scholarly journals Change during psychotherapy: the perspective of children and adolescents who have been sexually abused

2018 ◽  
Author(s):  
Claudia Capella ◽  
Carolina Gutiérrez ◽  
Loreto Rodrìguez ◽  
Camila Gòmez
Keyword(s):  
Sexual Abuse ◽  
Children And Adolescents ◽  
Narrative Analysis ◽  
Sexually Abused ◽  
Well Being ◽  
Visual Narrative ◽  
Initial State ◽  
Supportive Relationships ◽  
Psychotherapeutic Change ◽  
Depth Interviews

The aim of this research was to identify the meanings of psychotherapeutic change of children and adolescents who have suffered sexual abuse and were in psychotherapy. In order to do this, a qualitative study was carried out in which in-depth interviews complemented with drawings were conducted with 10 children and adolescents, aged between 6 and 16 years, who were taking part in psychotherapy due to sexual abuse. The interviews took place between 6 and 10 months after the start of the therapy and before it ended. Thematic narrative analysis was used for the interviews and visual narrative analysis for the drawings. The main findings showed that children and adolescents visualized psychotherapeutic change as a process in which gradual progress is made. The participants notice changes from an initial state of sadness and distress, mainly describing a positive shift in terms of emotional well-being. In addition, in this phase of the therapy only a few participants identified changes in their feelings regarding the abusive experience. The participants identified aspects of the therapy and supportive relationships with significant others as elements that foster these changes. In their view, hindering elements include changes of therapist, legal factors, and not being believed by their family. It is discussed the importance of knowing the children and adolescents' perspective regarding psychotherapeutic change while participating in therapy processes, using multiple methodologies, to generate interventions that suit the needs of this population and match the pace of children and adolescents' change.

scholarly journals Role of Narrative and Social Networks in Thwarting Violence and Sexual Abuse in Young People’s Lives

2019 ◽  
Vol 50 (7) ◽  
pp. 2172-2190
Author(s):  
Margareta Hydén ◽  
David Gadd ◽  
Thomas Grund
Keyword(s):  
Social Networks ◽  
Sexual Abuse ◽  
Social Work ◽  
Young People ◽  
Narrative Analysis ◽  
Interpersonal Violence ◽  
Sexually Abused ◽  
Her Family ◽  
The Social ◽  
Work Intervention

Abstract Combining narrative analysis with social network analysis, this article analyses the case of a young Swedish female who had been physically and sexually abused. We show how she became trapped in an abusive relationship at the age of fourteen years following social work intervention in her family home, and how she ultimately escaped from this abuse aged nineteen years. The analysis illustrates the significance of responses to interpersonal violence from the social networks that surround young people; responses that can both entrap them in abusive relationships by blaming them for their problems and enable them to escape abuse by recognising their strengths and facilitating their choices. The article argues that the case for social work approaches that envision young people’s social networks after protective interventions have been implemented. The article explains that such an approach has the potential to reconcile the competing challenges of being responsive to young people’s needs while anticipating the heightened risk of being exposed to sexual abuse young people face when estranged from their families or after their trust in professionals has been eroded.

scholarly journals Purification, Punishment, and Control: Eating Disorders, Self-Harm, and Child Sexual Abuse

2021 ◽  
pp. 104973232110174
Author(s):  
Lisa Hodge ◽  
Amy Baker
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Eating Disorder ◽  
Child Sexual Abuse ◽  
Sexually Abused ◽  
Self Harm ◽  
And Control ◽  
Depth Interviews

Eating disorders continue to be viewed as curable diseases, forcing people into predetermined narratives of pathology that shape how they are viewed and treated. Situated in a feminist application of Bakhtin’s sociological linguistics, we were concerned with how participants understood eating disorders, the nature of their experiences, and the causes of their distress. Following a dialogical method, multiple in-depth interviews were conducted with seven women who experienced an eating disorder and who had been sexually abused previously, and participants’ own drawings and poetry were obtained to gain deeper insights into meanings and emotions. We found an eating disorder offered a perception of cleanliness and renewal that was attractive to participants who experienced overwhelming shame. It is critical that researchers use a range of visual and sensory methods to move eating disorder understandings and treatment beyond illness and pathology.

Medical Evaluation of Sexually Abused Children: A Review of 311 Cases

PEDIATRICS ◽  
1982 ◽  
Vol 69 (1) ◽  
pp. 8-14
Author(s):  
Mary Ellen Rimsza ◽  
Elaine H. Niggemann
Keyword(s):  
Sexual Abuse ◽  
Physical Examination ◽  
Children And Adolescents ◽  
Sexually Abused ◽  
Abused Children ◽  
Medical Evaluation ◽  
Time Period ◽  
Victims Of Sexual Abuse ◽  
Sexually Abused Children

The case records of 311 children and adolescents who were medically evaluated for sexual abuse are reviewed. Only 18% of these victims were assaulted by strangers; 131 of the assailants were relatives. Thirty percent of the victims reported multiple assaults over a time period of one week to nine years. Physical examination showed no abnormalities in only 23% of the patients. Twenty-one patients had gonorrhea and seven patients were pregnant. Guidelines for the medical evaluation of patients suspected to be victims of sexual abuse are discussed.

scholarly journals Exploring the Perceived Positive Relationship Interactions of the Sri Lankan Adolescents and Their Teachers in the Context of Adolescent Psychosocial Well-being

2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Buddhiprabha D. D. Pathirana
Keyword(s):  
Interpersonal Relationships ◽  
Positive Relationship ◽  
Psychosocial Problems ◽  
Well Being ◽  
Sri Lankan ◽  
Optimal Conditions ◽  
Supportive Relationships ◽  
Psychosocial Wellbeing ◽  
Depth Interviews

Adolescence is a time of change and transition, specifically in the context of interpersonal relationships with significant adults in their lives. Adolescence is also a period in which vastly reflects growing psychological and emotional independence from adults and proximity and dependence to peers. Therefore, adolescents often must negotiate and establish relationships with adults under less than optimal conditions. Thus, nature and quality of relationship interactions between teachers and adolescents are fundamental to understanding adolescent psychosocial wellbeing. A particular concern lies with the adolescents who do not enjoy positive, supportive relationships with their teachers. Such adolescents are often at risk for academic and psychosocial problems. The present study explores Sri Lankan adolescents’ perceived relationship interactions with their teachers and its impact on their psychosocial wellbeing, using in depth interviews. The findings provide specific components pertaining to strong positive relationships such as empathy, warmth, sense of comfort, guidance, provision of financial assistance when in need and confidentiality. However, adolescents also mentioned teachers as figures detrimental to their wellbeing.

Depressive Symptom Trajectories Among Sexually Abused Youth: Examining the Effects of Parental Perpetration and Age of Abuse Onset

2018 ◽  
Vol 23 (4) ◽  
pp. 387-398 ◽  
Author(s):  
Matthew W. Carlson ◽  
Assaf Oshri
Keyword(s):  
Sexual Abuse ◽  
Depressive Symptoms ◽  
Sexually Abused ◽  
Depressive Symptomatology ◽  
Growth Mixture Modeling ◽  
Well Being ◽  
Depressive Symptomology ◽  
Symptom Trajectories ◽  
Growth Mixture ◽  
Abuse Characteristics

Researchers found that sexual abuse in childhood leads to increased adolescent depressive symptomatology, though this link may vary due to the relationship between the victim and the perpetrator as well as the age of the child when the abuse began. A sample of 444 sexually abused youth provided data for the National Survey of Child and Adolescent Well-Being I. Growth mixture modeling was used to identify trajectories of depressive symptoms and test the effects of parental perpetration and age of abuse onset. Results supported the following three growth trajectories of depressive symptoms in adolescence: falling, rising, and flat. Youth who were sexually abused by a parent were more likely to follow the rising and falling trajectories. Also, youth who experienced sexual abuse at a younger age were more likely to be classified in the falling trajectory. Findings can inform intervention programming on the links between sexual abuse characteristics and subsequent patterns of adolescent depressive symptomology.

scholarly journals Children and adolescents: victims who become perpetrators

1998 ◽  
Vol 4 (2) ◽  
pp. 101-107 ◽  
Author(s):  
Arnon Bentovim ◽  
Bryn Williams
Keyword(s):  
Sexual Abuse ◽  
Children And Adolescents ◽  
Sexually Abused ◽  
Early Age ◽  
Official Statistics ◽  
Media Attention ◽  
Sexually Abusive ◽  
Sexually Abuse ◽  
Abusive Behaviour ◽  
Research Initiatives

Irrespective of whether one considers official statistics, the proliferation of clinical referrals, research initiatives, review articles or even media attention, the problem of children and adolescents who sexually abuse other children has become a subject of increased attention. Given the proportion of young abusers who are themselves victims of sexual abuse, understanding the continuities between sexual victimisation and sexually abusive behaviour has been important. Despite the paucity of reliable evidence, it is clear that the majority of children who are sexually abused do not become abusers. Moreover, we know that around half of all young abusers have not themselves been victims of abuse. This paper sets out to consider these issues and highlight potentially important factors in understanding the origins and development of sexually abusive behaviour at an early age.

scholarly journals Material sensible. Un proyecto de fotografía participativa que muestra la experiencia de personas que han sufrido abusos sexuales en la infancia.

2019 ◽  
Vol 21 ◽  
pp. 29-51
Author(s):  
Mireia Plans Farrero
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Everyday Life ◽  
Creative Process ◽  
Social Vulnerability ◽  
Social Inclusion ◽  
Sexually Abused ◽  
Personal History ◽  
Visual Narrative ◽  
Personal A

Material sensible es un proyecto de fotografía participativa con personas que han sufrido abusos sexuales en la infancia y que están recibiendo apoyo terapéutico. El proyecto está basado en la metodología Punt de Vista que utiliza la fotografía como herramienta de transformación personal e inclusión social, dirigida a colectivos y personas en riesgo de vulnerabilidad social, poco visibles en discursos hegemónicos. A través del acompañamiento y la inmersión en un proceso creativo que utiliza la intimidad como fuente de referencia, se articulan relaciones entre imagen, memoria, identidad, cotidianidad y representación. Cada participante recupera emociones y fragmentos de su historia personal -a menudo silenciada- reconstruyendo una narración visual propia. El proyecto finaliza con una exposición colectiva fruto del proceso de creación de cada participante, que ayuda a reforzar la identidad, generar nuevos relatos y concienciar a la sociedad sobre un tema tabú como es el abuso sexual infantil. Material sensible is a participatory photography project with people who have been sexually abused in their childhood and receive therapeutic support. The project is based on the Punt de Vista methodology, using photography as a tool for personal transformation and social inclusion, aimed at groups and people at risk of social vulnerability, which are not visible in predominant discourses. Through accompaniment and immersion in a creative process that uses intimacy as a reference, it connects image, memory, identity, everyday life and representation. Each participant recovers emotions and fragments of their personal history - often silenced - by reconstructing their own visual narrative. The project ends with a collective exhibition resulting from the creative process of each participant, which helps to strengthen the identity, generate new stories and raise awareness.of an unspoken subject such as child sexual abuse.

scholarly journals A Therapeutic Game for Sexually Abused Children and Adolescents (Vil Du?!): Exploratory Mixed Methods Evaluation

10.2196/26062 ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. e26062
Author(s):  
Joyce Johanna Endendijk ◽  
Henny Tichelaar ◽  
Menno Deen ◽  
Maja Deković
Keyword(s):  
Sexual Abuse ◽  
Children And Adolescents ◽  
Sexually Abused ◽  
Evaluation Study ◽  
Web Based ◽  
Self Blame ◽  
Mixed Methods Evaluation ◽  
Therapeutic Game ◽  
Semistructured Interviews ◽  
Sexually Abused Children

Background Talking about experiences of sexual abuse in therapy is difficult for children and adolescents. Possible reasons for this difficulty are a lack of vocabulary to describe the situation or feelings of shame, fear, and self-blame associated with sexual abuse. The serious game Vil Du?! was developed to help children open up about their sexual abuse experiences. Vil Du?! is a nonverbal communication game that resembles a dress-up game in which children can show the therapist what happened to them. Objective This exploratory evaluation study examines which working elements of the game could be identified in therapy with victims of sexual abuse (aim 1). In addition, this study examines how therapists evaluate the acceptability of the game (aim 2). Methods The therapists completed 23 web-based surveys on the use of Vil Du?! In addition, semistructured interviews were conducted with 10 therapists. The data were analyzed in NVivo following previously reported stepwise guidelines. Results Regarding aim 1, therapists mentioned various working elements of Vil Du?!; for instance, Vil Du?! puts the child in control of the situation. In addition, Vil Du?! reduces barriers to disclosure because there is no need to talk or have eye contact with the therapist. Regarding aim 2, Vil Du?! was generally evaluated more positively than negatively by the therapists. For instance, therapists indicated that using Vil Du?! is time efficient and might make the treatment process less confronting and difficult for the client. According to therapists, most clients indeed experienced less tension and more positive (or neutral) emotions than negative emotions when using Vil Du?! Conclusions The most important working elements of Vil Du?!, according to therapists, are that it enables children to regain control over their sexual abuse experiences and reduces barriers to disclosing sexual abuse experiences. The more positive evaluation of Vil Du?! indicates the acceptability of the game for therapists as well as their clients.

The Effects of Similarity Versus Dissimilarity of Spouses' Traumatic Childhood Events on Psychological Well-Being and Marital Quality

2003 ◽  
Vol 24 (6) ◽  
pp. 737-752 ◽  
Author(s):  
Rachel Lev-Wiesel ◽  
Marianne Amir
Keyword(s):  
Sexual Abuse ◽  
Marital Quality ◽  
Sexually Abused ◽  
Adult Survivors ◽  
Well Being ◽  
Traumatic Experiences ◽  
Post Traumatic Stress ◽  
Child Survivors ◽  
Post Traumatic ◽  
Holocaust Child Survivors

This study compared spouses who had experienced similar versus different childhood trauma in terms of post-traumatic symptomatology, psychological symptoms of distress, and marital quality. The sample comprised two groups: Holocaust child survivors who were sexually abused during the Holocaust and are married to Holocaust child survivors ( n = 44) who were also sexually abused, and adult survivors of childhood sexual abuse married to nonsurvivors of sexual abuse ( n = 43). All participants were administered the post-traumatic stress disorder, Symptom Checklist 90-Revised, and Enrich Scale for Marital Quality questionnaires. The results revealed that compared with survivors married to partners with different past traumatic experiences, survivors who shared similar past traumatic experiences with their spouses had higher levels of PTSD, anxiety, depression, somatization, phobic-anxiety, and hostility but also expressed greater levels of marital quality.

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