive consequences. The investigator communicates to the child that the answers the child is giving are not ones that are desirable. This suggests to the child that he is not being truthful or that the investigator is disappointed with the child’s responses to questions.

Although these poor interview techniques were observed in the McMartin interview tapes, do such techniques actually elicit false allegations? Current research on this topic provides a clear answer: yes.

In one study, Yuille and colleagues6 examined the effects of using social influence and reinforcement on preschool children’s immediate reports of an event they had witnessed in class. In this study, a male graduate student was introduced to the day-care class as Manny Morales. He wore a large silly hat and after introducing himself, he read from a book, placed a sticker on the back of each child’s hand, handed out a napkin and cupcake to each child, and then said good-bye to the class.

One week later, children were interviewed about their experience with this entertaining visitor. One group of children was assigned to the social incentive group. In this group, statements were made to the children that they could be helpful and show good memory by reporting what Manny had done. Another group was assigned to the suggestive control condition in which suggestive questions alone were used. Researchers found that after a brief use of reinforcement and social influence techniques, nearly 60% of the children alleged that Manny had committed acts that he had not, such as breaking a toy, throw­­ing a crayon, or stealing a pen.

A subsequent study of children aged 5 to 7 years examined whether inappropriate interview techniques could have a lasting effect on childrens’ statements. This study involved a classroom visitor named Paco, who read a story, put on a pair of goofy glasses with a large plastic nose and mustache, handed out treats, then left the room after placing a sticker on each child’s hand.

Pages: 1  2  3  4  
Previous Next
 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.

Related Articles

Guidelines map imaging strategy to address cases of child abuse

Forensic Issues in Child Sexual Abuse Allegations

Seeing Osteogenesis Imperfecta in What Looks Like Child Abuse

Child Alone in a Parked Car: Is This Child Abuse?

ADD/ADHD: When Might Symptoms Signal Child Abuse?

Spinal Bleeding from Child Abuse Finding Supports Need for Complete Spine Imaging

Child Abuse—or Cultural Norm?—in a Developing Nation






 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 


 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 

 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • Developmental Psychopathology Comes of Age
  • The Moral Struggles of Practicing Psychiatrists
  • Grief and Depression: The Sages Knew the Difference
  • Update on Mental Health Benefits and Substance Use Disorder Services Under the Affordable Care Act
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Synthetic Cathinones: Signs, Symptoms, and Treatment
  • Developmental Psychopathology Comes of Age
  • Psychiatry and the Myth of “Medicalization”
  • An Update on ADHD
  • Eco-Psychiatry: Why We Need to Keep the Environment in Mind
  • DSM-5: Where Do We Go From Here?
  • Suicidal Behavior: A Separate Diagnosis
  • New Insight Into the Neurobiology of Depression
  • Cultural Psychiatry and the 'No-Chicken' Doctor
Click here to subscribe to our newsletter
 
COMMENTS
  • Most Commented
  • Most Recent
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Is it Time for a Treatment Manual to Complement DSM-5?
  • Diagnosis and its Discontents: The DSM Debate Continues
  • Lamotrigine for Major Depressive Disorder Is Inappropriate
  • Psychiatry and the Myth of “Medicalization”
  • Parity Laws: Powerful Weapon—or Pipe Dream?
  • The Moral Struggles of Practicing Psychiatrists
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
  • NIMH vs DSM 5: No One Wins, Patients Lose
Click here to subscribe to our newsletter
 
CAREER CENTER

  •   Featured Jobs  
  •    Resources   
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry
 
SearchMedica SEARCH RESULT

Find peer-reviewed literature and websites for practicing medical professionals

CME on Display
Evidence on Display
Guidelines on Display
Patient Education on Display
Clinical Trials on Display
Practical Articles on Display
Research and Reviews on Display
All "Display" results

CancerNetwork | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2013 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy