Department of Psychiatry, University of North Carolina at Chapel Hill, USA.
Child Abuse Negl. 2011 Apr;35(4):287-98. doi: 10.1016/j.chiabu.2011.01.001. Epub 2011 May 4.
Evaluators examining the same evidence often arrive at substantially different conclusions in forensic assessments of child sexual abuse (CSA). This study attempts to identify and quantify subjective factors that contribute to such disagreements so that interventions can be devised to improve the reliability of case decisions.
Participants included 1106 professionals in the field of child maltreatment representing a range of professional positions or job titles and years of experience. Each completed the Child Forensic Attitude Scale (CFAS), a 28-item survey assessing 3 forensic attitudes believed to influence professional judgments about CSA allegations: emphasis-on-sensitivity (i.e., a focus on minimizing false negatives or errors of undercalling abuse); emphasis-on-specificity (i.e., a focus on minimizing false positives or errors of overcalling abuse); and skepticism toward child and adolescent reports of CSA. A subset of 605 professionals also participated in 1 of 3 diverse decision exercises to assess the influence of the 3 forensic attitudes on ratings of case credibility.
Exploratory factor analysis identified 4 factors or attitude subscales that corresponded closely with the original CFAS scales: 2 subscales for emphasis-on-sensitivity and 1 each for emphasis-on-specificity and skepticism. Attitude subscale scores differed significantly by sample source (in-state trainings vs. national conferences), gender, years of experience, and professional position, with Child Protective Service workers unexpectedly more concerned about overcalling abuse and more skeptical of child disclosures than other professionals-a pattern of scores associated with an increased probability of disbelieving CSA allegations. The 3 decision exercises offered validation of the attitude subscales as predictors of professional ratings of case credibility, with adjusted R(2)s for the three exercises ranging from .06 to .24, suggesting highly variable effect sizes.
Evaluator disagreements about CSA allegations can be explained, in part, by individual differences in 3 attitudes related to forensic decision-making: emphasis-on-sensitivity, emphasis-on-specificity, and skepticism toward child reports of abuse. These attitudes operate as predispositions or biases toward viewing CSA allegations as likely true or likely false. Several strategies for curbing the influence of subjective factors are highlighted including self-awareness of personal biases and team approaches to assessment.
在儿童性虐待(CSA)的法医评估中,审查相同证据的评估者往往会得出大相径庭的结论。本研究试图确定和量化导致这种分歧的主观因素,以便设计干预措施来提高案件决策的可靠性。
参与者包括 1106 名从事儿童虐待领域的专业人员,代表了一系列不同的专业职位或职称和工作年限。每位参与者都完成了儿童法医态度量表(CFAS),这是一项 28 项的调查,评估了 3 种被认为会影响 CSA 指控的专业判断的法医态度:强调敏感性(即关注最小化假阴性或低估虐待的错误);强调特异性(即关注最小化假阳性或高估虐待的错误);以及对儿童和青少年 CSA 报告的怀疑。其中 605 名专业人员的一个子集还参加了 3 种不同决策练习中的 1 种,以评估这 3 种法医态度对案件可信度评分的影响。
探索性因素分析确定了 4 个因素或态度子量表,与原始 CFAS 量表非常吻合:2 个子量表用于强调敏感性,1 个子量表用于强调特异性和怀疑。态度子量表评分因样本来源(州内培训与全国会议)、性别、工作年限和专业职位而异,儿童保护服务工作者出人意料地更担心高估虐待,对儿童披露的怀疑程度高于其他专业人员——这种评分模式与不相信 CSA 指控的可能性增加有关。3 项决策练习验证了态度子量表作为专业人员对案件可信度评分的预测因子,三项练习的调整 R2 从.06 到.24 不等,表明效应大小高度可变。
可以部分解释评估者对 CSA 指控的分歧,这部分归因于与法医决策相关的 3 种态度的个体差异:强调敏感性、强调特异性和对儿童虐待报告的怀疑。这些态度是将 CSA 指控视为可能真实或可能虚假的倾向或偏见。强调了几种抑制主观因素影响的策略,包括对个人偏见的自我意识和评估的团队方法。