Host Teresa Huizar speaks with Dr. Jamie Yoder of Colorado State University about how adversity and trauma increase risk for teens’ problematic sexual behaviors and how trauma-focused cognitive behavioral therapy (TF-CBT) can be leveraged to expand treatment resources and reduce punitive responses. Yoder describes her clinical background with justice-involved youth and emphasizes that trauma is a major, though not causal, risk factor linked through intermediaries like attachment disruptions, executive functioning impacts, and trauma symptoms. They discuss why trauma has been poorly integrated into PSB interventions due to adult-like assumptions and punishment-oriented systems, then review Yoder’s pilot testing TF-CBT across community and residential/justice settings, highlighting feasibility, the need for agency buy-in and readiness, and the role of caregiver involvement. The conversation underscores caregiver shame, clinician bias and support needs, and calls for trauma-informed, rehabilitative approaches and broader systems change.

Time Stamps:

00:00 Episode Overview

01:58 Jamie’s Path to PSB Work

05:35 How Trauma Raises Risk

09:10 Why Trauma Was Ignored

13:53 Testing TF-CBT in Settings

18:34 Caregivers and Engagement

22:48 Study Results and Meaning

26:06 Shame as Treatment Target

31:51 Clinician Bias and Support

35:53 Trauma Informed Treatment Plans

40:14 Recommendations and Systems Change

45:33 Closing and Resources

Resources:

Trauma Focused Cognitive Behavioral Therapy for Adolescents with Problem Sexual Behaviors: Feasibility and Acceptability for Alleviating Traumatic Stress, Regulation Problems, and Sexual Behavior Problems | Journal of Child & Adolescent Trauma | Springer Nature Link

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Content Warning: Graphic descriptions of Child Sexual Abuse Material (CSAM) file names.

In this episode of 'One in Ten,' host Teresa Huizar interviews Dr. Ted Cross of the University of Illinois Urbana-Champaign about how child sexual abuse material (CSAM) reflects and perpetuates ongoing abuse. Cross explains why CSAM replaces “child pornography,” emphasizing that its creation requires contact abuse and its dissemination retraumatizes victims for years. To study CSAM without viewing traumatic content or violating privacy, his team partnered with the Child Rescue Coalition and analyzed nearly 3,000 highly descriptive filenames as a proxy for content. Findings included a predominance of videos, victims across all ages (including infants), a large share depicting ages 5–12, and common incest/familial cases (over 40%) that tended to involve more severe abuse. Filenames referencing children of color were more likely to include penetration. Cross urges CACs and MDTs to investigate possible online abuse in contact cases, secure devices, and strengthen partnerships with state ICAC task forces.

Time Stamps

Time Topic

00:00 Episode Introduction

01:26 Meet Dr Ted Cross

02:48 What CSAM Means

04:10 Who Produces CSAM

05:30 Ethical Study Design

06:50 Filenames As Proxy Data

10:08 Victim Demographics

11:50 Incest And Severity

12:52 Penetration And Harm

14:27 Practice Implications

16:19 Trauma And Disclosure

18:25 Policy And Prevention

19:34 Future Research Directions

22:25 Final Takeaways

23:52 Closing And Resources

Resources

Child Rescue Coalition

Characteristics of Child Sexual Abuse Material in Peer-to-Peer Networks and Predictors of its Severity: Insights From Filenames - Theodore P. Cross, Elizabeth M. Cross, Camille Cooper, Daphne Pellegrino, Glen Pounder, Stefan Turkheimer, Simon Bailey, 2025

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Teresa Huizar interviews Victor Vieth about the spiritual harm child sexual abuse can cause and how child abuse professionals and Children’s Advocacy Centers (CACs) can respond. Vieth describes how offenders may use religion to groom or silence children, and how faith-community reactions can deepen harm, recalling a 12-year-old asking if “God is against me.” The discussion defines spirituality versus religiosity, highlights children’s spiritual questions arising in forensic interviews and therapy, and notes research linking high spiritual distress (feeling abandoned by God) with greater trauma and suicidal thoughts. Vieth explains barriers to addressing the topic (discomfort discussing religion, negative associations, lack of training) and cites research showing 82% of mental health providers were not fluent in this literature. He outlines options such as chaplaincy and training (Keeping Faith), emphasizes consent-based, ecumenical spiritual care, and previews a forthcoming interactive spiritual care toolkit with models and resources.

Time Stamps

Time Topic

00:00 Spiritual Harm Overview

01:59 Victor’s Wake Up Call

03:22 Why Research Is Rising

08:32 Defining Spiritual Harm

13:17 Trauma Informed Responses

16:21 Toolkit And Care Models

19:00 What Chaplains Do

23:33 Stories Of Spiritual Support

26:46 Programs That Get It Right

31:19 Research Next Steps

34:00 Closing And Where To Learn

Resources

Spiritual care in Children’s Advocacy Centers: results of a survey of CAC directors - ScienceDirect

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Did you like this episode? Please leave us a review on Apple Podcasts.