Prevention of the Sexual Abuse of Children (English Version)

Towards the Prevention of the
Sexual Abuse of Minors

By

Rev. Dr. Cornelius T. Mc Quillan, C.S.Sp., Psy.D.

Warning

There exists a risk that exposure to this topic
may result in the recovery of painful childhood
memories which could be traumatic and require
psychiatric and/or psychological therapy.

Towards the Prevention of Childhood
Sexual Abuse (CSA)
Rev. Dr. Cornelius T. Mc Quillan, C.S.Sp., Psy. D

Licensed Psychologist Puerto Rico Lic # 1642

Editor: Rev. Fr. Pat Patten, C.S.Sp.
Flying Medical Service

© 2012, Cornelius T. Mc Quillan

Course Objectives
This course, which is aimed at parents and those
who have minors under their care, has two
objectives:
The first Objective is to alert them as to the high
prevalence of the sexual abuse of children in our all
too violent society.
Secondly, to orientate them as to the importance of
preventing CSA by creating safe environments, as
well as knowing how to react in cases where they
suspect that a minor is being abused sexually.

Dedication

If this course serves as an effective instrument
that helps prevent the sexual abuse of just one
child, it will by that fact, worthwhile.

Course Outline
• Objectives
• Definition of Pedophilia
• Prevalence of the Sexual Abuse of Children
• The Necessity de Affirmative Action
• Prevention is two pronged
• Primary Prevention is aimed at Children
• Secondary Prevention is aimed at both
victims and predators.

Outline
• Prevention Therapy for Parents
– Orientation
– Identification of Pedophiles
• Prevention of CSA for those who care for
children

Outline
Prevention of CSA in Institutions
– Policy of No Tolerance
– Principles a Secure Environment
– Screening of Staff Members
– Maintaining Records

Outline
Secondary Prevention
– Preventive Therapy for Victims of CSA
• Addressing the cyclic nature of CSA
• Reestablishing Trust
• Empowerment
• Social Skills
• Challenging irrational thoughts
• Recovering lost memories
• Relaxation techniques
• Empathy skills

Outline
Prevention Therapy for Families of the Victims of
CSA

– Over reacting and trauma
– Family assessment
– Individual assessment

Outline
Prevention Therapy for Perpetrators

– Includes therapy given to victims of CSA
– Empathy for their victim’s feelings
– Remedy their personal code of ethics
– Challenging pedophiles’ irrational thoughts

Outline
Legal Obligations:

– Informing parents
– Informing supervisors
– Informing the Police and/or Family Services.

Definition of Sexual Abuse of Children
The sexual abuse of children includes conduct
between a minor and another person where
there is an age difference of 5 years or more and
involves fondling the genitals, penetration,
incest, sexual violation, sodomy, nakedness
before the minor, and exploitation by means of
prostitution, production or the presentation of
pornographic materials.

Prevalence
• The rate of incidence of CSA is much higher
than had been estimated.
• The tsunami of scandals in the Press is one
indication of the prevalence of CSA.
• An anonymous study done by the Los Angeles
Times, as far back as 1985, found that 27% of
females and 16% of males were victims of
CSA.

Rate of Incidence
• In 1993 a study done by Abel and Osborn
confirmed that 25% of females and 10% of
males in the United States were survivors of
CSA.
• A study done on hospital records between the
years of 2003 and 2007 in Puerto Rico by the
Pediatric Department of the school of
Medicine found that 25% of victims of CSA
had been abused by their own fathers.

Prevalence
Some incarcerated pedophiles have admitted to
abusing more than 45 children before drawing
the attention of the legal system.
Estimates by investigators today indicate that
10% of professionals are pedophiles.
Researchers estimate that between 6 and 8
women and between 4 and 6 out of every ten
males are victims of CSA.

Rates of Incidence
• In 1992 there were 124,467 cases of CSA
reported in the United States, including
Puerto Rico.

• According to the Child Abuse Prevention and
Treatment Act (CAPTA), 47.2 children for every
1,000 in the USA including Puerto Rico are
victims of CSA.

Question 1
The School of Medicine of the University of Puerto
Rico did a study and found that ___% of victims of
sexual abuse between the ages of 3 and 8, were
abused by their father.

A) 5% B) 10% C) 25% D) .05%

(There are 12 question in total. If you would like
certification of having taken this course, copy
paste the answer sheet on slide 102 of this course
and email to the address provided.)

Question 2
The rate of sexual abuse of children is:

A) Less than people think.
B) Quite rare.
C) Higher than what has been recognized.
D) Low and lower, thanks to adequate
treatment for the perpetrators.

Question 3
Studies by Abel and Osborn in 1993 indicate that
for every 100 women ____ have experienced
sexual abuse as children.

A) 25 B) 10 C) 5 D) 3

Necessity to be Pro-active in
Prevention of CSA
• Pedophiles take advantage of an environment
where sexual themes are taboo.
• Pedophiles take advantage of the ignorance,
fear and the natural trust in adults of children.
• Far too many parents and children are
ignorant of the high risk of CSA.
• Parents ignorance of the high risk of CSA leads
to a lack of adequate protection of children.

Prevention is Bi-level
• Primary prevention is directed at the
community at large and is aimed at protecting
children by reducing risk factors by means of
education.

• Secondary prevention is aimed at both victims
and perpetrators of CSA and aims at breaking
the cyclic nature of CSA.

Primary Prevention of CSA

• Education about the high risk of CSA aimed at
children, their parents, heath care
professionals, civic and religious leaders is the
best means of reducing risk factors and
preventing further cases of CSA.

Prevention Directed Toward Parents
• Parents are those who are recognized as those
primarily responsible for protecting their
children.
• Parents are also recognized as having the
primary responsibility for the education of
their children and this responsibility includes
their sexual education which should include
the necessary information so than children
can protect themselves from sexual predators.

Prevention of CSA Directed at Parents
• Parents must be alerted to the high incidence
of CSA in our violent society.
• Parents should be alerted to the fact that our
criminal system does not rehabilitate felons
found guilty of pedophilia.
• Few psychiatrists and psychologists have
received adequate training in treating
pedophilia and mistakenly continue to treat it
as if it were a sexual disorder.

Some of your Neighbors are Known
Pedophiles !
• While a pastor of a rural parish in the Dioceses
of Arecibo, Puerto Rico, we identified 16
pedophiles, living within the area covered by
the parish.
• Parents should point out the homes of
pedophiles who live among their neighbors
and warn their children not to enter their
homes nor to put their trust in these
predators.

Locating Pedophile’s Addresses
• Most pedophiles have escaped detection but
many are known and are obliged by law to
post their addresses. The government
publishes the residence of sex offenders, as
an aid to parents.

http://www.familywatchdog.us/

Educational Materials
The Federal Government also provides
information and educational materials to help
parents protect their children:

http://www.nsopw.gov/(X(1)S(saoa5n45f0bnuc5
5xoofdp45))/Core/Portal.aspx?AspxAutoDetectC
ookieSupport=1

The Seven Commandments
Parents should teach these 7 commandments to
their children:
• Good children don’t keep secrets from their
parents.
• Never get into a stranger’s car.
• No one except a doctor or your parents may
examine your private parts.

The 7 Commandments
• Never enter a public bathroom alone.
• Your parents may get angry with you at times, but
they will never send you away from home.
• If someone touches your private parts, you must
tell your teacher at school and then tell your
parents as soon as you come home. (You will not
be punished.)
• Your parents love you unconditionally and there
is nothing that you can do to lose their love.

Parental Prevention
• Parents should create a safe environment with
open communication in which children feel free
to ask any sexual question to satisfy either their
natural curiosity or answer their doubts.
• Parents should always congratulate a child for
bringing their questions or doubts to them.
• Since pedophiles will use threats to their
advantage, parents should avoid using threats and
especially never threaten to send their children
away.

Parental Prevention
• Ideally parents should never confide the
supervision of their children to any other
person.
• The majority of cases of CSA are perpetrated
by a trusted member of the immediate family!
• If it is absolutely necessary to place minors in
the care of others, there should be no less than
two adults present at all times.

Parental Warning
• There are numerous cases where the
perpetrator of CSA was the grandfather or
uncle of the victim.
• Organizations such as Boy and Cub Scouts,
religious education and sport programs attract
pedophiles as ministers, teaches, coaches,
assistants, and volunteers. While these
organizations do tremendous good, parental
involvement is absolutely necessary.

Parental Warning
• Perpetrators of CSA are very patient people
willing to wait years in which they attempt to
gain your trust and the opportunity to be
alone with one of your children.
• Perpetrators seek out emotionally abandoned
children and bestow much attention
(grooming) on them, often with special gifts
and privileges in an attempt to create an
unhealthy co-dependence with the minor.

Parental Warning
• Sexual aggressors will sometimes play into a
child’s natural fear and threaten to harm them
or their parents or a pet in order to get their
cooperation or to keep secrets.
• Perpetrators will also use controlled
substances in order to lower a child’s
inhibitions, often inducing addictions in order
to guarantee a child’s cooperation.

Warning to Single Parents
• If you are a single parent, your children are at
higher risk for sexual abuse.
• In order to lower the high risk of CSA of their
children, single parents should never invite
single adults into their home. (There are
numerous cases where children were abused by a
friend of their mother’s boyfriend or the boyfriend
himself!)

Advice for Single Parents
• Pedophiles seek out unwed mothers, since they
are known to have more difficulty in raising their
children. It is recommended that single mothers
suspend all social/romantic interests until after
their children are grown.

• Clearly this recommendation is very difficult to
accept but not as difficult as accepting that your
child has become a victim of CSN with the very
person that you invited into your home.

Warning to the Remarried

The rates of CSA are higher among stepdads
than incest rates between natural fathers and
their children.

Warning to Alcoholic Parents
• The children of an alcoholic parent have higher
rates of CSA than the general population.

• Pedophiles seem to know instinctively children
who hunger for a parent’s attention. Alcoholic
fathers tend to isolate their homes making it
difficult for their children to invite friends over,
thus they tend to spend more time at friends’
homes, which puts them at higher risk of CSA.

Parental Prevention
• Parents should insist on the vigilance of child care
centers by means of video cameras, which should
be accessible to them over the Internet.
• Parents should frequently visit, without previous
warning, their child’s classroom and should been
made welcome by the administration.
• Parents should participate actively in their
children’s activities.

Parental Prevention
Parents:
• should insist that there be a written policy
statement of No Tolerance of CSA in any
institution which serves their children.
• Should insist that organizations have an
adequate screening program for potential
staff & volunteers and have a system for
verifying applicants’ background thoroughly.

Question 4
Good communication between parents and children
about the risk of sexual abuse:
A) Will not help in any way to protect children.
B) Is needed so that the child understands the
risks, as well as feels confident to tell their
parents if anyone has tried to abuse them.
C) Would be too traumatic for children.
D) Would give a false sense of security to parents.

Question 5
Most cases of Childhood Sexual Abuse are per-
petrated by:
A) A member of the family of the victim.
B) A stranger to the child.
C) A single male.
D) Men over 55 years.

Question 6
Children at higher risk of sexual abuse are:
A) Children of single mothers
B) Children emotionally abandoned by
their parents.
C) Both A and B
D) All juveniles are at the same risk of
sexual abuse.

Prevention for Child Care Workers
Institutions that provide care for Children must:
• Publish their policy of No tolerance of any
kind of abusive behavior including CSA.
• Investigate formally the background of their
employees and volunteers.
• Frequently include in the agenda of staff
meetings the No tolerance policy and
examples of unacceptable behavior.

Which of the following characteristics
do you think are typical of
pedophiles?
• They have distinguishing physical traits.
• They wear loud or odd clothing.
• They are effeminate.
• There is a strange look in their eyes.
• They make one feel uncomfortable in their
presence.

How to recognize a pedophile
• From the list above, none! Pedophiles are
indistinguishable from the general population.
• There is no psychological test that can
discriminate between pedophiles and the
general population (with the exception of one
devised by Gene Abel, which has inherent ethic
problems in its administration.)
• However, pedophiles often seek excuses to be alone
with a child!!!

Prevention Directed at Child Care
Workers
Centers should establish:
• a safe environment for children.
• a supervision policy which favors the
maintaining of a safe environment.
• a protocol for accompanying children to the
bathroom.
• a policy of having two adults present with the
children at all times.

Prevention Directed toward Child
Care Workers
Centers should establish:
• a policy of facilitating spontaneous parental
visits.
• a protocol for handling accusations or
suspicion of CSA.
• a policy of forbidding staff including
volunteers from inviting children to their
homes.

Ethical Principles
• All accusations of CSA should be reported both to
the supervisor and the police (or Department of
Children’s Welfare, according to the law of your
particular state).
• In the case of suspected CSA, no one in the
institution should investigate the validity of the
accusation. Investigation of CSA requires special
forensic training and is a matter for the police.
• Any suspected CSA must be reported without
further investigation.

Ethical Principles
• No one is required to have the supervisor’s
permission to inform the police.
• When there is an accusation or suspicion of
CSA, the first obligation is the safety of the
child.
• The security of the child supercedes the rights
of the accused.
• One must respect the rights of the accused.

Establish a Policy of NO tolerance
Each institution or organization that serves children
should:
• Establish a policy of NO Tolerance of the threat of
violence, bullying, harassment and CSA.
• Promulgate the policy of No Tolerance to all
employees, volunteers, parents and to the
children.
• Explain the policy to new arrivals and respond to
any of their doubts.

Requirements of the No Tolerance
Policy
The Policy of No Tolerance should include:
• The principle of child protection (that the
protection of a child takes precedence over an
individual’s rights).
• Principle of Safe Environment (that children,
the elderly and challenged persons have the
right to feel safe and free from harassment
and threats against their person or families.)

Requirements of the No Tolerance
Policy
• Unacceptable Behavior (that the supervisor will
call attention to any staff member for
inappropriate behaviors such as touching a minor
in a suggestive way; a relationship which is too
familiar, or for not respecting a child’s personal
space.)
• Adequate Supervision (that the supervisor will be
free of tasks that impede or distract from an
active roll of supervision of staff’s behavior.)

Written Protocol
• Each institution should have a written
protocol on how to handle accusations.
• The accused should be suspended from all
work, which would put him/her in contact
with children, until after a tribunal makes a
determination.
• The institution should have copies on file of all
policies y protocols signed by staff and
volunteers.

Ethical Principles
• While the protection of the child is above the
rights of the accused, the presumption of
innocence should be offered the accused
unless a tribunal determines otherwise.
• Thus, the accused should be treated with all
respect and his or her reputation protected in
so far as possible. However, there should be a
record of the accusation placed in their file.

Inadequate Behavior
Each institution that cares for children should
draw up a list of inappropriate behavior which is
not tolerated. For example:
• Staff members should not allow children from
the institution in their car.
• Staff members may not organize or hold
events when other adults cannot be present.
• Staff members are prohibited from using
social media to harass children.

Employment Requirements
Each institution or organization that serves children
should have written requirements for employees and
volunteers which include:
• Letters of recommendation from prior supervisors.
• Certificate of a clean record from the Police
Department.
• A signed affidavit that the applicant has received a
copy of the policy of No Tolerance and agrees to abide
by it.
• Administrators could require applicants to take this
course, take the included test and present the
certificate of completion with their application.

Need for Live Interviews
• Each institution or organization that serves
children should require a live interview with
each applicant. Two or more representatives
from the organization should be present and
notes taken.
• It is vital to ask why the applicant has left his
last position (pedophiles are notorious for
inexplicable frequent changes of employment).

Validating Recommendations

It is essential that letters of recommendation be
investigated and validated (there have been cases
where the person recommending the applicant was
never contacted in person and later it was found that
there was a long history in the applicant’s file of
infractions involving inappropriate behavior.)

Maintaining Records
Each institution or organization should maintain an
secure archive which includes:
• A file on each employee and volunteer
• Job application and verified letters of
recommendation.
• Signed copies of all policies of No Tolerance.
• Copies of any complaint made against the
individual, including the bringing to their
attention of inadequate behaviors and any
determination taken.

Question 7
Since pedophiles are attracted to organizations working
with children, it is necessary that these institutions:
A) Investigate thoroughly the background of
employees and volunteers.
B) Give a psychological test to applicants in
order to identify pedophiles.
C) Only accept applications of people they already
know.
D) Ask each applicant whether he has been
sexually abused.

Question 8
If a child tells you that someone has attempted to
sexually abuse him:

A) You should investigate further before reporting
to the supervisor.
B) You must inform the supervisor, but not the
police.
C) You must report only to the parents of the child.
D) After securing the safety of the child, you should
inform the supervisor and the police.

Question 9
When there is urgency to fill a position in a child
care center, it is acceptable to hire a teacher who
has given positive letters of recommendation:
A) There is no need to communicate directly
with those who recommend the applicant.
B) Only after communicating directly with
those that recommend the applicant.
C) Only if you have also received a clean
criminal record from the police.
D) A and C.

Secondary Prevention
• Secondary prevention is part of the therapy
offered after an incident or more of CSA in
order to break the cycle of abuse.
• Secondary prevention has three focal points:
Therapy directed at the victim
Therapy directed at the family
Therapy directed at perpetrators.

Preventive Therapy for Victims of CSA
• Childhood sexual abuse is another form of
violence and all violence whether verbal,
emotional, psychological or physical is cyclical.
• Therefore preventive sessions of therapy are
aimed at breaking the cycle of violence.
• Almost all (95.99%) pedophiles have been
abused sexually during their childhood, but
only about 50% become sexual aggressors.

Justification
• This course has not been prepared for health
care professionals and it would be out of its
scope to explain all the elements essential for
therapies directed at victims, families of
victims and aggressors. What is presented
here is to help that parents, victims and
insurance agents understand what is required
in therapy to prevent further incidences of
CSA.

• Psychologists have identified some of the factors
which contribute to victims becoming
perpetrators and countering these factors in
therapy can help break the cycle of violence.
• Most parents want therapy to be over as soon as
possible and are tempted to end further sessions
before preventive work has even begun.
• Insurance companies try to limit therapy sessions
to a minimum in order to cut costs.


Additional preventive threapy includes
interventions addressing:
• Empowerment, since many victims
experience self-doubt and experience feelings
of impotency. (They may abuse others in an attempt
to regain the self-control that was taken from them).
Therapy is often needed to help them find their
internal locus of control.


• Social skills which may be
lacking due to isolation during
and post abusive relationships.
(Lacking age appropriate social
skills can trigger feelings of
inferiority among peers and make
minors seem more attractive and
less threatening.

• Recovering memories of CSA. (Many perpetrators
have repressed their feelings associated with sexual abuse
and therefore can be unaware of what their victim is
feeling while being manipulated or controlled.
Perpetrators often project their feelings of relief from
anxiety onto their victims.) Learning to cope with
negative feelings can lead to a reduction in their high
level of anxiety.
• Relaxation Techniques since many victims
experience elevated levels of anxiety. (High levels of
anxiety can trigger sexual abuse, which is not motivated
by the sexual appetite).


• Empathy training (to counter a victim’s
tendency to project their own feelings on
others.)

• Reestablish self-confidence. (Many victims
blame themselves or question their own ability
to protect themselves, i.e. “Why didn’t I say
something?”

• Reestablish trust in authority figures. (Some
pedophiles mistrust authority figures because
those that were responsible for their well-being
somehow let them down). Some perpetrators
become a “teacher’s pet” in order to manipulate
authority figures.
(Pedophiles use their “authority” over their victims
to create an illusion of self-confidence and instill
fear in their victims in order to mask their own
anxieties.)


• Challenging irrational thoughts, some of
which the perpetrator may have implanted in
their minds, such as, «it’s my fault for being so
attractive.»

• According to Albert Ellis’ theory of
Rational/Emotive Therapy, irrational thoughts
are the cause of many psychological conflicts.

Therapy directed at the Victim of CSA

• Often perpetrators instill irrational ideas into
the minds of their victims which later facilitate
their transition into aggressors; i.e. “you were
born different;” or “children have a right to
sex;” “sex between an adult and a child is not
harmful;” and “children are capable of giving
informed consent.”

Therapy directed to the Family of a
Victim of CSA
Many victims of CSA don’t suffer any apparent
symptoms of trauma until they see their parent’s
reaction upon discovery of their victimization.
It is therefore quite necessary that the person who
informs the parents of their child’s sexual abuse is
trained and competent in explaining to them how
their reaction to the child may trigger latent trauma.
The family should be accessed for further need of
grieving therapy.

Therapy for Family of a Victim of CSA
• While it is outside the scope of this course to
describe all the factors that may require
therapy, systemic theories maintain that what
affects one member of the family can affect
the functioning of the entire family.
• Therefore all families of victims of CSA should
be given an psychological intervention in
order for them to learn how to support the
abused child.

Therapy for
the Families
of Victims
of CSA
• It is highly likely that an individual member of
the family may suffer PTSD, triggered by the
discovery that their child was abused and require
treatment.
• Sudden recovered childhood memories late in life
are not all that rare and can be quite traumatic.

• Therapy for perpetrators must take into
account that almost all sexual aggressors
where victimized during their childhood and
therefore the therapies appropriate for victims
may also apply to perpetrators.
• However, studies using the MMPI comparing
perpetrators with the general population
indicate that known sexual aggressors score
lower on the Empathy Scale.

Prevention Therapy For Perpetrators
• Prevention therapy therefore should include
empathy training for known perpetrators.
• The lack of empathy for a victim’s feelings
probably results from the use of the defense
mechanism dissociation, whereby during
their own experience of abuse, they escaped
from their feelings of helplessness and fear
into a flight of fantasy and therefore are
unaware of what a victim of CSA feels.


• Therefore many pedophiles do not believe that
sex with a child is morally reprehensible, and
believe its condemnation to grow from a sick
society, unaware of the damage done to their
own cognitive and ethical functions.
• Effective preventive therapy with pedophiles
must address this moral lapse in their cognitive
development.

• According to Human Development theory, the
brain develops in stages. Moral normally
follows cognitive development, but in the
natural order precedes puberty.
• Apparently victims of early CSA experience
stimulation into that part of the brain
responsible for sexual behavior prior to the
development of their conscience or their ability
to distinguish between good and evil.

It is very important for therapists to be mindful
that CSA is not motivated by the sexual appetite,
but rather a need to escape high levels of
anxiety. While sex can be a powerful
reinforcement for CSA, no therapy can
successfully prevent further abuse that does not
teach adequate techniques for channeling
anxiety.

• Many children are seduced into CSA by means
of the use of controlled substances and later
suffer from addictions, as a consequence of
introduction to them at an early age.
• Often addiction correlates statistically with
CSA but is not its cause. Addiction therapy
may therefore be required.

Perpetrators often believe that there are no
negative effects to children who are
introduced into sexual behavior by an adult,
but studies show that victims of CSA are 10 to
15% more likely to suffer from cancer, heart
disease, gastrointestinal problems, liver
disease, and diabetes as adults. These and
other irrational ideas of sexual aggressors
need to be confronted.

• Finally, pedophiles who were led into CSA before the
cognitive development of their brain do not take time
to think about the consequences of their actions.
• Therefore therapists should include in preventive
therapies the possible consequences associated with
CSA, as well as have aggressors memorize a story about
a perpetrator who is caught in the act, is mortified by
his picture appearing on the first page of the
newspaper, the suffering he causes his family, as well as
the horrors that await pedophiles in prison.

Punishment vs. Therapy
• Some uneducated politicians wish to castrate
pedophiles either by surgery or chemically in
the belief that this will prevent further CSA.
• However, that opinion is based on the false
belief that pedophiles are motivated by a
overly strong sexual appetites.
• Psychologists have known for quite sometime
that punishment does not result in the
learning desired.

• Imprisonment in the USA costs about $44,000
per year per inmate.

• Surely, psychological treatment designed for
pedophilia, not generic sexual therapy, has to
be far more cost effective, as a means of
preventing further incidents of CSA.

Question 10
Some child molesters believe:
A) That sex between an adult and a child is
not harmful.
B) That a child feels the same as
themselves during sex.
C) That a child is capable of deciding to
have sex or not.
D) All of the above.

Question 11
Informing parents that their child was sexually
abused:
A) Can cause more trauma to the child by
the reaction of his parents than the
actual abuse.
B) Requires specialized training.
C) Is the victim’s decision.
D) Both A and B

Question 12
Sexual abuse of children is multi-factorial. Another
motivating factor for sexual abuse of minors in
addition to being victimized, is:
A) An exaggerated sexual appetite due to
high levels of testosterone.
B) High levels of anxiety.
C) Celibacy
D) The frequent use of pornography
(There is an answer sheet on slide 102 for those who
wish certification of completion of this course).

Legal Obligation to Report Cases of
CSA
• Any person who knows of or suspects that a
child is being sexually abused is required by
law to inform either the Police or Social
Services (depending on the state).
• This obligation applies even to those
professionals who enjoy the privilege of
confidentiality (except confessors) such as
counselors and psychologists.

Legal Obligation to Report Cases of
CSA
• The supervisor or any institution or
organization that serves children should have
in the protocol of the institution the
telephone number of Family Services, and the
Police in their city and or state.
• Most states have a page on the Internet with
the necessary information.
• Google: “Reporting Cases of CSA”

Conclusion
• The best prevention is primary because its aim is
to protect innocent children.
• There are far too many pedophiles constantly
seeking ways to be alone with a child in our
society.
• It is absolutely necessary to prepare our children
so that they can protect themselves from these
many sexual predators with adequate sexual
education.

Conclusion
• Since the primary obligation to educate their children
falls on parents, it is of utmost importance that parents
and those who care for children are aware of the high
risks that face their wards and have the knowledge and
tools to educate them adequately.
• The almost daily reports in the news of CSA have
shown that the institutions of our society have placed
their own well-being above the protection of minors.
Therefore parents need to insist that the institutions
where they place their children have and are doing as
much as possible to create and sustain a safe
environment.

Conclusion
• Therapy directed to victims must include
interventions aimed at breaking the cycle of
violence.
• Therapy directed at families must include
evaluations of the family as a unit, as well as
individuals.
• The treatment of perpetrators should include
prevention therapy so as to lower the rate of
recidivism. Neither imprisonment nor punishment
can be effective.

The Author
Dr. Cornelius Mc Quillan is an R.C. Priest and
Licensed Psychologist who has worked over thirty years in
Puerto Rico. He is a member of the missionary
Congregation of the Holy Spirit and has labored in
pastoral and prison ministry as well as the formation of
seminarians and in education as a member of the
faculties of Columbia College, Roosevelt Roads Naval
Station, the Pontifical Catholic University at the Arecibo
Campus, and finally the Dominican College, the
Universidad Central de Bayamon, Puerto Rico.
Fr. Mc Quillan received his theological training at the Catholic
Theological Union of Chicago where he was awarded a Masters in Divinity.
He also received a Masters in Counseling Psychology from the
Interamericana University of Puerto Rico where he graduated Summa Cum
Laude. Fr. Neil received his doctorate in Psychology from the California
Coast University at Santa Ana. He is a licensed Psychologist in Puerto Rico.
Other works available on line

Congregation of the Holy
Spirit
Fr. McQuillan is a missionary of the Congregation of
the Holy Spirit, a Religious community dedicated to the
Evangelization of the poorest of the poor.
The Spiritan Missionaries labor in more than 60
countries. In the USA they are best known as the founders
of Duquesne University in Pittsburgh.
For more information on the Spiritans:
www.spiritans.org

Donations
• If you would like to help support the Spiritan
Missions, please send your check to:
Congregation of the Holy Spirit
Mission Office
P O Box 3509
Hemet, CA 92546-3509
or
Via Paypal: neilmcq@hotmail.com

Bibliography
Finkelhor, David, Hotaling, Gerald, Lewis, I. A. &
Smith, Christine, (1990). “Sexual Abuse in a
National Survey of Adult Men and Women:
Prevalence, Characteristics and Risk Factors,”
Child Abuse and Neglect, Vol. 14, pp. 19-28.
Hall, Gordon C. N. & Hirschman, Richard, (1992).
“Sexual Aggression Against Children A
Conceptual Perspective of Etiology,” Criminal
Justice and Behavior, Vol.19, No.1, pp. 8-23.

McQuillan, C. (1997). Prevention of Clerical Child Abuse Through Cognigive
Changes,” Master s Thesis, Universidad Interamericana, Recinto de Cupey,
PR.
(2000) "Adolescent Suicide: A Review of the Literature," & "Suicide, Adolescents
and Puerto Rico," Boletin de la Asociación Médica de Puerto Rico, Vol.
92 #'s [1-2-3].
(2003) "Psicoterapia del Niño" y "Adolescente con Depresión," Boletin de la
Asociación Médica de Puerto Rico Vol. 95, [3].
(2004). "What every Priest, Religious and Bishop Should Know About Pedophilia,"
The Journal of Pastoral Counseling, Vol. XXXIX.
(2011). “A Reflection on the Dynamics of Dissociative Amnesia in Victims of
Childhood Sexual Abuse vs. Post Traumatic Stress Disorder,
www.smashwords.com.
(2012). Hacia la Prevención de Abuso Sexual de los Niños , curso de educación
continuada, aprobada por 10 juntas examinadores de Puerto Rico,
www.adiestrate.com

Marshall, W. L. & Pithers, W.D. (1994). “A Reconsideration of Treatment Outcome
with Sex Offenders,” Criminal Justice and Behavior, Vol. 21, No. 1, pp. 10-
25.

Martinez-Taboas, Alfonso (1991). “Multiple Personality in Puerto Rico: Analysis of
15 Cases,” Dissociation, Vol. 4 Num. 4.
Messler Davies, Jody & Frawley, Mary G. (1994). Treating the Adult Survivor of
Childhood Sexual Abuse, A Psychoanalytic Perspective, Basic Books, Harper
Collins, N.Y.
Pithers, William D. (1994). “Process Evaluation of a Group Therapy Component
Designed to Enhance Sex Offenders Empathy for Sexual Abuse Survivors,”
Behavior Research and Therapy, Vol. 32, No. 5, June, pp. 565-570.
Ratican, Kathleen L., (1992). “Sexual Abuse Survivors: Identifying Symptoms and
Special Treatment Considerations,” Journal of Counseling & Development, Vol. 71,
Sept. pp. 33-38
a
Rivas, Carlo A. y Mirabal, B. (2008), “Genitoanal Findings in Puerto Rican Children
with Suspected Sexual Abuse,” Bol Asoc. Médica de PR. Apr.-Jun, 100 (2): 24-27.

Schmutzer, Andrew J. (2008), “A Theology of Sexual Abuse: A Reflection On
Creation and Devastation. Journal of Evangelical Theological Society, Dec. pp.585-
812. http://www.etsjets.org/files/JETS-PDFs/51/51-4/JETS%2051-4%20785-
812%20Schmutzer.pdf

Question Answers
Circle your answer clearly. If you would like to recieve an
• 1 A B C D electronic certificate attesting to your
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• 3 A B C D Prevention of CSA, copy/paste your
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• 5 A B C D you answer them correctly, I will send
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• 11 A B C D neilmcq@hotmail.com
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Course Evaluation
Curse: Toward the Prevention of Childhood Sexual Abuse

Least Most
I am likely to recommend this course to others 1 2 3 4

I now better understand how I can help prevent CSA 1 2 3 4

This course is well prepared and organized 1 2 3 4

The time required to do this course is justified by the content 1 2 3 4

The author manifests a command of the material 1 2 3 4

(Please copy and paste and send to your opinion to: neilmcq@hotmail.com)

Prevention of the Sexual Abuse of Children (English Version)

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