Pizzagaters - arm yourselves with academic references to SRA part 1

https://www.ncbi.nlm.nih.gov/pubmed/24366952

Australian & New Zealand Journal of Psychiatry 2014, Vol 48(1) 22–­25
Warwick Middleton 1, Pam Stavropoulos 2, Martin J Dorahy 3,Christa Krüger 4, Roberto Lewis-Fernández 5, Alfonso Martínez-Taboas 6, Vedat Sar 7 and Bethany Brand 8

The Australian Royal Commission into Institutional Responses to Child Sexual Abuse was announced by Australian Prime Minister Julia Gillard on 11 January 2013. Examining how institutions with a responsibility for children ‘have managed and responded to allegations and instances of child sex-ual abuse and related matters’ (Australian Government, 2013) argu-ably represents the most wide-ranging attempt by any national government in history to examine the institutional processes (or lack thereof) for addressing such abuse. Its frames of reference are very wide:

"The Commissioners can look at any private, public or non-governmental organisation that is, or was in the past, involved with children, including govern-ment agencies, schools, sporting clubs, orphanages, foster care, and religious organisations. This includes where they consider an organisation caring for a child is responsible for the abuse or for not responding appropriately, regardless of where or when the abuse took place."

(Australian Government, 2013)

The phenomena of individuals, or groups of individuals, associated with institutions using their roles to further their sexual abuse of children or to assist in the cover-up of such practices will necessarily be illuminated by the Royal Commission. When the national inquiry was announced, there were no less than three state-based inquiries dealing with child abuse planned or underway in Australia, one in Queensland, one in Victoria, and a just-announced inquiry in New South Wales. It is a testament to the enduring and tenacious use of power by those associated with societal institutions that, in a global sense, it has really only been within the last two decades that the world has witnessed progressive revelations involving many instances of individuals or groups from such institutions sexually abusing children. This is notwithstanding a demonstrated palpable resist-ance on the part of the many institutions to cooperate in the uncovering of such crimes or the prosecution of those responsible.

Research demonstrates that approximately two-thirds of both inpatients and outpatients in the mental health system report a history of childhood sexual and/or physical abuse (see Read et al., 2004 for an extensive review). If emotional abuse and neglect are added to the mix, the percentage reporting an adverse/trau-matic childhood becomes even higher. The Adverse Childhood Experiences (ACE) Study, a pioneering United States epidemiological survey, has provided retrospective and prospec-tive data from over 17,000 individuals regarding the effects of adverse events, including child abuse, during the first 18 years of life. This enor-mously significant ongoing study dem-onstrates the enduring, strongly proportionate, and frequently pro-found relationship between adverse childhood experiences and emotional states, disease burdens, high-risk sex-ual behaviour, self-destruction, drug abuse, health risks/healthcare costs and early death, even decades later (Felitti and Anda, 2010). Furthermore, a recent detailed review found that child sexual abuse is intimately related to increased risk for poly-victimiza-tion, social stigmatization and impaired attitudes towards the self and the social world (Olafson, 2011).

A sizeable proportion of victims with childhood abuse experiences present to medical and psychiatric systems and receive various diagnoses which do not necessarily refer to the traumatic origin of their illness. While research on dementia, schizophrenia, bipolar disorder and depression is widely funded, grants are rarely given to study the mental health conse-quences of ongoing childhood trauma, which include dissociative disorders and complex trauma syndromes. Yet irrespective of the particular diagno-sis, the presence of childhood psycho-logical trauma usually interferes with effective treatment unless it is psycho-therapeutically addressed (Sar and Ross, 2006). The Australian Royal Commission has the potential to place at centre stage the frequently severe mental health consequences of a form of childhood trauma which affects large numbers of Australians and, by extension, to provide the impetus for the further development of trauma-informed mental health services that address both these individual and societal needs.

It is difficult to escape concluding that the single most pathogenic factor in the causation of mental illness is how we humans mistreat each other. Yet abuse of children is frequently perpetrated or overlooked by the professionals whose core roles emphasize the protection of children. These include teachers, health care professionals, police officers and judges, as well as clergymen. Despite the lasting damage of childhood mal-treatment, governments and societies have demonstrated an enduring reluc-tance to investigate how trauma and abuse contribute so substantially to filling our mental health centres, pris-ons, drug and alcohol services and medical wards.

Partially and belatedly, society is attempting something that has never before been achieved – progressive exposure to public gaze of traumas that, despite earlier attempts to foster their recognition, have returned to or remained in darkness. In 1962, Kempe et al. described the ‘battered child’ syndrome. By the 1970s, society was beginning to grapple with the mental health syndromes of Vietnam veter-ans, whilst at the same time feminist writers and researchers were chal-lenging decades-old rationalizations about Oedipal phantasies and hysteri-cal mendacity. In 1981, Judith Herman published Father–Daughter Incest. In 1986, Russell published The Secret Trauma: Incest in the Lives of Girls and Women, a large epidemiological study on incest and other childhood sexual abuse. Russell’s study suggested that 16% of American females had been incestuously abused, 4.5% by their fathers (Russell, 1986).

Society’s confrontation with the extent of child abuse has been furthered by the documentation of abuses perpetrated in state or church institutions, as well as by evidence of violations of sexual boundaries by health professionals. In Australia, as elsewhere, there is increasing recog-nition of the complex syndromes that arise from severe and ongoing childhood abuse (e.g. Kezelman and Stavropoulos, 2012; Middleton, 2013a, 2013b; Middleton and Butler, 1998).

It needs to be emphasized that child sexual abuse occurs in any cir-cumstance in which it can occur, and that broadly speaking it is unsafe to assume that it won’t occur. Holding the religious position of priest or brother is a calling that happens to afford particular opportunities to abuse children sexually. Such individu-als carry the mystique of being the liv-ing representatives of God, are aligned with a rich and powerful global organ-ization, and occupy positions of power and authority that extend not only to children in their care, but to the chil-dren’s trusting parents and the wider community.

Children located in closed hierar-chal systems, such as orphanages or juvenile justice centres, are in particu-lar danger of sexual abuse. While egregious sexual abuse is found within churches, state orphanages, sporting clubs, scouting groups and the like, sadly most such cases arise within families, as borne out in abuse profiles contained in case series of patients with dissociative identity disorder (e.g. Middleton and Butler, 1998). The majority of ongoing child sexual abuse within our society is incestuous.

There is in society a parallel uni-verse that is very close. All of us, whether knowingly or unknowingly, have frequent contact with it. It is pop-ulated by individuals who outwardly appear to be respectable, law abiding and not infrequently influential, and even popular members of society. They are found in all professions and they sexually abuse children, some in ways that are almost unimaginably extreme. Whilst Josef Fritzl was por-trayed in 2008 as some sort of unfath-omable ‘monster’ who imprisoned his daughter in an underground ‘dungeon’ for 24 years (where she produced seven incestuously fathered children), a close reading of the English-language press reports of the last 6 years dem-onstrates at least 51 reported cases of ongoing incestuous abuse during adult-hood and/or multigenerational inces-tuous abuse from a total of 25 countries. In some cases it extended for longer than the 31 years Elisabeth Fritzl endured, and in some it pro-duced more pregnancies and children (see Middleton, 2013a, 2013b).

A key consideration for the Australian Royal Commission is the mechanisms by which prominent and institutionally connected individuals can repeatedly adapt the systems of their workplaces in order to sexually abuse children for decades. British media personality Jimmy Savile perpe-trated his sexual abuses for at least 54 years. It also appears that there were in excess of 450 victims. Yet Savile (who had a long-term association with the BBC) maintained a close relation-ship with Prince Charles, cultivated an image of a tireless charity worker, and had friendships with senior members of the British Government. He also managed to avoid any serious investi-gation of his crimes during his lifetime, despite the fact that many who worked with him were aware of his paedophilia (Brown, 2013). British Prime Minister David Cameron, speaking in the House of Commons on 24 October 2012, posed the per-plexing question: ‘How did he get away with it for so long?’ (London 24, 2012).

Operation Yewtree, the police investigation prompted by the child sexual abuse allegations against Savile, took on particular significance for Australia when the iconic 83-year-oldentertainer Rolf Harris became the fourth individual arrested. In late August 2013, it was announced that Harris had been charged with nine counts of alleged indecent assault involving two different teenage girls in 1980/81 and 1986, as well as four of making indecent images of a child, allegedly occurring in 2012 (Gearin, 2013).

In the United States, Jerry Sandusky served as assistant coach of Pennsylvania State University’s famous football team from 1969 to 1999. In 1977, Sandusky established ‘The Second Mile’, a non-profit charity serving underprivileged and at-risk youth. Sandusky often met his young victims through his work at ‘The Second Mile’ (whose motto is ‘Providing Children With Help and Hope’). In 2011, he was arrested and charged with 52 counts of sexual abuse over a 15-year period. In June 2012, he was found guilty on 45 charges relating to the sexual abuse of 10 boys and sentenced to 30–60 years in prison. Somehow his behaviour within this prestigious institution escaped scrutiny for many years (Huffington Post, 2013).

Any Royal Commission has to be aware that the parallel world of out-wardly respectable and at times pow-erful abusers, such as those named in the NSW Wood Royal Commission in the late 1990s, can contain close business, religious and political associ-ates. International experience makes it very clear that such politically con-nected individuals – who have every-thing to lose by an open inquiry into the activities of their networks – can exert enormous power. They can markedly limit, or even effectively destroy, an investigation which aims to expose their activities.

A prominent example of the extent to which an attempted cover-up can go is what has become known as ‘the Franklin Scandal’ in the United States. In this case, politically vested interests subverted the state police, elements of the CIA and FBI, the judiciary and the press. The Nebraska State Legislature had so little confidence in the FBI investigation of a national paedophile ring closely associated with the influ-ential and corrupt Republican Lawrence King in Omaha, Nebraska and the Washington lobbyist Craig Spence that they commissioned their own investigation. The State’s chief investigator, Gary Caradori, died (along with his son) when his light plane disintegrated and crashed into a cornfield near Aston, Illinois on 11 July 1990. Caradori’s briefcase, which was thought to contain vital evidence, was not recovered from the crash site, nor were the plane’s rear seats, the likeli-est site for a bomb. His death in such circumstances effectively ended the Nebraska investigation, as additional witnesses were then too frightened to come forward. King, jailed for embez-zling $40 million, had a $1 million civil settlement against him awarded in favour of a victim, Paul Bonacci, but has never been charged with sex offences (Bryant, 2009).

While there are some who will consign accounts of politically con-nected organized abuse, such as ‘the Franklin Scandal’, to the category of ‘conspiracy theory’, the reality is that our world is being progressively acquainted with the fact that such examples are repeatedly surfacing. In October 1996, 300,000 citizens staged a march through the streets of Brussels to protest about the enor-mously bungled police investigation into the crimes of Marc Dutroux, a serial killer and paedophile who many suspected was part of a sex ring whose members included high-rank-ing members of the police force and government. Jean-Marc Connerotte, who was the original presiding judge in the case, broke down in tears in the witness stand when he described ‘the bullet-proof vehicles and armed guards needed to protect him against the shad-owy figures determined to stop the full truth coming out’. He went on to state: ‘Never before in Belgium has an investi-gating judge at the service of the King been subjected to such pressure. We were told by police that [murder] contracts had been taken out against magistrates’ (Evans-Pritchard, 2004).

In September 2010, Carlos Cruz (a famous Portuguese television pre-senter), Manuel Abrantes (former Casa Pia governor) and Jorge Ritto (former UNESCO ambassador) were among six individuals finally convicted in respect to the activities of a politi-cally connected Portuguese paedo-phile ring that had operated for decades (BBC, 2010). Another long-running scandal, with a similar alleged political connection, has been centred on the Haut de la Garenne children’s home in Jersey. One of the visitors to the home was Jimmy Savile (Halliday et al., 2012).

In December 2012, the Argentine President Christina Kircher was among the political leaders who pub-licly expressed anger following the Tucumán court acquittal of 13 defend-ants accused of trafficking women. There was associated outrage and widespread protest across Argentina. Susan Trimarco, whose daughter van-ished at the age of 23, had carried out a relentless search which exposed an underworld of organized crime, and which included individuals who were operating brothels with protection afforded by authorities across the country (Aljazeera, 2012).

For all of history, children have been exploited and sexually abused. This is not only within families, but frequently by those who work within institutions and who have had the power or influence to achieve effec-tive immunity from prosecution. There was never some ‘golden age’ in which children were generally better treated (DeMause, 2002). As the full extent of institutional complicity in the sexual abuse of children becomes uncomfortably more obvious, it does not signify that we are falling into an abyss. Rather, it suggests that for the first time in our history, such issues have reached a point at which they have attained such significance that they have become the subject of a wide-ranging national Royal Commission.
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1The Cannan Institute and Trauma & Dissociation Unit, Belmont Hospital, Carina, Australia
2Research and Clinical Practice, Adults Surviving Child Abuse, Sydney, Australia 3Department of Psychology, University of Canterbury, Christchurch, New Zealand 4Department of Psychiatry, University of Pretoria, Pretoria, South Africa 5Department of Psychiatry, Columbia University, New York, USA
6Carlos Albizu University, San Juan, Puerto Rico
7Department of Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Turkey and President, European Society for Traumatic Stress Studies (ESTSS), Vienna, Austria 8Department of Psychology, Towson University, Towson, USA

Corresponding author:

Warwick Middleton, Suite 4D, 87 Wickham Terrace, Brisbane, QLD 4000, Australia. Email: [email protected]