Dissertations / Theses on the topic 'Childhood Sexual Abuse (CSA)'
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Bolar, Eleanor A. "African American Clergy: Fostering Supportive Relationships with Survivors of Childhood Sexual Abuse." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1314114117.
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Gregory, Sarah. "Pyschopathology and childhood sexual abuse : an investigation of the relationship between sexual arousal, attributional style, attributions of blame for CSA and psychological adjustment." Thesis, Bangor University, 2000. https://research.bangor.ac.uk/portal/en/theses/pyschopathology-and-childhood-sexual-abuse--an-investigation-of-the-relationship-between-sexual-arousal-attributional-style-attributions-of-blame-for-csa-and-psychological-adjustment(cc73a6f8-8565-4998-8fbb-5fee5ad3e7c3).html.
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The relationships between sexual arousal, attributional style, attributions of blame for child sexual abuse (CSA) and psychopathology were investigated in a non-clinical sample. One hundred female undergraduates completed a questionnaire incorporating the Rosenberg Self-Esteem Scale, (Rosenberg, 1965), the Symptom Checklist 90-R (Derogatis, 1996), the Extended Attributional Style Questionnaire (Peterson et al., 1988) and questions about CSA experiences. Participants reporting CSA also completed the Attributions of Responsibility and Blame Scales (McMillen and Zuravin, 1997), and were asked if they had experienced sexual arousal during their CSA. Twenty five per cent of participants reported a history of CSA, and of this group, 32% reported experiencing sexual arousal during CSA. The CSA group had higher levels of symptomatology and negative attributional style than the Comparison non-abused group. Within the CSA group, symptomatology was positively associated with self-blame and negative attributional style, and negatively associated with selfesteem. Self-blame for CSA was positively associated with family/other blame, and negatively associated with self-esteem. The Aroused group experienced greater frequency and severity (number of types) of CSA, and showed higher levels of selfblame for the CSA than the Non-Aroused group. No evidence was found in the current study for a connection between sexual arousal and psychopathology. Further research using a larger sample size is indicated. The importance of including frequency, severity and sexual arousal as possible characteristics of CSA experiences during clinical assessment and interventions with adult survivors and focussing treatment strategies accordingly is discussed.
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Carr, Steven, and steven carr@rmit edu au. "Retrospective Reporting of Childhood Experiences and Borderline Personality Disorder Features in a Non-Clinical Sample: A Cognitive-Behavioural Perspective." RMIT University. Health Sciences, 2006. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080205.101748.
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The purpose of the current study was to investigate the relationship between Borderline Personality Disorder (BPD) symptoms and childhood experiences, and to explore the role of Early Maladaptive Schemas and core beliefs as variables possibly mediating this relationship. Previous research with clinical samples has established a strong link between childhood maltreatment and adult BPD (& other PD) symptoms in clinical samples. However, difficulties with these studies limit the specificity of results. For example, BPD has been shown to be highly comorbid with other axis I and axis II psychiatric conditions. Given that studies examining the relationship between BPD and childhood maltreatment generally fail to control for these comorbid conditions, the specificity of their results must be questioned. Furthermore, it has been well established that childhood familial environment is strongly related to childhood maltreatment. Again studies examining the relationship between BPD and childhood maltreatment have generally failed to concurrently assess childhood familial environments, hence opening the possibility that the relationship between BPD and childhood maltreatment may be due to family functioning rather than childhood maltreatment per se. Finally, studies linking childhood maltreatment with adult BPD have primarily utilized clinical samples. However, the primary use of clinical samples to examine the aetiology of disorders in this context ignores the vast literature showing adequate psychological functio ning for the majority of individuals exposed to childhood maltreatment. Hence, the primary aim of the current study was to examine the relationship between childhood maltreatment and adult BPD symptoms in a primarily non-clinical sample whilst statistically controlling for commonly comorbid axis I and axis II symptomatology and concurrently measuring childhood familial functioning. It was a secondary aim of the current study to examine the mediating effects of beliefs on the relationship between childhood factors (i.e., childhood maltreatment & childhood familial functioning) and adult BPD symptomatology. That is, cognitive-behavioural theorists argue that personality disorders may be triggered by adverse childhood experiences leading to maladaptive beliefs (or schemas) related to the self, others, and the world, and it is these beliefs which lead to the behavioural disturbances evident in personality disorders. One hundred and eighty-five primarily non-clinical participants completed questionnaires measuring a variety of axis I and axis II symptoms, early maladaptive schemas and core beliefs, as well as retrospective reports of family functioning and childhood maltreatment. Results showed a significant relationship between childhood factors and adult BPD symptomatology. For example, the largest correlation between BPD symptoms and a childhood factor was .27 (for childhood emotional abuse). Furthermore, early maladaptive schemas and core beliefs were found to mediate the relationship between childhood factors and adult BPD symptomatology thus supporting cognitive-behavioural theories of personality disorders. However, early maladaptive schemas and core beliefs were also found to mediate the relationship between childhood factors and other Axis I and Axis II symptoms. Hence, it was concluded that while there was some support for a cognitive mediation hypothesis for BPD symptoms, future research is needed in exploring the specificity of the cognitive mediation hypothesis for BPD.
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Smith, Christa M. "Sexual cognitions of childhood sexual abuse survivors /." View online, 2008. http://repository.eiu.edu/theses/docs/32211131464745.pdf.
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Brett, E. "Childhood sexual abuse and delusions." Thesis, University College London (University of London), 2005. http://discovery.ucl.ac.uk/1446331/.
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There is a considerable body of research demonstrating that childhood sexual abuse (CSA) is associated with widespread short- and long-term psychopathology, and moreover, is connected with the most severe, chronic and life-threatening consequences of a wide range of psychiatric disorders. More specifically, there is a growing body of evidence reporting that CSA is related to psychotic symptoms and diagnoses of schizophrenia, and some authors have found thematic links between the nature of abuse and the content of psychotic symptoms. A wide range of biological, psychological and social factors have been postulated in the literature as mediating or moderating the relationship between childhood abuse and psychotic symptoms in adulthood. Cognitive models of psychosis, and delusions in particular, are increasingly influential. There is ongoing debate as to the nature of the relationship between childhood abuse and psychosis, with some theorists proposing a causal relationship. Despite the consistently demonstrated relationship between child abuse and adult psychopathology, research suggests that the majority of abuse and trauma is unidentified by mental health services in routine clinical practice. Clinical issues related to enquiring about abuse are examined.
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Ah, Hing Antoinette Danielle. "The impact of child sexual abuse (CSA) on the school life experiences and academic performance of adult CSA survivors." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1259.
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Child Sexual Abuse (CSA) is a societal problem whose origins date back to the times of the ancient Greeks and Romans. It is found in all levels of society, from the wealthiest to the poorest; and the short-term and long-term impacts it has on the lives of the victims, can be devastating. There are many reasons for the occurrence of child sexual abuse, but in all cases, the ultimate accountability rests on the shoulders of the sexual offender. The nature of child sexual victimisation varies from verbal suggestions to violent physical force. Irrespective of which type the child is being subjected to, as the weaker partner in the pedagogical relationship with the adult, s/he is never able to defend herself/himself. The global phenomenon, and the increase in CSA, has given rise to the research question, namely: How does child sexual abuse impact on the school life experiences and academic performance of learners at school? The purpose of this research study was to provide insight into the following issues: • The nature and identification of the symptoms of child sexual abuse; • The manner in which sexually abused children manifest their experiences of sexual abuse at school; • How sexually abused children cope with their learning tasks; and • Recommendations for educators. The literature relating to CSA was reviewed, with the aim of establishing a solid theoretical foundation for the study. CSA has been looked at holistically, encompassing the accepted definitions, the related concepts, the nature of sexual abuse, the prevalence and incidence of CSA, the possible causes, the short-term and long-term impacts, and the suggestions by adult survivors for use by educators in their efforts to help abused learners. 11 In an attempt to provide acceptable answers to the research problem, a mixed- method research design was implemented. The research study was conducted in two phases: Stage 1 consisted of an exploration of the research problem by means of the following question put to the participants: In your experience as an adult survivor of child sexual abuse how did the abuse impact on your school life experiences, including your academic performance? A total of nineteen participants from the Eastern Cape Province shared their experiences, by means of writing their life story as a narrative. Purposive and availability sampling of adult survivors was undertaken. In order to ensure the trustworthiness and authenticity of the research methodology, Guba’s model of data verification was used. Accepted ethical measures were taken into consideration and adhered to during the research. The analysed data were taken directly from the narratives that the individual participants saved onto flashdrives. Consensus by the researcher and coder was reached regarding the identification of themes, categories and subcategories. The following four significant themes emerged, based on the results of the data analysis: Theme One: Health, sexuality and the sexual experiences of sexual abused children and adolescents. Theme Two: The social development of sexually abused children and adolescents. Theme Three: School-related experiences and academic performance of sexually abused children and adolescents. Theme Four: Advice and suggestions from adult survivors for young victims of CSA. 12 Stage 2 offered recommendations to the teachers of learners who are, or have been sexually abused, derived from the findings of Phase 1. The conclusion was reached that CSA does have an impact on the academic performance of learners. Therefore, teachers are in need of a greater understanding and awareness of CSA, in order to help these learners.
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Tshume, Nobom. "Resilience in childhood sexual abuse survivors." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50438.
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Thesis (MA) -- Stellenbosch University, 2005.ENGLISH ABSTRACT: This study will review the literature on resilience in adult female childhood sexual abuse survivors with specific focus on incestuous abuse. Adults with histories of sexual abuse are categorised as either resilient or non-resilient on the basis of current functioning. Characteristics of the family of origin and its perceived contribution to the child sexual abuse are discussed. The developmental psychopathology literature addressing issues of resilience and vulnerability to stresses is addressed. The theoretical concepts of resilience, as they relate to protective mechanisms are discussed.
AFRIKAANSE OPSOMMING: Hierdie navorsingstuk bied 'n oorsig oor die literatuur met betrekking tot die herstelvermoe van volwasse vroulike persone wat as kinders seksueel mishandel is, met besondere klem op bloedskandelike mishandeling. Volwassenes met 'n geskiedenis van seksuele mishandeling word op grond van hulle huidige funksionering beskryf as Of in staat om te herstel of nie daartoe in staat nie. Kenmerke van die gesin van oorsprong en die waargenome bydrae van die gesin tot die seksuele mishandeling van kinders word bespreek. Die literatuur met betrekking tot ontwikkelingsgerigte psigopatologie gee aandag aan vraagstukke met betrekking tot herstelvermoe en kwesbaarheid teen die agtergrond van stres. Die teoretiese konsepte van herstelvermoe, en die verband daarvan met beskermende meganismes, word ook bespreek.
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Chan, Mi-har. "Breaking secrets : disclosing childhood sexual abuse /." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B20124843.
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Billings, Teresa Solomon, and Judith Gardner Simolke. "Characteristics of male childhood sexual abuse." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1735.
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The current study investigated characteristics and case variables of sexually abused male children, and how those variables affect the outcome of cases investigated by Child Protective Services. Data was obtained from the RIverside County Department of Social Services, Child Welfare System/Case Management System. It was found that the largest percentages of perpetrators were the siblings of the victims.
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Hayburn, Tracey J. "Childhood sexual abuse and later life." Thesis, University of Warwick, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.436290.
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Lyons, Jennifer. "Sexual Abuse Characteristics and Psychological Functioning among Male Survivors of Childhood Sexual Abuse." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37585.
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Childhood sexual abuse among males has been associated with many negative psychological outcomes. Studies have attempted to identify which sexual abuse characteristics (e.g., duration, age of onset) are associated with mental health difficulties. While informative, this research has been mostly limited to variable-centered analyses, which do not capture the heterogeneity in males’ abuse experiences and psychological presentations. This two-part dissertation advances our understanding of how best to measure childhood sexual abuse and how to account for the diversity of sexual abuse experiences and outcomes among men using a person-centered approach. Given that there are few validated measures of childhood sexual abuse, the first study examined the psychometric properties of a commonly-used measure in the sexual abuse literature, the Sexual Victimization Survey (SVS; Finkelhor, 1979). Once the validity and reliability of the SVS were established, the SVS was used to generate profiles on the basis of abuse characteristics (Study 2). Data for both studies were drawn from a sample of 302 males (85% Caucasian) aged 18 to 65 years seeking support for childhood sexual abuse. Participants completed a modified version of the SVS as well as the sexual abuse subscale of the Childhood Experiences of Violence Questionnaire-Short Form (CEVQ-SF; Tanaka et al., 2012). Twenty-one males completed the SVS again one week later for test-retest purposes. The SVS showed high inter-rater reliability on sexual abuse status and sexual abuse characteristics. Most males (85%) who endorsed sexual abuse on the SVS did so on the CEVQ-SF, resulting in fair concurrent validity. The SVS showed perfect one-week test-retest reliability on abuse status, as well as good to excellent agreement on sexual abuse characteristics between the initial and one week time points. Given the strong psychometric properties of the modified SVS, it was then used to generate childhood sexual abuse profiles in Study 2. Once participants with significant missing data were deleted, 215 men remained and were included in the generation of profiles. Latent profile analyses revealed three distinct profiles which varied in the severity of abuse experiences. The Severe profile (n = 56, 26%) depicted sexual abuse which began in mid-childhood and consisted of a one or two time fondling by an unfamiliar extrafamilial perpetrator. Men in the More Severe profile (n = 71, 33%) also experienced abuse in mid-childhood by an extrafamilial perpetrator, but experienced more severe sexual acts that spanned several months to several years. Men in this profile were emotionally closer to their perpetrators prior to abuse onset than males in the Severe profile. The Most Severe profile (n = 88, 41%) depicted abuse which began in early childhood and consisted of very severe sexual acts by trusted individuals both within and outside of the family. Men in the Most Severe were significantly more likely to concurrently have experienced child emotional and physical abuse as well as a greater number of non-victimization adversities, compared with men in the other two profiles. Profiles varied with respect to psychological outcomes. Males in the More Severe and Most Severe profiles reported significantly more internalizing problems than men in the Severe profile, and men in the Most Severe profile reported significantly more trauma symptoms than men in the Severe profile. Certain contextual variables were also associated with greater psychological difficulties, namely greater present-day use of avoidant coping predicted more internalizing and externalizing problems, as well as greater trauma symptoms. Worse childhood family functioning was associated with more internalizing and externalizing problems, and disclosure of the abuse (compared to non-disclosure) was associated with more externalizing problems and trauma symptoms. These results have several research and clinical implications, including tailoring assessment and treatment to meet the individual needs of male survivors.
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Flickinger, Aprile. "The experience of remembering childhood sexual abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape7/PQDD_0007/NQ39526.pdf.
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Turinetti, Greg J. "Criminal consequences of early childhood sexual abuse." Online version, 1999. http://www.uwstout.edu/lib/thesis/1999/1999turinettig.pdf.
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Levett, Ann. "Psychological trauma : discourses of childhood sexual abuse." Doctoral thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/17128.
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Bibliography: pages 334-360.There are difficulties with the ways in which childhood sexual abuse and its consequences have been conceptualised and studied. This thesis takes a critical and reflexive approach in examining conventional, dominant ideas about psychological trauma following the sexual abuse or molestation of girls. The empirical and clinical literature in this area is reviewed, to contextualize two studies in the first part of the thesis. Case studies of three women who disclosed childhood sexual abuse as a major problem area in psychotherapy are presented within a psychodynamic framework; the therapeutic issues which emerge are ones common among women. A prevalence study of child sexual abuse experiences among a sample of university women students is then presented and compared with North American studies; the prevalence figure of 44% is discussed in relation to the methodology used, which was informed by feminist conventions of a supportive, non-intrusive group setting, providing educational input as a therapeutic intervention. Given that childhood sexual abuse is a common experience for girls, a conceptual analysis of psychological trauma is developed. In Part II of the thesis the methodology is informed by the importance of linking current ideas about ideology with language and social practices, in an investigation of themes of power/knowledge in relation to the issues raised in Part I. Verbal and written texts gathered from a group of women were subjected to discourse analyses. In the third study presented it is shown that the professional discourse concerning the traumatic effects of child sexual abuse is pervasive in discursive themes elicited from lay women. This is interpreted as an example of the production and reproduction of knowledge which perpetuates existing power structures (lay /professional; female/male; child/adult); anomalous themes are understood as agentic strategies of resistance. In the fourth study presented, discourse analysis of spoken and written texts collected from women showed the extent to which fears and anxieties about childhood sexual abuse affects the lives of girls and women in a South African sample, and the forms these fears take. Interpreted as discourses of female control, every girl is placed and has to place herself in relation to these discourses, in which she invests in various ways. The conclusion is that the individualization of specific events of sexual abuse obscures the everyday discourses and discursive practices which govern the lives of girls and women, against which they may struggle. These constitute aspects of the interpellation of female gendered subjectivity. The conflict areas and problems which bring women to therapy are related to being female in a particular socio-historical context, rather than to experiences of childhood sexual abuse.
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Simmons, Rosemary Velda. "Childhood sexual trauma and female prostitution /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.
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Barbeau, Andrée Yvonne. "Childhood sexual abuse : disclosure in the school setting." Thesis, McGill University, 1990. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59555.
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This research attempted to examine the reasons why children and youths disclose their sexual victimization, as well as the manner of their disclosure, specific to the school setting. An original questionnaire was developed, and given out to all the school social workers from one social service agency. Each worker chose, non-randomly one case of sexual abuse disclosure.It was hypothesized that if a child or youth had decided to disclose their sexual victimization in the school setting they would do so in a planned and overt manner, choosing an adult with whom they had a close, positive and trusting relationship; a positive authority figure. Both hypotheses were borne out, although the strongest predictors of planned disclosure in this study, were that the victim had a positive relationship with the adult they told, knew them fairly well, and that they were being abused by their natural father or live-in father-figure.
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Lawson, David. "Recalled childhood sexual abuse related to marital satisfaction." Huntington, WV : [Marshall University Libraries], 2005. http://www.marshall.edu/etd/descript.asp?ref=708.
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Gardner, Yun Hui. "Counselors' affective responses to childhood sexual abuse disclosure." Diss., Mississippi State : Mississippi State University, 2008. http://library.msstate.edu/etd/show.asp?etd=etd-09072008-202450.
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Glaister, Judy Alane. "Experiences of women healing from childhood sexual abuse /." Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.
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Matosian, Amy. "Assumptive worlds of female childhood sexual abuse victims." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2890.
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The results of this study revealed that despite the childhood sexual abuse event, the victims were able to change their views in a positive direction with regard to the benevolence of the world and people as they marched through life and presumably experienced positive events.
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Subedi, Pooja, Julie Obenauer, Renice Obure, Malendie Gaines, Megan Quinn, and Jill D. Stinson. "Childhood Sexual Abuse and Sexual Behaviors Among College Students in Appalachia." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7955.
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Childhood Sexual Abuse (CSA), along with other Adverse Childhood Experiences (ACES), has been linked to a range of adverse health outcomes among adults. However, there is paucity of research specifically studying CSA and sexual risk behaviors among adolescents. Even less is known for the population in Appalachia. The few researchers who study this topic have mostly focused on females or have failed to use advanced statistical techniques to generate evidence on causality. This research was undertaken to investigate the association between CSA and sexual risk behaviors of college students in Appalachia. College students enrolled in introductory psychology classes in the Appalachian region were administered an online questionnaire on CSA, ACES, and current sexual behaviors in 2015. Simple and multivariate logistic regressions were completed for CSA to predict illegal drug use before sex, use of condom during sex, and perceived risk of HIV. Age, gender, and other ACEs (physical, emotional, verbal abuse, substance abuse in family, family mental illness, and family incarceration) were considered as covariates. Only statistically significant covariates were included in the final model. All analyses were completed using STATA. Of the total 982 adolescents, 67% were female. The average age of the participants was 20 years. In the unadjusted model, CSA was significantly associated with illegal drug use before sex (OR 2.32, CI 1.46 - 3.68) and perceived risk of HIV (OR 2.19, CI 1.39 - 3.46). The association between CSA and illegal drug use before sex (OR 1.67, CI 1.03 - 2.73) was significant in the final model too. Further, based on the final model, CSA increased the odds of perceiving oneself at risk of HIV by 1.9 times (CI 1.19 - 3.03). Verbal abuse was also found to be significantly associated with illegal drug use before sex (OR 2.22, CI 1.55 - 3.19) and perceived risk of HIV (OR 1.8, CI 1.26 - 2.57). However, neither CSA (OR 1.02, CI 0.55 - 1.89) nor other covariates was associated with condom use among these adolescents. It is a noteworthy result and suggests the need of further investigation of the factors related to condom use among adolescents in order to understand the peculiar nature of this behavior. Finally, CSA was found to increase the odds of some risky sexual behaviors among college students in Appalachia. Consideration of this relationship can enrich the knowledge base required to design effective interventions targeted at sexual behaviors of adolescents. Additionally, further exploration can be useful to enhance the understanding of effects of other ACES like verbal abuse on sexual risk behaviors, and predictors of condom use among adolescents.
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Shchupak, Tatyana. "Convergent validity of two measures of childhood sexual abuse: Russell Sexual Abuse Interview Schedule and the Finkelhor Survey of Childhood Experiences." OpenSIUC, 2015. https://opensiuc.lib.siu.edu/dissertations/1092.
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This study investigated the convergent validity between two classical measures of childhood sexual abuse (CSA): the Russell Sexual Abuse Interview Schedule (Russell, 1983) and Finkelhor Survey of Childhood Experiences (Finkelhor, 1979). One hundred sixty eight participants were recruited from a Midwestern university. In addition to the two CSA measures, the following measures were also compared: a subject demographic information form, the Trauma Symptom Checklist-40 (Briere and Runtz, 1989), the Simple Screening Instrument for Substance Abuse (Center for Substance Abuse Treatment, 1994), and Rotter's Internal and External Locus of Control Scale (Rotter, 1966). This study provided support for convergent validity between the Finkelhor and the Russell. The majority of participants who reported CSA on the Finkelhor also reported CSA on the Russell, with more participants reporting CSA on the Russell. Although participants' responses on the Finkelhor were positively correlated with their responses on the Russell with respect to severity of the CSA, most participants did not receive the same rating for severity level on both measures. More participants endorsed experiencing CSA by a family member on the Russell than on the Finkelhor. There were significant positive relationships between presence, severity, and duration of abuse (as measured by the Finkelhor for some participants) and scores on the TSC-40, but fewer for the Russell. There were no significant relationships between identifying a family member as the perpetrator of the CSA on the Russell and Finkelhor and scores on the TSC-40 and scores for substance abuse. There were also no significant relationships between presence of CSA as measured by the Finkelhor and Russell and scores for substance abuse. The results of this study found support for discriminant validity for both CSA measures, as scores for neither measure correlated with scores on Rotter's I-E Scale. The results of this study suggest that more research needs to focus on developing consensus on the definition of CSA and on determining how to measure frequency, severity, and duration of CSA accurately. Research on how to measure the characteristics of CSA can yield important information about the relationships between these characteristics and negative outcomes, such as substance abuse, which can be used to inform treatment.
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Granger, Melissa Ann. "Spirituality, depression, and anxiety in survivors of childhood sexual abuse /." View abstract, 2001. http://library.ccsu.edu/ccsu%5Ftheses/showit.php3?id=1628.
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Thesis (M.A.) -- Central Connecticut State University, 2001.Thesis advisor: Laura Levine. "...in partial fulfillment of the requirements for the degree of Master of Arts in General Psychology." Includes bibliographical references (leaves [26]-[31]).
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Subedi, Pooja, Julie Obenauer, Megan Quinn, Renice Obure, and Malendie Gaines. "Childhood Sexual Abuse and Sexual Risk Behaviors among College Students in Appalachia." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6797.
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Background: Childhood Sexual Abuse (CSA) has been linked to a range of adult health problems. This study investigates the association between CSA and sexual risk behaviors of college students in Appalachia. Methodology: Students enrolled in introductory psychology courses at a four-year university in the Appalachian region participated in this survey in 2015. All analyses were completed in SAS. Among 995 participants, the average age was 20 and 69% were female. Simple and multivariate logistic regressions were completed for CSA to predict alcohol use before sex, self-reported diagnosis of Sexually Transmitted Diseases (STD), and unintended pregnancy. Age, gender, and other Adverse Childhood Experiences (ACEs) (physical, emotional, verbal abuse, substance abuse in family, family mental illness, and family incarceration) were considered as covariates. Only significant covariates were included in the final model. Results: In the unadjusted models, CSA was significantly associated with alcohol use before sex (OR=2.66, CI=1.62-4.38), risk of STD (OR=2.42, CI=1.12-5.21), and unintended pregnancy (OR=5.72, CI=3.12-10.50). Association between CSA and unintended pregnancy (OR=3.12, CI=1.60-6.08) was significant in the final model. CSA increased the odds of drinking alcohol before sex by 1.83 among females compared to males (CI=1.31-2.54). In the final model, verbal abuse was significantly associated with alcohol use before sex (OR=1.56, CI=1.1-2.22) and STD (OR=4.05, CI=2.11-7.75) while physical abuse was a significant predictor of unintended pregnancy (OR=2.14, CI=1.07-4.30). Conclusion: CSA increased the odds of some risky sexual behaviors among this college aged sample. However, the importance of other forms of ACEs also deserve further exploration.
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Hodder-Fleming, Leigh. "Adult Survivors of Childhood Sexual Abuse: Forgetting and Remembering." Queensland University of Technology, 2004. http://eprints.qut.edu.au/16678/.
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Past research on adult memory for childhood sexual abuse (CSA) has provided support for the phenomenon of forgetting and subsequent recovery of the memories, after a period of time. This phenomenon, however, remains a source of debate and is still not fully understood by researchers and psychological and legal practitioners. The research has provided conflicting evidence about the factors which are thought to lead to CSA forgetting for extensive periods of time, in addition to the processes involved in forgetting, triggering and later remembering of the abuse memories by adult survivors. This study utilised a mixed method to investigate and explore the factors and processes associated with CSA forgetting, triggering and later remembering, in a sample of Australian adult CSA survivors (N = 77). Participants were asked to complete a test booklet, containing the Traumatic Events Questionnaire (TEQ), Symptom Checklist-90-Revised (SCL-90-R), Dissociative Experiences Scale II (DES II), Impact of Events Scale - Revised (IES-R), a scale designed to measure persistence of memory (Loftus), and a scale designed to measure emotional intensity at the time of the abuse and now (Williams). Participants were then asked to participate in a semi-structured interview. Seventy-one participants completed the interview process. Five separate analyses were conducted on the data. Methodological issues, such as the use of retrospective data and corroboration of the abuse were outlined. All participants were asked to provide details about any corroboration they had received that the abuse had occurred. The participants were streamed into one of three categories of forgetting (Always Remembered, n = 28; Partial Forgetting, n = 16; and Extensive Forgetting, n = 33). The first analysis (Stage One Analysis One) examined the factors thought to be associated with CSA forgetting, such as abuse parameters (TEQ), current psychological functioning (SCL-90-R), persistence of memory (Loftus), emotional intensity at the time of the abuse and now (Williams), the trauma response experienced at the time of the abuse (IES-R), and current dissociation (DES II), to determine the significant differences between the three groups. A significant difference was found regarding the age at which the abuse commenced, with the Extensive Forgetting group reporting an earlier age at which the abuse commenced. Significant differences were found on the variable that related to being abused by an aunt or uncle, and on the current experience of hostility (SCL-90-R sub-scale), and on the current levels of anger (Williams Emotional Intensity) experienced by the participants. Significant differences between the groups were also found on two of the Persistence of Memory items, namely clarity of memory and participants' memory of the tastes related to the abuse. Finally, a significant difference was found on the participants' current dissociation levels, with the Extensive Forgetting group reporting higher levels of current dissociation than the other two groups. Statistical profiles for each of the three groups were constructed, based on the mean scores of the SCL-90-R, IES-R and DES II, for use in the Stage Two, Analysis Two, profile comparison. Stage Two, Analysis One, provided a qualitative analysis relating to the experience of always remembering the abuse. The aim of this analysis was to provide a deeper understanding of why some participants (n = 23) did not forget about their abuse, when other participants reported being able to forget for a period of time. The results indicated that participants' responses formed clusters, such as older age at abuse onset, failed dissociative mechanisms, constant reminders, and others. Stage Two, Analysis Two, presented and compared each participant's profile against the statistical profiles constructed in Stage One. The participant's profiles included a summary of their TEQ responses and interview responses, in addition to their Stage One test booklet scores. The comparison was made, firstly, on a specific basis against the mean scores obtained by each category of forgetting, and secondly, on a broader basis, against the score range for each measure of the statistical profile. This was done to determine if there was a "typical" member of each category of forgetting and to investigate the within-group differences. The specific profile comparison demonstrated that there was no "typical" member of any of the three groups, with participants varying widely in their scores and patterns of scores. However, when the profile comparison was broadened to include score ranges, 61% of participants, who always remembered the abuse, 44% of participants who partially forgot the abuse, and 47% of participants who extensively forgot their abuse, matched the profile of a "typical" member of their relevant category of forgetting. Stage Two, Analysis Three, provided an in-depth qualitative exploration on the process involved in CSA forgetting, triggering and later remembering, for a selection of participants who reported partially forgetting the abuse (n = 6), and extensively forgetting the abuse (n = 10). Participants' interview responses were transcribed verbatim and analysed, using Interview Analysis. This analysis explored the differences between participants, from the two categories of forgetting, on their experiences of CSA forgetting, triggering and later remembering, in addition to exploring how these participants were able to forget about the abuse; what events triggered their abuse memories; and how the initial memories returned. Issues of memory recovery, while in therapy or under hypnosis, were also explored. Stage Two, Analysis Four, presented the case study of a participant, who had been identified as an "outlier", due to her high score on the DES II, claims of being able to remember abuse incidents that occurred prior to the age of two years, diagnosis of DID, and the substantiated conviction and sentencing of her abuser, based on her recovered memories of the abuse and corroboration from her sister and mother. Her case was examined against some of the criticisms often made by false memory supporters. This thesis found that some CSA survivors forgot about their abuse, either partially or extensively. The thesis also found support for some, but not all, of the factors that previous researchers have identified as being associated with CSA forgetting by adult survivors, specifically the individual's age at the time the abuse commenced and the individual's ability to dissociate from the abuse. The research then explored, in-depth, the issues of: CSA remembering, CSA survivor profiling, and the "how" of CSA forgetting, triggering and later remembering, by adult survivors.
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Heal, Laurel. "God concepts among women who experience childhood sexual abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0017/MQ47160.pdf.
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Yip, King-sum, and 葉敬森. "Victims of childhood sexual abuse and later criminal consequences." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31979178.
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Yip, King-sum. "Victims of childhood sexual abuse and later criminal consequences." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B22030578.
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Garratt, Elisabeth Featherston. "The childbearing experiences of survivors of childhood sexual abuse." Thesis, Sheffield Hallam University, 2008. http://shura.shu.ac.uk/4054/.
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This project was initiated by Maggie Smith, whose interest in the topic arose as a result of her experiences as a practising midwife. It seeks to gain understanding into the problems and difficulties encountered by childbearing women who have a history of childhood sexual abuse (CSA). It consists of twenty in-depth interviews with mothers with such a history, half of whom were also midwives at the time of their interview. Recruitment was in two phases: the first consisted of women who were contacted via survivors' support groups; the second, of midwives recruited via the letters pages in midwifery journals. The exact extent of childhood sexual abuse is unknown, but some authorities suggest that as many as half of all women will experience some kind of sexual abuse in their lives (Kelly 1988). The shame and secrecy which surrounds CSA means that, inevitably, it is under-reported and consequently many maternity workers will inadvertently come into contact with survivors during their working lives. The aim of this study was to gain an insight into the lived experiences of survivors of sexual abuse during pregnancy, birth and early parenting, in order to inform those working in the maternity services, to enable them to provide appropriate, research-based care for these women. The project was undertaken from a feminist standpoint in that it was conducted through the promotion of a non-hierarchical reciprocal relationship between the respondents and myself. Data was analysed using grounded theory techniques coupled with the voice-centred relational approach propounded by Mauthner and Doucet (1998). The findings suggest that there are direct parallels between the dehumanising effects of sexual abuse and the experience of giving birth within a medically dominated organisation driven by its own needs for efficiency, calculability and predictability. The interviewees appeared to have realistic expectations of the physical sensations of labour but were unprepared for uncaring and impersonal encounters with maternity staff. Re-traumatisation was more often than not associated with a routine-focussed approach by caregivers and failures in communication resulting in the women experiencing powerlessness, betrayal and humiliation. Good relationships with carers, in which the women perceived themselves to be valued and respected as individuals appeared to have a protective effect. The data also suggests that there is no 'standard' approach to providing care for survivors of CSA, but that it is incumbent on practitioners to collaborate with each individual in order to discover how best to care for her.
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Viviani, Anna Michele. "Counselor meaning-making: working with childhood sexual abuse survivors." Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/3006.
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Childhood sexual abuse is a prevalent but taboo topic in society. Conservatively 80,000 new cases are reported each year with many more either unreported or unsubstantiated within the legal system. Survivors of childhood sexual abuse often times seek counseling assistance to manage the variety of short- and long-term emotional issues that may arise as a result of their abuse. Professional counselors listen to the stories of the survivors and attempt to assist survivors in making sense of this horrific act of personal violence. This study examines the meaning-making experience of master's level professional mental health counselors who work with childhood sexual abuse survivors. A phenomenological qualitative research design was utilized to better understand the process that these counselors use to make sense of their work. Fifty participants were selected from a national data-base of professional mental health counselors who work with survivors. Telephone interviews were conducted with 10 participants. The study revealed that the stories of abuse had a profound impact on the counselors and that there was a significant evolution in how they felt about their work and the survivors they helped. The participants shared that a strong belief system and their theoretical orientation as counselors were essential in their meaning-making process. Other issues such as supervision and mentoring and the development of increased empathy proved to be important to the counselor's meaning-making process.
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Tompkins, Laura. "The Relationship Between Childhood Sexual Abuse and College Adjustment." Marietta College / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=marietta1162335392.
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Ericksen, Stephanie J. "Factors Affecting Revictimization in Survivors of Childhood Sexual Abuse." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc30453/.
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Structural equation modeling was used to examine how childhood sexual abuse (and other associated variables, such as family functioning and experiencing multiple forms of abuse) relates to revictimization and psychological distress. Participants were women who participated in Project HOW: Health Outcomes of Women interviews, a longitudinal study that spanned six waves of interviews. Only women with a history of childhood sexual abuse were included in the present study (n=178). Experiencing nonsexual child maltreatment in addition to childhood sexual abuse appears directly related to adult sexual and physical revictimization and indirectly related to psychological distress. Childhood sexual abuse alone was not predictive of revictimization or psychological abuse. This suggests that other mediating factors may explain the relation between CSA and revictimization found in other research. Clinical implications based on the results of the present study emphasize the importance of identifying children who have experienced multiple forms of abuse as particularly at risk for future victimization. In addition, providing interventions with a focus on education and empowerment might decrease risk for future violence and subsequent emotional maladjustment. Potential future research could examine the treatment outcomes and efficacy of these interventions as well as identify those mediating factors that increase the risk for adult revictimization for those individuals who experience only childhood sexual abuse.
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Rodriguez, Ana M. "The Relationship Between Childhood Sexual Abuse and Subsequent Parenting." NSUWorks, 2009. http://nsuworks.nova.edu/cps_stuetd/62.
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Childhood sexual abuse (CSA) is associated with various immediate and long-term effects, including interpersonal maladjustment. Research has demonstrated a relationship between CSA and subsequent parenting outcomes, such as feeling less confident in the parenting role or being more likely to use harsh discipline practices. The current study examined the relationship between CSA and subsequent parenting skills, specifically perceived parenting competence and parenting practices. This study also examined the potential internalizing, externalizing, and overall problems in children of mothers sexually abused in childhood. Taking into consideration the failure in the literature to account for the role of other variables in determining parenting difficulties, this study examined the mediational role of childhood physical abuse and maternal depression on the parenting outcomes of mothers. The findings of this study indicated that sexually abused mothers did not significantly differ from nonabused mothers in how effective they felt as mothers. Contrary to the hypotheses, the results did not suggest that CSA mothers were more lax or over reactive than their nonabused counterparts. However, the findings revealed that compared to nonabused mothers, sexually abused mothers were more likely to employ hostile parenting practices. In addition, the results of the current study revealed that CSA mothers who reported being more lax in their parenting were more likely to have children who exhibited more externalizing and internalizing behavior problems as compared to the control group. In contrast, there were no significant correlations found between the parenting practices of nonabused mothers and their children's behaviors. The results provided support for maternal depression as a mediator in the relationship between CSA and parenting practices, specifically over reactivity and hostility. Maternal depression did not mediate the relationship between CSA and maternal self-efficacy, or between CSA and laxness. This study found support for the role of childhood physical abuse (CPA) as a mediator in the link from CSA to hostile parenting. However, the findings did not suggest that CPA mediated the relationship between CSA and the other parenting outcomes under study. Possible interpretations of the results are presented. Clinical implications and directions for future research are also discussed.
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Hilliker, Daniel Richard. "The relationship between childhood sexual abuse and juvenile sexual offending: Victim to victimizer? /." The Ohio State University, 1997. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487944660932819.
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Bergh, Charlotta. "Intra-Familial and Extra-Familial Child Sexual Abuse: Differences in Swedish Court Cases." Thesis, Umeå universitet, Institutionen för psykologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-136652.
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Child sexual abuse (CSA) has been shown to differ depending on the relationship between child complainant and defendant, yet no found studies have compared intra-familial and extra-familial CSA in Sweden. The present thesis aimed to study quantitative differences between alleged intra-familial and extra-familial cases of CSA. Cases from Swedish District Courts (n = 174) of sexual abuse against children up to 7 years old were analyzed. In line with previous research, several differences in characteristics between alleged intra- and extra-familial cases were found. A significant difference in juridical decision to convict or acquit was also shown, with more intra-familial cases resulting in acquittal and more extra-familial cases resulting in conviction. Extra-familial relationship was also a significant predictor to conviction. Future studies may want to further examine whether an explanation for the difference in juridical decision could be found in differences in evidence provided.Fall rörande sexuella övergrepp på barn har visats vara olika beroende vilket förhållande det målsägande barnet och den anklagade har. Trots det har inga svenska studier hittats som jämför rättsfall som berör sexuella övergrepp på barn med avseende på skillnader mellan fall som skett inom och utom familjen. Syftet med denna examensuppsats var att undersöka kvantitativa skillnader mellan påstådda rättsfall av sexuella övergrepp som skett inom och utom familjen. Rättsfall som berörde sexuella övergrepp på barn upp till 7 år från svenska tingsrätter (n = 174) analyserades. I linje med tidigare forskning påvisades flertalet skillnader mellan fall som skett inom och utanför familjen. Det påvisades även en signifikant skillnad i domstolens beslut att fria eller fälla, med fler friade fall som skett inom familj och fler fällda fall där det påstådda brottet skett utanför familj. En utom-familjär relation mellan målsägande och anklagade var dessutom en signifikant prediktor för en fällande dom. Förslag på framtida forskning kan vara att vidare undersöka huruvida skillnaden i beslutet att fria eller fälla kan förklaras av skillnader i tillgången på bevis.
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Collins, Christi M. "Catholic Women Survivors of Childhood Sexual Abuse| An Exploratory Study." Thesis, Union Institute and University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3595216.
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The purpose of this qualitative phenomenological research was to explore the influence of the Catholic Church teachings and culture on the recovery and healing of women survivors of Childhood Sexual Abuse (CSA). This study intended to identify which attributes of Catholicism these survivors consider salient. Narratives of 8 women raised as Catholics who were abused sexually as children and experienced a minimum of two years of psychotherapy were collected in individual interviews and then analyzed.
A review of the vast array of studies on the long-term effects of CSA reveals numerous psychological, social, and behavioral difficulties in adults, ranging from poor self-esteem and depression to sexual disorders and post-traumatic stress disorder (PTSD) (Briere & Elliott, 2003; Kim, Talbot, & Cicchetti, 2009; Lemieux & Byers, 2008). The available literature rarely considers whether religious factors themselves play a role in the creation or maintenance of the difficulties from which these women later suffer. I speculated that the healing of the woman and her presenting problems are compounded when she is engaged in what may be called traditional psychotherapies. In addition to the tenacious suffering that may emerge during the psychotherapy process, the Catholic survivor may be struggling with issues such as the perpetual silence of the church, the belief that faith comes from the leaders of the institution, the idea that God cannot be separated from a sense of religion, and the need to first acknowledge sins before the Lord. The focus of this research was to explore the women's lived experiences of recovery within the broader context of Catholicism. To best support clients, it is essential to develop openness to cultural variability and an ability to reach clients within their own cultural frameworks. The current study forms part of a body of work on the developmental and cultural aspects of spirituality and their interaction with healing from trauma. A willingness to learn from the client about her experiences, coupled with professional training and consultation may facilitate improvement in clients who suffered trauma and for whom religion and spirituality have played an important role in their lives.
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St, Aubin Megan Carroll Elizabeth. "How Childhood Sexual Abuse Affects Adulthood Relationship Satisfaction in Women." [Greenville, N.C.] : East Carolina University, 2010. http://hdl.handle.net/10342/2783.
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Dods, Virginia, and mikewood@deakin edu au. "Fracturing the facade : Exploring the impact of childhood sexual abuse." Deakin University. School of Psychology, 2003. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050722.150048.
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Examination of previous empirical literature illustrates how researchers have concentrated on documenting the impact of childhood sexual abuse (CSA) on the later psychological functioning of survivors, through comparisons with those who have not had such a history. Only more recently has there been a focus on assessing the relationship between aspects of the abuse and specific psychological difficulties. This thesis investigated the relationships between CSA characteristics and womens later psychological adjustment. The role of attributions, coping methods, parenting competency and marital satisfaction were also investigated. Qualitative data on perception of benefit and general reflections of participants were used to explore participants self-esteem, locus of control, decisions relating to parenting, disclosure experiences, and attributions in relation to their abuse, including the search for meaning. Recruitment through newspapers and counselling services led to 118 women volunteering to complete a questionnaire evaluating the characteristics of their CSA and their current psychological adjustment. Of this group, 33 subsequently volunteered to participate in a telephone interview that explored in greater depth issues related to the long-term impact of their CSA. Both quantitative and qualitative analyses were conducted on the data. The women reported a high prevalence of dysfunction in their families of origin. Abuse had generally commenced by middle childhood, and lasted for a number of years and often involved a number of perpetrators. Perpetrators were most likely to be intrafamilial, with stepfathers being over-represented. Sexual activities generally involved physical contact, with participation often induced by the use of coercion. Participants demonstrated significant difficulties in psychological adjustment, but attributions regarding the abuse improved over time. Some concerns were expressed regarding parenting competency, and avoidant coping methods were favoured. In general, participants were satisfied with their current marital relationship. Significant associations were found between coping methods, attributional style, beliefs and various psychological adjustment measures. Participants, in general, demonstrated low self-esteem and displayed an external locus of control. As a consequence of their experience of CSA, many participants reported they had decided not to have children. For those who did have children, CSA was almost universally seen as having had an impact on their parenting. Disclosure of CSA was usually delayed for a number of years, with poor outcomes generally resulting from disclosure when it occurred. Women with current partners rated them as very caring and not controlling. Participants were generally still searching for meaning in their abuse, despite many having accepted it. Survivors outlined an extensive range of long-term effects of CSA, and nominated a number of strategies that would assist in reducing these effects. The results of the study indicated that there are a number of characteristics associated with CSA which signal a higher risk of difficulties in psychological adjustment. Concerns of survivors regarding parenting were confirmed according to those who undertook this role. Unfortunately, concerns expressed by survivors that disclosure of their CSA would have had negative consequences was usually the case when they did finally disclose. However, the accessing of social and family support appeared to have an important role in changing the attributions of survivors regarding their CSA. Furthermore, change of attributions in relation to abuse may provide the key to resilience in survivors against the negative impact of CSA on later psychological adjustment.
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Di, Nunzio Rosanna. "Asking and talking about a history of childhood sexual abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0008/MQ40829.pdf.
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Sauteur, Sheila. "Anger in healing from childhood sexual abuse, a group intervention." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ53221.pdf.
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Palmer, Deborah. "Emotionally focused therapy with couples impacted by childhood sexual abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ62816.pdf.
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Wollenzien-Daniels, Jill. "Validation: The missing link in recovery from childhood sexual abuse?" ScholarWorks, 1999. http://scholarworks.waldenu.edu/hodgkinson/5.
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This study considered whether validation through corroborative evidence (an outside source affirming the abuse) is necessary for remediation of symptoms in women survivors of childhood sexual abuse (CSA) who have varying degrees of PTSD. It utilized multiple case studies, in a mixed qualitative-quantitative design, to gain a better understanding of the role of validation in the recovery process.
Two groups of adult female survivors with varying degrees of PTSD were compared: those who had validation of their abuse experiences through corroborative evidence (n=12), and those who did not (n=13). They were queried about their belief in the importance of validation through corroborative evidence and its possible impact on the remediation of their PTSD-like symptoms. This was operationalized by examining the differences in the frequency/intensity and quality of the following variables: dissociation, the current impact of their childhood sexual abuse(s), and their levels of selfesteem. These variables were assessed by using Bernstein and Putnam's Dissociative Experiences Scale (DES-II), Horowitz and colleagues' Impact of Event Scale (IES), Nugent and Thomas' Self-Esteem Rating Scale (SERS), and a semistructured, personal interview.
A MANOV A was conducted on the data from the tests instruments (DES-II, IES, SERS), and no significance was found (a possible Type II error, with the sample being too small to detect an effect). Contrary to this, the data from the personal interviews were quantified using descriptive statistics (frequency counts with percentages), and many substantial differences were discovered: Nonvalidated participants reported more dissociated/repressed and somatic memories; had a higher incidence of negative self-statements and beliefs (e.g., believed selves to be "crazy," "bad," "evil"); and currently had more intrusive PTSD symptoms than validated participants. This supports the theory that validation through corroborative evidence of CSA does make a difference in how survivors heal from their abuse. An unexpected and important finding was that mothers' support and validation was viewed by the survivors as being of great importance, and that for the majority of them, this validation was not given.
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O'Neill, Nathan. "Women's experiences of childhood sexual abuse and psychosis in adulthood." Thesis, University of Hertfordshire, 2010. http://hdl.handle.net/2299/2341.
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Objective: To date there have been few if any qualitative studies of adults who have experienced childhood sexual abuse (CSA) followed by psychotic experiences later in life. This study aimed to explore how a sample of four women make sense of their childhood experiences of sexual abuse and their psychotic experiences later in life. Methodology: Data was gathered through semi-structured interviews with four women. The data were analysed using Interpretative Phenomenological Analysis (IPA) in order to develop a detailed understanding of the women’s search for meaning in their own lives. Results: Four major themes emerged from the analysis of the women’s accounts: ‘Interpersonal difficulties,’ ‘Striving to Get Better’ and ‘A Relationship with Shame’ and ‘Links Between CSA, Mental health & Psychosis’. These are explored in detail. Conclusions: The women’s accounts highlight the ongoing difficulty of living with psychosis and CSA, in particular, the role of psychosis in exacerbating isolation, shame and negative self perceptions. Attention is also drawn to the development of competence for therapists in this area of work. Clinical Implications: Supporting and validating existing healthy coping strategies as well as exploration of the interaction of psychosis and CSA through psychological mechanisms of shame as well as family / society discourses. Therapist/ researcher selfawareness is crucial in supporting clients with such traumatic histories.
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Bhandari, Suchitra. "Family characteristics and long-term effects of childhood sexual abuse." Thesis, University of Hertfordshire, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.267479.
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Etherington, Kim. "Adult male survivors of childhood sexual abuse : a preliminary exploration." Thesis, University of Bristol, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261319.
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Watson, Deborah. "Treatment practices of childhood sexual abuse: A developmental psychopathology perspective." ScholarWorks, 2008. https://scholarworks.waldenu.edu/dissertations/628.
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Childhood sexual abuse (CSA) occurs in up to 9.9 % of the general population. Clinical implications of CSA are lasting and warrant treatment utilizing suitable approaches. Although the developmental psychopathology model encourages clinicians to evaluate disorders in the context of risk/protective factors, cultural issues and development, there is a gap in current research regarding the utilization of developmental theory among clinicians working with this population. Therefore, the purpose of this study was to examine consistent patterns in treatment practices employed by therapists with CSA patients. The primary research question in this study was to determine how closely therapists' actual treatment practice with CSA females paralleled the developmental psychopathology model. The study utilized a grounded theory approach to generate a model of practice drawn from structured interviews with 20 therapists recruited through a snowballing sample. A sequence of open, axial and selective coding of these data revealed three themes including empowerment, consistency and support. Results indicate most participants were trained in developmental theory and, developed model based skills over time while intuitively utilizing this model and that progressing clients had therapists that utilized this model. Recommendations include required undergraduate training in this model. This information will contribute to the existing literature on developmental theory and, can enhance social change initiatives through increased reliance on therapist intuition which in turn can produce patient care more aligned with developmental needs. In addition this information can be used for the development of effective model based interventions and preventions so as to decrease CSA's harmful societal impact.
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Hurrell, Amy-Kate. "Secondary traumatic stress in police officers investigating childhood sexual abuse." Thesis, University of Surrey, 2015. http://epubs.surrey.ac.uk/808872/.
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Background: Previous research has indicated that helping professionals working with traumatised individuals are susceptible to adverse effects which can be recognised as Secondary Traumatic Stress (STS). Methods: This study employed a cross-sectional, quantitative design. An online questionnaire was completed by 101 Child Abuse Investigation Unit (CAIU) police officers in England and Wales. STS, coping strategies, anxiety, depression and demographic information was collected for all participants. Results: It was indicated that increased exposure to Childhood Sexual Abuse (CSA), measured by number on interviews in the past six months, was associated to higher levels of STS. Positive coping strategies, negative coping strategies, anxiety and depression all had a strong, positive relationship with STS. Conclusions: This paper is a first step to understanding STS in CAIU police officers in the England and Wales. This area of research remains under-developed and would benefit from further attention in the future.
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MacIntosh, Heather B. "Emotionally focused therapy for couples and childhood sexual abuse survivors." Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/29231.
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The purpose of this study was to explore the use of Emotionally Focused Therapy for Couples (EFT) with childhood sexual abuse survivors (CSA) and their partners. Ten couples participated in this exploratory study. In assessing outcomes the concept of the reliable change index was utilized to determine whether the treatment did have an impact on couples over the course of the therapy. Qualitative coding strategies were utilized to relate the process of change in couples to the identified outcomes. A case study replication methodology was utilized to examine the use of EFT with these couples thematically. Half of the couples in this study reported clinically significant increases in mean relationship satisfaction over the course of the therapy. Similarly, half of the CSA survivors reported clinically significant decreases in trauma symptoms on a self-report measure and a statistically significant decrease in trauma symptoms was identified on a standardized interview measure of trauma symptoms in the group of survivors. Very little change was identified over the course of therapy on a self-report measure of attachment. Thematic analyses identified numerous areas where trauma survivors were challenged in fully engaging in the therapy process. In particular, trauma symptoms such as affect dysregulation and hypervigilance, shame, anger, emotional numbing and dissociation were identified to play a role in the challenges that survivors experienced in fully engaging in the EFT therapy process. The EFT model and therapist behaviours were also analyzed observationally and results of these thematic analyses yielded clinical recommendations for working with CSA survivors and their partners in EFT for traumatized couples. Recommendations for future study were articulated.
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Kilby, Jane. "Animated testimony : feminism, witnessing and childhood sexual trauma." Thesis, Lancaster University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369467.
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Brothwell, Sarah. "Voices, abuse and dissociation." Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327251.
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