1 CJE2600 CRIMINAL INVESTIGATION CHAPTERS 11 – Crimes Against Children Dr. E. C. Buchholz CHAPTER 11 Crimes Against Children LEARNING OBJECTIVES Recognize types and patterns of burn injuries found in child abuse Define and discuss shaken-baby syndrome Explain Munchausen syndrome by proxy Identify types of child molesters, and explain investigative and interview techniques for cases of child molestation Define and describe human trafficking, especially as it relates to child sex trafficking Understand relationship between child pornography and sex tourism Outline types of child pornography Discuss the use of the computer and the Internet in child pornography Discuss additional ways the internet is used to exploit children Be able to differentiate between sudden death syndrome and physical abuse LEARNING OBJECTIVES (continued) Understand what sudden infant death syndrome (SIDS) is and its misconceptions Discuss the prevailing theories in SIDS research Understand criminal homicide as a possibility in SIDS deaths Describe the profile of infant abductors Outline the assessments and investigative procedures used to determine whether a child has run away or has been abducted Discuss sex-offender registration and community notification laws Describe the personality traits and behaviors of individuals inclined to commit school crime Understand the role of law enforcement in school crime ASSAULTS AGAINST CHILDREN The most common cause of children's death is physical abuse, often by their own parents The clinical term commonly used to describe physically abused children is the battered-child syndrome Abuse of children takes various forms, from minor assaults to flagrant physical torture Although abusers use a wide variety of instruments, the two most common are the belt and electric cord 2 BURN INJURIES AND CHILD ABUSE Typologies of Burns – A burn may be classified by how severe or “deep” it is, or by how the injury occurred. Medical Classification of Burn Severity – Physicians primarily categorize burns as having either “partial thickness” or “full thickness.” Causes of Burn Injuries – Scald burns occur when the child comes into contact with hot liquid – Contact burns occur when the child encounters a hot solid object or fla CLASSIFICATION OF BURNS 3 CAUSES OF BURN INJURIES Scald burns o most common caused by hot liquids Spill/Splash injuries o hot liquid falls from a height onto victim Immersion burns o child falls or is placed into tub or other container of hot liquid Contact burns o skin comes into contact with a flame or hot solid object Deliberate immersion burn patterns • Doughnut pattern in the buttocks – Child thrust down in hot bath-water • Sparing the soles of the feet – Absence of burns on bottom of child’s feet – Child’s buttocks and feet are burned, but whose soles have been “spared” • Stocking or glove-pattern burns – Occur when child’s feet or hands are held in the water • Waterlines – Reflects child was held because a child who fell into the water would show splash and irregular-line patterns. If an investigator sees burns such as those pictured, they should: o –become highly suspicious o –look for other signs of abuse o –question the parents/guardians CONTACT BURNS Occur when a child’s skin comes into contact with a flame or a hot solid object Cigarette Lighter Fireplace Stovetop burner Outdoor grill Steam iron Leaves a distinct pattern SUDDEN INFANT DEATH SYNDROME Simply defined, SIDS (“crib death”) is the sudden and unexpected death of an apparently healthy infant that remains unexplained after the performance of a complete autopsy. 4 CHARACTERISTICS OF SIDS VICTIMS Appearance Usually normal state of nutrition and hydration Blood-tinged, frothy fluids around mouth and nostrils, indicative of pulmonary edema Vomitus on the face Diaper wet and full of stool Bruise like marks on the head or body limbs (postmortem pooling or settling of blood in dependent body parts) MISCONCEPTIONS Aspiration or choking Unsuspected illness Freezing (usually due to postmortem change) Accidental injury, neglect or abuse Recent Findings Dr. Richard Naeye, Penn State University Chronic lack of oxygen, attributable to repeated and relatively long periods of apnea New England Journal of Medicine Infants who usually slept in the face-down position had a significantly higher risk of SIDS than those who slept on their back The air passage of an infant is impaired when the body is placed face down on any type of mattress or pillow Children’s Hospital Boston & Harvard Medical School Infants that die of SIDS often have abnormalities in the brainstem, particularly those that control breathing, blood pressure, temperature, and heart rate Police Response Be sensitive, yet keen to the possibility of criminal homicide The most commonly missed method of homicide in infants and young children, after impulse homicides, is smothering May be petechial hemorrhaging of the eyes and surrounding areas Traumatic Brain Injuries and Death Most child deaths are directly related to injuries that are a result of a specific act of hitting, striking, or physically abusing the victim Blunt-Force Trauma Injuries derives from forces transmitted by objects that have relatively broad surfaces, with thick or round surfaces Brain Hemorrhage Significant injury causing extensive bleeding into the surrounding tissue. 5 Coup—Contrecoup Injuries Coup (French for “head”) Injury at the direct site of the impact of the head and a moving object Contrecoup Injury inside the skull on the opposite side of the area of impact A moving head is abruptly stopped and inertia keeps the brain moving within the skull SHAKEN BABY SYNDROME Shaken-baby syndrome (SBS) is the severe intentional application of violent force (shaking), in one or more episodes, that results in intracranial injuries to the child. The mechanism of injury in SBS is thought to result from a combination of physical factors, including the proportionately large cranial size of infants, the laxity of their neck muscles, and the vulnerability of their intracranial bridging veins. Often a parent or caretaker, usually in anger, shakes a baby so hard that serious head injury results Usually show evidence of previous trauma Child will often show no outward signs of injury Blunt trauma injuries are often found in conjunction with SBS Caused from infant’s head being whipped forward and backward from the chest to the back Average age of infant victims is 6 months MUNCHAUSENS SYNDROME BY PROXY Munchausen syndrome is a psychological disorder in which the patient fabricates the symptoms of disease or injury in order to undergo medical tests, hospitalization, or even medical or surgical treatment o Pseudologia fantastica is present in classic cases (patient makes false claims about distinguished accomplishments, educational credentials, relations to famous persons) In cases of Munchausen syndrome by proxy (MSBP), a parent or caretaker suffering from Munchausen syndrome attempts to bring medical attention to himself or herself by injuring or inducing illness in a child o o o o Often only one child in a family is chosen as the target Marital partner tends to be protective of abusive parent In over half the cases, the abuse results in hospitalization The child is frequently taken to different hospitals “doctor shopping” 6 MSBP Maternal Behaviors medically knowledgeable, educated may have worked in the health care field mother prefers to stay in the hospital rather than home uncharacteristically calm welcomes medical tests reluctant to leave hospital more interested in the medical procedures than in her child’s welfare spends more time with hospital staff than with her child excessive praise for medical staff exaggerates child’s symptoms intolerant of minor problem and demands work-up is calm about child’s illness describes an illness that seems unexplainable symptoms observed only if mother is present illness resolves after separation form mother Jennifer Bush Jennifer Bush had been in and out of hospitals. By the time she was 8, she had been hospitalized more than 200 times, and had undergone more than 40 surgeries. Doctors had removed her gallbladder, her appendix and part of her intestines. She was often nourished through feeding tubes. Once removed from her parents care, she lived a normal life, free of hospitals and drugs. In October 1999, Kathy Bush was found guilty of aggravated child abuse and sentenced to 5 years in prison. She served 3 years, and was released in June 2005. SITUATIONAL CHILD MOLESTORS For purposes of discussion Kenneth V. Landing of the FBI divides child molesters into two categories: o situational o preferential 7 SITUATIONAL CHILD MOLESTORS Have no true sexual preference for children Numbers of abusers has been increasing faster than preferential Morally Indiscriminate Part of a general pattern of abuse in his life User and abuser of people Victim criteria is vulnerability and opportunity Regressed Low self-esteem and poor coping skills Uses children as a sexual substitute for the preferred peer sex partner Sexually Indiscriminate “Try-Sexual”—Will try anything sexual Motivation is sexual experimentation Inadequate Social misfit Withdrawn Unusual Involved with children out of insecurity or curiosity Nonthreatening to him Criteria for victims, new and different PREFERENTIAL CHILD MOLESTERS Definite and erotic Imagery focus on children Seduction “Seduces” children Grooming Courts them with attention, affection, and gifts Knows how to talk to and listen to children Targets children who are victims of emotional or physical neglect 8 Introverted Preference for children but lacks the interpersonal skills necessary to seduce them Engages in a minimal amount of verbal communication with his victims Usually molests strangers or very y7oung children Hangs around playgrounds and other areas where children Engages them in brief sexual encounters Sadistic Sexual preference for children, but psychological or physical pain or suffering on the child. More likely than other preferential child molesters to abduct and even murder their victims. PREFERENTIAL CHILD MOLESTERS INTERVIEWING MOLESTED CHILDREN Common sense and formal research agree that children are not merely miniature adults Waterman has identified three types of developmental issues that are important when allegations of sexual abuse arise o First, the child's developmental level relative to other children in his or her age group o Second is the child's development level with regard to sexuality o Third is the child's ability to respond adequately to interviews and to testify in court Children think in concrete terms. Children do not organize their thought logically. Children have limited understanding of space, distance, and time Children have a complex understanding of truth and lying Children see the world egocentrically. Children have a limited attention span. Children may have varying degrees of comfort with strangers. 9 INTERVIEWING MOLESTED CHILDREN When anatomically detailed dolls were first introduced in the late 1970s they were widely hailed as an important advance in techniques for communicating with troubled children One alternative that is being used by some police agencies either in connection with or instead of an anatomically detailed doll is to have the child draw his or her own picture o As with the anatomical dolls, leading questions are widely used as a courtroom technique to assist child witnesses o They are seriously challenged when used in investigative interviews ANATOMICALLY DETAILED DOLLS These dolls are used by some investigators They show all body parts including genitals Some experts disagree at to their overall usefulness Professionals have yet to reach a consensus on “proper” use of anatomically detailed dolls. Social psychological theory of social influence: Children’s responses to questioning are heavily influenced by the perceived authority or power of the adult interviews When they are praised or otherwise “rewarded” for disclosing elements of abuse, children learn what the interviewers want to hear; that is, they answer to please adults This effect is magnified in child sexual-abuse cases o Infusing/reinforcing: Children are typically interviewed repeatedly by different adults who contribute to their expanding story Sexually Abused Child Syndrome Child possesses age-inappropriate sexual knowledge Child Engaged in sexualized play Child displays precocious behavior Child engages in excessive masturbation Child is preoccupies with his or her genitals There are indicates that pressure or coercion was exerted on the child Child’s story remains consistent over time Child’s report indicates an escalating progression of sexual abuse over time Child describes idiosyncratic details of the abuse There is physical evidence of abuse p. 319 PAUSE