Attachment Organization and Adaptation in Sexually-Abused Women

1995 ◽  
Vol 40 (5) ◽  
pp. 234-240 ◽  
Author(s):  
A. Stalker Carol ◽  
Felicity Davies
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Personality Disorder ◽  
Psychosocial Functioning ◽  
Clinical Sample ◽  
Adult Attachment Interview ◽  
Global Assessment Scale ◽  
Axis Ii ◽  
History Of Childhood ◽  
History Of

Objective To explore the possible associations among attachment organization, current functioning and Axis II personality disorder. Method Attachment organization was assessed using the Adult Attachment Interview in a clinical sample of 40 women with a history of childhood sexual abuse. The Global Assessment Scale yielded measures of current psychosocial functioning and the Structured Clinical Interview for Diagnosis on DSM-III-R was used to assess presence of personality disorder. Results Preoccupation with attachment issues was evident in 68% of the subjects; 60% of the subjects were unresolved in respect to loss and/or trauma: and 88% of the subjects met criteria for one or more Axis II disorders. A relationship between Borderline Personality Disorder and the Unresolved attachment classification is suggested. Conclusions Women who have experienced childhood sexual abuse require intervention that focuses on resolution of trauma and loss and responds to individual differences in attitudes toward attachment issues.

Symptomatology of reconstitution of trauma in adults with a history of childhood sexual abuse. An approach from the perspective of SONapp application

2022 ◽  
Vol 4 (1) ◽  
Author(s):  
Rodica Weihmann
Keyword(s):  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Childhood Sexual Abuse ◽  
Personality Disorder ◽  
Mental Health Professionals ◽  
Stress Disorder ◽  
Borderline Personality ◽  
History Of Childhood ◽  
History Of ◽  
Post Traumatic

Adults with a history of childhood sexual abuse often experience symptoms derived from lived traumatic experiences, which are analogous to many of the criteria of diagnosis of Borderline Personality Disorder (BPD) but also with those of stress disorder post-traumatic stress disorder (PTSD). We will briefly examine these symptoms in the context of a framework trauma, to conclude later whether symptomatic behaviors may be indicative more accurate for a post-traumatic response, especially in terms of behavior reconstitution or re-experience of trauma. Recognition of self-harm behavior or masochistic tendencies in adult survivors of sexual abuse trauma as an attempt to reconstitution of sexual trauma suffered in childhood, rather than as a manifestation characteristic of personality disorders, serves to establish an appropriate diagnosis, mental health professionals can continue to focus on the consequences of trauma unresolved sexual issues rather than personality restructuring. (Standardized intervention model SON, Delcea C ., 2019) Thus, seek to We understand clients in a trauma setting can provide a more objective treatment climate and can minimize the stigma that may result potentially from making an inappropriate diagnosis borderline personality disorder (BPD).

Sexual Abuse, Disordered Personality and Eating Disorders

1991 ◽  
Vol 158 (S10) ◽  
pp. 63-68 ◽  
Author(s):  
Lisa McClelland ◽  
Lawrence Mynors-Wallis ◽  
Tom Fahy ◽  
Jane Treasure
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Personality Disorder ◽  
Causal Link ◽  
Sexual History ◽  
Personality Assessments ◽  
History Of Childhood ◽  
History Of

Standardised personality assessments were administered to 50 consecutive referrals to an Eating Disorders Clinic. A history of childhood sexual abuse was identified in 30% of patients using a modified version of the SLEI. This rate is comparable with those from other studies. Overall, 52% of the patients were rated as having a personality disorder but a significantly higher proportion of women with a personality disorder had a history of childhood sexual abuse compared with those without a personality disorder (13/26 v. 2/24, Fisher P < 0.001). Although in patients with eating disorders no clear causal link between CSA and personality disorder was demonstrated, our findings emphasise the need to inquire sensitively into the sexual history of such patients.

The Significance of a History of Childhood Sexual Abuse in Bulimia Nervosa

1995 ◽  
Vol 167 (5) ◽  
pp. 679-682 ◽  
Author(s):  
Patrick F. Sullivan ◽  
Cynthia M. Bulik ◽  
Frances A. Carter ◽  
Peter R. Joyce
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Bulimia Nervosa ◽  
Suicide Attempts ◽  
Structured Interviews ◽  
Global Functioning ◽  
History Of Childhood ◽  
Bulimic Symptoms ◽  
History Of ◽  
Bulimic Women

BackgroundChildhood sexual abuse (CSA) is found to have occurred to a substantial minority of women with bulimia nervosa. Its clinical significance is unclear.MethodWe studied 87 bulimic women in a clinical trial. Structured interviews determined the presence of CSA, DSM–III–R disorders, global functioning, and depressive and bulimic symptoms.ResultsForty-four per cent reported a history of CSA. Bulimic women with CSA reported earlier onset of bulimia, greater depressive symptoms, worse global functioning and more suicide attempts, and were more likely to meet criteria for bipolar II disorder, alcohol and drug dependence, conduct disorder and avoidant personality disorder.ConclusionsAlthough those with CSA had greater comorbidity, it was not an important modifier of bulimic symptoms.

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