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Article CommentaryAnalysis and Commentary

Sex, Lies, and Statistics: Inferences From the Child Sexual Abuse Accommodation Syndrome

Kenneth J. Weiss and Julia Curcio Alexander
Journal of the American Academy of Psychiatry and the Law Online September 2013, 41 (3) 412-420;
Kenneth J. Weiss
Dr. Weiss is Clinical Associate Professor of Psychiatry and Associate Director, Forensic Psychiatry Fellowship Program, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Dr. Curcio Alexander is a staff psychologist, Children and Youth Division, Philadelphia Department of Human Services, Philadelphia, PA. The views expressed do not necessarily reflect those of the Philadelphia Department of Human Services.
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Julia Curcio Alexander
Dr. Weiss is Clinical Associate Professor of Psychiatry and Associate Director, Forensic Psychiatry Fellowship Program, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Dr. Curcio Alexander is a staff psychologist, Children and Youth Division, Philadelphia Department of Human Services, Philadelphia, PA. The views expressed do not necessarily reflect those of the Philadelphia Department of Human Services.
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Abstract

Victims of child sexual abuse often recant their complaints or do not report incidents, making prosecution of offenders difficult. The child with sexual abuse accommodation syndrome (CSAAS) has been used to explain this phenomenon by identifying common behavioral responses. Unlike PTSD but like rape trauma syndrome, CSAAS is not an official diagnostic term and should not be used as evidence of a defendant's guilt or to imply probative value in prosecutions. Courts have grappled with the ideal use of CSAAS in the evaluation of child witness testimony. Expert testimony should be helpful to the jurors without prejudicing them. The New Jersey Supreme Court ruled recently that statistical evidence about CSAAS implying the probability that a child is truthful runs the risk of confusing jury members and biasing them against the defendant. We review the parameters of expert testimony and its admissibility in this area, concluding that statistics about CSAAS should not be used to draw inferences about the victim's credibility or the defendant's guilt.

Footnotes

  • Disclosures of financial or other potential conflicts of interest: None.

  • © 2013 American Academy of Psychiatry and the Law
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Journal of the American Academy of Psychiatry and the Law Online: 41 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 41, Issue 3
1 Sep 2013
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Sex, Lies, and Statistics: Inferences From the Child Sexual Abuse Accommodation Syndrome
Kenneth J. Weiss, Julia Curcio Alexander
Journal of the American Academy of Psychiatry and the Law Online Sep 2013, 41 (3) 412-420;

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Sex, Lies, and Statistics: Inferences From the Child Sexual Abuse Accommodation Syndrome
Kenneth J. Weiss, Julia Curcio Alexander
Journal of the American Academy of Psychiatry and the Law Online Sep 2013, 41 (3) 412-420;
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  • Article
    • Abstract
    • Traditions and Trends
    • Child Sexual Abuse Accommodation Syndrome
    • Children as Victims and Witnesses
    • Developments in CSAAS
    • Admissibility of Testimony
    • State of New Jersey v. W.B.: Misleading Statistics?
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