Tyler Perry's child abuse and 200 men - Oprah, CSA and psychosis risk

Tyler Perry Tells Oprah More About His Abusive Past By Sara Hammel October 21, 2010 He stunned his fans last year with revelations of his abusive past and now Tyler Perry is opening up about just how bad it got. In a new interview with Oprah Winfrey, which aired Wednesday, the writer-director says his own father beat him brutally. In one harrowing moment, he recalls when his father whipped him with a vacuum cord.
....On top of his father's beatings, Perry says he was sexually abused by four different adults, beginning when he was five or six. On one occasion, he was building a birdhouse with an adult male neighbor who proceeded to put his hands in Tyler's pants. "I felt my body betraying me," he says, "because I felt an erection at that age."
Later, Tyler said he was sexually molested by a male nurse and a man he knew from church. The man from church "used God and the Bible against me to justify a lot of the things that were going on. It was so horrible," he said. "And that was my first sexual experience – with this man performing oral sex on me as a boy."
http://www.people.com/people/article/0,,20435854,00.html


TWO-DAY OPRAH SHOW EVENT: 200 ADULT MEN WHO WERE MOLESTED COME FORWARD november 5, 2010 A landmark Oprah Show event that's never been done before. Two hundred men courageously stand together to say they were all molested
http://www.oprah.com/showinfo/A-Two-Day-Oprah-Show-Event-200-Men-Who-Were-Molested-Come-Forward_1

Childhood Sexual Abuse May Raise Risk for Psychosis
November 02, 2010.
Abuse involving penetration associated with higher risk, especially for schizophrenic disorders -
Childhood sexual abuse involving penetration appears to increase the risk of developing psychotic disorders later in life, according to research published in the November issue of the Archives of General Psychiatry.

TUESDAY, Nov. 2 (HealthDay News) -- Childhood sexual abuse involving penetration appears to increase the risk of developing psychotic disorders later in life, according to research published in the November issue of the Archives of General Psychiatry.
Margaret C. Cutajar, of Monash University in Clifton Hill, Australia, and colleagues studied mental health data on 2,759 subjects who had been sexually abused as children, matched with community-based controls, to explore whether childhood sexual abuse raises the risk for subsequent psychotic disorders.

The researchers found rates for general psychosis, and particularly for schizophrenic disorders, significantly higher in the childhood sexual abuse subjects than in the controls (2.8 versus 1.4 percent for general psychosis and 1.9 versus 0.7 percent for schizophrenic disorders in abuse subjects and controls, respectively). Risk for later psychosis was highest in those whose abuse occurred after age 12, involved penetration, and involved more than one perpetrator. Abuse without penetration was not related to significant increases in general psychosis or schizophrenia.
http://www.doctorslounge.com/index.php/news/pb/15321

Schizophrenia and Other Psychotic Disorders in a Cohort of Sexually Abused Children
Margaret C. Cutajar, DPsych, MAPS; Paul E. Mullen, DSc, FRANZCP, FRCPsych; James R. P. Ogloff, PhD; Stuart D. Thomas, PhD; David L. Wells, MA, FACLM; Josie Spataro, PhD, MAPS
Arch Gen Psychiatry. 2010;67(11):1114-1119. doi:10.1001/archgenpsychiatry.2010.147

Setting - Sample drawn from all notified cases of child sexual abuse over a 30-year period in Victoria, Australia.
Participants - A cohort of 2759 individuals ascertained as having been sexually abused when younger than 16 years had their subsequent contacts with mental health services established by data linkage. They were compared with a community-based control group matched on sex and age groupings whose rates of disorder were established using identical methods.
Main - Outcome Measures - Rates of psychotic and schizophrenic illnesses.
Results - Rates were significantly higher among child sexual abuse subjects compared with controls for psychosis in general (2.8% vs 1.4%; odds ratio, 2.1; 95% confidence interval, 1.4-3.1; P < .001) and schizophrenic disorders in particular (1.9% vs 0.7%; odds ratio, 2.6; 95% confidence interval, 1.6-4.4; P < .001). Those exposed to penetrative abuse had even higher rates of psychosis (3.4%) and schizophrenia (2.4%). Abuse without penetration was not associated with significant increases in psychosis or schizophrenia. The risks were highest for those whose abuse involved penetration, occurred after age 12 years, and involved more than 1 perpetrator, the combination producing rates of 8.6% for schizophrenia and 17.2% for psychosis.

Conclusions - Child sexual abuse involving penetration is a risk factor for developing psychotic and schizophrenic syndromes. The risk is greater for adolescents subjected to penetration. Irrespective of whether this statistical association reflects any causal link, it does identify an at-risk population in need of ongoing support and treatment. http://archpsyc.ama-assn.org/cgi/content/short/67/11/1114