scholarly journals Managing sexual abuse disclosure by adult psychiatric patients – some suggestions

1993 ◽  
Vol 17 (5) ◽  
pp. 286-288 ◽  
Author(s):  
I. E. Babiker
Keyword(s):  
At Risk ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Psychiatric Patient ◽  
Psychiatric Patients ◽  
Health And Safety ◽  
Main Principle ◽  
Medical Confidentiality ◽  
Abuse Disclosure ◽  
Sexual Abuse Disclosure

The main principle of the Children Act 1989 is that the welfare of a child at risk of abuse or neglect takes precedence over all other considerations. In complying with the Act, these considerations may include the principle of medical confidentiality and the health and safety of some adult patients. Nowhere is this more poignantly illustrated than in the case of childhood sexual abuse disclosure by a distressed psychiatric patient who may be unprepared or unwilling to cooperate with the immediate reporting and ensuing investigation of their abuse as required by the Act.

Sexual Revictimization: The Impact of Attachment Anxiety, Accumulated Trauma, and Response to Childhood Sexual Abuse Disclosure

2015 ◽  
Vol 30 (1) ◽  
pp. 49-65 ◽  
Author(s):  
Inbal Brenner ◽  
Galit Ben-Amitay
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Child Neglect ◽  
Attachment Anxiety ◽  
Sexual Revictimization ◽  
Abuse Disclosure ◽  
Sexual Abuse Disclosure ◽  
Environmental Responses ◽  
Childhood Traumas ◽  
The Impact

It has been proposed that a complexity of personal, interpersonal, and environmental factors is related to sexual revictimization among childhood sexual abuse survivors. In this study, we investigated the relations between attachment dimensions, exposure to accumulated childhood traumas, reaction to childhood sexual abuse disclosure, and adult sexual revictimization. Participants were 60 Israeli women with histories of childhood sexual abuse. Seventy percent of the women reported adult sexual revictimization. Revictimization was related to higher attachment anxiety but not to higher attachment avoidance. Revictimization was also related to emotional and physical child abuse but not to emotional and physical child neglect. Revictimization rates were higher among women who had received negative environmental responses following childhood sexual abuse disclosure than among women who had received supportive reactions and those who had not disclosed childhood sexual abuse at all. Findings were significant even after controlling for severity of childhood sexual abuse. The findings emphasize the role of various contextual-interpersonal factors on revictimization vulnerability among the survivors of childhood sexual abuse.

Responding to child sexual abuse disclosure

2017 ◽  
Vol 42 (12) ◽  
pp. 18-26
Author(s):  
Carolyn M. Dolan ◽  
Micki S. Raber
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Abuse Disclosure ◽  
Sexual Abuse Disclosure

Characteristics of Childhood Sexual Abuse and Adult Psychopathology in Female Psychiatric Patients

1997 ◽  
Vol 31 (2) ◽  
pp. 200-207 ◽  
Author(s):  
Jill Pettigrew ◽  
Joyce Burcham
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Age Of Onset ◽  
Psychiatric Patients ◽  
Age At Onset ◽  
Self Mutilation ◽  
Self Harm ◽  
Independent Association ◽  
Severe Psychopathology ◽  
Relationship Of

Objective: The present study investigated the relationship of characteristics of childhood sexual abuse and subsequent psychopathology. Method: Referrals to a female psychiatrist in private practice in an urban working class area provided 73 adult female subjects who reported having been sexually abused in childhood. Data were collected on age at onset, duration, physical invasiveness of the abuse, violence, and the number and relationship of abusers. Results: Having had multiple abusers in childhood was significantly (p < 0.01) associated with every outcome measure of severe psychopathology: an initial Global Assessment Functioning score of 50 or below; both single and repeated incidents of deliberate self-harm; overdose; self-mutilation; and psychiatric hospital admission. Conclusions: Notably, having had multiple abusers was the only characteristic showing a reliable independent association with any of these measures. Subjects who had had multiple abusers were significantly more likely to have an earlier age of onset and longer duration of abuse, and to have experienced violent abuse.

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