Personality Disorders, Coping Strategies, and Posttraumatic Stress Disorder in Women with Histories of Childhood Sexual Abuse

2003 ◽  
Vol 12 (2) ◽  
pp. 19-39 ◽  
Author(s):  
Dawn M. Johnson ◽  
Timothy C. Sheahan ◽  
Kathleen M. Chard
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Coping Strategies ◽  
Personality Disorders ◽  
Posttraumatic Stress ◽  
Stress Disorder

Psychophysiologic assessment of women with posttraumatic stress disorder resulting from childhood sexual abuse.

1998 ◽  
Vol 66 (6) ◽  
pp. 906-913 ◽  
Author(s):  
Scott P. Orr ◽  
Natasha B. Lasko ◽  
Linda J. Metzger ◽  
Nancy J. Berry ◽  
Caryl E. Ahern ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Psychophysiologic Assessment

Persisting Hallucinations following Childhood Sexual Abuse

1990 ◽  
Vol 24 (4) ◽  
pp. 561-565 ◽  
Author(s):  
Terry Heins ◽  
Allison Gray ◽  
Maxine Tennant
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Case Reports ◽  
Early Report ◽  
Psychotic Depression ◽  
Sensory Modalities

Hallucinations can persist for many years after childhood sexual abuse. If we recognise this, we will not mis-diagnose psychosis and we may treat with psychotherapy (talk). The hallucinations are distinct from hallucinations in schizophrenia though patients have frequently been given that diagnosis. They would generally be classified as pseudo-hallucinations. They are generally self-referential. They can involve all sensory modalities. Three case reports illustrate this link. Methods for interviewing and providing ongoing help are discussed. Issues in phenomenology and diagnosis are considered. Posttraumatic stress disorder is the best diagnostic fit, though psychotic depression may explain some cases. Freud's case of Frau P (1896) was an early report of this link.

Childhood Sexual Abuse and Posttraumatic Stress Disorder: Considerations for Rehabilitation Counsellors

1998 ◽  
Vol 4 (2) ◽  
pp. 71-81 ◽  
Author(s):  
Kylie Dearn ◽  
Lynda R. Matthews
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Posttraumatic Stress ◽  
Sexually Abused ◽  
Stress Disorder ◽  
Professional Collaboration ◽  
Significant Percentage ◽  
Long Term Impact

Childhood sexual abuse (CSA) is a frequently occurring event that has a strong and lasting impact on adult functioning. A significant percentage of adults who are sexually abused as children subsequently meet the diagnostic criteria for posttraumatic stress disorder (PTSD) and demonstrate an increased vulnerability toward further traumatisation. Despite the likelihood that rehabilitation counsellors will encounter clients with this history, published literature on the contribution of rehabilitation counsellors to work with adults who were abused as children is limited. This report discusses ways rehabilitation counsellors can contribute to the inter-professional collaboration required to achieve a reduction in impact of disability and handicap associated with the long-term impact of CSA.

Dialectical Behavioral Therapy for Patients with Borderline Features and Posttraumatic Stress Disorder After Childhood Sexual Abuse (DBT-P)

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Bohus ◽  
K. Priebe ◽  
A. Dyer ◽  
R. Steil
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Behavioral Therapy ◽  
Specific Treatment ◽  
Control Group ◽  
Dialectical Behavioral Therapy ◽  
Concurrent Disorders

Several randomised clinical trials (RCT) have demonstrated the efficacy of cognitive behavioral therapy in the treatment of Posttraumatic Stress Disorder (PTSD). However, the external validity of these studies is limited with regard to PTSD related to childhood sexual abuse which often results in severe and complex sympomatology accompanied by a variety of concurrent disorders or symptoms, for example self-mutilation, suicidal ideation, or severe dissociation. Nearly 30% of patients with PTSD have a co-occuring borderline personality disorder (BPD). The prevalence rates of PTSD in patients with BPD vary between 40% and 60%.Several RCTs have shown the efficacy of Dialectical Behavioral Therapy (DBT) in the treatment of borderline patients, who exaggerate severe behavioural dyscontrol. However specific treatment for co-occuring PTSD has been lucking.Clinical lore suggests that exposure to trauma-relevant memories can potentially aggravate dysfunctional behaviour in patients with BPD. Empirical research however reports discrepant results with two studies documenting deleterious effects of comorbid BPD on treatment outcome, whereas one study did not find an impact.DBT-P was specifically tailored to treat patients with PTSD after sexual abuse during childhood. DBT-P includes training in emotion regulation and mindfulness, cognitive interventions and exposure elements, usually in combination with the use of skills. To evaluate the efficacy of DBT-P as compared to a wait list control group a RCT is currently carried out. Preliminary data, which will be presented, revealed large between effect sizes for the primary outcome measures (PDS, CAPS).

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