Teaching Sexuality in the Home Teaching Sexuality in the Home Teaching Sexuality in the Home Brigham Young University Master’s of Social Work Community Organization Class Class of 2014 Teaching Sexuality in the Home A guide targeted to the Utah community to help parents be informed as they teach their children about human sexuality. This book was produced as a public service by students in the BYU Master’s of Social Work Community Organization class, Class of 2014. Views expressed in this book are those of the authors and do not necessarily represent the views of Brigham Young University or The Church of Jesus Christ of Latter-day Saints. This book contains information on several health topics, however, this guide is not intended to be a substitute for professional medical advice. Always seek the advice of a qualified medical professional for medical advice. Professor: Dr. Michael Seipel Project Managers: Vanessa Storey & Kevin Harmon Layout and Design: Jacob Creedon Copyright © BYU School of Social Work, 2014 All Rights Reserved. To Dr. Seipel our fearless leader and teacher A special thanks to all those family and friends who contributed monetarily to the completion and distribution of this book, as well as Einstein Bros. Bagels for their generous donation. Contents Introduction . . . . . . . . . . . . . . . . . . . . . . Parents’ Responsibilities . . . . . . . . . . . . . . . . Creating a Safe Environment . . . . . . . . . . . . . . Pre-Adolescent . . . . . . . . . . . . . . . . . . . . Adolescence . . . . . . . . . . . . . . . . . . . . . . Same-Sex Attraction . . . . . . . . . . . . . . . . . . Sexual Abuse . . . . . . . . . . . . . . . . . . . . . . Pornography and Other Technology-Related Concerns . Skills to Teach Your Children . . . . . . . . . . . . . . Resources . . . . . . . . . . . . . . . . . . . . . . . Techniques . . . . . . . . . . . . . . . . . . . . . . 1 7 11 15 35 47 59 77 91 97 103 Introduction In 2012, the Utah Congress passed a bill, HB 363, which defined sexual education in Utah as “abstinence-only” which would “ban instruction in sexual intercourse, homosexuality, contraceptive methods and sexual activity outside of marriage.”1 However, when the bill reached Governor Herbert’s desk, he put a veto on the bill, stating that the bill went “too far in constricting parental options.”2 Governor Herbert was not the only one to comment regarding the potential passing of the bill. Senator Mark Madsen, a Republican from Lehi who was in support of passing the bill, was quoted as saying that it is important to “define what role schools and parents play in the education of a child,” and that there is “something wrong with parents sending their children to school to learn morals and sexuality and schools sending students home to learn how to read.”3 Likewise, Senator Stuart Reid, a Republican from Ogden, voiced his concern of having “essentially complete strangers teaching children the most sensitive issues that belong in the home.”4 Since that bill was introduced in 2012, another bill, SB 39, was introduced by the Senate in 2013. This bill would have required the state school board to offer online training to parents on how to educate Introduction 2 children on sex. However, the bill has since been filed in the Senate as defeated.5 With sexual education becoming a taboo subject in schools, it is important to remember the value of teaching sexuality in the home. Educators in Canada collaborated to make an innovative website for sexuality educators and stated, “Effective sexual health education needs to emphasize the shared responsibility of parents, peers, places of worship, schools, health care systems, governments, the media and a variety of other institutions and agencies.”6 As students in the Community Organization class in the School of Social Work at Brigham Young University, we agree that parents need to be involved in teaching their children about sexuality. We recognize that topics in sexuality can oftentimes be very difficult to address. In fact, “teaching sexual responsibility and restraint may be the single greatest challenge that parents face today.”7 However, we believe that such important and sensitive topics can be best addressed and taught in the home. Thus, we designed this manual with parents in mind. What is this Manual? From talking to parents and local agencies in the community, we have recognized a need for parents to know how to address and teach topics of sexuality in the home. We created this manual to be a guide for you in teaching your children about sexuality. We have gathered research from various sources to put this manual together. In an attempt to be value-flexible, the sources used in this manual are aimed to be value-neutral. Therefore, it is important to recognize that the research we present must be adapted to fit your individual value system. If we present something in this manual that does not coincide with your values, recognize that it is your responsibility as a parent to teach your children according to your values. Defining Sexuality Before the manual begins, we would like to spend some time discussing the definition of sexuality that will be used within this manual. Sexuality is difficult to put into a single definition. However, the following is what the World Health Organization has developed as a working definition of sexuality: A central aspect of being human throughout life encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, inTeaching Sexuality in the Home 3 timacy and reproduction. Sexuality is experienced and expressed in thoughts, fantasies, desires, beliefs, attitudes, values, behaviors, practices, roles, and relationships.While sexuality can include all of these dimensions, not all of them are always experienced or expressed. Sexuality is influenced by the interaction of biological, psychological, social, economic, political, cultural, legal, historical, religious, and spiritual factors.8 Thus, through this definition, it is easy to see the true complication of establishing a standard understanding of the word sexuality. There are several noteworthy aspects within this definition that are important to clarify in order to understand the purpose and value of this manual. The first is that sexuality is a central aspect of being human. Another important aspect is that sexuality is not just having sexual intercourse. It also encompasses gender identities and roles. This important understanding of the self can impact a person’s self-esteem, social circles, and understanding of self and others. Understanding gender and what role that plays in life is a crucial concept for every child. Another key part of the definition is that sexuality can be both experienced and expressed. This means that just because your child is not expressing their sexuality in ways that you can see, does not mean that your child is not experiencing sexuality of some kind. This is one of the reasons that it is important to talk to all of your children about sexuality, not just those who are exhibiting an awareness of the concept. Along with the expression of sexuality, the variety of different views and factors that play a part in a person’s unique understanding of sexuality vary greatly. Sexuality varies by person based on several factors, which may include differing beliefs, attitudes, values, and relationships. Psychological, social, economic, cultural, and spiritual factors also lead sexuality to vary. In other words, sexuality is a very unique experience and is not solely determined by biology. Because sexuality varies, it is crucial for parents to help their children understand their unique sexuality. Sexuality involves the interaction of many factors, thus it only makes sense that it impacts many aspects of a child’s life. Sexuality can impact how a child feels about themselves. It can impact sleeping habits. It can impact social habits including what activities a child will participate in. It can impact what entertainment a child chooses. In short, sexuality is not only about sex. It is about every aspect of a child’s life and how they view themselves and the world around them. Helping your child make Introduction 4 the best choices for them in regards to sexuality is an important aspect of your role as a parent. This manual will give you a better foundation of where, when, and how to have these important conversations with your child. With your help, your child will develop a clearer picture of what sexuality is and what their options are. We spoke with local agencies and parents in the community to determine what topics of sexuality parents face when raising their children. We have taken this information and organized this manual to fit parents’ needs. The authors of one parent’s guide discussed the following: No realistic parents believe he or she can be the only source of sexual information to a child.The media, the peer group, and the school will all play large (and mixed) roles. But parents with the right message and the right timing can preempt negative and harmful information. They can also create a positive frame of reference and an effective filter through which kids can interpret and internalize what is useful and helpful to them, and screen out or set aside what is harmful or dangerous.9 With this in mind, our manual starts by discussing the importance of knowing your own values and responsibilities as a parent. We then transition into the importance of building a close and safe relationship with your child.We feel that if parents can first recognize their values and then work to continually build a strong relationship with their children, teaching the topic of sexuality within the home will become easier. After we discuss the importance of values and relationships, we move into what research finds to be age-appropriate teachings for pre-adolescent and adolescent children.We found it appropriate to break up the teachings between these two age groups, as it is important to build upon the conversations regarding sexuality. Additionally, children experience different things as they age, so we felt it appropriate to separate the conversations that take place at those different ages. After covering what research finds to be age-appropriate, we address various topics that children may be exposed to throughout their lives. There may be some chapters that you feel are irrelevant to your particular child. However, we feel these are important topics that children need to be aware of, and as a parent it can be helpful to address such topics with your children. As a parent in today’s society, it is important to be aware of topics that are becoming a common part of your child’s life. Teaching Sexuality in the Home 5 We first discuss same-sex attraction, a growing topic of acknowledgement and awareness in society. We then cover the topic of sexual abuse. According to the Utah Department of Health, “one in three Utah women will experience some type of sexual assault in their lifetime and one in eight will be raped.”10 This statistic can be terrifying, but as parents are aware of such statistics surrounding sexual abuse, they can become better equipped to have conversations with their children regarding this important topic in sexuality. Because of the statistics surrounding sexual abuse, we found it important to address this topic. Following the sexual abuse chapter, we discuss the newly rising and ever increasing technology-based mediums that children are exposed to that influence sexuality. We discuss research on pornography and other social media sites that contribute to a child’s education of sexuality. As you become aware of the various sources from which your children can receive sexual education or opinions, you will be able to recognize where your values lie and help educate your children on how to be safe on technology-based sites. The manual will conclude with a chapter on different skills that we have found to be important for parents to teach their children. We believe that these skills can be used to help facilitate the teaching of the different topics presented throughout the manual. These skills include teaching assertiveness and coping skills. We have also included a chapter that discusses various techniques parents can use to help teach their children. Additionally, we have provided a section that includes resources from community agencies as well as resources of other educational information that can be helpful for parents to review if they are uncertain about a particular topic. References 1. Wood, B. (2012, March 6). Abstinence-only sex education bill passes Utah Legislature. Deseret News. Retrieved from http://www.deseretnews.com on February 27, 2014. 2. Roche, L.R. (2012, March 29). Governor Gary Herbert calls sex ed bill he vetoed ‘solution in search of a problem.’ Retrieved from http://www.deseretnews.com on February 27, 2014. 3. Wood, B. (2012, March 6) 4. Ibid. 5. Utah State Legislature, 2013 General Session. Retrieved from http://le.utah.gov/~2013/ bills/static/SB0039.html on March 5, 2014 6. Comprensive Sexual Health, http://teachers.teachingsexualhealth.ca/teaching-tools/ sexualhealtheducation/ 7. Eyre L., & Eyre R. (1998). How to talk to your child about sex: It’s best to start early, but it’s never too late—a step-by-step guide for every age. New York, NY: St. Martin’s Press, p. 1 Introduction 6 8. World Health Organization 2006a http://www.who.int/reproductivehealth/topics/sexual_ health/sh_definitions/en/, February 28, 2014 9. Eyre L., & Eyre R. (1998), p. 4 10.Utah Department of Health, Rape and Sexual Assault, http://health.utah.gov/vipp/ rapeSexualAssault/overview.html, February 27 2014 Teaching Sexuality in the Home Parents’ Responsibilities Many parents have concerns about what their responsibility is in teaching their children about sexuality. One key step is recognizing that there is a responsibility. Although your children receive some education through school programs, community efforts, or other areas, such as family and friends, the amount of teaching and the accuracy of information ranges case by case. The best way for you to know what your child knows about sexuality is to accept the responsibility of teaching your child yourself. Once you recognize the role you play in educating your child about sexuality, you may feel overwhelmed about the “what” and “how” of this responsibility. This chapter provides some guidelines about what your responsibility is and later chapters further explain how to go about carrying out this responsibility. Here are a few suggestions on how to shoulder this responsibility: • Share the responsibility to teach your children about sexuality with your spouse when possible. • Teach your children by example. • Be consistent in your behavior. • Talk and discuss things with your children. Parents' Responsibilities 8 • Provide a positive emotional climate in your home. • Share your thoughts and feelings with your children. • Express your love to your children regularly and frequently.1 There are many advantages to taking the primary role in educating your children regarding sexuality. You are generally the individual that best knows your child. This includes not only their likes and dislikes, but their history. For example, a child who has been abused sexually would clearly need to be taught with more sensitivity about sexuality after their previous experience. Your insight can be a great benefit to helping meet your child’s needs and recognizing what they already know and what they would benefit in learning. Some challenges you might have while educating your child revolve primarily around feeling unprepared for such duties. You may feel inexperienced at educating about sexuality and unprepared to take on such a responsibility. The intention of this manual is to provide some tools and techniques to remove some of these concerns for parents. The Parents’ Role You need to provide the guidance and knowledge your children need to become responsible and happy adults. But you might also be afraid of talking about sexuality with your children because you might believe your child is too young or not ready, you don’t know how to talk to your child about the subject, you have a lack of understanding of the subject, you feel uncomfortable, your parents didn’t give you a good example, you worry that talking about sexuality will encourage experimentation, or you are unsure of what your child needs to know or when they need to know it. As the parent, you are already teaching your child many things about sexuality and have been since the day they were born. They learn from the way they are touched by others, the way their bodies feel to them, what your family says is okay and not okay to do, the terms that family members use or don’t use to refer to parts of the body, watching relationships around them, observing gender roles, watching television, listening to music, and talking with their friends. Understanding the value of fulfilling your role as a parent can also be helpful. A research study in Mexico identified some of the risks related to early sexual activity for adolescents and being sexually active without using a condom. The study emphasized the importance of the message Teaching Sexuality in the Home 9 parents shared with their children, not just the number of times they addressed the subject. The study showed the effectiveness in decreasing exposure to sexually transmitted infections and diseases (STIs and STDs) by encouraging parents to teach their children about delaying sexual activity and informing them about where to access condoms for situations when they choose to be sexually active.3 You have the power, more than any other person, to know what is best for your child. Studies and surveys show that parents who are committed, who make the effort, can have much more influence over their children than any other factor or force. Parents who commit themselves to ongoing, open communication, who think it through and decide what they truly believe is best regarding their children and sex—what is healthiest and happiest for them physically, mentally, emotionally, socially, and spiritually—and who take the time and find the right tools to help their children come to the same conclusions are parents who will not only have the solutions but be the solutions. Of course, a child will eventually decide for himself, but not to teach them what our experience (and our heart) tells us is best is a serious form of parental abdication of responsibility.4 If you fear being a hypocrite, you need to remember that you should teach your child from your current values, not your past ones. It is not hypocrisy to teach something you found out by not following the principle. A common metaphor is smoking. If you smoked in the past, you might have all the more reason to teach your children not to smoke. It is not hypocrisy; it is love and experience. Parents give up for different wrong reasons. “I can’t teach abstinence because I didn’t live it. I’d be a hypocrite to teach my kids something I didn’t do.” Aren’t some of the most valuable things we teach our children those that we’ve learned through the kind of experience we hope they won’t repeat?5 As parents, you have special wisdom and insight gained from time and experience, as well as immeasurable love for you children and understanding of them individually. No other person or organization is as invested in your children’s wellbeing and happiness as you are. Many parents will be in the unfortunate position of having to overcome their own inhibitions and re-educate themselves with a positive perspective of sexuality before they can teach their children. Do your best to recognize and remove any embarrassment, shame, discomfort, or even disgust you may have associated with sexuality. If you dislike sex and think it is dirty Parents' Responsibilities 10 or evil, your children will sense it. If you are embarrassed talking about it, they will feel it. Children need their parents to teach with confidence and conviction, and with a healthy attitude and reverence for sexuality. Whatever you believe about sex will be subtly communicated in your teachings.6 References 1. A Parent’s Guide (1985) Retrieved February 28, 2014, from https://www.lds.org/manual/ a-parents-guide/chapter-2-principles-for-teaching-children?lang=eng 2. Sexuality and Disability: Guide for Parents Alberta Health Services (2013). Retrieved February 28, 2014, from http://teachers.teachingsexualhealth.ca/wp-content/uploads/ Sexual-and-Development-Disablity-Guide-2013.pdf 3. Campero, L., Walker, D., Atienzo, E., Guiterrez, J. (2011). A quasi-experimental evaluation of parents as sexual health educators resulting in delayed sexual initiation and increased access to condoms. Journal of adolescence, 34, 215-223. 4. Eyre L., & Eyre R. (1998). How to talk to your child about sex: It’s best to start early, but it’s never too late—a step-by-step guide for every age. New York, NY: St. Martin’s Press. 5. Ibid. 6. Brotherson, L.M. (2004). And they were not ashamed. Boise, ID: Inspire Book. Teaching Sexuality in the Home Creating a Safe Environment How do I talk to my child about sex? How do I start the conversation? How do I know if I am saying too much or too little? These might be some concerns that are running through your mind. The core to answering many of these questions begins with having a good relationship with your child. What is your child’s favorite movie? What music does he or she like? What are their interests? Likes and dislikes? Having this kind of working knowledge about your child is called a “love map.”1 When you work on developing a love map for your child there will be a greater sense of love and compassion in your relationship and home.2 Also, it has been observed that children who have good relationships with their parents are more likely to postpone having sex until later in life when compared to their peers.3 Developing a good relationship with your child early on will increase compassion and understanding in the relationship. Dr. Gary Chapman discusses how to develop this relationship of love in his book, The Five Love Languages of Teenagers:The Secret to Loving Teens Effectively2. He explains that your home should be a place of refuge for your child.Youth are more likely to feel loved and accepted when they hear words of affirmation and Creating a Safe Environment 12 receive service, gifts, quality time with parents, and hugs and other appropriate physical affirmations.1 Another way to help you and your child form a relationship and promote healthy dialogue for important conversations, such as teaching sexuality, is to learn how to use active listening. Active Listening4 When using active listening, you are giving your child messages or feedback that lets them know you are hearing and understanding what they are saying. As the name implies, it means you are actively, not passively, paying attention to the message your child is sending you. It requires more than just hearing. Signs of Active Listening Signs of active listening can be noticed both verbally and nonverbally. When you are talking to your child it is important that you use both verbal and nonverbal skills so that they know you are engaged and care about what they are saying. Active listening can promote dialogue between you and your child, help your child feel safer to be open with you, and create more meaningful conversations. Not all signs need to be used in every conversation. On the other hand, when your child talks to you it is important to not be distracted and to refrain from fidgeting, looking at the time, doodling, using electronic devices, continuing to work on a project, or any other non-verbal signs of not paying attention. It is easy to fall victim to learning and using non-verbal signs of active listening while not actually listening to the person. To avoid this be sure to also use verbal signs. Non-Verbal Signs of Active Listening Smile Smiling is a way to convey that you are paying attention and that you agree or are happy with the message you are hearing. Eye Contact Eye contact is a great way to show you are engaged with your child. However, eye contact can be intimidating, especially for shyer children. You need to know your children well enough to know how much eye contact to use. Teaching Sexuality in the Home 13 Posture Your children notice and interpret your body posture when talking. Leaning forward or backward sends different messages to your child. Be aware of this and know what message you are trying to send. Mirroring Reflection of the facial expressions used by the speaker can be a sign of active listening. These reflective expressions can help to show sympathy and empathy in more emotional situations. Verbal Signs of Active Listening Remembering Many people have a hard time remembering things from past conversations, but if you can remember a few important details from these past conversations it can go a long way in your relationship with your child. Questioning Ask relevant questions and make statements that build on or help clarify what your child has said. Questions that start with “why” can cause the child to feel interrogated. When talking with your child, try to use questions that facilitate understanding, such as questions that began with “what,” “when,” or “how.” Reflection Reflecting is repeating or paraphrasing what your child has said in order to show comprehension. Reflection is a powerful skill that can reinforce the message and demonstrate understanding. Clarification Clarifying involves asking questions to ensure that the correct message has been received. Clarification usually involves the use of open-ended questions to help your child expound or clarify anything they have said. Summarization Repeating a summary of what has been said is a technique you can use to echo what your child has said in your own words. Summarizing involves taking the main points of the message and reiterating them in a logical and clear way, giving your child a chance to correct you if necessary. Creating a Safe Environment 14 Conclusion Your child will not always make the choice that is ideal to you. It is important that they feel loved even if they have made decisions that are incongruent with your value system. Active listening promotes dialogue in a safe environment where your child can feel empowered and is given the time to openly discuss their thoughts and feelings. “A loving home is the best place for children to learn…If parents are safe, trustworthy, and loving in their interactions, children will be more receptive to their parents’ questions and teachings.”5 With an open dialogue, you will be more capable of teaching important topics like sexuality to your child. References 1. Gottman, J. M., & Silver, N. (1999). The seven principles for making marriage work. New York: Crown Publishers. 2. Chapman, G. D. (2010). The Five Love Languages of Teenagers: The Secret to Loving Teens Effectively. Moody Publishers. 3. Manlove, J., Wildsmith, E., Ikramullah, E., Terry-Humen, E., & Schelar, E. (2012). Family environments and the relationship context of first adolescent sex: Correlates of first sex in a casual versus steady relationship. Social science research, 41(4), 861-875. 4. Active Listening (2011). Retrieved February 24, 2014, from http://www.skillsyouneed. com/ips/active-listening.html 5. Brotherson, L.M. (2004). And they were not ashamed. Boise, ID: Inspire Book. Teaching Sexuality in the Home Pre-Adolescent Childhood and preadolescence are crucial stages for your child. During these periods, they undergo significant changes that impact their sexuality. They undergo growth physically, mentally, emotionally, and morally. This time period is perfect for pre-emptive teaching because children have not yet hit puberty. For these reasons, we decided to have an entire chapter dedicated to teaching sexuality to your children when they are in the childhood and preadolescent stages of life. Why so early? Both researchers and professionals agree that parents who want to teach sex education effectively should do so early. Several researchers stated: Adolescents are initiating sexual intercourse at extremely young ages. To delay early sexual activity and prevent adolescent pregnancy, prevention efforts must begin during the elementary school years and include those who raise and care for the adolescent. Results from this research conducted with fifth graders and their parents in Washington, DC support the recent concern that children are beginning to engage in sexual and other risk-taking behaviors at alarmingly young ages.1 Pre-Adolescent 16 Regarding sex education, researchers stated that “parental involvement is especially important during late childhood and early adolescence.”2 Another group of researchers stated that “formal sex education may effectively reduce adolescent sexual risk behaviors when provided before sexual initiation.”3 Laura Brotherson, CFLE, stated: The earlier you hold age-appropriate discussions about sexuality and the body in a respectful and confident manner, the less likely children are to feel uncomfortable with such discussions. Children only learn to feel discomfort and embarrassment from those around them.4 Accordingly, starting early seems to be the best choice. As we discuss how to teach sexuality during these stages, notice three overarching principles that will best help you to teach sexuality to your children: 1.Have a positive perspective of sexuality. 2.Have multiple discussions with your child about sexuality. 3.Cover a broad range of topics during these years. Positive Perspective Professionals indicate that the best way to approach sexual education during childhood and preadolescence is to have a positive attitude towards sexuality. This maximizes your child’s positive, healthy beliefs and attitudes towards sexuality and minimizes your child’s negative, unhealthy beliefs about sexuality. This means the best way to teach about sexuality in these stages is to emphasize the positive, while still covering the necessary warnings that should not be left out. Linda and Richard Eyre, authors of multiple parenting books, state that “the single greatest protection for kids (and the strongest motivation for avoiding early, dangerous sex) is to grow up thinking of sex as a wonderful, spectacular miracle that not only makes babies but also can bind couples and families together in a loyal, happy way.”5 They also say that “parents who do talk to their kids about sex often do so in a context of fear, danger, and warning, which prompts rebellion and experimentation in some kids and negative, joy-robbing inhibitions in others.”6 Laura Brotherson adds that “reverence, respect, and responsibility are crucial components of a positive sex education. Sexual information must emphasize the positive impact... rather than over-emphasizing the negative consequences of disobedience. If we focus on the negatives, we will get more negatives in Teaching Sexuality in the Home 17 return. Sex education must not convey an ominous feeling of lurking evil and impending doom. When we focus on the positive, we get more positive outcomes.”7 Key Questions What are your values as parents? Family values can be influenced by many factors, such as life experiences, traditions, religious beliefs, and education. It is important for you to reevaluate your values and beliefs often. There are many different views and ideas about the “right way” to teach sexuality to children. With so many views and opinions it is helpful to know about the one that matters most – yours! As with any type of information, you should consider your personal and family values when teaching about sexuality to ensure that your teaching fits in with your own values. The information that you give your child will make more sense to them and be more comfortable if it is within a context that they understand and live by. The parent-child relationship is one of the biggest protective factors of adolescent sexuality, so having clear and comfortable communication will only enhance the teaching moment.17 Given the child’s sex, should mom, dad, or both have the conversations? Talking about sex can be uncomfortable for both you and your child. This discomfort can be so overbearing that a parent may never talk to their child about any sexual topic, having the assumption that sexual education will occur elsewhere. Although a child will benefit from either parent discussing sexual education with them, child gender and parent gender can influence the effectiveness of the talk. In general, fathers appear to struggle with discussing sexual topics more than mothers. Parents of daughters are more likely to talk more in-depth about sexual topics concerning potential consequences of sex.18 You need to be aware of gender biases that you may have regarding perceived sexual behaviors and share age-appropriate information equally with both your sons and daughters. In dual-parent families, both you and your spouse can discuss what information you believe should be given to your child and what values you want to emphasize in regards to sex prior to having the talk with your child.You can decide which of you would feel more comfortable talking and you can even consider giving the talk together to promote openness regarding future sex talks. It is Pre-Adolescent 18 usually easier for the parent who has the stronger parent-child relationship to talk to their child about sex.19 If you appear to be uncomfortable during the conversation, your child will most likely be uncomfortable as well. You need to address any personal barriers that they may have that would possibly hinder the productiveness and comfort of the discussion with your child prior to talking with them. Such barriers may include believing your child is too young, not knowing how to approach your child, or your own sexual experiences.20 Parents who have good relationships with their children and who are able to talk to their children about sexuality at a young age find that they are more aware of their child’s sexual development and beliefs throughout their growing stages. Multiple Discussions with Repetition By having multiple discussions with your child, repeating topics as you go, you develop a better line of communication with your children regarding sexual topics. It is also important to talk about many topics related to sexuality because the breadth of topics helps foster open communication as well. Several researchers found that “adolescents whose sexual communication with their parents involved more repetition felt closer to their parents, felt more able to communicate with their parents in general and about sex specifically, and perceived that discussions with their parents about sex occurred with greater openness than did adolescents whose sexual communication with their parents included less repetition. Breadth of communication was associated only with the perceived ease of parent-adolescent sexual communication: adolescents who discussed more new topics with their parents... felt that their sexual discussions occurred with greater openness than did adolescents who discussed fewer topics.”8 The study concludes saying that “clinicians may want to advise parents about the value of discussing sexual topics repeatedly with their children, because this may provide parents an opportunity to reinforce and build on what they have taught their children and provide children the opportunity to ask clarifying questions as they attempt to put their parents’ sexual education into practice.”9 Teaching Sexuality in the Home 19 Childhood Environment Reminder The information in this chapter is a set of guidelines. Adapt them to your child’s age, maturity level, needs, and your specific situation. The Home Younger children often learn by the example of older siblings. Older siblings may discuss topics with your younger children that you do not consider to be age-appropriate for your younger child to learn about. You can monitor the interactions between your children and step in when needed to address previous conversations between siblings that you consider to be inappropriate. Media Children are being exposed to and using technology at younger ages. In addition to exposure at home, elementary schools generally teach computer classes and children are required to use the internet for homework at young ages. As such, the age of first exposure to pornography continues to decrease. Currently, the average age of first exposure to pornography is 11 years old.14 This includes different exposure intensities as well as unwanted and sought after exposures. In addition, children are more likely to have access to personal cell phones, social media accounts, game sites with virtual worlds, and video sites. Many of these resources lack privacy and security for users and have tools such as enabled commenting and links to other websites which can be dangerous for inexperienced users.15 Parents need to be aware of their values and beliefs concerning pornography and media use. See chapter eight for more information about how to talk to your child about pornography, increasing media safety, and other media outlets to be aware of. Language By the time children start school they know about 30 to 40 potentially offensive words.13 Children learn words from a variety of contexts such as from home, peers, and media. You must decide what words you consider to be acceptable and teach your children according to the rules and values of your family. Pre-Adolescent 20 As children hear and mimic swear words, they do not always know the meaning behind the words that they say. This can be especially true concerning sexually offensive words. Children who use these words may benefit from understanding the meaning of the words they are using and the possible consequences that using these words towards their peers may have on their relationships, as other’s feelings might be hurt. When helping your child understand the meaning and effects of their language you can consider the following: • Calmly explain to your child your view on swearing and your disapproval of rehearing the swearing. • Explain to your child what the sexually offensive word really means and how it may be hurtful towards others. Even in cases in which young children use words that they do not understand, explain to them in simple language what the term means. Parents do not have to give an excessive amount of information. • Suggest other ways of expressing and communicating feelings of anger or frustration that would not offend others. Ages 3 to 5 As your child approaches ages three to five, they are presented with new environments and opportunities to learn. At this time, your child may attend preschool or start kindergarten.Your child will learn how to develop friendships and spends the majority of their time with peers their age. Your child will continue to learn by the examples set by you, their teachers, and their peers. Psychologist Eliana Gil, Ph.D found that expected sexual behaviors of children this age include:10 • Children find that touching or rubbing their genitals produces pleasurable sensations and touch themselves randomly. • Children show their genitals to others. • Children are curious about their bodies, and may want to touch or see other people’s bodies. • Children are fascinated with bodily functions and with language related to bodily functions (especially during the toilet-training phase). • Children like playing “doctor” or “making babies” games. Teaching Sexuality in the Home 21 • Children may become fascinated with sexual language and may want to observe others nude or in the bathroom, or they may want to be seen nude. • In their own play, children often repeat what they have seen (for example, “mommy” and “daddy” dolls kissing or arguing). • Children may experiment with putting fingers or small objects inside their genital openings. (This behavior usually stops since it tends to hurt.) Preschoolers typically choose to play with peers of their own sex during one-on-one play, but have many opportunities to watch and observe any children around them.11 As children watch others they often copy the learned behaviors and speech. This is a way for children to learn social norms, build friendships, and relate to other children. Children learn to relate to others by:12 • Being able to express their needs and feelings • Managing their feelings appropriately • Taking turns • Listening to others You can help your child process and practice appropriate interactions with others in your home that is based upon your family’s value system. This will help foster an environment of safety, self-confidence, love, and comfort. Ages 6 to 8 Interest and views of sexuality changes from age six to eight. Children in this age group begin to:29,30 • Adhere to gender roles (e.g. girls want to wear make-up) • Mimic dating behaviors, such as kissing and holding hands • Tell “dirty” jokes • Masturbate for pleasure by purposely touching private parts During these ages, children are more likely to engage in sexual behavior in private because they are more aware of what is socially acceptable and what is not.31 You have a great opportunity to discuss sexual topics because your young child will often ask questions regarding intimate behaviors and body parts.32 However, your child will become less open about sex in Pre-Adolescent 22 later years as their knowledge begins to mature and increase due to their discussions with peers, literature, and the media.33 You can encourage healthy sexual development and open up lines of communication for later discussions by talking about sexuality with your young children. Some sources encourage parents to:34,35 • Use the accurate names for boys and girls genitalia (e.g. penis, vagina, breasts). • Explain the basics about pregnancy, such as how babies are born and reproduction • Discuss the differences between males and females • Explain bodily functions It is helpful to discuss physical changes that happen when a person goes through puberty, as well as privacy (what is not appropriate to do in public).36 Other sources suggest that parents avoid from over-reacting when encountering their child’s sexual behavior.37 You can encourage positive sexual development by simply stopping the behavior and explaining (in a calm manner) why it is inappropriate, avoid punishing the child, and redirecting your child’s play such as introducing a new activity.38 By distracting them instead of scolding them, you can avoid having your child feel shame regarding the behavior. Also, you can help ensure your child’s safety by informing them about the dangers of sexual abuse. This includes telling their children that it is okay to say “no” to an adult or stranger, explaining the difference between go touches (appropriate touches, such as a hug, handshake, etc.) and stop touches (inappropriate touches), what sexual abuse means, and that sexual abuse is not a child’s fault.39,40 Parents must be vigilant about what type of sexual behavior is normal and recognizing when it is not normal. Some behaviors are problematic, such as:41 • Preoccupation with only sexual play (avoiding other types of play) • Sexual play with those much younger or older • Having a more mature knowledge of sex • Trying to engage in adult sexual activities with others or animals • Not respecting others rights and boundaries • Participating in sexual acts that causes others (or themselves) to experience negative experiences Teaching Sexuality in the Home 23 Such behaviors are concerning and should be addressed as soon as possible. Please refer to chapter seven of the manual for more information on sexual abuse. “The Talk” For years, the first full conversation with your child about sexual intercourse has been referred to as “the talk”. This is an ironic title because the best way to have the talk is through multiple, repeated conversations. But because the first time you talk to your child about sexual intercourse is a milestone event, we are keeping the name. But remember that the talk is the first of many conversations about sex. The talk has three general steps to it. The first step is your personal preparation as parents. The second step is carrying out your plans by having an effective conversation about sexuality. The third step is to use the talk as a springboard for future conversations, thus continuing the dialogue between you and your child. But before we get into those three steps, it is beneficial to know why the age of eight was selected as the standard. (Remember, you can adjust this to meet your child’s needs.) Why at age eight? Many professionals find agreement that age eight is a good baseline age for when a parent should talk to their child about sex. The reasons vary but the most common argument is that this age is generally one where children have the ideal characteristics to listen to their parents. Below are more specific explanations for the age of eight, but keep in mind that these are general results and each parent should assess their own child’s age and understanding as situations vary. Linda and Richard Eyre contributes to this discussion by saying, “eight-year-old children (some are ready as early as seven) are the most open, natural, curious, positive, impressionable, and appreciative – and the least cynical or embarrassed. This is the best time for the big talk...”42 They also say, “We feel that the peak of a child’s readiness is at age eight, when he or she is very verbal and conceptual and is flattered by responsibility and by being treated as a ‘grown up.’ This age is like a marvelous window. They are old enough to understand but not old enough to be permanently embarrassed or closed off or to have a lot of preconceptions.”43 Laura Brotherson adds, “When children are young, they are more teachable and willing to listen.”44 By teaching your child at this age, you will be able to experience greater success than most other ages. Pre-Adolescent 24 Preparing for The Talk Here are several suggestions for preparing to have the talk:45,46 • Overcome personal barriers, such as embarrassment, lack of knowledge, and fear • Remove your own negative beliefs and inhibitions about sex • Educate yourself about sexuality • Have open and healthy discussions about sex with your spouse or loved one • Prepare a discussion outline • Practice having the talk beforehand (possibly with a loved one, such as a spouse) • Build your relationship with your child • Build excitement and positive anticipation (build it up in child’s mind over weeks before) • Plan (a place with privacy, minimal interruptions, dinner location, activity after, etc.) As you find ways to accomplish these tasks, you will find that you are more prepared to talk about sex with your children. Having The Talk Here are several suggestions about having the talk:47,48 • Meet their emotional needs first • Make it a special occasion (fancy dinner or restaurant) • Schedule it to be one-on-one time with a parent • Dialogue, don’t lecture (make it a two-way conversation) • Teach correct behavior (emphasize what to do instead of what not to do) • Focus on positive consequences • Teach by example (have a healthy acceptance and respect for your own sexuality) • Make your child feel important and special • Express how much you love your child • Ask questions to find what your child’s level of understanding is (ask excitedly, not quizzically) • Emphasize how awesome the process of sex is • Direct them to you if they have questions in the future • Use age-appropriate books to help Teaching Sexuality in the Home 25 Here are suggestions on what topics to cover:49,50 • Families • Gender • Circumcision • Love • Pornography • Risky sexual behavior • Care for our bodies (hygiene, sleep, etc.) • Protections from abuse • Respect your own body • Refer to future discussions • Metaphors of amazing things (compared to the amazing act of sex) • Pregnancy • Anatomy • Process of sex • Mention more talks are to come, perhaps even by mentioning the next topic • Mention that their peers, the media, etc. will all present sex in different light • Various terms for anatomical parts and acts of sex • STDs “The best way to keep a discussion going, to keep the interest and energy level high, and to make it a positive experience for your child is to give abundant praise for every good or well-intended answer”.51 Following-up after The Talk The two main purposes of the talk are to provide sexual education in an impactful conversation and to set precedence for follow-up conversations about sexuality. These follow-up discussions build off of what was discussed in the talk and keep the communication lines open between you and your child. Here is some advice on how to conduct the follow-up discussions and what to talk about during them.52 • Ask if they’ve had any thoughts since the talk or any follow-up discussions • Ask how they’re feeling about what has been discussed in these discussions Pre-Adolescent 26 • Validate and normalize emotions that are natural for children to have • Ask if any peers have said or done anything related to topics discussed • Ask if they have encountered anything in any media form regarding what has been discussed • Connect sexuality to the values you hold close (family, loyalty, safety, commitment, etc.) • If they give one word answers, ask them to elaborate If you make sure to have follow-up discussions, the communication line between you and your child will remain strong and you will be able to discuss sexual topics with them as your child matures further. Ages 9 to 13 Biological Development Puberty is the transition into adulthood where secondary sexual characteristics (breasts, hips, facial hair, etc.) and genitals begin to develop, in addition to skeletal growth.53 Girls begin to experience puberty around the ages of 10 to 11 while boys start at the age of 11 to 12.54,55 During the onset of puberty, males experience testicular growth as well as the emergence of pubic hair.56,57 There is also a growth of body and facial hair, noticeable change in voice and an increase of strength and muscle mass.58,59 Females experience the enlargement of the breasts, growth of pubic hair, and skeletal growth when pubescent.60,61 Sexual maturation also results in the beginning of menstruation, where the body sheds the outer lining of the uterine wall that has built up during the menstrual cycle.62 Puberty marks a time of significant change in the human body. These changes can potentially be stressful or frightening to a young person who does not understand what they are going through. You can certainly influence how your child will experience the changes in their body. Start talking to your children about puberty early so they can be prepared for what will happen.63 Creating a safe environment where you and your child can talk about the basic facts of puberty and the emotional and sexual changes that occur can be very beneficial.64,65 It is also helpful to normalize puberty and assure your child that everyone goes through these changes.66 Teaching Sexuality in the Home 27 Continuing The Talk By age eight, children should have a general knowledge of correct terminology for body parts, expectant changes of their bodies, and basic information concerning reproduction.You should nurture your relationship with your child in other parts of your life by spending family time together and having positive one-on-one time so that they will feel more comfortable and it will be more natural to continue the talk when questions or experience arise. You can build upon previous information by adding more age-appropriate details as your child grows older. It is also beneficial for you to be aware of your child’s physical development to anticipate their next stage and help relieve any fears or confusion that they might experience.67 When media has sexual content or references are made, you can take the opportunity to talk with your child about their feelings and understanding of the shows, commercials, or music that they watch and hear.68 Peer Influences You can become acquainted with your child’s friends and their friend’s parents. By doing so, you will be more familiar with the value system of your child’s friends, which may influence the relationship your child has with that peer. As your child comes across differing value systems, you can help them understand the differences while still abiding by their own family values. Also, parents who know their children’s friends have an easier time learning about the everyday events and interactions that their child experiences because they feel more comfortable talking to their parent about what they did that day. This allows parents to talk to their child about any changes or confusing sexual topics that they might have experienced or overheard. Masturbation Masturbation during the late pre-adolescent stage is a large part of sexual development. Depending on a person’s views, masturbation may or may not be an appropriate behavior. Modern scientific beliefs suggest that masturbation is normal and potentially healthy.69,70 However, many people and some religious institutions assert that masturbation can be detrimental. You should consider your personal beliefs about masturbating and teach your child accordingly. If you are comfortable with your child masturbating, you should explain that the behavior is normal and Pre-Adolescent 28 should be done in a private setting. If you are not comfortable with masturbation, you should help your child understand what it is and use your own beliefs, opinions, and values to explain why you are not comfortable with it. You should avoid sounding judgmental or scolding when talking to your child about masturbatory behaviors. Being appropriately open, honest, and non-judgmental when discussing these potentially awkward subjects will likely help your child feel more comfortable. 71 Sexual orientation Children may begin to ask questions regarding same-sex attraction during their pre-adolescent years.72 These questions may result from media exposure, talking to their peers, seeing a same-sex couple, etc. Like with other sexual topics, you should teach according to your values in a loving and respectful manner. It is helpful for you to be honest and open about any sexual topic.73 For more on same-sex attraction, please refer to chapter six. Conclusion Discussion about sexual topics is imperative during the pre-adolescent stage.Through many different avenues, children are constantly being exposed to sexuality. This may be disturbing for parents who believe that children should be unaware of such serious topics. However, learning about sex through distrustful sources may impair a child’s healthy sexual development and create future problems. Talking about sex and teaching according to personal values can help a child navigate through a highly sexual society. References 1. Rose A et al., The influence of primary caregivers on the sexual behavior of early adolescents, Journal of Adolescent Health, 2005, 37(2):135–144. 2. Mueller, T.E., Gavin, L.E., & Kulkarni, A. (2008). The association between sex education and youth’s engagement in sexual intercourse, age at first intercourse, and birth control use at first sex. Journal of Adolescent Health, 42, 89-96. 3. Brotherson, L.M. (2004). And they were not ashamed. Boise, ID: Inspire Book. (p. 324) 4. Eyre L., & Eyre R. (1998). How to talk to your child about sex: It’s best to start early, but it’s never too late—a step-by-step guide for every age. New York, NY: St. Martin’s Press. (p. 4) 5. Ibid. 6. Brotherson, L.M. (2004). And they were not ashamed. Boise, ID: Inspire Book. (p. 295) 7. Martino, S.C., Elliot, M.N., Corona, R., Kanouse, D.E., & Schuster, M.A. (2008). Beyond the “big talk”: The roles of breadth and repetition in parent-adolescent communication about sexual topics. Pediatrics, 121, 612-618. 8. Ibid. Teaching Sexuality in the Home 29 9. Eyre L., & Eyre R. (1998). How to talk to your child about sex: It’s best to start early, but it’s never too late—a step-by-step guide for every age. New York, NY: St. Martin’s Press. (p. 18-19) 10.Eliana Gil and Toni Cavanagh Johnson, “Sexualized Children: Assessment and Treatment of Sexualized Children and Children who Molest”, Launch Press, 1993. 11.Serbin, L. A., Moller, L. C, Gulko, J., Powlishta, K. K., & Colburne, K. A. (1994). The emergence of sex segregation in toddler playgroups. In C. Leaper (Ed.), The development of gender and relationships (pp. 7-18). San Francisco: Jossey-Bass. 12.Hammer, M & Linke, P. (2004). Everyday Childhood Australia: Learning about friendship. Retrieved from http://www.earlychildhoodaustralia.org.au/pdf/everyday_learning/ lah0403.pdf 13.Jay, T. & Janschewitz, K. (2012). The science of swearing. APS Observer, 25 (5), 21, 40-41. 14.BYU Women’s Services and Resources. Pornography. Retrieved from https://wsr.byu.edu/ pornographystats 15.McBride, D. (2011). Risks and Benefits of Social Media for Children and Adolescents. Journal of pediatric nursing ,26(5), 498 -499. 16.East, P.L. (1996). Do adolescent pregnancy and childbearing affect younger siblings? Family Planning Perspectives, 28(4), 148-153. 17.Deptula, D., Henry, D., & Schoeny, M. (2010). How can parents make a difference? Longitudinal associations with adolescent sexual behavior. Journal of Family Psychology, 24(6), 731-739. 18.Wilson, E. & Koo, H. (2010). Mothers, fathers, sons, and daughters: Gender differences in factors associated with parent-child communication about sexual topics. Reproductive Health, 7, 31. 19.Wilson, E., Dalberth, D., Koo, H., & Gard, J. (2010). Parents’ perspectives on talking to preteenage children about sex. Perspectives on Sexual and Reproductive Health, 42(1), 5658. 20.Ibid, 56-68 21.Children’s Assessment Center in Grand Rapids Michigan. (n.d.). Children’s sexual behavior and body safety: A guide for parents. Retrieved from www.mivoice4kids.org/Resources/ Documents/Child-Sexual-Behavior.pdf 22.Coleman, H., & Charles, G. (2009). Sexual Development and Behavior in Children. Retrieved from http://hss.state.ak.us/ocs/Publications/pdf/sexualdevelop-children.pdf 23.Friedrich, W. N., Fisher, J., Broughton, D., Houston, M., & Shafran, C. R. (1998). Normative sexual behavior in children: a contemporary sample. Pediatrics, 101 (4), E9. 24.Hagan, J. F., Shaw, J. S., & Duncan, P. (Eds.). (2008). Theme 8: Promoting healthy sexual development and sexuality. In Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.) (pp. 169-176). Elk Grove Village, IL: American Academy of Pediatrics 25.Academy of Pediatrics (2005). Sexual Behaviors in Children. Elk Grove, IL: American Academy of Pediatrics. Retrieved February 15, 2009 from http://www.aap.org/pubserv/ PSVpreview/pages/behaviorchart.html 26.National Sexual Violence Resource Center, (2013). An overview of healthy childhood sexual development. Retrieved from http://nsvrc.org/sites/default/files/saam_2013_anoverview-of-healthy-childhood-sexual-development.pdf 27.Chaffin, M., Berliner, L., Block, R., Johnson, T. C., Friedrich, W., Louis, D., et al. (2006). Report of the ATSA Task Force on Children with Sexual Behavior Problems. Beaverton, OR: Association for the Treatment of Sexual Abusers. 28.Silovsky, J. F., & Bonner, B. L. (2003). Sexual behavior problems. In T. H. Ollendick, & C. S. Schroeder (Eds.), Encyclopedia of clinical child and pediatric psychology (pp. 589–591). New York, NY: Kluwer Press. Pre-Adolescent 30 29.The Children’s Assessment Center in Grand Rapids Michigan. (n.d.). Children’s sexual behavior and body safety: A guide for parents. Retrieved from www.mivoice4kids.org/ Resources/Documents/Child-Sexual-Behavior.pdf 30.National Sexual Violence Resource Center, (2013). An overview of healthy childhood sexual development. Retrieved from http://nsvrc.org/sites/default/files/saam_2013_anoverview-of-healthy-childhood-sexual-development.pdf 31.Harborview Center for Sexual Assault & Traumatic Stress, (n.d.). Sexual behavior and children: When is it a problem and what to do about it. Retrieved from: https://depts. washington.edu/hcsats/PDF/infobrochures/sexual_behavior.pdf 32.Campbell, C., Ashwini, M., Wisniewski, A. B., & Silovsky, J. F. (2013). Sexual behavior of prepubertal children. In D. Bromberg & W. O’Donohue (Eds.),Handbook of child and adolescent sexuality: Developmental and forensic psychology (pp. 145-170). Retrieved from http://www.sciencedirect.com/science/book/9780123877598 33.Ibid. 34.National Sexual Violence Resource Center, (2013). An overview of healthy childhood sexual development. Retrieved from http://nsvrc.org/sites/default/files/saam_2013_anoverview-of-healthy-childhood-sexual-development.pdf 35.National Guidelines Task Force. (2004). Guidelines for comprehensive sexuality education: Kindergarten-12th grade, 3rd edition. New York, NY: Sexuality Information and Education Council of the United States. Retrieved March 1, 2009, from http://www.siecus.org/_data/ global/images/guidelines.pdf 36.National Sexual Violence Resource Center, (2013). An overview of healthy childhood sexual development. Retrieved from http://nsvrc.org/sites/default/files/saam_2013_anoverview-of-healthy-childhood-sexual-development.pdf 37.The Children’s Assessment Center in Grand Rapids Michigan. (n.d.). Children’s sexual behavior and body safety: A guide for parents. Retrieved from www.mivoice4kids.org/ Resources/Documents/Child-Sexual-Behavior.pdf 38.Ibid. 39.National Guidelines Task Force. (2004). Guidelines for comprehensive sexuality education: Kindergarten-12th grade, 3rd edition. New York, NY: Sexuality Information and Education Council of the United States. Retrieved March 1, 2009, from http://www.siecus.org/_data/ global/images/guidelines.pdf 40.National Sexual Violence Resource Center, (2013). An overview of healthy childhood sexual development. Retrieved from http://nsvrc.org/sites/default/files/saam_2013_anoverview-of-healthy-childhood-sexual-development.pdf 41.Rich, P. MN Adopt, (n.d.). Recognizing healthy and unhealthy sexual development in children. Retrieved from http://www.mnadopt.org/Factsheets/Recognizing Healthy & Unhealthy Sexual Development in Children.pdf 42.Eyre L., & Eyre R. (1998). How to talk to your child about sex: It’s best to start early, but it’s never too late—a step-by-step guide for every age. New York, NY: St. Martin’s Press. (p. 20) 43.Ibid. 44.Brotherson, L.M. (2004). And they were not ashamed. Boise, ID: Inspire Book. (p. 323) 45.Ibid. 46.Eyre L., & Eyre R. (1998). How to talk to your child about sex: It’s best to start early, but it’s never too late—a step-by-step guide for every age. New York, NY: St. Martin’s Press. 47.Brotherson, L.M. (2004). And they were not ashamed. Boise, ID: Inspire Book. 48.Eyre L., & Eyre R. (1998). How to talk to your child about sex: It’s best to start early, but it’s never too late—a step-by-step guide for every age. New York, NY: St. Martin’s Press. 49.Brotherson, L.M. (2004). And they were not ashamed. Boise, ID: Inspire Book. 50.Eyre L., & Eyre R. (1998). How to talk to your child about sex: It’s best to start early, but it’s never too late—a step-by-step guide for every age. New York, NY: St. Martin’s Press. Teaching Sexuality in the Home 31 51.Ibid. (page 24) 52.Ibid. 53.Aranoff, G. S., & Bell, J. J. (2004). Sexual development, growth and puberty in children. In M. Legato (Ed.),Principles of gender specific medicine (Vol. 1, pp. 18-34). Elsevier/ Academic Press. 54.Deanna, A. (2011, April 13). When is puberty too early?. Retrieved from http://www. dukehealth.org/health_library/advice_from_doctors/your_childs_health/when-ispuberty-too-early 55.Parents and teachers: Teen growth & development, years 11 to 14. (2001). Retrieved from http://www.pamf.org/parenting-teens/health/growth-development/pre-growth.html 56.Ibid. 57.Puberty: Changes for males. (2013). Retrieved from http://www.pamf.org/teen/health/ puberty/physicalchanges.html 58.Ibid. 59.Aranoff, G. S., & Bell, J. J. (2004). Sexual development. 60.Ibid. 61.Puberty: Changes for females. (2013). Retrieved from http://www.pamf.org/teen/health/ puberty/girlschanges.html 62.Aranoff, G. S., & Bell, J. J. (2004). Sexual development, growth and puberty in children. In M. Legato (Ed.),Principles of gender specific medicine (Vol. 1, pp. 18-34). Elsevier/ Academic Press. 63. Talking to your child about puberty. (2012). Retrieved from http://kidshealth.org/parent/ growth/growing/talk_about_puberty.html 64. Ibid. 65.Puberty 101 for parents. (n.d.). Retrieved from http://www.plannedparenthood.org/ parents/puberty-101-parents-22999.htm 66.Talking to your child about puberty. (2012). Retrieved from http://kidshealth.org/parent/ growth/growing/talk_about_puberty.html 67.Children Now. (2013). Talking with kids about tough issues: Sex and Relationships. Retrieved from http://www.childrennow.org/index.php/learn/twk_sex 68.Schurgin O ‘Keeffe, G. & Clark-Pearson, K. (2011). The impact of social media on children, adolescents, and families. Pediatrics, 127(4), 800-805. 69.Coleman, E. (2002). Masturbation as a means of achieving sexual health. In W. O. Bockting, & E. Coleman (Eds.), Masturbation as a means of achieving sexual health(pp. 5–16). New York, NY: The Haworth Press. 70.Leitenberg, H., Detzer, M. J., & Srebnik, D. (1993). Gender differences in masturbation and the relation of masturbation experience in pre adolescence and/ or early adolescence to sexual behavior and sexual adjustment in young adulthood. Archives of Sexual Behaivor, 22, 87–98. 71.Coleman, H., & Charles, G. (2009). Sexual Development and Behavior in Children. Retrieved from http://hss.state.ak.us/ocs/Publications/pdf/sexualdevelop-children.pdf 72.Ponton, L. (n.d.). What does gay mean?: How to talk with kids about sexual orientation and prejudice . Retrieved from http://www.umass.edu/stonewall/uploads/listWidget/27374/ whatDoesGayMean.pdf 73.Ibid. Pre-Adolescent 32 Teaching Sexuality in the Home Adolescence Adolescence is a transitional period of human life from childhood to adulthood, generally between the ages of 13 to 19, but may occur as early as 8 for some females and 10 for some males. It is characterized by an increased awareness and valuing of peer groups and external appearance. Independence and identity are of prominent importance during this stage of life and disorientation (the challenging of preconceived notions) and discovery (learning) are common as a result of increased abstract thinking, including beliefs, knowledge and values related to sexuality. Factors During this time of disorientation, discovery, and abstract thinking, children acquire conceptions and values related to sexuality, for better or worse, from every external (environmental) and internal (physiological and psychological) factor they are exposed to, including those beyond the view of parents. The more significant factors include (1) physiological developments (puberty), (2) family dynamics, and (3) society: peers, superiors, and media. Adolescence 34 Physiological Development Some studies indicate that for many adolescent males and females, the primary reason for engaging in their intentional sexual experience was curiosity and feeling ready for sex.1 Such curiosity and feelings of readiness are largely influenced by physiological and sexual maturity during puberty. Puberty in both males and females is triggered by gradually increasing production of hormones by the hypothalamus and pituitary glands of the brain. Levels of estrogen and progesterone in the female and testosterone and other androgens in the male are increased. While each individual has his or her own body clock, youths have been known to experience this increase in hormones and stronger sexual desire as early as age 8 for females and age 10 for males.1 It is vital that parents are aware of the changes that occur during puberty, including the increased desire for sexual activity that they bring. As parents, it is your responsibility to not only teach your teens that they are responsible for themselves and their relationships with others, but it is also your responsibility to model healthy sexuality.1 Family Dynamics It is through the family that children first acquire their beliefs and values related to sexuality. These beliefs and values are acquired not only by instruction, but also through modeling family dynamics. General family conflict, marital disruption, parental promiscuity, parental approval of teenage intercourse, teens living in single-parent or reconstituted families, parents ‘lack of education, lack of parental supervision, and any form of abuse, such as neglect, physical abuse, emotional abuse, and sexual abuse are all family dynamics that have been shown to predispose young adolescents to engage in premature sexual intercourse1. Moreover, studies show that teens experiencing these family dynamics imitate risky behaviors learned from promiscuous family members and seek to meet their unmet needs for acceptance, companionship, love, caring, or warmth, without considering long or short-term consequences1. Parents should be vigilant of family dynamics that predict teen sex and be prepared to teach and model family values on sexuality. Society Peers and Superiors As young adults mature, they tend to move away from family influences and strive for independence and peer acceptance. It is this desire Teaching Sexuality in the Home 35 for independence and acceptance that makes peer influence particularly strong. Adolescents beliefs, values and behaviors related to sexuality are directly influenced by the peer group to which they belong. Peers tend to influence each other through imitating each other’s behaviors because they want to fit-in, be accepted, avoid rejection, or show affection for their partner. Further, your teen’s perception of his or her peer group also heavily influences his or her choices. For example, if your teen believes that all their friends are having sex, they may choose to imitate this behavior to be more like his or her friends or to be accepted or praised by them. Parents ought to discuss with their teens the ways peer influence can not only influences poor sexual decisions but also help them make good sexual decisions. Parents should advise their teens to associate with peers who have values and goals similar to their own, and encourage their teens to develop refusal skills to avoid choices or behaviors that are not desired or consistent with their values1. Adolescents are significantly influenced by their authority figures for the same reasons they are influenced by their peers: fitting-in, seeking acceptance, avoiding rejection, or showing affection for them. Teens often look up to and emulate authority figures from a variety of settings (e.g. school, employment, religious institutions, and government or political entities, etc.). They may also assume the values these authority figures have regarding sexuality to be objective and true1. With this in mind, it is important to be aware of the sexual education and messages your teen is getting from others and be prepared to re-educate your teen if these messages are not consistent with your family values1. Media Sexually explicit or suggestive images (i.e., dress, body movements) and sounds (e.g. language, lyrics, sound effects) that you consider to be inappropriate or wrong may be portrayed by the media as appropriate, right, liberating and healthy. Similarly, the long-term consequences of sex are absent among many media messages about sexuality. These media messages are not realistic, yet may have a direct impact on an adolescent’s ability to make responsible decisions about sexuality.1 Further, sex acts that you may hold to be unlawful or unholy (e.g. rape, pornography, incest or abuse, and extramarital sexual relations) are often made to appear common and without consequence by the media. These sexually explicit or suggestive messages are intentionally and widely displayed through a Adolescence 36 vast array of medians (e.g. television shows, radio, movies, music, and advertisements) with the purpose of enticing your teen and promoting their agenda, whether the agenda is to purchase their goods and services or to simply buy into their value systems. Parents are encouraged to discuss the impact of the media on one’s perception of what is normal and acceptable, in terms of sexuality. It is important that you inform your teen that the views expressed in the media do not necessarily correspond with your family values. If you are not teaching your teen about sexuality during these volatile years of disorientation, discovery, and abstract thinking, someone or something else will. Though nothing can be done to entirely prevent your teen from learning things about sexuality that do not correspond with your family’s value system, steps can be taken to prevent the uncritical acceptance of such messages about sexuality. Sexual Behavior During Adolescence Adolescence is a period of sexual exploration, a time when teenagers increasingly experiment with self-stimulation and partner-shared stimulation. It is important to acknowledge and be aware of the various sexual behaviors that your child will learn about and possibly engage in during these adolescent years. Masturbation Many teen’s first sexual encounter is that of masturbation, the sexual stimulation of one’s own genitals typically using the hands, fingers, or everyday objects. Masturbation is a common sexual expression that increases in frequency during the teenage years. It may serve as a form of sexual expression, release sexual tension, or provide an avenue for learning about one’s body or increasing self-knowledge about one’s sexual potential. By the end of adolescence, nearly all males and approximately three out of four females have masturbated.2,3 You may hear teens use various slang terms to describe this behavior: jacking off, jerking off, getting off, beating the meat, or fingering one’s self. Pornography Masturbation may or may not be accompanied by the use of pornography. The average age of first exposure to pornography is 11 years old. In the United States, 90% of teenagers have seen internet porn by age 16.4 Pornography can be harmful because some adolescents come to believe that what they see is a normal sexual interaction, and males Teaching Sexuality in the Home 37 and females become more critical of a woman’s body.5 One study found that teenagers who regarded themselves as independent from their environment, especially parents, used pornography more frequently.6 It is assumed that higher levels of pornography consumption are correlated with younger ages of first oral sex and sexual intercourse experiences, as well as an increased variety of sexual activities.6,7 Mutual Manual Stimulation As adolescents begin to participate in romantic, or even casual sexual relationships during their teenage years, they will typically begin with kissing, “making out”, and then mutual manual stimulation with one’s partner. This means stimulating the breasts or genitalia of one’s partner, typically until the point of orgasm. Many of the same slang terms used for masturbation are also used in this context yet refer to performing the action to another person. Manual stimulation of a male by another person is commonly referred to as a “hand job”; manual stimulation of a female by another person is often referred to as “fingering.” Any kind of manual stimulation of another’s body may be considered “second base.” Oral Sex One of the most noteworthy changes in the pattern of adolescent sexual behaviors involves oral sex, the stimulation of another’s genitals using one’s mouth (lips, tongue, or teeth). The incidence of oral-genital stimulation among teens has dramatically risen8,9 and a national survey in 2006 reported that more than half of adolescents had engaged in oral sex.10 Oral sex can be very risky behavior because many teenagers consider it significantly less risky than penile-vaginal intercourse regarding health, social, and emotional consequences.8,11,27,28 However, teenagers tend to be less informed and aware of the potential health risks accompanying oral sex, such as sexually transmitted infections. Adolescents may refer to this behavior as blow jobs, BJs, going down, third base, eating out, or giving head. Sexual Intercourse For purposes of this manual, we will define sexual intercourse as the insertion of a male’s penis into a female’s vagina for sexual pleasure or reproduction. Even though many teenagers have not participated in sexual intercourse, data from various studies indicate that there has been a trend over the last few decades in experiencing first sexual intercourse experience at an earlier age in both sexes, consistent across a diverse Adolescence 38 range of ethnicities. In 2011, 47.4% of U.S. high school students reported ever having sexual intercourse; about a quarter of students had sex within the last month.10 In 2007, about one half of 11th and 12th graders reported being currently sexually active.10 Teens may refer to sex as a home run, going all the way, hitting it, doing the nasty, getting laid, or getting lucky, among many more slang terms. Recently, a trend called “floating” has arisen among teenagers which still involves insertion of the male’s penis into the female’s vagina, but without the back and forth thrusting. Adolescents may believe that this act is not sexual intercourse so they can maintain their virginity, values, parental expectations, or religious beliefs. 12,13 Anal Sex While there is little research or evidence on the prevalence of anal sex participation specifically with teens, it is believed that rates are increasing in adolescent anal sex. This refers to the penetration of the male penis into another person’s anus. Teenagers may believe that anal sex involves less risk and health concerns because it is highly unlikely to result in pregnancy. However, anal sex is extremely risky sexual behavior. Various intestinal infections, hepatitis, and a variety of sexually transmitted infections and diseases can be contracted or spread through anal intercourse.14 Anal intercourse is one of the most risky sexual behaviors in contracting HIV, particularly for women. Anal intercourse may be referred to as going in the back door, the trap door, butt darts, or the “rusty trombone.” We presented this information to you so that you can be aware of the sexual activities and behaviors that many teenagers today are participating in. It is up to your own discretion as parents to choose what and how you talk to your children about these topics. Parent’s Values about Sexuality When it comes to talking to your adolescent about sexuality it is hard to know when, how, or even what to talk about. Many worry about giving too much information to their adolescent, while others choose to avoid the topic all together. Dr. Laura Berman reported that it is very important to start having conversations about sex and sexuality with your children while they are young, though if you have waited until adolescence it is never too late. It is important that a child is given guidance and knowledge while they are still young before they are having to make Teaching Sexuality in the Home 39 many of the decisions about sexuality that come as they grow, especially in the advent of things like “sexting” and other childhood explorations. It is equally important to continue to have the discussion as your adolescents gets older and can better understand the conversation.16 When you discuss sexuality with your adolescent it is a much more individual topic. In general, you do not want to overwhelm your adolescent with information. It is very important to help them understand the basics, but to do it without shaming them or making them feel that sexuality is wrong.16 Before having this discussion, have a good understanding of your own views and values about sex and sexuality. Then get yourself prepared to have an open discussion with your adolescent about why those views are important.17 This discussion should be more about facts than beliefs, and helping your adolescent understand why the facts about your point of view are important.17 Here are some of the key questions that are important to keep in mind and be prepared to answer if they are brought up or if you choose to discuss it with your child:17 1.The differences between male and female reproductive systems 2.What is sexual intercourse, masturbating, pornography, oral sex, anal sex, etc. 3.Questions about pregnancy (how it happens, what happens while pregnant, etc.) 4.Ways to show affection without sex or sexual stimulation 5.What safe sex is, including abstinence, birth control (“the pill”), condoms, etc. 6.Sexual orientation, including same-sex attraction, bi-sexualism, and transsexualism (see Chapter 6 for more information on this topic) 7.HIV, AIDS and other sexually transmitted infections and diseases 8.The emotions of sex, e.g. rape, having an emotional connection with your partner, etc. 9.The influence of alcohol and other drugs on sex Though many of these topics seem daunting and overwhelming to think about discussing with your adolescent, keep in mind that many are exposed to these topics through the media, school, or other peers, and it is important for them to have a safe, open discussion with their parents so values can be passed on and boundaries can be set.18 Adolescence 40 Prevention Conversations In a teen’s world, sex is nearly everywhere. Teenagers are bombarded with messages about sex in the media. It’s in the lyrics of many popular songs, television shows, video games, and movies. They are exposed to talk about sex in high school from their peers. Whether you like it or not, the media leaves an impression about sexuality on your teenagers. Studies have shown that the more a teenager watches television shows with sexual references, the more likely they are to have sex at an earlier age.19 Sexting has become a new trend among teenagers as well. Be aware of how your teenager uses their phone.Talk about what is and isn’t appropriate when it comes to using cell phones to send pictures. As parents, it is important to have preventative discussions with your teens so that your children know your values and expectations for them when it comes to sexual activities. Most television shows that talk about sex do not talk about responsible sexual behaviors, such as using contraceptives.20 Sex does not have to be an awkward topic to address. As parents, the most important thing is to have a good line of communication between yourself and your teenager. Be Open and Connect with Your Teenager Tell your teens that they can talk to you about anything, and really mean it.20 If your teen does ask you questions, take the time to listen and then respond. This will help your teenager to know that you care about them and are open to talking about these types of subjects. Studies have shown that when teens do not feel connected to their family, they are more likely to engage in risky behaviors, such as teenage sex.21 However, when teens feel positively connected to their parents and family, they are more likely to wait to have sex.20, 21 Studies have shown that when parents and teens have open, warm communication, teens have a higher self esteem and make healthier life choices.21 As parents, one important way to connect with your teens is taking the time to get to know your teenager’s friends and what they do together. Studies have shown that when parents get to know their child’s friends and where they are, their children report having less sex, with fewer sexual partners, and more consistent use of birth control.20 Contraceptives and Birth Control If your teenager plans to eventually be sexually active, consider talking to them about birth control and other contraceptives, such as Teaching Sexuality in the Home 41 condoms. Studies have shown that the majority of teenagers prefer to get information about birth control from their parents rather than school health classes, doctors, the media, or friends. Most teenagers feel they don’t have enough information about birth control and do not know where to get it.20 As parents, you can teach your teen about birth control to avoid unwanted pregnancies and to avoid getting STDs . Conversation Tips Teach and empower your children to make good decisions about their own sexuality that are in line with your family’s values. Instead of waiting to talk about sexuality until “the talk”, look for everyday observations to bring up topics related to human sexuality. For example, you may be watching a television show and a character talks about having sex. This can be a not-as-awkward opportunity to address whether or not what is happening in the media is in line with your values. Be simple and honest in your conversations with your teenagers. Respect their questions.20 If you don’t know the answer to a question, tell your teen. Then, together you can look up the answer to the question. As a parent, you have the opportunity to prepare and empower your teenager to make healthy decisions and better understand their own sexuality. These conversations during their teenage years will benefit your children for life. Reparative Discussions After Your Teen has Participated in Sexual Behavior(s) There are a lot of messages in the way people talk about adolescents’ experience with sexuality and maturation. These messages seem to be influenced by the values of the people around us and the larger society.22 Your adolescent has probably heard many of them from you, friends, peers, media, and other sources. Talking to your teenager about having done some kind of sexual act will most likely be uncomfortable for them. They may also feel embarrassment, shame, guilt, pride, like they have become an adult, regret, confusion, ambivalence, and many other emotions. If your relationship with them is strained it may be even more difficult for you and them, but that does not mean that you should not talk to about what has happened. If you feel that your relationship with your son or daughter is not as good as you would like it to be, start now to build the relationship, even if it has been difficult in the recent past. Strive to listen to them as much or more than you talk to them, especially about their sexual activity. This may help them to feel like you Adolescence 42 care about them and their experience and that you want to understand them, rather than punish, criticize, or ridicule them. Generally, if adolescents feel understood and cared about then they are more likely to be honest with you. Whether or not you are comfortable with what they did (or did not do in the situation), whether or not you are angry at them for what happened, they need to feel that you love them and that you are there for them. That is the bottom line. You may want to be careful about how you react to what they say, as some teens will be looking for signs of judgment or rejection and may shut off communication with you if they see this. Do your best to see the situation from their perspective. If they open up to you, try to make comments that validate their feelings and their side of the story, such as “If I was feeling that way, I would have been tempted to do that too” or “I think I can see where you are coming from…” and then summarize what they are saying and ask if that is what they mean. As mentioned before, you will want to know your own values on this subject before you talk to your teen.There are a wide variety of opinions and beliefs about adolescent sexuality. For example, one researcher praised the Dutch people for having open communication about sex with adolescents and an open culture about it, to the point of allowing their children to have sleepovers in their homes with the teen’s girlfriend or boyfriend. The argument was that as long as the adolescent is unable to make a well informed decision about having sex, then it was okay for them to do. In this way, the parents supposedly join their adolescent children in their sexual development.23 From this stand point, the conversation you would have with your son or daughter would be very different than within a family in which abstinence before marriage is the value of the parents, and possibly the teenager’s value as well. There are several topics that may eventually need to be addressed, though probably not all in the first conversation you have with your child about sexuality. These topics may include: sexually transmitted infections (e.g. getting tested for them, how to prevent them in the future, potential consequences of preventing and of not preventing sexually transmitted infections, etc.), pregnancy (e.g. doctors’ appointments; what to expect; decisions to be made—adoption, abortion, becoming a teen parent, level of involvement and commitment of both parents of the baby; etc.), emotional effects of sexual activity (e.g. lowered self-esteem, pride, peer praise/approval, peer rejection/exclusion), and any other potential conTeaching Sexuality in the Home 43 sequences to them and/or the people around them (e.g. family, employers, etc.)24 At some point you may want to talk to them about what factors lead them to where they are. For example, research has shown that peer group deviance was the greatest predictor of risky sexual behaviors in some youth groups.25 You may consider talking to them about what their friend group says or feels about their actions. Are they cheering your teen on to do more sexual behaviors? Are they ostracizing your son or daughter, resulting in them feeling alone and ashamed? If your son or daughter is being ostracized, then that may be an opportunity for you to show them compassion, kindness, and support without adding to their feeling of being rejected. Research has also shown that pornography use may be associated with adolescent sexual activity.26 Being careful not to accuse them, you may want to talk to them about this as well. This, of course, will depend on your values about pornography. In conclusion, the things you may want to keep foremost in your mind would be your values and the way that this interaction will affect your relationship with your son or daughter. However, it is also important that they get the information they need about the topic so that they can make good decisions about their current situation and for their future. So, take a deep breath and do your best. References 1. Harrington, P., Cottam, M., Moulding, B. D., & Wojtech, F. Utah State Office of Education. (2006). Human sexuality: A resource guide for parents and teachers (for high school) 2. Coles, R., & Stokes, G. (1985). Sex and the American Teenager. New York: Harper and Row. 3. Janus, S., & Janus, C. (1993). The Janus Report on Sexual Behavior. New York: Wiley. 4. Sullivan J. (2008). This is your kid’s brain on Internet porn. Oregonian, December 17, E1. 5. Albright, J. (2008). Sex in America online: An exploration of sex, marital status, and sexual identity in Internet sex seeking and its impacts. Journal of Sex Research, 45, 175-186. 6. Weber, M., Quiring, O., & Daschmann, G. (2012). Peers, parents, and pornography: Exploring adolescents’ exposure to sexually explicit material and its developmental correlates. Sexuality and Culture, 16(4), 408-427. 7. Ibid. 8. Kraus, S., & Russel, B. (2008). Early sexual experiences: The role of Internet access and sexually explicit material. Cyberpsychology Behavior, 11, 162-168. 9. Brady, S., & Halpern-Felsher, B. (2007). Adolescents’ reported consequences of having oral sex versus vaginal sex. Pediatrics, 119, 29-236. 10.Halpern-Felsher, B., Cornell, J., Kropp, R., & Tschann, J. (2006). Oral versus vaginal sex among adolescents: Perceptions, attitudes, and behavior. Pediatrics, 44, 115, 845-851, 10231024. Adolescence 44 11.Centers for Disease Control. (2006). Youth risk behavior surveillance: United States, 2005. Morbidity and Mortality Weekly Report, 55, 1-108. 12.Brady, S., & Halpern-Felsher, B. (2007). Adolescents’ reported consequences of having oral sex versus vaginal sex. Pediatrics, 119, 29-236. 13.Knox, D., Zusman, M., & McNelly, A. (2008). University students’ beliefs about sex: Men vs. women. College Student Journal, 42, 181-185. 14.Crooks, R., & Baur, K. (2011). Our sexuality (11th ed). Belmont, CA:Thompson Wadsworth. 15.Berman, 2009 16.Steinberg, 2011 17.Palo Alto Medical Foundation, 2014 18.Pearlman, 2008 19.Common Sense 20.The Media Project 21.Advocates for Youth 22.Hyde, A., Drennan, J., Howlett, E., Carney, M., Butler, M., & Lohan, M. (2012). Parents’ constructions of the sexual self-presentation and sexual conduct of adolescents: Discourses of gendering and protecting. Culture, Health & Sexuality, 14(8), 895-909. Retrieved from the PsycINFO database. 23.Deaton, D. L. (2013). Review of ‘Not under my roof: Parents, teens, and the culture of sex’. Journal of Youth and Adolescence, 42(1), 157-163. Retrieved from the PsycINFO database. DOI 10.1007/s10964-012-9851-y 24.What if my teen is sexually active. (n.d.).ParentFurther: A search institute resource for families. Retrieved from http://www.parentfurther.com/high-risk-behaviors/early-sexualactivity/sexually-active-teen 25.Young, M. A., & Vazsonyi, A. (2011). Parents, peers, and risky sexual behaviors in rural African American adolescents. Journal of Genetic Psychology, 172(1), 84-93. Retrieved from the PsycINFO database. 26.Young, M. A., & Vazsonyi, A. (2011). Parents, peers, and risky sexual behaviors in rural African American adolescents. Journal of Genetic Psychology, 172(1), 84-93. Retrieved from the PsycINFO database. DOI 10.1007/s12119-012-9132-7. 27.Centers for Disease Control. (2008). Youth risk behavior surveillance: United States, 2007. Morbidity and Mortality Weekly Report, 27, 1-31. 28.Centers for Disease Control. (2011). Sexual risk behavior: HIV, STD, & teen pregnancy prevention. Retrieved from February 25, 2014, from http://www.cdc.gov/ HealthyYouth/sexualbehaviors/ Teaching Sexuality in the Home Same-Sex Attraction The following chapter will cover issues pertaining to parenting a child who identifies as lesbian, gay, bisexual, or transgender (LGBT) or one of many variations in experiencing their gender in a way that differs from what is typically considered “normal”. This chapter is broken down into three parts: 1) an educational component; 2) identification of the unique challenges faced by these youth and potential risks that are more common for youth in this category; and 3) ideas for parents to help create a safe environment for their children. Education Same-sex attraction is a topic that is rapidly increasing in awareness today. In order to grasp and communicate with others in regard to this subject, we have compiled a brief explanation of common terminology and definitions, current understanding, and frequent viewpoints taken by different coalitions. Terminology There are many different terms and variations related to sexual orientations. For the sake of room, we have provided the currently held definitions on some of the more common terms and suggest that if you Same-Sex Attraction 46 hear terms not mentioned here, you should pursue further understanding through reliable sources. Examples of this might be professional dictionaries, doctors, peer-reviewed literature, etc. Ally: A heterosexual person who supports the LGBT community. Asexual: Someone who is not sexually attracted to either sex Bisexual: A person who is sexually attracted to both males and females Gay: A homosexual (particularly a man) Gender: Someone’s social behavior and its perceived masculinity, femininity, or androgyny Genetic Sex: A person’s genetic makeup or chromosomal definition of sex Homosexual: A person who is sexually attracted to those of the same sex Intersex: A hermaphrodite; someone whose genitalia is mixed (both male and female) Lesbian: a homosexual woman LGBT: Stands for lesbian, gay, bisexual, and transgender. Although LGBT seems to be the most commonly used initialism, there are additional initials that have been used. For example, you may see LGBTQQIAAP which stands for lesbian, gay, bisexual, transgender, queer, questioning, intersex, asexual, allies, and pansexual. Pansexual: A person who is sexually attracted to all types of identification, such as sexual orientation, genetic sex, physical sex, gender, etc. (Some define pansexuality as a person being solely attracted to someone because of their personality, not discriminating between outer appearance or labels.) Physical sex: A person’s exterior or interior genitals and sex organs which can be male, female, or intersex (which is an estimated less than 1% of the population1). Queer: Someone who does not wish to be labeled by their sexual preference, so they refer to themselves as queer. Questioning: Someone who is questioning their sexual orientation. Sexual Identity: Someone’s inward sense of whether they are male or female Teaching Sexuality in the Home 47 Sexual Orientation: Someone’s sexual attraction to the opposite, same, both, or any sex Sexual Spectrum: Originates from the idea that all individuals are on a spectrum enveloping all levels of sexual tendency and these levels are on the sexual spectrum Straight: Someone who is heterosexual. Transgender: A person who identifies in some way with people of their opposite sex. (People use transgender and transsexual interchangeably, but transgender seems to be more connected to emotional and psychological identifying, and transsexual with the additional physical aspect.) Transsexual: A person who completely identifies with the opposite sex. (Definitions range from this meaning emotionally, psychologically, or physically and can be done through surgical and hormonal alterations, etc.) What the Research Says Recently, research has had a large focus on exploring different aspects of sexual orientation. However, even though most findings lean towards a biological origin, we acknowledge the inconclusive nature of many current findings and can only report theories and assumptions. Also, because the scope of research that studies same-sex attraction is very broad, we discuss only general questions and findings. Is a sexual orientation other than heterosexuality a mental illness? It was previously viewed that non-heterosexual orientations were a result of a sickness in the mind. In fact, this was a designated pathology in the first version of the DSM, a manual that social scientists use to diagnose clients with mental illness. Since then, researchers and other experts have clearly withdrawn this claim and stated that homosexuality does not meet the criteria of a mental illness.2 Where does someone’s sexual orientation come from? No one knows where someone’s sexual orientation originates. Again, the recent trend has been aligning with more biological etiologies as opposed to the previous thought that all “divergent” sexual orientation stemmed from unhealthy environmental upbringing and mental detriments.2 However, some argue that not only is biology a major factor, but environment is not out of the question. Especially for women, some state that sexuality is fluid and molds according to their life situation, relationships, and other Same-Sex Attraction 48 contextual factors. In any case, the guess at the origin of sexual orientation is speculation. 3 Major Position Statements and Opinions The topic of sexual orientation continues to be one that is highly emotionally charged due to its controversial nature. Because of this, many associations have formally stated their opinions and where they stand on the issue. The statements below are provided to help the reader know the common viewpoints that are currently held by many professional social service organizations. The American Psychological Association represents a major professional organization of psychologists in the United States and has issued the following statement in regards to their position on sexual orientation: The American Psychological Association opposes portrayals of lesbian, gay, and bisexual youth and adults as mentally ill due to their sexual orientation and supports the dissemination of accurate information about sexual orientation, and mental health, and appropriate interventions in order to counteract bias that is based in ignorance or unfounded beliefs about sexual orientation.4 A similar type of organization for social workers, known as the National Association of Social Workers (NASW), issued the following statement: [NASW] endorses policies in both the public and private sectors that ensure nondiscrimination; that are sensitive to the health and mental health needs of lesbian, gay, and bisexual people; and that promote an understanding of lesbian, gay, and bisexual cultures. Social stigmatization of lesbian, gay, and bisexual people is widespread and is a primary motivating factor in leading some people to seek sexual orientation changes… NASW discourages social workers from providing treatments designed to change sexual orientation or from referring practitioners or programs that claim to do so.5 Because this topic tends to create controversy, most organizations have publicly articulated their positions. If you have aligned your values with certain institutions or groups, you may find further guidance through these groups and hear differing opinions than the major professional associations sampled above. As you navigate through this process, we highly recommend that you carefully consider your child’s well-being, Teaching Sexuality in the Home 49 their values, and seek guidance through those that they respect and trust. In the next section, we will discuss common risk factors for LGBT youth in an effort to emphasize the importance of being familiar with the trials they face. Risk Factors Many LGBT youth are able to have positive and healthy experiences as teenagers. Like their non-LGBT peers, some thrive in their teenage years and achieve great success on the way to bigger and better things, others survive the experience but are happy to move on in life, and yet others struggle and encounter enormous hardships. A growing body of research suggests that LGBT youth fall into this last category more often than do non-LGBT youth.6,7,8 Unique Challenges LGBT youth often face an additional set of problems in addition to normal high school difficulties. In an attempt to understand the perspectives of contemporary LGBT youth, a sampling of 10,000 self-identified LGBT youth were polled. In response to the question “What is the most difficult problem facing you in your life these days?” the top three responses from non-LGBT youth were predictably about school, work, and preparing for college. The most commonly reported problems on the minds of LGBT students, however, reflected concerns about being accepted at home, fear of being open and honest with others, and worry about being bullied at school.9 Victimization and Bullying These concerns are legitimate problems facing LGBT youth. Additional findings from the study of 10,000 LGBT youth indicate that these students are about two times more likely to be verbally assaulted, two times more likely to be physically assaulted, and two times more likely to report feeling excluded by their peers because they are different. Ninety-two percent of students polled said that they hear negative messages about being LGBT from many sources, such as the internet, at school, in media, and among family members.10 A separate study by the Center for Disease Control and Prevention (CDC) found that eight out of ten students had been verbally harassed at school, four of ten had been physically harassed at school, one out of five had been physically assaulted at school, and six out of ten felt unsafe at school.11 This kind of victimization and Same-Sex Attraction 50 bullying takes place at a much higher rate among LGBT youth than it does among non-LGBT youth. In 2002, a study linked the victimization of LGBT high school students to a number of dangerous and risky behaviors. At low levels of victimization, there are fewer differences between LGBT and non-LGBT student involvement in risky behavior. As LGBT students become victims of bullying and aggression, their use of dangerous coping methods skyrockets. Among the behaviors found in this particular study are: suicidality, substance abuse, mental health disorders, sexual risk, and truancy.12 Suicidality An analysis in 2011 collected data from 24 different studies, each investigating different elements of the LGBT experience in regards to suicidal ideation, planning, and attempts. Based on the collective results of these 24 studies, it was found that, on average, sexual minority youth were 96% more likely than their heterosexual peers to experience feelings of wanting to take their own life, 120% more likely to begin formulating suicide plans, 218% more likely to attempt suicide, and 317% more likely to have an attempt that required medical attention13. In each of the 24 studies, LGBT youth reported higher levels of suicidality, often much higher (double or more). Substance Abuse One study found that twenty percent of LGBT youth use substances compared to a national average of 9.7% in the same age range.14 Another study found that 52% of LGBT youth have used alcohol or drugs compared to 22% of non-LGBT youth. These rates are more than double among LGBT youth.15 A study of schools in multiple states revealed higher use of virtually every substance (tobacco, alcohol, marijuana, cocaine, heroin, etc.) among LGBT youth.16 Mental Health Disorders Taking into consideration the experiences reported in the studies presented here, it is no surprise that the same students are also being diagnosed with mental health disorders at higher rates than non-LGBT peers. Numerous studies have documented higher rates of mental health concerns among this population, most frequently depression, anxiety, and post-traumatic stress disorder (PTSD).17,18,19,20,21 Teaching Sexuality in the Home 51 Risky Sexual Behavior A study of schools in nine states showed that LGBT students were more likely to have engaged in sexual intercourse, to have more than four sexual partners in their lifetime, and to have their first experience with sex prior to age 13. The same study also indicated that LGBT youth were more likely to be forced into an unwanted sexual experience.22 In another study, risky sexual behavior was assessed with two indicators: at the time of the last sexual encounter 1) were drugs/alcohol used and 2) were condoms used. Male LGBT youth in particular had much more risky sexual behavior as their exposure to victimization increased.23 Truancy A nationally representative sample found that about 30% of LGBT students missed some period of school within the last month due to not feeling safe at school. Compare this to the 8% of non-LGBT students who reported similar patterns.24 Though the estimates vary from study to study, the consensus is clear: LGBT youth are exposed to more stressors, on average, and engage in more dangerous coping methods. The greater the victimization, the more likely they are to turn to unhealthy behaviors rather than seeking appropriate help. In the next section we will discuss what you, as a parent, can do to support and strengthen a child in these circumstances. Safe Environment As with any conversation with your child, it is important to create an environment where they feel safe and loved unconditionally. This kind of environment is especially important if your child is going to share with you their thoughts, feelings, and desires. A safe environment will allow for open two-way communication and important dialogue to occur and will not be a place for judgment. Empathy As a parent, one of the greatest ways to create this safe environment is to have empathy for your child. Empathy is defined as “the feeling that you understand and share another person’s experiences and emotions” or “the ability to share someone else’s feelings”.25 An example of empathy would be if your child says to you, “I don’t like the dark; it is scary” and your response is, “So the dark is a scary place for you.” Allowing your child and yourself to sit in the feelings they have instead of running away from them will show your child that you are not afraid of feelings Same-Sex Attraction 52 and emotions and will give them a safe place to share whatever they are feeling. In the section above, we have outlined some of the risk factors and harmful behaviors that may be experienced by those who experience same-sex attraction. Research has shown that one of the most significant protective factors in avoiding these behaviors is parental acceptance. This acceptance and empathy exhibited by parents leads to higher self-esteem, greater social support, and better overall health.26 Being that safe person for your child to share their experiences and feelings with will allow for open dialogue and understanding for both you and your child. Another way to show empathy and provide this safe environment is to give your child the time to talk when they come to you. Giving your child the time as soon as possible instead of putting them off will let your child know that they are your priority and you will be there wherever and whenever they need you. Practicing these concepts of empathy and creating a safe environment from the time your child is young creates a culture of sharing and caring that will benefit the relationship between you and your child for whatever experiences come into your lives. Coming Out Process Each person who experiences same-sex attraction will have varied experiences with the coming out process. One of the most widely recognized models of coming out is the Cass Identity Model.27 This model identifies six phases of coming out. These phases are: identity confusion, identity comparison, identity tolerance, identity acceptance, identity pride, and identity synthesis. Not everyone will go through each of these phases and they are not always experienced in a linear progression, but the phases are likely some of what your child has or will experience. The way you react to your child’s coming out can have a huge effect on the risk factors discussed in the previous section. It is a common reaction for parents to feel confused, disappointed, or even sad when their child tells them of their feelings of same-sex attraction. Every individual and family will handle the process of their child’s coming out in a different way. The following are some do’s and do not’s to help you navigate through that process, as you see fit.28,29 • Do not reject your child. When children feel that their parents see them as broken or are ashamed of them, their dignity as a human being is crushed and their self-esteem takes a nose-dive. Even if you do not agree with or unTeaching Sexuality in the Home 53 • • • • • • derstand feelings of same-sex attraction remember that this is your child. Do not exclude your child from family activities. It is important for your child to maintain loving, stable family relationships and continuing to include them in family activities will allow those relationships to continue and grow into loving and supportive bonds. Do not blame yourself. No parent is perfect, but your child telling you they experience same-sex attraction is not a reflection on your parenting skills. You did not make your child gay and it is not your fault. Feeling guilty will not change the experience your child is having and will only build resentment and shame. Do not tell your child to keep their same-sex attraction a secret. It is up to your child to determine who they will tell and when. The more people to love and support your child through the challenges of life, the less likely they will experience things like suicidal ideation, substance abuse, problems in school, or other challenges more common to LGBT youth. Expect respect and kindness to be shown to your child by other family members. As parents, you are the example of how you expect others to treat your child. Do all you can to protect your child from the harmful words and actions of others who may not have your child’s best interest at heart. Seek social support and professional help if it is needed. It is important for you to have support, just like your child needs support at this time. Tell your child you love them. There is nothing more powerful than those three simple words. Say them often. References 1. Johnson, Olive Skene (2007). The Sexual Spectrum: Why We’re All Different. Raincoast Books: British Columbia. 2. Diamond, Lisa M. (2008). Sexual Fluidity: Understanding Women’s Love and Desire. Harvard University Press. 3. Just the Facts about Sexual Orientation & Youth. (2014). American Psychological Association, internet resource: http://www.apa.org/pi/lgbt/resources/just-the-facts.aspx Same-Sex Attraction 54 4. “Reparative” and “Conversion” Therapies for Lesbians and Gay Men. (2000). National Association of Social Workers, internet resource: http://www.naswdc.org/diversity/lgb/ reparative.asp 5. LGBT Sexual Orientation. (2013) American Psychiatric Association, internet resource: http://www.psychiatry.org/mental-health/people/lgbt-sexual-orientation 6. Centers for Disease Control and Prevention (2013). Lesbian, gay, bisexual, and transgender health. Retrieved from http://www.cdc.gov/lgbthealth/ 7. Bontempo, D., & D’Augelli, A. R. (2002). Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths’ health risk behavior. Journal of Adolescent Health, 30, 364-374. 8. Kosciw, J. G., Greytak, E. A., Diaz, E. M., & Bartkiewicz, M. J. (2010). The 2009 National School Climate Survey: The experiences of lesbian, gay, bisexual and transgender youth in our nation’s schools. New York: GLSEN. 9. Human Rights Campaign (2012). Growing up LGBT in America: HRC youth survey report key findings. Retrieved from https://www.hrc.org/files/assets/resources/Growing-UpLGBT-in-America_Report.pdf 10.Human Rights Campaign (2012). Growing up LGBT in America: HRC youth survey report key findings. Retrieved from https://www.hrc.org/files/assets/resources/Growing-UpLGBT-in-America_Report.pdf 11.Centers for Disease Control and Prevention (2013). Lesbian, gay, bisexual, and transgender health. Retrieved from http://www.cdc.gov/lgbthealth/ 12.Bontempo, D., & D’Augelli, A. R. (2002). Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths’ health risk behavior. Journal of Adolescent Health, 30, 364-374. 13.Suicidality and Depression Disparities Between Sexual Minority and Heterosexual Youth: A Meta-Analytic Review. Journal of Adolescent Health, Volume 49, Issue 2, 2011, pp. 115-123, http://www.sciencedirect.com/science/article/pii/S1054139X11000541?np=y 14.Parental Acceptance and Illegal Drug Use among Gay, Lesbian, and Bisexual Adolescents: Results from a National Survey. By: Padilla,Yolanda C., Crisp, Catherine, Rew, Donna Lynn, Social Work, 00378046, Jul2010, Vol. 55, Issue 3 15.Human Rights Campaign (2012). Growing up LGBT in America: HRC youth survey report key findings. Retrieved from https://www.hrc.org/files/assets/resources/Growing-UpLGBT-in-America_Report.pdf 16.CDC. Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9–12—Youth Risk Behavior Surveillance, selected sites, United States, 2001–2009. MMWR Early Release 2011;60[June 6]:1–133. http://www.cdc.gov/mmwr/preview/ mmwrhtml/ss60e0606a1.htm 17.Hart, T.A., Heimberg, R.G. (2001). Presenting problems among treatment-seeking gay, lesbian, and bisexual youth. Journal of Clinical Psychology, 57, 615-627. 18.D’Augelli, A.R. (2002). Mental health problems among lesbian, gay, and bisexual youth ages 14 to 21. Clinical Child Psychology and Psychiatry, 7, 433-456 19.NAMI. Mental Health Risk Factors Among LGBT Youth. 20.Mental health in sexual minorities: Recent indicators, trends, and their relationships to place in North America and Europe. NathanielM.Lewis Health & Place 15 (2009) 1029–1045 21.Bontempo, D., & D’Augelli, A. R. (2002). Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths’ health risk behavior. Journal of Adolescent Health, 30, 364-374. 22.CDC. Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9–12—Youth Risk Behavior Surveillance, selected sites, United States, 2001–2009. MMWR Early Release 2011;60[June 6]:1–133. http://www.cdc.gov/mmwr/preview/ mmwrhtml/ss60e0606a1.htm Teaching Sexuality in the Home 55 23.Bontempo, D., & D’Augelli, A. R. (2002). Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths’ health risk behavior. Journal of Adolescent Health, 30, 364-374. 24.Kosciw, J. G., Greytak, E. A., Diaz, E. M., & Bartkiewicz, M. J. (2010). The 2009 National School Climate Survey: The experiences of lesbian, gay, bisexual and transgender youth in our nation’s schools. New York: GLSEN. 25.Merriam-Webster Dictionary (2014). Merriam-Webster,, Inc. 26.Ryan, C., Russell, S.T., Huebner, D., Diaz, R., Sanchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23 (4), 205-213. 27.Cass, V. (1979). Homosexual identity formation: A theoretical model. Journal of Homosexuality, 4 (3), 219-235. 28.Ryan, C. (2009). Family Acceptance Project. San Francisco State University. http:// familyproject.sfsu.edu/files/English_Final_Print_Version_Last.pdf 29.Parents, Families and Friends of Lesbians and Gays (2014). Do’s and don’ts for families and friends. Retrieved from http://community.pflag.org/page.aspx?pid=541 Same-Sex Attraction 56 Teaching Sexuality in the Home Sexual Abuse Sexual abuse is defined as “any action that pressures or coerces someone to do something sexually they don’t want to do. It can also refer to behavior that impacts a person’s ability to control their sexual activity or the circumstances in which sexual activity occurs, including oral sex, rape or restricting access to birth control and condoms.”1 Additionally, every child is considered unable to consent to any sexual activity and as such, any use of a child for sexual stimulation is considered sexual abuse. Rape is defined as force or threatened use of force to coerce someone into unwanted sexual intercourse. If someone does not refuse unwanted sexual activity this does not mean that they give consent and it is still considered abuse. Specifically, this is true with children, who are incapable of consenting to any sexual activity. It is estimated that between 7 to 12% of children will experience sexual abuse in some form, from verbal abuse to touching to rape. This means that 400,000 children born this year will be sexually abused before they turn 18, assuming this rate does not change. Sexual abuse is one and half times more likely to happen to a female rather than a male. Lastly, sexual abuse is more likely to happen to a disabled child than a Sexual Abuse 58 non-disabled child. This demonstrates the severity of this problem and the need for educating children so they can better protect themselves. Contact Abuse (Touching) The first type of abuse we will discuss is any sexual abuse that involves contact. This includes physical contact of some kind between the victim and the perpetrator.This is the most obvious form of abuse because it involves direct contact. However, many perpetrators will “groom” their victims to participate in the abuse and so the child may not recognize the perpetrator’s advances as abuse. Teach your children that any touch that is not from a trusted source or makes them feel uncomfortable should be reported. The types of contact abuse include: • Fondling (touching a child’s genitals or private parts for sexual pleasure) • Intercourse • Oral or anal sex • Unwanted kissing or touching • Unwanted rough or violent sexual activity • Rape or attempted rape • Making a child touch someone else’s genitals • Playing sexual games • Putting objects or body parts (like fingers, tongue or penis) inside the vagina, in the mouth, or in the anus of a child for sexual pleasure.2 Non-Contact Abuse (Non-Touching) This type of abuse includes all sexual activity that does not include physical contact between the victim and perpetrator. This type of abuse may be harder to identify, but is still considered abuse and should be reported immediately when it occurs. There may be times when the child is unaware that this abuse is happening, as in the case of a voyeur watching a child dress. Other times, the child will be exposed to pornography or the genitals of an adult. Some kinds of non-contact abuse include: • Obscene phone calls • Exhibitionism • Masturbation • Sexting • Sending explicit photographs • Pornography Teaching Sexuality in the Home 59 • Forcing someone to watch a sexual act • Voyeurism Sexual Exploitation Sexual exploitation includes producing a visual depiction of any sexually explicit conduct. Additionally, it includes sexual abuse for which the child or second party is given compensation. In this type of abuse the child is treated as a sexual object or commercial object to be used for gain.3 This may include: • Prostitution • Creation of child pornography Explanations Where and by whom does abuse occur? Sexual abuse can occur in a variety of situations, including in the home, at school, at work, or in the community. A child may be shown pornography on the bus to school or they may be raped at a public park. Teach your children that they should always be vigilant in keeping themselves safe as abuse may occur in any situation. However, abuse is more likely to happen in secluded, dark places and children should be taught to avoid these places. Children should be taught that any sexual activity from any person is abuse and they have a right to protect themselves. Research has shown that abuse victims know their offender in 90% of all cases. This frequently includes family members, neighbors, and other community members the child may be familiar with. This demonstrates the importance of the child assessing the type of contact they have with the adults and other children rather than identifying “safe” adults and trusting everything they do. Reporting Children should be taught to share what happened with a parent (or other trusted adult) immediately after sexual abuse occurs. Creating an open relationship with your child can facilitate the reporting process. Regular check-ins will allow your child to feel safe and willing to discuss activity that may not be clearly abuse to them (such as being exposed to pornography). If the child cannot trust a parent, they can report the abuse to a law official, a trusted teacher, a trusted neighbor, or other family member. Sexual Abuse 60 Your child should be aware that any sexual advances should be stopped, are considered sexual abuse, and that they are not responsible for the action. Often, children may be confused as to what is happening and how they should react. This is why teaching your child about what sexual abuse may look like and how they should react is vital in keeping them safe. How to talk to your child, what to talk to your child about, and what to teach your child to do will all be discussed in this chapter. Parent Values Know Your Personal Values Across cultures, religions, and different value systems, society typically agrees that sexual abuse is wrong in all forms. There are never any circumstances where it is acceptable, and it is especially grievant when children are involved.4 Identifying your own personal values is crucial because your values are what will guide you through approaching the subject with your children, and how you help children recover from the trauma of sexual abuse. It Is Never Okay There are many different kinds of abuse, but sexual abuse may be the hardest to talk about and the most uncomfortable to address. No matter what kind of abuse has taken place, the person who was abused did not want it to happen. No one has the right to take away other’s rights with unwanted sexual contact. It is never okay to make someone do something against their will. If sexual abuse is happening, help your child seek support immediately. It needs to be reported right away and professional help needs to be sought. There is never any excuse for hurting or abusing others. It Is Serious Taking all accusations of sexual abuse seriously is vital. It is also important to teach your children about the seriousness of sexual abuse, and about the importance of honesty.5 Creating a safe environment at home in which your child can talk to you or another trusted adult is conducive to helping children feel comfortable in seeking help. Try to encourage the child to talk about what they have experienced. It is important to guard against showing feelings that may influence your child’s portraying of the information.5 Continually reassure your child that he or she did nothing wrong, and that you are on their side and here to help.5 Seeking mental Teaching Sexuality in the Home 61 health assistance for your child will help your child get the professional care they need.5 It May Cause Fear or Embarrassment There are many emotions felt by survivors of sexual abuse.6 Many victims of sexual abuse begin to fear people in general, especially in the case of children. They may lose faith and trust in their own judgment and begin to fear decisions they make. Recognizing the signs of fear or embarrassment in your child and being sensitive to their needs is the first step.6 It is also important to recognize your own fear, embarrassment, or guilt surrounding the situation so you are better able to remain a support system for the child. You May Be Wondering How will sexual abuse affect your child’s relationship with you, their self-esteem, etc? The effects of sexual abuse are hard to predict because every circumstance of abuse is varied. It depends on the age of the child, the nature of the sexual abuse, their reaction to the abuse, and how the abuse was reacted to by others upon disclosure.7 Typically, older children are affected more severely because they have more cognitive awareness and younger children are primarily focused on their day to day safety and security.7 To preserve your relationship with your child when sexual abuse is discovered, it is important not to act negative or disbelieving.7 Their self-esteem may suffer and it is important to remember that caregivers have the most influence over children. As caregivers, continuing to show love, support, and fostering a line of open communication can help the child regain their self-esteem. How will I overcome my own personal barriers to teaching my children about sexual abuse? Self-awareness is the first step to discovering your own personal biases or barriers in addressing sexual abuse.Typically, parents have this question because sexual abuse makes them uncomfortable. If this is the case for you, try not to focus on the sexual part of the sexual abuse, instead focus on the three B’s: Be involved, be available, and be loving.8 Being involved with your children includes being interested in their activities, being involved in their media usage, and creating a loving, trusting environment. Being available is making time to spend with your child and being open to answering any questions they may have. Being loving is done by implementing the loving practices of parenthood by showing affection and expressing appreciation. Sexual Abuse 62 Where can I learn more about sexual abuse? In the resources section at the end of this chapter, there are many websites, manuals, and articles suggested that will help answer any questions you may still have after reviewing this chapter. Give yourself credit! The fact that you are reading this section of the manual shows you are trying to educate yourself and taking a proactive role in preventing sexual abuse. Great job! Here are some things you can do: educate yourself about sexual abuse, learn and practice specific guidelines for protecting children from sexual abuse, and talk to your children about touching safety. Resources http://www.parentsprotect.co.uk/warning_signs.htm http://teachers.teachingsexualhealth.ca/wp-content/uploads/ Grade-9-Sexual-Assault-Lesson-12.pdf http://www.apa.org/pubs/info/brochures/sex-abuse.aspx?item=7 http://ndvsac.org/wpcontent/uploads/SA/Feelings%20 Frequently%20Felt%20by%20Sexual%20Assault%20Survivors.pdf http://www.urge.co.nz/sex/sexual-abuse.html http://www.rainn.org/get-information/sexual-assault-prevention/ protecting-a-child-from-sexual-assault http://www.wcsap.org/effects-child-sexual-abuse Preventative Discussions How Can I Protect My Child? Many parents wonder what they can do to protect their children from being sexually abused at some point in their lives. As a parent this is a normal concern to have when raising children in society today. Boundaries and Roles One thing that you can do is to realize that most sexual abuse starts with the violation of a boundary. Although the media typically portrays children being sexually abused by means of abduction or kidnapping, most sexual abuse is committed by acquaintances or individuals that children have trusting, established relationships with. As a result of this unfortunate truth, it is vital that you create clear, definable boundaries between your child and the other individuals in their lives. As a parent, it is important to define boundaries for yourself and for your children. Most sexual perpetrators are typically attracted to situations where their role is undefined and blurred boundaries exist as a result. Teaching Sexuality in the Home 63 Helping children understand the roles of individuals in their lives can prevent boundary violations. A common strategy would be to define the role of the people in your child’s life and what boundaries are appropriate for that person. Secondly, you can discuss what your child should do if they feel that a boundary is being breached. Coupled with this discussion, it is helpful to model appropriate boundaries in your personal relationships and throughout the family unit. Reviewing these steps is not only vital for children to understand, but very helpful for you in defining roles, boundaries, and an action plan, if the situation permits.6 Sexual Predators It is important to be aware of how the mind of a predator works so you can be proactive about protecting your children. Below is a list of the most common tricks used by predators to groom or breach the boundaries of a child’s safety. Accidental touching trick: Predators use accidental touching as a grooming technique because children are often unaware of accidental touching. The predator may then work towards getting close to touching the genital area with their subsequent attempts. Apple of my eye trick: The predator will take advantage of the child’s innocent vulnerability by gaining their trust through giving special attention and eventually seducing the child. Children seek out love and attention so the predator uses this avenue to sexually abuse them. Assistance lure trick: Predators may ask a child to help them carry something or open a door for them. Other predators may offer to assist children with things such as unzipping a zipper before using the bathroom or offering to babysit for a family. A helpful question to ask yourself is, “Are they more interested in me or my child?” Authority trick: Parents typically teach children to respect individuals in positions of authority such as teachers, principals, or counselors. Unfortunately, predators use their position of power to take advantage of children. Costume trick: Predators may use clown or superhero costumes to lure children in. Not all adults in costumes are predators, but parents should be aware of this trick. Sexual Abuse 64 Desensitize trick: Predators often attempt to talk openly with children about sex or sexual acts in an attempt to normalize the behavior. Some predators send sexually explicit emails or leave sexual materials around to arouse a child’s curiosity. Drug and alcohol trick: Drugs and alcohol are often used to incapacitate children to make them more physically and mentally vulnerable to sexual abuse. Emergency trick: Situations of crisis often confuse children so as a result predators will make up crisis situations to confuse the child and place them in a compromising situation. Fame trick: Predators may promise children with opportunities to become famous or a celebrity in return for sexual acts. Friendship trick: Older children may promise friendship to younger children in exchange for sexual acts. Games trick: Predators many change the rules of common games to include genital contact or sexual acts. Hero or special privilege trick: Predators that typically use this trick are individuals in positions of authority such as coaches, teachers, or older relatives. It is normal for children to idolize authority figures in their lives. Children may endure sexual abuse in fear that if they interfere that they will lose that relationship. “I know you” trick: Parents often write children’s names on things like lunch boxes, backpacks, and clothing. However, this provides predators with the opportunity to learn the child’s name and make them feel like they already know them. Internet trick: Predators use the internet to gather information about children, so that eventually they can set up a situation where they can meet up with a child. Predators also use the internet to send pornography to children to spike interest in sexual acts. Job trick: Predators may offer young adults high paying jobs to lure the individual into a compromising position. Other predators may offer younger children high amounts of money to come into their homes to do odd jobs where they can take advantage of the child. Legitimacy trick: A few organizations promote sexual activities with children and attempt to legitimize the activity. These ofTeaching Sexuality in the Home 65 fenders also attempt to manipulate children into thinking that these activities are acceptable. Outing trick: Predators are constantly trying to get alone with children or take them on special outings. Even if the individual is well liked this is something for parents to be wary of. Pet trick: Predators may ask children to help them find a lost pet and often carry objects to support their story such as dog toys or a leash. Teaching trick: Predators will offer teaching assistance to families in the form of music lessons, sports coaching, or even drivers training instruction. Threat trick: Predators will threaten children into taking part in sexual abuse and then convince them to stay silent. Once the abuse has occurred they will threaten the child with telling their parents and friends about what they have done. The predator may also use this trick to find other victims as well. Know the Red Flags After having a firm understanding or tricks that predators use it can be helpful to have an understanding of the grooming process. Grooming is the process by which a predator draws a child into sexual relationship of secrecy. Most adults are not trying to groom children in hopes of developing a sexual relationship, but it can be helpful to be aware of the red flags. A predator typically demonstrates multiple red flags while grooming a child. • The person wants to spend more time with your child than you. • The person attempts to be alone with or succeeds at getting time alone with your child. • The person insists on tickling, hugging, touching, or kissing the child even when the child is resistant. • The person is extremely interested in the child’s sexuality and may ask the parent or child sexually charged questions. • The person relates with children and prefers to spend spare time with children instead of individuals their own age. • This person demonstrates a lack of boundaries and does not respect their role when it comes to children. Sexual Abuse 66 • This person offers to babysit, watch children, or take children on overnight outings alone. • This person presents children with expensive gifts or money without explanation. • This person walks through locker rooms or bathrooms when teens or children are not fully dressed. • This person spends time at parks, schools, or places where children congregate. • This person will spend long periods of time taking pictures or staring at children. Parents should be suspicious of individuals that attempt to take pictures of their children without consent. • This person makes inappropriate comments about the way that your child looks.6 Know the Signs of Sexual Abuse As a parent it is important to know the behavioral and physical signs that children who have been sexually abuse will exhibit. Not all of the following indicators mean that the child has been victimized, but the greater the number of indicators the greater the likelihood that the child has in fact been abused. Behavioral signs: • The child fears specific places, individuals, or activities. The child may also fear being alone with specific individuals. • The child fears times when undressing is necessary. • The child experiences difficulty sleeping or has nightmares. • The child experiences sudden changes in mood ranging from rage to withdrawal. • The child cries excessively. • The child actively avoids being touched. • The child experiences trouble eating, swallowing, or loss of appetite. • The child’s school performance declines. • The child’s drawing themes seem bizarre. • The child acts out sexually with younger children. • The child exhibits sexual knowledge uncharacteristic for their age. Teaching Sexuality in the Home 67 • The child has new names for body parts. • The child regresses in terms of developmental behavior that they have outgrown. • The child attempts suicide. • The child attempts self-mutilation. Physical signs: • The child has a hard time sitting or walking. • The child complains of itching or pain in genital areas. • The child has frequent or excessive bladder infections. • The child has frequent or excessive yeast infections. • The child experiences trauma or bleeding in genital, anal, or oral areas. • The child has a red or swollen perineum, vulva, or cervix. • The child has sexually transmitted infections or pregnancy.6 Age-Appropriate Terms Communicating to children that talking openly about sexuality teaches the child that it is acceptable to talk when questions arise. While discussing sexuality with children it is important to use correct names of body parts and to let them know that those body parts are private. As a parent, it is crucial to tell your children that other people should not be touching these private body parts unless they need to provide care. If a person is providing care the child should know that a trusted parent or caregiver should be present as well. If a child has been abused it is important for them to know what to do after the experience has occurred. Let your child know that if someone tries to touch their private areas or they try to show them their private parts that the next step is to tell a parent or trusted adult as soon as possible. This preventative planning can prevent against further sexual exposure or abuse. Encouraging this open communication with children can help them to understand that sexuality does not need to be “secret.” Sexual predators often use secrecy to sustain prolonged sexual abuse of children. As a parent, try to avoid terms like “the big talk.” Encouraging casual frequent discussions about sexuality help children to feel comfortable with the subject matter and come to you with questions or concerns.4 If parents are wanting to discuss sexuality with young children, but are uncertain about how to approach the matter, take advantage of children’s books on healthy touching. These books Sexual Abuse 68 are helpful for young children to have a concrete understanding of what is appropriate and what is not. Be Involved and Available To prevent against sexual abuse in the family it is crucial for parents to be involved in their children’s lives. Going to activities such as sporting events, music recitals, and community activities allows children to feel that their parents are involved and invested in what they are doing. It can be helpful for parents to talk about the media with children, such as what they have been looking at lately or what they have seen that concerned them. Children in today’s society interact with numerous adults on a daily basis. It is important as a parent to be aware of the adults in your child’s life and being aware of what kind of relationship your children have with those adults. Lastly, being available to children could be argued as the most important element of prevention. If your children know that you are available at any time they will be more likely to confide in you and discuss concerns or traumatic events that they have encountered.4 Resources http://www.rainn.org/get-information/sexual-assault-prevention/ protecting-a-child-from-sexual-assault http://dcf.vermont.gov/stepup http://www.parenting.com/article/tips-child-sex-abuse-prevention http://www.parentsformeganslaw.org/public/prevention_childSexualAbuse.html http://www.parentsprotect.co.uk/creating_a_family_safety_plan. htm Reparative Discussions Asking Your Child about Sexual Abuse Often parents beat themselves up wondering why they did not see the signs of sexual abuse. This is normal; as parents, we want to protect our children. Remember, not all children show signs and not all parents are trained to know what to look for. Additionally, some parents do not want to believe their child has been sexually abused. Denial of the abuse is common in families that want to believe they have a healthy family, untouched by trauma.4 Even though it may be difficult and uncomfortable to find out if your child has been a victim of sexual abuse, it is essential to ask the tough questions. Teaching Sexuality in the Home 69 If you suspect sexual abuse, it is important to remember your response to your child’s disclosure is critical. If your child views your response as negative, it could cause further suffering and regret in telling you.9 If the perpetrator was a family member or friend, your child may fear what might happen to their family dynamics if they tell. Some of the main reasons for nondisclosure are the belief the parents could not be counted on, shame, and fear of being blamed.5 Children have a lot of reasons not to tell. So, how can parents approach their child if they suspect they are being abused? It is important to talk candidly with your child. RAINN, an anti-sexual violence organization recommends the following: Pick your time and place carefully! • Have this conversation somewhere that your child feels comfortable. • Do not ask your child about child abuse in front of the person you think may be abusing the child. Ask if anyone has been touching them in ways that don’t feel okay or that make them feel uncomfortable. • Know that sexual abuse can feel good to the victim, so asking your child if someone is hurting them may not get the information that you are looking for. Follow up on whatever made you concerned. If there was something your child said or did that made you concerned, ask about that. • Ask in a nonjudgmental way, and take care to avoid shaming your child as you ask questions. “I” questions can be very helpful. Rather than beginning your conversation by saying “You (the child) did something/said something that made me worry…” consider starting your inquiry with the word “I.” For example: “I am concerned because I heard you say that you are not allowed to close the bathroom door.” • Make sure that your child knows that they are not in trouble, and that you are simply trying to gather more information. Talk with your child about secrets: • Sometimes abusers will tell children that sexual abuse is a secret just between them. They may ask the child to promise to keep it secret. Sexual Abuse 70 • When you talk to your child, talk about times that it’s okay not to keep a secret, even if they made a promise.6 Some children may disclose sexual abuse, only to take it back later. This does not mean the original report was a lie. Only a small percentage of reported abuse from a child is false.10 The act of “taking back” a report of sexual abuse is called recantation and is common among sexually abused children. The majority of children are telling the truth when they come forward. However, they may regret telling because of what has happened since they disclosed. They may be dealing with issues related to swearing to secrecy and want to protect their abuser. The child may be recanting their story because of the turmoil it has caused in their family and personal life. Some children go into denial and want to pretend it did not happen. Additionally, in some families, the child is persuaded to recant the disclosure if it involves a family member or close friend, due to the disruption it has caused. Parent’s Emotions If your child tells you they have been sexually abused, you may feel a flood of emotions, ranging from denial, shock, confusion, rage, and disbelief. It is vital to stay calm, believe your child, and protect your child from the abuser immediately.8 When children feel supported by their parents, then they heal faster from sexual abuse.7 Do not be surprised if you doubt your child. Denial is a normal reaction to sexual abuse, especially when the abuser is a family member or close friend, and that person is adamant they did not do it. You may find it difficult to decide who is telling the truth and what the future holds if you believe your child or the abuser. It is imperative you cope with your own reactions in a way that allows the child to feel safe and loved. No matter what your doubts and feelings are on the inside, the way you handle the disclosure is vital to the healing of your child. If a Family Member is the Abuser A family member can be a blood relative or someone considered to be a part of the family, such as a godparent. If a family member has abused your child, you may feel extreme rage, confusion, disbelief, shock, and guilt8. Notifying law enforcement is a priority and a step that will help protect your child and help them heal. Although you may feel like you are betraying that family member, ending the secrecy can help your child and your family heal. If the abuser is another one of your children, Teaching Sexuality in the Home 71 the pain and emotion can feel overwhelming. Hard decisions have to be made, including removing the abuser from the home and into a treatment facility for sexual predators. Individual and family therapy will determine if and when the child can re-enter the family home. If the abuser is a partner or spouse, it will take enormous strength to overcome. The National Child Traumatic Stress Network10 offers the following challenges you might face: • Dealing with family members who don’t believe the abuse occurred or who continue to maintain their relationship with the abuser • The possibility of economic hardship if you are financially dependent on the abuser • Possible loss of friends and acquaintances when they learn your partner is a child abuser • Making sense of conflicting advice from friends, family, or religious leaders—who may think you should forgive the perpetrator—and child protection and legal authorities who expect you to end your involvement with the perpetrator. Whatever challenges you may face, the greatest challenge is dealing with the disclosure. As previously stated, the way you respond to your child will play a profound role in his or her healing process. Sexually Abused Adolescent Children When small children disclose sexual abuse, there is often little doubt on the parent’s behalf about the truthfulness of the disclosure. Yet, when an adolescent discloses sexual abuse there may be additional doubts on the parent’s behalf. As the parent, you may wonder if your adolescent was somehow at fault or question why they did not resist or why they did not tell you sooner. If your child told someone else, before he or she told you, you may feel guilt, confusion, or anger. If the abuser was your partner or spouse you may feel like they were “cheating” on you. As difficult as these reactions may be, they can happen. Working through your self-doubt and fears will help in your recovery as well as your child’s recovery process. Power takes many forms and no matter how seductive an adolescent may appear, your partner is still the one in the position of power. He or she may have control of disciplining your child, financial responsibilities, and other things that may have kept your child from rejecting Sexual Abuse 72 your partner. Do not let your feelings of doubt overcome your need to protect your child. The perpetrator is the one at fault, not your adolescent. Remember they are the victim, even if your child was aroused during the abuse. This is the body’s normal response cycle. If you think about a light in a room, it does not matter who turns the light switch on; the light turns on. It is not unusual for the victim to become aroused, and it should not be used against them. Nor should it be assumed that the victim somehow wanted to be sexually abused. How a parent responds to their child impacts the child’s ability to heal. Parenting Sexually Abused Children Finding out your child has been sexually abused can bring up a lot of difficult emotions. Do not overlook the importance of working through your own possible anger, guilt, and shame associated with abuse, especially if the perpetrator was a family member or close friend. Self-care and letting go of negative emotions will not only benefit you, but your child as well. If you feel like you are not progressing, seek help from mental health professional. Your role is critical in helping your child heal. It is imperative that you do not blame your child. The Better Health Channel11 offers a list of things to keep in mind when parenting your child: Do: • Do tell them you believe them. • Do reassure and support them. • Do tell them you do not blame them. • Do tell them you will try to keep them safe. • Do let them know you love them. • Do let them know you are glad they told you. • Do give them time to talk at their own pace. • Do make time to spend with your child so you can talk privately. • Do be open and clear. • Do allow your child to talk about how they feel. • Do try to be calm when talking with your child as they may be confused by anger. • Do try to understand as much as you can about the effects of child sexual abuse so that you can best support yourself and your child. Teaching Sexuality in the Home 73 Don’t: • Don’t blame your child for what happened. • Don’t suggest that it would have been better if they had not told anyone. • Don’t tell your child that you blame yourself. • Don’t tell your child to forget it ever happened. • Don’t tell your child not to talk about it. • Don’t get upset when your child talks about the abuse. Moving Forward Children can recover from sexual abuse with help of supportive parents and treatment. You are not alone. Many communities have local Children’s Advocacy Centers that can help with resources, take advantage of their knowledge and referral. Therapy is part of the healing process. Effective treatment is available to you and your child as you move forward towards a healthy future. Protect and support your child and take care of yourself in the process. Your child will need you to be emotionally available and able to advocate for him or her. References 1. 2. 3. 4. Love is Respect Parents Protect Office of Attorney General, California Foster, J. M., & Carson, D. K. (2013). Child sexual abuse in the United States: Perspectives on assessment and intervention. American Journal of Humanities and Social Sciences, 1(3), 97-108. doi:10.11634/23290781130136 5. Crisma, M., Bascelli, E., Paci, D., & Romito, P. (2004). Adolescents who experienced sexual abuse: Fears, needs and impediments to disclosure. Child Abuse and Neglect, 28, 1035-1048. 6. RAINN. Talking to your child if you suspect that they are being sexually abused. Retrieved from http://www.rainn.org/get-information/types-of-sexual-assault/child-sexual-abuse/ if-you-suspect 7. London, K., Bruck, M., Ceci, S.J., & Shuman, D.W. (2005). Disclosure of child sexual abuse. What does the research tell us about the ways that children tell? Psychology, Public Policy, and Law, 11 (1), 194-226. 8. National ChildTraumatic Stress Network. (2009). Coping with the shock of intrafamilial sexual abuse. Retrieved from http://nctsn.org/nctsn_assets/pdfs/caring/intrafamilialabuse.pdf 9. Lanktree, C., & Briere, J. (2008). Integrative treatment of complex trauma for children (ITCT-C): A guide for the treatment of multiply-traumatized children aged eight to twelve years. Retrieved from http://johnbriere.com/articles.htm 10.National Child Traumatic Stress Network. (2009). What to do if your child discloses sexual abuse. Retrieved from http://www.nctsn.org/sites/default/files/assets/pdfs/disclosure. pdf 11.Better Health Channel. (2012). Sexual abuse: how parents can help their child. Retrieved from http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Sexual_abuse_ how_parents_can_help_their_child Sexual Abuse 74 Teaching Sexuality in the Home Pornography and Other Technology-Related Concerns What is pornography? Is it helpful or harmful? These questions can provoke intense emotional responses and lengthy debates. Pornography has been used as a tool to enhance sexual relationships, yet it has also been used to replace or undermined intimate partner relationships.1,2 This chapter will relay evidenced-based research that will assist you in finding your own answers to these questions. In attempting to define pornography, people have struggled to create arbitrary boundaries between pornographic and non-pornographic materials. Does pornography have to include sexual acts such as oral, vaginal, or anal sex or masturbation? Or is it any genital nudity? These specific definitions have been debated because they exclude such things as sexually explicit literature, sexual fetishes, phone sex, or even sexual animation. Is pornography better defined using broad generalities such as “the intent to arouse”? While this would certainly include all of the pornographic tributaries, it would also include things that many people may not define as pornography, such as sensual kissing or sexual gestures. Pornography, like many grey areas, seems to be highly influenced by morals, Pornography and Other Technology-Related Concerns 76 cultures and individual preferences. You must decide what you consider to be pornography and use that as a guide when teaching your children about pornography. As you refine your definition and purpose of pornography, you will be more prepared to have intentional and informative conversations with your children. Opening the lines of communication will help you identify what your child is being exposed to and what their understanding of pornography is. These conversations allow you the opportunity to instruct your children on the effects of pornography and how to better protect themselves from unwanted exposure. Understanding research regarding pornography assists parents in explaining the consequences that have been associated with pornography use. Some of the effects from viewing sexually explicit materials include: increased sexual activity, increased likelihood of getting pregnant, and decreased sexual and relationship satisfaction.1,3,4 If you are concerned that your child will be exposed to or will purposely seek out pornographic materials, you can consider managing the type of media that will be accepted and promoted in your home. The quality and quantity of media found in the home has been found to effect a person’s beliefs and behaviors.5 Carefully teaching and reinforcing the type of media your children watch can have a strong effect on a child’s sexual understanding and development. While both sexes view pornography, males are far more likely to become regularly involved in doing so.1 In addition, pornography exposure that occurs at a young age is associated with more regular use and more extreme pornographic images later on.6 Exposure to pornography during childhood is also connected with behavioral, cognitive and emotional issues, such as depression and defiance.6 Knowing what to look for can help you be more intentional in addressing pornography use earlier. What if I recognize the warning signs of pornography usage? Upon recognizing the warning signs that a child is viewing pornography, it may be time for you to intervene. There is no best method for talking to your children about pornography. It is important, however, to react calmly when discovering that there may be a problem. A harsh interrogation has the potential to shut down the child and can lead to shame. Shame can often lead the child to act out with more pornography usage. When approaching your child to talk about pornography, make sure it is done in a sensitive matter. Teaching Sexuality in the Home 77 Be careful not to jump to conclusions about your child’s behavior, but seek to understand what led your child to use pornography in the first place. It is essential to create a safe environment and encourage an open dialogue between your child and yourself. It can be difficult and awkward to talk to your children about pornography. Consider talking with a spouse or trusted friend for specific ways to bring up the topic and appropriate questions to ask your child. Every child is different and you should be sensitive to address the topic in a manner fitting to your child’s personality. A few questions to consider include: • Was this my child’s first exposure? • What did my child see? • Did my child view pornography intentionally? • How long has my child been viewing pornography? • How can I prevent future occurrences? • Has my child’s pornography usage turned into an addiction? • Should I seek professional help for my child? How do I know if my child has a pornography addiction? Your child may have accidentally encountered pornography on the internet, through printed media, through sexting, or been introduced by a friend. These encounters with pornographic material can be a cause for concern. However, such encounters do not mean your child has a pornography addiction. Pornography addiction is much more involved and becomes a central obsession in the child’s life. Addiction can be defined as a “term used to describe an uncontrollable compulsion to repeat a behavior regardless of its negative consequences.”7 Pornography addiction is the “compulsive attempt to meet legitimate emotional needs through viewing pornography and seeking sexual gratification, generally through masturbation.”7 These definitions can be helpful as you consider whether your child has reached a point with pornography usage that may require additional support and treatment. The following list has commonly accepted criteria for pornography addiction: • Recurrent failure to resist impulses to view pornography • More extensive/longer viewing of pornography than intended • Ongoing, but unsuccessful, efforts to stop, reduce, or control behavior Pornography and Other Technology-Related Concerns 78 • Excessive amount of time spent obtaining pornography, viewing pornography, and/or being sexual—either through masturbation or with another person or object, or recovering from sexual experiences • Feeling preoccupied with fantasy, sexualized thoughts, and/or preparatory activities • Viewing pornography takes significant time away from obligations: occupational, academic, domestic, or social • Continuation of behavior despite consequences • Tolerance - More frequent or intense pornography is needed over time to obtain the desired result • Deliberately limiting social, occupational, or recreational activities in order to keep time open for finding and viewing pornography • Withdrawal - Distress, restlessness, or irritability if unable to view pornography. Symptoms may also include: dizziness, body aches, headaches, sleeplessness, anxiety, mood swings, and depression. Where can I get help for my child’s pornography addiction? For parents whose children accidentally encountered pornography, curiously explored pornography, or even repeatedly sought ought pornography, there are ample resources to help your child limit or block their exposure to pornography. The following list may be helpful in limiting access to pornography: • Internet filter on computers and electronic devices • Parental locks on computers, televisions, and electronic devices • Establishing a curfew for when children must stop using electronic devices • Keeping the computer and electronic devices in a high-traffic room • Setting rules, limits, and expectations with your children • Regularly checking up with children to monitor progress • Educating children on the addictive nature of pornography If your child has developed a pornography addiction, greater interventions may be needed in addition to the list above. Such interventions may include self-help books on overcoming pornography addiction, Teaching Sexuality in the Home 79 therapy, or even an addiction recovery program. In deciding how to best protect your child from pornography, it is important to understand the sexual content that your child might encounter while using media or social media. Media Regardless of your personal values regarding sexuality, it is important to keep in mind that media is a prominent part of the culture that your children are growing up in and can be very influential in their lives. Therefore, it is important to consider your own values and what you want your children to know and gain from their media experience. The intent of this section is not to influence you to encourage or restrict your children’s media use; rather, this section is to make you aware of what your children will likely encounter so you can be informed as you make decisions regarding their media use. Media is a broad term that includes many different mediums. In this section we will discuss: books, television, movies, music, video games, cell phone usage, and social media. Books Reading is an important aspect of your child’s educational and social development. Keep in mind that it is likely that not all literature will align with your values. Some books promote abstinence while others celebrate the free expression of sexuality. Being mindful of the types of books that your children are reading and the content therein will help you to more effectively talk to your children about what they might encounter in books and how the content fits in with your family’s value system. Something else to consider is at what age you are comfortable with your children reading various types of literature. Some books may not be appropriate for younger children. Refer to chapters two and three -along with using your own values- for age appropriate sexual education and judge accordingly. Television and Movies Television and movies constitute the largest medium that children encounter. It is estimated that the average teenager spends over two and a half hours in front of the television per day.8 Sexual content is becoming more and more explicit on television. What was once banned on television is now on Primetime. Keep in mind that certain channels contain more explicit sexual material than others. Some television channels are Pornography and Other Technology-Related Concerns 80 geared toward an adult audience and if you are not comfortable with your children watching these channels, you may consider blocking them. Something else to consider is the commercials presented during television shows. Even if the program that your child is watching is consistent with your values, the things that your children see during commercial breaks may not be. An additional consideration is that movie ratings do not necessarily mean the same thing that they did when you were young. Content that was only found in R rated movies is now often included in PG-13 movies. If you have concerns about what your child will be exposed to when going to the movies, you can find out why the movie received the rating that it did and what types of sexual material it includes, and make a decision from there. One website that allows you to do this is http://www. kids-in-mind.com. Music Music is another large part of many young people’s world. Often the lyrics to songs include subtle and not so subtle sexual innuendos. If you are concerned about the messages your children are getting in their music, consider listening to your children’s music.There are various websites that provide song lyrics, allowing you to decide if your child’s music choices match your values. Video Games Some video games are becoming increasingly explicit in their sexual content. Understanding video game ratings is helpful for understanding what level of sexual content is present in a video game. Video games that are rated “E” (everyone) typically do not include sexual material, and are intended for all ages. “E10+” (everyone age 10+) games may contain minimal suggestive themes, and are intended for children over age 10. “T” (teen) games may contain suggestive themes and/or crude humor, and are intended for ages 13 and up. “M” (mature) games may contain sexual content, and are considered appropriate for ages 17 and up. “Adult Only” games may contain explicit sexual content, and are intended for ages 18 and up. For more information on video game ratings, see http:// www.esrb.org/ratings/ratings_guide.jsp. It is important to decide what video games fit with your value system, and discuss this with your child. Teaching Sexuality in the Home 81 Cell Phones Cell phones can be very useful, and many children have access to a cell phone from a young age. However, cell phone use can be dangerous as well. While texting can be innocent, there is a form of texting that contains sexual elements. Sexting is a term that means texting plus sex. Sexting includes many things, such as sending or receiving sexually suggestive, partially nude, or nude pictures via a picture text message.9 Cell phones can also be used to send text messages with sexually suggestive themes. Research indicates that sexting can lead to an increase in several risky behaviors, such as early sexual behavior, unwanted pregnancy, substance abuse, etc.9 Identify what cell phone behaviors you are uncomfortable with and openly discuss these with your children. Establishing cell phone usage rules and limitations that fit within your family’s value system may be helpful. For example, if your child has the ability to send text messages, you may set limits on who they can text, how late they can stay up texting, and what content is inappropriate to discuss in a text message. You can also communicate what types of pictures are inappropriate for picture texts. Some parents may choose to let their children know that they will monitor the text messages they send. Youth who sext have an increased risk of:9 • Earlier sexual behavior • Promiscuity • Sexually transmitted diseases • Unwanted Pregnancy • Substance Abuse • Bullying and Cyberbullying • Arrest and Incarceration • Shame and Guilt • Depression • Suicide • Sexual Abuse or Child Pornography Charges Social Media Social media is a booming industry. Social media is defined as “any website that allows social interaction.”10 Your children can connect with people from all over the globe, strangers and friends, old and young.They can be in instant contact with people from all over the world, which also means that anyone all over the world can talk with your children. For Pornography and Other Technology-Related Concerns 82 those children that have smart phones, ipods, and tablets, this access is even more instant and constant. Social media brings about much good in the world and allows your children to share their values with a large audience, but, consequently, their values may also be influenced by this large audience. Social media presents a lot of dangers, such as your children being exposed to sexually explicit content, sharing too much personal information with strangers, or being connected to sexual predators. The information presented below is meant to increase your awareness of what your child may be exposed too so that you can make a decision regarding limitations and restrictions of social media based on your value system. It is important to note that the following is not an exhaustive list; new social media sites and apps are constantly being produced, but this list will give you a good idea of the most popular sites at this time. Youtube Youtube is a site that allows anyone to publish videos. There are many uplifting videos on Youtube, but keep in mind that there are few restrictions made on what can be posted. Videos on this site appeal to a variety of audiences and age groups and some videos contain sexual content. One feature of this site is that when you are finished watching a video it will show suggested videos; because of this, you can watch an appropriate video and then be given an explicit video as a suggestion. It is also important to note that anyone can post videos to Youtube, including your children. Talk with your children about what is appropriate to post and what is not, according to your value system. If you want, you can set restrictions on your computer about the types of videos your child can access. At the bottom of any Youtube webpage, click the box that says Safety: Off, then click the On button. This will provide some safety for your children on Youtube. On the Youtube app, swipe the page to the right and click on the settings buttons. Then, click the “safe search filtering” and click “strict”. Snapchat Snapchat is a phone app that allows users to send a photo to a small group of friends who can then view it for a few seconds. The minimum age to use Snapchat is 13; when you download the app it will ask for a date of birth, and if the age is under 13 it will download SnapKidz. SnapKidz does not allow users to send pictures. Keep in mind that it is easy for Teaching Sexuality in the Home 83 a child to lie about their birth year to gain access to the full app. This app is commonly used to send fun and goofy pictures to friends. However, it does have a reputation as being a “sexting app” and can be used as such. One way to make sure your child is safe while using Snapchat is to have a conversation with them about having respect for themselves and others.11 Tumblr Tumblr is a blogging site that allows users to post blog entries on the site and follow other users. When creating an account, you select topics that you are interested in, and then the content that is displayed in your feed is geared toward your declared interests. It is important to note that this site is designed to be 17+. This means that when signing up for this site you are not able to create an account if your birthday shows that you are younger than 17. This suggests that the content is geared for an adult audience. Like other sites discussed, it is easy for children to lie about their age to be able to create an account. Another feature of this site is its relative lack of security; you are not able to set restrictions. Keep in mind that your child may encounter explicit content on this site. This site also allows you to message and contact other users on the site. Users are on the site under a different name and without a picture. Therefore, it is difficult to tell who your child is communicating with. If you have the restrictions setting turned on on your child’s cell phone, they will not be able to download this app due to its 17+ requirement. Facebook Facebook is certainly one of the most common social media sites. Facebook is a website where you can connect with friends, post pictures, share status updates, and chat privately with friends. Facebook provides the ability to restrict access and content. It is possible to make your account private and unsearchable.You can also make the content private so people have to “add you as a friend” before they can see your pictures. Keep in mind that there are different layers of privacy that you might want to apply. For example, there is a picture setting that allows you to choose who can see the pictures you post on Facebook. The three options are: only friends, friends of friends, or anyone. If you select the “friends of friends” option, and a friend “likes” your photo, your photo will show in their newsfeed and can be seen by all of their friends. How much privacy you want your children to apply to their account is up to your discretion, and being aware of the privacy options possible will aid you to teach these Pornography and Other Technology-Related Concerns 84 things to your child and feel more secure in letting your child connect with their friends on Facebook. Sexual content is limited on this website. Users have the option to report inappropriate content and Facebook will make an effort to remove it from the site. Just be aware that your child might encounter material that is too mature for their age and/or against your value system that may not be explicit enough to report. The site requires you to enter your birthday when signing up. Facebook provides extra protection to users that are between 13-17 years of age (individuals under the age of 13 will not be allowed to sign up). It is not uncommon for children to lie about their age when creating a Facebook account. Monitoring your child’s friends, pictures, and other content, as well as talking openly with your children, can be an effective means of ensuring you know what your child is encountering. One way to monitor their activity is to create your own Facebook account and “friend” them. Some parents find that knowing all their children’s passwords to their social media sites is another helpful means of monitoring. However, be cautious in how much you choose to monitor, because too much control might lead your children to create another account and use it without your knowledge. Twitter Twitter is a social networking site which allows users to send short texts called “tweets.” Each user designs a unique username and may or may not have their name associated with this username. Twitter does not have many restrictions. It is possible for your child to encounter “tweets” that present information that is against your value system or inappropriate for your child’s age. Vine Vine is a social media app that allows the user to record and share short looping videos. This app comes with some of the same risks as other sites. Despite efforts to monitor the videos posted by users, sexually explicit content still circulates.12 Instagram Instagram is a social media site that allows users to post and view pictures. Users have the option to make their profile public or private. Making a profile public allows any user to “follow” you or, in other words, be able to view all of your pictures. When a profile is private, the user has to approve anyone requesting to follow them. In deciding whether Teaching Sexuality in the Home 85 your child’s profile should be private or public, consider your own values and the maturity level of your child. This site is relatively safe, but a child could encounter and/or post provocative photos. One way that you can monitor your child’s use of this site is to create your own profile and “follow” your child. Blogs Blogs more commonly allow people to publish their written thoughts on the internet. There are many different blogs based around various topics. Like all other things on the internet, your child could encounter sexually explicit content on a blog. One of the major concerns with blogging is that it is easy to share too much information. This is a dangerous trap that may make your child an easier target for online sexual predators. It may be helpful to have a conversation with your child about what is appropriate information to share and what is not. Help them understand the dangers of giving personal information, such as their address, phone number, where they go to school, etc. To monitor what your child posts, consider reviewing what your child has written before they post it online or follow their blog.13 Tinder Tinder is an app designed for dating. An individual makes a profile that includes two or five pictures. They are then shown a series of people of the opposite gender and if they like what they see they swipe one way and, if not, they ignore it. Meanwhile, their profile is being shown to users of the opposite sex. If you “like” someone who has also “liked” your profile you are matched.You have the option to chat with any matches on the app, where you can share more personal and contact information if you choose. While this application was originally designed with dating in mind, many users use it to “hook-up”. Chat Rooms Chat rooms are websites that allow people to communicate via typing messages to other people over the internet. The socialization that occurs in a chat room can be positive. However, there are some potential dangers to be aware of when letting your child use chat rooms. Due to the online nature of chat rooms, your child will likely be chatting with strangers that they meet online. These strangers could lie about their identity and portray themselves as youths or members of the opposite sex when in reality they are not. They may ask your child for personal or Pornography and Other Technology-Related Concerns 86 contact information. Some may introduce your children to sexual material. Others may ask your children to meet them in real life. For example, a sexual predator might pretend to be a teenager who wants to meet up to hang out with your child. Identify what behaviors you are comfortable with and discuss them openly and lovingly with your child. Involving your child in the establishment of rules or limits that will fit with your family’s value system will increase the likelihood that your child will follow the rules. It may be beneficial to be specific with your child regarding what personal information they are allowed to share in a chat room. You may choose to monitor the conversations your child has in a chat room. If this is the case, consider letting your child know you will be reading their conversations beforehand so you can address and frustrations they have in an understanding way. Sometimes your child will want to do something in a chat room you are not comfortable with. For example, it can be tempting for a child who feels like they have developed a friendship with someone in a chat room to want to go meet them in real life if the person asks them to. Be willing to be patient with your child and explain that because you love them and want them to be safe this might not be an option. Work with them to establish rules on what they can and cannot do. For instance, some parents might be willing to let their child meet someone from a chat room as long as they go with the child. Create rules that fit with your value system. Restrictions The type and amount of restrictions you put on your child’s social media sites should be based on your personal and family values and the maturity level of your child. Presented here are a few tips on how to set restrictions. On an iPhone, you can set restrictions on the use of various apps, such as whether apps can be deleted, whether apps can be added, and various other things. If you choose to set these restrictions on your child’s iPhone, iPod, or iPad, you will have to enter a password before any action can be taken. The types of media that your child will encounter are vast and it will likely be hard for you to set enough restrictions to ensure that your child will not encounter any explicit material. Therefore, in addition to restrictions, it is necessary to cultivate an environment of open, honest Teaching Sexuality in the Home 87 discussion where children will feel comfortable asking questions and reporting anything that they saw that they were not comfortable with. Social media is a large part of life and it is hard to avoid. Set restrictions that align with your values, but keep in mind that youth can and often will find access to it. By banning all use of social media, children may go behind your back and use it anyway. The best way to monitor what your children do is to foster an open relationship and explain your values. Being “friends” with or “following” your child on their various social media accounts is a useful way to monitor what they are doing. However, keep in mind that it is not uncommon for children to create a fake account where they can exhibit different types of behavior where their parents cannot see. Therefore, the best way to monitor and protect your child’s use on social media is to establish an open, honest relationship with them. Discuss these things with them early and often. If you approach the conversation with genuine interest about your child’s use of social media, they will likely be excited to explain and share their favorite sites with you. If the conversation is approached with fear and in an intrusive manner, they will likely become defensive and shut down.11 Things to Remember • The restrictions and guides you might decide to establish could be different as your child ages. For example, a website that you would not feel comfortable letting your 10 year old create an account on might be appropriate for your 16 year old. • Some apps are 17+ • Digital Footprint- Anything done online can be traced. Many college admissions offices and potential employers will search names and learn about an individual based on what they have posted online. People have lost jobs and received rejection letters due to their inappropriate use of social media. Help your child understand that the way their social media use can have lasting consequences. Terms to Know App: App is short for application. When used in this form, it refers to applications found on smart phones, iPods, and iPads. Blog: A discussion or informational site posted on the internet. Pornography and Other Technology-Related Concerns 88 Hashtag: A hashtag (#) is a key word from a tweet or a post that then becomes searchable. For example: #socialmediasafety Hook-up: A one time sexual encounter with someone who is a stranger, acquaintance, or friend. This encounter may or may not include sexual intercourse.14 For example, a one night stand is considered to be a hookup. References 1. Carroll, J. S., Padilla-Walker, L. M., Nelson, L. J., Olson, C. D., Barry, C. M., & Madsen, S. D. (2008). Generation xxx pornography acceptance and use among emerging adults. Journal of Adolescent Research, 23(1), 6-30. 2. Bleakley, A., Hennessy, M., Fishbein, M., Jordan, A. (2008). It works both ways: The relationship between exposure to sexual content in the media and adolescent sexual behavior. Media Psychology, 11(4), 443-461. 3. Ybarra, M. (2005). Exposure to internet pornography among children and adolescents: A national survey. Cyberpsychology & Behavior, 8(5), 473-486. 4. Chandra, A., Martino, S. C., Collins, R. L., Elliott, M. N., Berry, S. H., Kanouse, D. E., & Miu, A. (2008). Does watching sex on television predict teen pregnancy? Findings from a national longitudinal survey of youth. Pediatrics, 122(5), 1047-1054. 5. Sabina, C. (2008). The nature and dynamics of internet pornography exposure for youth. Cyberpsychology & Behavior, 11(6), 691-693. 6. Ibid. 7. Skinner, K. B. (2005).Treating pornography addiction:The essential tools for recovery. Provo, Utah: Growth Climate Inc. 8. 8. Rideout, V. J., Foehr, U. G., & Roberts, D. F. (2010). Generation M2: Media in the Lives of 8 to 18 year olds. The Henry J. Kaiser Family Foundation. Retrieved from http:// kaiserfamilyfoundation.files.wordpress.com/2013/01/8010.pdf 9. Ahern, N. R., & Mechling, B.(2013) Sexting: Serious problems for youth. Journal of Psychosocial Nursing & Mental Health Services, 51(7), 22-30. 10.American Academy of Pediatrics (2011) Clinical report: The impact of social media on children, adolescents, and families. Pediatrics, 127(4), 800-804. doi:10.1542/peds.20110054http://www.connectsafely.org/wp-content/uploads/snapchat_guide.pdf 11.Connect Safely (2013). A parents’ guide to Snapchat. Retrieved from http://www. connectsafely.org/wp-content/uploads/snapchat_guide.pdf 12.Kay, M. (2013). Vine: What it is and what parents need to know. Retrieved from http:// internet-safety.yoursphere.com/2013/06/vine-what-it-is-and-what-parents-need-to-know/ 13.Microsoft (2014). Safety tips on blogging. Retrieved from http://www.microsoft.com/ security/family-safety/blogging.aspx 14.Fortunato, L., Young, A. M., Boyd, C. J., & Fons, C. E. (2010). Hook-up sexual experiences and problem behaviors among adolescents. Journal of Child and Adolescent Substance Abuse, 19, 261-278. doi:10.1080/1067828X.2010.488965 Teaching Sexuality in the Home Skills to Teach Your Children The purpose of this chapter is to provide you with the skills to teach your child how to be safe. It is important to recognize that sometimes bad things happen that you could not have stopped. However, by teaching your children these skills, you will provide them with tools that can help keep them safe. The following skills will help you teach your child to be assertive and resilient in order to help them be as prepared for situations where they may be at risk. How to Teach Your Child to be Assertive Teaching the Skill of Communication In order for your child to become assertive, he or she must learn how to communicate openly, honestly, and straightforwardly. As a parent, it is a great opportunity for you to model assertive behavior for your child. Your child will watch your interactions with friends, family members, and colleagues, and this is a positive way to show your child what it means to be assertive.1 A skill that is of great value to teach your child is how to express negative thoughts in a way that is healthy. If your child comes home from school looking unhappy, encourage your child to talk to you concerning what they are experiencing. Express to them that it is Skills to TeachYour Children 90 a safe place for them to talk to you. It is vital that your child learns how to confront others and express their values. For example, if your child is being bullied at school, teach your child how to confront the situation assertively and how to talk to the other child.2 This skill helps if your child is in an unsafe situation. If your child has established a pattern of expressing their thoughts, it will be easier for them to be assertive at times when they are feeling unsafe. Teach your child how to say “no”. Additionally, teach your child about safety through a discussion of who you consider safe people and places in your child’s life. Help your child create a list of these people and places. Instill in your child that strangers are not safe people and to stay out of situations where the child is not in a safe place or near safe people. Once you have helped your child learn how to express their thoughts, it is imperative that you teach your child how to say “no” to unsafe people and situations. Teach your children that they can choose and give them the confidence to say “no” to things that they are not comfortable.You can practice this with your child by giving them scenarios and asking how the child how he or she would respond.3 Giving young children the opportunity to talk to adults is another way to improve their communication skills. For example, when going out to a restaurant allow your children to place their own orders. This gives the child an opportunity to learn to speak up and talk to an adult. When shopping at the grocery store, if your child has a question, let your child ask an employee the question. Many parents may take their children to the library and this is another opportunity to let your child learn to do the talking and become more comfortable speaking to adults. If your child wants to find a specific book, let him or her ask the librarian. Other simple ways that can help a child to learn to communicate is to spend time each day listening to your child and encouraging him or her to express their ideas. Create a safe place that is positive and non-judgmental. As a parent, if you learn to intentionally listen when your children are young, then when your children are older they will feel more comfortable coming to you to talk about the important things in their lives.1 Teaching the Skill of Expressing Feelings A skill that is important for children to learn is how to express their feelings to you. To teach your child this skill, it is necessary for you to help your child understand why accurately identifying emotions is important and why it is important to be able to talk about their feelings Teaching Sexuality in the Home 91 with those whom they trust. Once you have laid this foundation, you can practice by having your child identify as many emotions as possible.When you have established a comfortable dialogue with your child, you will be able to ask them how they are feeling if you ever feel concern for their safety or well-being. When you open this dialogue it is essential to be a good listener and try to understand how your child is really feeling. This will teach your child that their thoughts and feelings are important and that they have a right to express them.Your child will begin to understand that he or she deserves to be treated with respect.4 Along with this ability to express emotion is teaching your child to identify their needs and wants and to ask for them. A child must understand that asking for their needs and wants is an acceptable behavior. As children learn to do this they will increase their ability to be assertive. If a situation arises where your child expresses to you that he or she is upset, question them to figure out why and encourage him or her to tell you what needs are not being met. As you make this a norm in your relationship with your child, your child will learn how to be assertive. The old adage that honesty is the best policy still holds true today and this skill is best taught by example of the parents.3 Teaching Your Child Mindfulness and Coping Skills Mindfulness is a skill that can help your child develop assertiveness. If your child is taught how to be aware of what his or her mind and gut are saying and how to listen to them, your child will be better prepared to be assertive in situations that are uncomfortable and unsafe.Teach your child to listen to these feelings in their gut, mind and heart and how to talk to someone that is a safe person about how they are feeling.3 Helping your child to learn to self-soothe through coping techniques when they encounter difficult circumstances is an important way assist your child during stressful times. One way to discover things that can be used as coping strategies is to have a brainstorming session with your child about things he or she likes to do. For example, if your child likes to play basketball, he or she can go out and shoot some hoops when feeling stressed and overwhelmed. This kind of physical activity can help children keep their mind and body busy. Other children may choose to draw a picture, play a musical instrument, etc. These coping skills will be vital to building assertiveness in your child and also in assisting recovery in children who have been abused.4 If your child has been abused, it is important to teach your child how to “surf the urge” (to not act out on imSkills to TeachYour Children 92 pulses). Abuse can cause a child to have impulses and cravings to arouse themselves or act out on others. These cravings rarely last longer than 30 minutes, so it can be helpful for children to learn to distract themselves with the coping skills mentioned above, to “ride out” the urge.5 Teaching Your Child to be Resilient There are some basic things that you can do as a parent to teach your child how to be resilient. By teaching your child skills like how to take care of him or herself, such as how to clean his or her own bedroom, dress him or herself, or brush his or her own teeth (age permitting), your child will feel empowered. This can also be achieved through involving your child in extra-curricular activities, like playing an instrument or a sport.This can provide your child with feelings of empowerment through the mastery of a skill. Another method is having your child care for a pet in order to give them a feeling of ownership. By allowing your child to take on some responsibilities and teaching them skills of how to care for themselves, your child’s vulnerabilities will decrease. Help your children learn how to set small goals and how to achieve them. Starting with small goals allows a child to feel success.Your child will be more resilient, which in turn can lead to increased assertiveness in difficult or unsafe circumstances that your child may face.4 Teaching Your Child to be a Leader Teach your child to be a leader through giving them courage to stand up and lead when it is needed. Children will need confidence to step out and lead, especially when no peers are taking that first step to do so. Teaching your child to be confident from a young age can be achieved through positive reinforcement when a child takes the initiative to do something kind or helpful on his or her own.6 Building confidence in your child can also be achieved by finding ways to nurture positive elements in their life. A child that has the skills of a leader will be able to stand up for their values and beliefs. They will have the confidence to know how to face opposition, ridicule and rejection and pressure from their peers.3 Another way to build confidence and teach leadership in children is to lead by example. Children are very perceptive and know when there is a double standard in the family. If your child should be put in a difficult or uncomfortable position while with a group of peers, the ability to be a leader, to step forward and to say “no” to something that does not feel Teaching Sexuality in the Home 93 right, a valuable skill. In addition, to teach your child to be a leader and to be resilient is to teach him or her how to make a decision. Helping a child to choose between two options and identify what the various results would be for each option is a way to help your child learn to make decisions. Learning how to weigh consequences and logically think of outcomes is a skill that will benefit your child.6 A child that learns the above listed skills will have the ability to make difficult choices when put in an uncomfortable or unsafe situation. 1 References 1. Miller, L. (2006 , March).What can I teach my child. Retrieved from: http://www.uscucedd. org/downloads/products_publications/parent_resources/keeping_safe/ 2. Tartakovsky, M. (2013). Raising Assertive Kids. Retrieved from: http://psychcentral.com/ lib/raising-assertive-kids/00011193 3. Health, D. O. (2008). Assert Yourself. Retrieved from: http://www.cci.health.wa.gov.au/ resources/infopax.cfm?Info_ID=51 4. Center, N. C. (2005).Trauma-Focused Cognitive Behavioral Therapy. Retrieved from: http:// tfcbt.musc.edu/ 5. Walsh, C. (2005). Urge Surfing. Retrieved from: http://www.mindfulness.org.au/urgesurfing-relapse-prevention/ 6. The survival mom. (2014). Retrieved from: http://thesurvivalmom.com/2012/07/07/7vital-skills-to-teach-your-children-that-willtrump-an-ivy-league-education/ Skills to TeachYour Children 94 Teaching Sexuality in the Home Resources This manual contains a variety of information to assist parents in knowing what, when, why, and how to talk to children about the topics revolved around sex. In the process of writing this manual, we discovered that we could not include all the information regarding this topic. In an effort to provide a much more comprehensive manual, this resource chapter was added. This chapter includes things like websites, articles, and agencies that can provide additional information that may not be included in the manual chapters. It should be noted that this list of resources is not a comprehensive list for all the resources in Utah on this topic. The information provided focuses on Utah residents; however, many of the resources can be accessed online wherever you are. It is important to know that the information provided in this chapter is intended to educate parents and children. These resources should be used as tools, so it is advised that you preview the material before showing it to their child. This is to insure that the resource coincides with your values system.When reviewing the resources listed, it is encouraged that you do not rely on the brief summary that is provided. Many of the resources provide many different types of services depending upon the different needs of each person or family.You will also notice that each of the resources have an area of focus in parenthesis. Some resources have the word “comprehensive” as their focus, meaning that the resource provided information about a lot of different aspects about sex. Websites Advocates for Youth Comprehensive An organization called Advocates for youth has a website that provides a lot of information about sex education. This organization provides sex educations for parents and youth. One of the interesting things that this website includes is several educational resources. The website has posted lesson plans and activities that you can use with your children. http://www.advocatesforyouth.org American Psychological Association Child sexual abuse What parents should know in relation to child and adolescent sexual abuse cannot all be contained in this manual. Additional knowledge Resources 96 pertaining to what the definition of sexual abuse is, what a victim is, what a perpetrator is, warning signs and symptomology expressed by gender and age, and further statistical descriptives are conveniently accessible through the following online resource: http://www.apa.org/pi/families/resources/child-sexual-abuse.aspx American Sexual Health Association Comprehensive The American Sexual Health Association has a website that promotes sexual health. This website provides information regarding STDs, condoms, teens and young adults talking about sex, reproductive health, and the reproductive system. This website not only provides a lot of information, but on the site there are references to even more resources, like books and videos. http://www.ashasexualhealth.org/ Center for Disease Control and Prevention Sexually Transmitted Diseases The Centers for Disease Control and Prevention (CDC) website provides information about sexually transmitted diseases (STDs). It includes information regarding how to get tested for an STD and what you can do to prevent and treat STDs. The CDC website is a great resource to answer all types of questions regarding STD’s. http://www.cdc.gov/ Darkness to Light End Child Sexual Abuse Child sexual abuse How and who to report to when there is suspicion of child and adolescent sexual abuse is vital knowledge to have. There are two common agencies where reports of child and adolescent sexual abuse are reported most: Child Protective Services and the Police. The following link provides detailed information of the reporting requirements found within each state. Depending on what state you reside, reporting mandates may differ. http://www.d2l.org/site/c.4dICIJOkGcISE/b.6069283/k.DEE1/ Reporting_Child_Sexual_Abuse_to_the_Authorities.htm Focus on the Family Adolescent education This is a Christian-based resource that provides a variety of information for families. This website provides parents with general knowlTeaching Sexuality in the Home 97 edge about parenting roles and challenges. On the site there is a section titled “Sexuality”. Inside that link you will find information about how to teach children about their sexuality. http://www.focusonthefamily.com Growing Up Comes First Preadolescent education One teaching tool used to present information to pre-adolescent children is the website Growing up comes first. This website provides information about puberty and identifies the different changes that boys and girls experience during puberty. There is a short maturation video and diagrams of human anatomy that can be used as an educational tool. It is recommended that parents preview any of this information prior to sharing information from the website with a child. This will allow parents to determine if the information that is being taught by this website is congruent with their values. http://www.growingupcomesfirst.org/ Kids in Mind Media sexual content This website gives parents a rating of sex & nudity, violence & gore, and profanity in movies. It also provides a more detailed description of the content contained in it. This allows parents to read reviews of movies to decide whether a movie is appropriate for their children. http://www.kids-in-mind.com National Association of School Psychologists Internet safety Thirteen strategic guidelines for keeping your children safe, creating online safety contracts between parents and child, and how and who to report to when there is suspicion of an online predator are emphasized simplistically for parents below: http://www.nasponline.org/publications/cq/cq342internetsafety_ho.aspx National Association for Research & Therapy of Homosexuality Same-sex Attraction This online resource provides sixteen tips to help parents struggling with a child with same-sex attraction, that attempt to keep the relationship intact and long lasting. http://www.narth.org/docs/tips.html Resources 98 Local Sexual Abuse Resources The following are agencies located in Utah that deal with sexual abuse of any severity. The Center for Women & Children in Crisis For women and children suffering from domestic violence or sexual assault. Locations in Utah, Wasatch, and Juab counties. 24 Hour Hotline: (801) 377-5500 Children’s Jusice Center For children, teenagers and their parents. 257 11th Avenue Salt Lake City, UT 84103 (385) 468-4560 315 South 100 East Provo, UT 84606 (801) 851-8554 8282 South 2200 West, West Jordan, Utah 84088 (385) 468-4580 98 South 100 East Farmington, UT 84025 (801) 451-3560 C.Y. Roby and Associates For juvenile and adult sex offenders. 768 East 400 South Orem, UT 84097 (801) 225-5451 LDS Family Services Comprehensive 1672 W 700 S, Ste D Springville, UT 84663 (801) 489-9721 3740 W Market Ctr Dr Riverton, UT 84065 (801) 240-9436 1190 North 900 East Provo, UT 84604 (801) 422-7620 615 East 8400 South Sandy, UT 84070 (801) 566-2556 435 South 500 East American Fork, UT 84003 (801) 216-8000 724 East 2100 South Salt Lake City, UT 84106 (801) 487-0499 Teaching Sexuality in the Home 99 132 S State St Salt Lake City, UT 84111 (801) 240-6808 Family Support & Treament Center For child sex abuse. 1255 North 1200 West Orem, UT 84057 (801) 229-1181 ISAT For victims and sex offenders. 1555 West 2200 South, Suite A West Valley City, UT 84119 (801) 886-8900 valcarbe@earthlink.net LIfeStar For sexual and pornography addictions. 151 East 5600 South, Suite 300 Murray, UT 84107 (801) 462-2150 (888) 980-1600 info@lifestariop.com Resources 100 Teaching Sexuality in the Home Techniques Communication Work on your parent-child communication in many settings so when you talk to your child about sex it will seem natural and normal. Teach your child listening and speaking skills and increase your one-onone time with your child, that way your children will feel comfortable talking to you about sex and asking questions. Put specific emphasis on sharing your values with your children. Your children get information about sex elsewhere, such as at school, from friends, and the internet, but they rarely are taught values in these places. When your child approaches you with a sexually-related question or comment, you should not humiliate or embarrass the child in any way (e.g. by acting shocked, laughing, mockery, or acting appalled, disappointed or ashamed). Approach each question honestly. This helps keep the communication lines open between you and your child. Do not be funny or sarcastic when talking about sexual issues. Your children will misinterpret it. It is also important to not make talking about sex-related issues a big deal. This will probably make the child uncomfortable and they might be less likely to ask you questions or discuss their concerns with you in the future. The best way to do this is to create a safe environment where the child feels secure about asking questions, voicing concerns, and sharing thoughts. Parents have the ability to influence their children, and you want them to get sex information from you rather than someone else. Michelle Bahr, LCSW Randy Huntington, LCSW Eric Jenkins, LCSW Rick Clements, LCSW When to talk to your child A child should be getting some basic sex education by age five, the rationale being that with today’s society they will start encountering sex information earlier and earlier. Have ‘the talk’ every year with your children. As they grow older, they will need updated information. Start small for younger children, but keep expanding as they grow. They will have questions, so be open and honest. Techniques 102 Saying too much too soon can be inappropriate for children. Share with them at age appropriate levels, ideally before they are finding out information from unreliable or inappropriate sources. By eight years old, children should have an understanding of where babies come from because if they do not hear it from you, they will hear it from someone else. Remember that if they are old enough to ask questions about sex and babies they are old enough for an age-appropriate answer. You should be aware and cautious of age appropriate disclosure and teaching. When your child approaches you, it is not necessary that you share in graphic detail or go into additional aspects of sexuality that are less related to the specific aspect of sex inquired by your child. For example, if your child approaches you and asks what a vagina is, you do not need to go into discussion about how when a female is aroused her vagina secretes fluids that make back and forth movement of the penis in her vagina more comfortable. Rick Clements, LCSW Bobbie Pugh, CSW Mike Gardner, MFT Jackie Webb, LCSW Preparing to talk to your children about sex You have to be comfortable talking about sex. If you are not comfortable, your children will be able to feel it and they will also be uncomfortable. Ask yourself, “What conversations have I already had with my child about sex?” This will allow you to get a feel for what has already been discussed and to see how comfortable you and your child are in regards to discussing sex. Anticipate questions that you may not be ready to address. Randy Huntington, LCSW Stop/Go Touches When talking to a child about appropriate touch, instead of referring to “good touches” and “bad touches” it is better to use the terms “Stop” touch and “Go” touch. The reason for this change in terms is to avoid problems in marriage where your child may struggle with seeing intimate touching between spouses as “bad touch.” For example, “If Mommy is changing your baby sister’s diaper that is a ‘Go’ touch,” or “If you need to see the doctor that is a ‘Go’ touch.” Most children understand Teaching Sexuality in the Home 103 the concept of “Stop” signs and “Go” as related to traffic; this comparison can be a good way to teach the concept of appropriate touch to children. Children’s Justice Center Use Proper Names for Anatomy When teaching sexual body parts, use the proper biological names, i.e. penis and vagina or neutral terms (private parts), but not slang words for genital body parts. To do so may send the message to your children that there is something shameful about these parts of the body. These body parts are not sexual to a child and we should not teach our children that it is taboo to use the proper names in referring to them. Another reason to use appropriate names for anatomy is so they do not become confused or later embarrassed. Teaching the private nature of genitals is always appropriate. From: Randy Huntington, LCSW Name of the Technique: Parental “Why” Questions Questions that start with “Why...?” often lead to defensive responses. Think of questions such as “Why didn’t you take out the trash?” and “Why do you have a C in English?” These questions put us on the defensive because we feel like we’re being attacked or blamed. In order to create a safe environment for dialogue, it helps not to use “Why?” questions. Instead, try using questions that start with “What” or “How”. For example, “What was it about today that made it difficult to take out the trash?” Said gently, these questions can improve the environment to make way for dialogue. Eric Jenkins, LCSW Child “Why” Questions The “Why” questions children are notorious for asking have to deal with why they have to or cannot do something. “Why do I have to do the dishes?” “Why can’t I go to my friend’s house?” “Why do I have to go to church?” It is true that sometimes these questions are asked to be rebellious, challenging, or mean. But oftentimes the child asks them out of genuine curiosity or they hold those ulterior motives while harboring genuine curiosity underneath. Remember that teens are developing their ability to think in an abstract and complex manner, which means that they are seeking information in an attempt to understand and make good choices. Parents often find that if they respond quickly with “Because I said so” or “Because that’s what’s good for you” or “Because God says Techniques 104 so”, the dialogue shuts down and the relationship is hurt. By treating the question as a sincere one, the parent can show respect for the child by answering and showing that their questions are important. The answers need to be full and complete answers. It helps to ask the child if you have answered the question completely. After giving the child a full answer, the parent can then say, “Now that I have given you a complete answer, I expect you to live up to what we’ve discussed.” The parent can also add, “Because I want to answer your questions to the best of my ability, I expect you to ask more questions if you have them.” Eric Jenkins, LCSW Discuss Understanding Before Values When it comes to high-emotion conversations, parents will often attempt to enforce their values long before they seek to understand what led to their children not following them. For instance, if a child decides not to go to school, a parent might immediately yell, “You are going to school so get your butt out of bed and get going!” This often damages the parent-child relationship. One thing parents can do to build the relationship rather than hurt it is to discuss the difficulties the child is having before they start to bring out their values or expectations. Continuing from the example above, the parent might ask, “What is it about attending school today that is difficult?” Other options are: “Tell me about what you’re going through” and “What are the barriers to you being able to go to school today?” These questions help take judgment out of the question, if asked with genuine care. After discussing the situation and conveying love and support for the child going through the struggle, you can then discuss what you can do together that would help your child be able to attend school that day. This shows your child you value their thoughts and emotions and want to understand them before anything else. This does not mean that the expectation must be changed. For example, the child would still need to attend school and the parent may need to set a firm boundary. If the discussion is held and the child feels understood, the child can better understand that you are working to help the child. You can express empathy and understanding by saying, “I know that sometimes it is difficult to go to school,” and follow that with a clear statement of the expectation. Eric Jenkins, LCSW Teaching Sexuality in the Home 105 Beware the “But” Parents will often say something positive to their child and then finish what they are saying by commenting “but . . . ” For example, a parent might say, “You did really well washing the dishes, but you didn’t dry them correctly” or “You have a lot of really good grades, but I’m worried about this D.” By adding the “but” the child might discount the positive comment that was said immediately beforehand.This negates any relationship building efforts intended by the compliment. To avoid this, replace “but” with “and” or make them two separate sentences entirely. The sentences would then be “You did really well washing those dishes (elaborate on this positive). Also, I think the dishes could be dried better. Let me show you...” This will help keep the positive results of the compliment. It can also teach children that it is acceptable to have conflicting or multiple emotions. By focusing on their strengths, it shows you see them as strong. Eric Jenkins, LCSW Prefaces before Tough Questions When discussing difficult issues with a child (such as the topics discussed in this manual), it helps to preface the question. You might say, “I have a tough question for you; if it’s too difficult to answer right now, we’ll talk about it at a later time.” You could also say, “I think there are some things we need to talk about, and I have a really important question, but we’ll get to that later.” These prefaces show the child that the topic will need to be discussed but is being deferred, which tell the child that you are in control and not acting impulsively or out of anger. It helps them feel more at ease because you intimate that you understand the struggle that the topic may be for the child. It is also helpful to let the child know if he or she is not ready to answer the question, that the child can simply state, “I am not ready to talk about that,” rather than lying or making something up. This is still considered to be the truth. The parent should be mature enough to accept that the child is not lying, although he may be manipulating. Work with the child on ways that he or she can become comfortable with talking about the topic. Eric Jenkins, LCSW Techniques 106 Keys to Parenting Among the many keys to parenting, here are three important ones: 1.Consistency 2.Predictability 3.Safety For children to feel emotionally secure in the home, these three keys need to be implemented. Consistency and predictability help children feel secure because they can relax in such an environment. Anxiety and fear are diminished when they know what to expect. Children also need to know that their parents want their safety. If their parents’ home is safe from harmful behaviors, their anxiety at home will also be lower. This creates an environment where they can develop a trusting relationship with family members. Eric Jenkins, LCSW Building a Relationship with a Teen: 4 Principles Needs and Safety Abraham Maslow is renowned for his creation of a “hierarchy of needs”. If we look at a small portion of the hierarchy, he proposes that before a relationship with someone can be formed their physiological needs and safety needs must be met. For a parent to build a relationship with their teen, they must be sure those needs are met. Parents do this by consistently providing food, water, clothing, shelter, a healthy environment, consistent values, and meeting their psychological need for safety. Handling Confrontation with Love Confrontation can be a very healthy or a very unhealthy aspect of the parent-child relationship. Confrontation can build the relationship or tear it down. During confrontations (typically focused on misbehavior), the stereotypical parent uses yelling, name calling, and patronizing. For confrontation to both guide the child and build the relationship, it needs to be done with love. This means being calm, seeking to understand the child’s perspective, and even asking the child how he or she would like to be confronted. Telling and showing the child that the confrontation is being done with love, and a desire for their well-being (safety, happiness, etc.) is most effective at building the relationship while guiding the child. Teaching Sexuality in the Home 107 Value Their Opinions When a child feels like you value their opinions, they also feel like you value them. To show children that you value their opinion, listen to their opinions, do not mock their opinions, and even compliment them for their opinion, even it is a bit farfetched. When children ask questions, listen to the questions, try to find out if you understand what they are really asking, do your best to answer, and ask if you have answered their question completely. If you don’t know the answer, be honest by telling them you don’t know, but show them you value their question by looking for the answer and following-up with them.You can even involve them in the answer-seeking process. Trust them with Responsibility One way to build a trusting relationship with a child is to show that you trust them. Give them a responsibility that is important and let them know it’s because of your trust that they are being given the responsibility. If the trust levels are low, start small and build up.Your willingness to build trust and show trust can go a long way. Eric Jenkins, LCSW Special Play Time Special play time is a time for you, as the parent, to be the join with your child in play as an observer. Play is a young child’s language, and you can learn a great deal about the child’s world as you observe their play. Set aside time each day or week for special one-on-one time with your child. Let them lead the play. Do not ask questions such as, “What are you doing?” or “What’s that?” Allow the child to show you their world through their play. Be an observer. Become a sports announcer and describe to them their play-by-play. For example, “You put the truck next to the building.” Be an observer of their play, and participate if they invite you to play. Follow their lead. Ask what they want you to do, if you are unsure. Overall, simply observe and be with your child. Let your child express themselves through play. Warnings: Beware of any out of the ordinary play behavior. If your child has encountered an inappropriate sexual experience, chances are it will come out in their play. If the child becomes a danger to themselves or to you, as the parent, take action and step in. (Refer to the Assessing/ Interviewing Children for Sexual Abuse Technique.) Love, Limits, Latitude Parenting Manual Techniques 108 Values The most important thing for parents to understand is that they must know what their values are before they can teach their children. Since you cannot control what children will hear from fellow students on the playground or in their kindergarten classes, parents need to decide what their values are and teach children about sex before they learn it elsewhere. Normalizing and talking about sexuality from the your value system will provide a filter for your children when they come across information. Bobbie Pugh, CSW Using Books with Younger kids Sometimes children are more comfortable talking or learning about sexual topics when it comes in a story format like in a book. However, when using a book, make sure you have read it before and are comfortable with what it is teaching. Do not just leave a book on their bed for them to read, but read the books with your children. Ask them questions and explain things that the book might not make clear, and use your values to guide what books you choose and what you explain that is not in the book. A few good books are “You were no bigger than a dot” and “A Very Touching Book...for Little People and for Big People”. Bobbie Pugh, CSW Mike Gardner, MFT Jackie Webb, LCSW Who has “The Talk”: Choosing the Parent When trying to decide which parent is going to address sexual topics there are a few things to keep in mind:You can’t predict the future. If mom talks to the girls and dad talks to the boys, you might run into the problem that 2, 3, 5 years down the road, that parent isn’t there anymore. Traveling, divorce, and death, are very real possibilities that should be considered in deciding who will have the talk. What if you (dad/mom) are traveling when your son has his first wet dream? Will he talk to you (mom/dad)? As you start these talks when your children are young, by the time they reach adolescence your child should be fine with talking to either parent if necessary. However, whichever one of you that is approached by your teen is most likely the parent that particular child is most comTeaching Sexuality in the Home 109 fortable with discussing private or sensitive matters. Once you have identified who your child would rather talk to about sexuality, be available. Rick Clements, LCSW Bobbie Pugh, CSW Engage in Activities While Talking Talking about sex can be uncomfortable for you and your child. That’s normal, and it gets better as you breach the topic time and time again. However, sitting down on the couch and making direct eye contact is not always the best approach to talking about sexuality. Do something else while talking about these things: shoot hoops, play Mario Brothers, etc. Identify what activities (sports, eating, playing a video or board game, etc.) that your adolescent is comfortable doing or enjoys doing, then introduce the topic or subject while engaging in the activity together with your child. Rick Clements, LCSW Look for Those Opportunities to Talk When you notice your child commenting on or gesturing about a sexual related topic or looking curiously at a sexual related image, you should take that opportunity to ask them questions to discover the extent of their understanding of what they are saying, doing, or looking at. If their response indicates a false or incomplete understanding, take that opportunity to teach correct information about what they were commenting on, gesturing, or looking at. If the images they are looking at are inappropriate, take that opportunity to ask them why it isn’t appropriate. If they don’t have an answer, help him or her understand by teaching. Rick Clements, LCSW Technology Awareness As a parent, it is not enough for you to tell your children not to go to certain websites or use their phone for certain things. You need passwords, filters, blocks, and security. Have a filter on your internet for every computer; schedule the internet to shut off at certain hours so that they cannot have access after certain hours without your password. Even then, check your browser history and adjust your settings so that your child cannot delete the history. Everything that can access the internet should have a password: phones, iPads, iPods, computers, etc. There are Techniques 110 phone plans that have parental controls that can limit the hours and the numbers from which a phone can receive messages. When it comes to those with sexual deviancy problems, it’s like having alcohol in house with an alcoholic. Do not think that because your child has a problem with sexual behavior it is any less addictive or requires less serious of an approach. Don’t shame them; just block their access and be open about what is happening and why. Just like with any other addiction, they need to be treated for an addiction and they need your support. Sachi Jones, LCSW Options for Monitoring Technology Technology can introduce children to a wonderful world full of rich learning opportunities, but it can also expose them to much that is undesirable and harmful. In order to protect your children, today’s parents need to be stay informed regarding the media and technology their children are using. There are many resources that can help parents keep their children safe from child predators and adult websites. The following are two types of electronic tools some parents have found helpful in protecting their children from harm. Blocking and filtering software:This type of software allows parents to control which sites are accessed and the amount of time the child can spend on the computer, smart phone, ipad, etc. Most schools use this solution; however, it may block sites needed for research and not block new sites that have not yet been included in the filter. Blocking and filtering software works well for younger children. Electronic monitoring tools: Monitoring software can also be put on computers, smart phones, ipads, etc. The settings on this software can be set to track whatever level of safety you feel you need as a parent. Available setting options are: monitor programs used, online searches, files transferred, track downloads, Facebook, and chat messages, and can even be set to take regular screenshots, and record keystrokes. Some parents who have been faced with the choice of taking away an electronic device from their adolescent, or not giving them one in the first place, have found electronic monitoring to be a useful alternative. Electronic monitoring software allows transparency for parents. It is up to parents and families to decide which resources they feel are necessary to protect their children. Susan Pace, MSW Teaching Sexuality in the Home 111 Assessing/Interviewing Children for Sexual Abuse There are a few warning signs that will crop up in your child’s behavior that will clue you in to the need for assessment. Some of these are obviously scarier than others, but any of these warning signs might indicate the possibility of sexual abuse. They are as follows: • When your child starts using Barbies or action figures to play games with sexual themes; enacting specific sexual positions such as “69” or anal sex. • If there is a regression in development such as a potty trained child beginning to regularly wet the bed. • When your child suddenly does not want to see certain people. • When your child starts displaying sexual knowledge above their age level such as about body parts, positions, or language. • If your child has a sudden decline in school performance. • Your child’s drastic withdrawal from friends or family, with no explanation. • Personality changes, such as your outgoing child becoming withdrawn, or an even-tempered child becoming aggressive, etc. • Nightmares about dangerous things, such as monsters chasing them. Warnings: The presence of these listed warning signs do not guarantee a child has been sexually abused. Now for the actual guidelines for interviewing your child in the case of warning signs: First, it is important to remember that you must remain non-reactive and non-judgmental. If you convey fear, disgust, or anger when speaking to your child, they may verbally shut down or begin to alter their answers according to what they think you want to hear. Young children may likely feel intimidated and even adolescents may feel shame about what has happened because of your reaction. To best communicate a non-judgmental attitude, you must remember that communication is highly non-verbal. Facial expressions, voice intonations, and silence can be far more descriptive of a person’s feelings and beliefs than the words they are using. Techniques 112 Second, be careful in the type of questions that you ask. Leading questions and pre-suppositional questions can be some of the most problematic. Since children are so impressionable, they can be easily led to giving false information just by the questions you ask. Leading questions can guide a child towards an answer for which the interviewer may be searching. Instead of asking, “Did you learn this from Mr. Smith?” A better question would be, “Where did you learn how to do that?” Rather than asking, “Did Mr. Smith touch you there?” A better question might be, “Has anyone ever touched you there?”You also have to avoid pre-suppositional questions. A presuppositional question gives the child a list of answers to choose from; this may look like, “Did you learn that from school or your babysitters?” Children may feel pressured to choose the best answer rather than telling the right answer. A better question could be, “Where did you learn that?” Finally, remember that any time you talk about sexual topics with your children you have a wonderful opportunity to reinforce your values and standards with them. Teaching children about appropriate touch (only your mom should ever see/touch you where your swim suit covers), correct anatomical verbiage (penis instead of peepee), and that it is always safe to come talk with your parents (no matter what threats people may make), will arm children with the knowledge to keep themselves safe from sexual abuse or to quickly stop it if it begins. Greg Hendrix, LCSW Creating a Safe Environment for the Talk The best way for generating a safe environment is to be involved. The more you are a part of their lives for the little things, the easier it is to be involved in the big stuff. If you are spending time with your kids and building an appropriate, solid relationship with them, you can develop opportunities for them to make good choices. Pay attention to where they are, what they are doing, and who they are with, and let them know you are noticing. As parents, you should assume that if you aren’t teaching your children about sex, someone else will. That someone probably will not have your values and will not teach what you want taught. If the opportunities to discuss sexual issues do not seem to come up on their own it’s better to create them than to never have them. It is very important for you to start age- appropriate discussions about sexual issues very young, this way both you and your child become comfortable discussing the topic. Be prepared with specific items to discuss for when Teaching Sexuality in the Home 113 the right questions or opportunities arise. As your child gets older and the topics get more complex, you will have already created the atmosphere in which to have these discussions. Every child, unless developmentally behind, should know basic sexual facts by junior high, but your job is not done after sharing the facts. Ongoing discussions about impulses, physical development, social pressures and trends about sex, homosexuality, etc. should be a regular part of your relationship with your child.Talk to your children about what to do when peers start talking about sex or when they find themselves in a sexual situation, because their peers will start talking about sex sooner than you think. Just be human. Talk about sexual topics with candor and respect. Set the example at home when it comes to inappropriate sexual content by not watching or listening to it as a parent, so they know what is not okay. Treat sexual topics in a healthy way as a parent. Don’t hide the sexual aspects of who you are as a parent, but don’t embarrass your children. Teach them to be safe about sexual things the same as you teach them to be safe about anything else that has potential dangers. When your child comes to you with a problem or questions, don’t over react. Listen. Ask questions to get all the information you can. Try to understand your child’s thoughts and feelings; remember what it was like to be that age. When it comes to your child making decisions about those problems, allow them to make the choice. Counsel them about reality and the consequences they face with either choice and then be there for them. Avoid rash statements and ultimatums. Seek professional support. Respect them. Scott Taylor, LCSW Teach Social Skills Teach social skills to safeguard against an unhealthy sex life; any and all positive social skills can help. Social skills regarding sharing a toy, or inviting a friend over, or doing a homework project with someone, or whatever, will apply. Respect, understanding, accepting differences, proper boundaries, and developing personal values are examples of social skills. Scott Taylor, LCSW Techniques 114 Teaching Sexuality in the Home The Authors Courtney Baker Dallas Bean Wendy Beres Jessica Bodily Zachary Bullock Kristin Byers Jonathan Case Jennifer Castillo Lauren Checketts Tess Collett Kerianna Creedon W. McKay Deveraux Isabel Gomes Kristjana Green Kevin Harmon Kami Huff Brianne Johnson Trent Keppner Danna Lindemann Jacob Moss Susan Pace Chelsea White Valerie Payne Melissa Pomale Heather Ransom JoAnn Nybo Rueckert Nathan Smith Vanessa Storey Allie Harrison Taylor Taylor Thomas Kevin Walker Teaching Sexuality in the Home Teaching Sexuality in the Home