This paper seeks to provide direction to therapists working with mothers and daughters after a disclosure of father‐daughter sexual abuse. The importance of the mother's belief in and support for the child's recovery is highlighted, as are some of the cultural assumptions about mothers and daughters which negatively impact on the relationship. Despite paying lip service to offender responsibility, there continues to be a culture of mother blaming in the child sexual abuse and family therapy literature on incest. Current research findings challenge some of the prevalent myths about mothers’ responses to their children's disclosures. Few clinical sources have addressed this issue, and therapists who reject the mother blaming literature are therefore left with little guidance as to how to work more effectively with mothers and daughters. Consequently they may unwittingly further undermine the relationship. Work with mothers and daughters as they recover from intrafamilial sexual abuse is discussed, and key therapeutic themes and guidelines for practice presented. We explore the significant theme of the rebuilding of trust between mothers and daughters and facilitate a process whereby the woman is able to bear witness to and acknowledge the trauma experienced by her daughter.
This paper draws upon the findings of an analysis of 16 child death reviews of children known to child protection services in Victoria, Australia. The purpose of the research was to assist in understanding the impact on children of the coexistence of the parental risk factors of mental health problems, family violence and substance abuse. The common coexistence of the three risk factors was identified by the Victorian Child Death Review Committee in its analysis of child death reviews conducted by the Office of the Child Safety Commissioner. The researchers analysed a group of review reports and interviewed and surveyed practitioners in a range of fields. Lessons from filicide research have been integrated into the findings identifying lessons for policy and practice, and the importance of multi-service collaboration. A framework for understanding different elements of sharing knowledge is presented.
In the literature on incest, the experience of grief and loss has been under‐explored. In this article we identify the way in which recognition and resolution of grief after incest is frequently not socially sanctioned and may become ‘disenfranchised’. The concept of disenfranchised grief is used to understand the experiences of young women who have been victims of father‐daughter incest, and their non‐offending mothers. The nature of their grief is discussed, along with the complex and multiple relationships within their families. Finally we look at the clinical implications of the therapist recognising the complex and contradictory nature of their experiences and attending to their losses.
First responders are exposed to repetitive work‐related trauma and, thus, are at risk of developing posttraumatic stress disorder (PTSD). Eye‐movement desensitization and reprocessing (EMDR) is a psychotherapy intervention designed to treat symptoms of posttraumatic stress. We conducted a systematic review to examine the viability of EMDR among first responders. The primary aim of this review was to identify studies that have trialed EMDR among first responders and evaluate its effectiveness in reducing trauma‐related symptoms; a secondary aim was to identify whether EMDR has been used as an early intervention for this cohort and determine its effectiveness as such. Four databases were searched. Studies were included if they evaluated the extent to which EMDR was effective in alleviating symptoms stemming from work‐related trauma exposure among first responders. The findings from each study were reported descriptively, and eight studies that evaluated the efficacy of EMDR in this population were included. There was substantial variation in how EMDR was implemented, particularly in the type, duration, frequency, and timing. The findings suggest that EMDR can alleviate symptoms of work‐related trauma exposure among first responders; however, findings regarding early intervention were inconclusive, and a methodological quality assessment revealed that all studies were classified as being of either weak or medium quality. Although this review provides preliminary insights into the effectiveness of EMDR for first responders, the conclusions that can be drawn from the literature are limited, and the findings highlight several gaps in the literature.
Objective: Residential out-of-home care (OoHC) staff regularly experience workplace-related trauma. This may contribute to the future development of a trauma- or stressor-related disorder. Eye movement desensitization and reprocessing (EMDR) is an effective treatment for stress disorders but is largely unstudied in OoHC staff. The objective of the current study was to determine if EMDR, provided early within 3 months of an incident, reduced trauma symptom severity in OoHC staff. Method: During a 3-year pilot study (2018–2020), a trained clinician delivered the Recent Traumatic Episode Protocol (R-TEP) and Group Traumatic Episode Protocol (G-TEP) EMDR to OoHC staff from one community service organization in Victoria, Australia. Retrospective data from the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) were deidentified and analyzed using descriptive statistics and analysis of variance. Due to the COVID-19 pandemic, individual EMDR (R-TEP) was provided via telehealth in 2020 in comparison with face-to-face sessions during 2018–2019. Results: Overall, a significant decrease in PCL-5 scores was seen from baseline to follow up, and staff who received R-TEP or G-TEP experienced reductions in symptoms. Both face-to-face and online modalities showed significant reductions in PCL-5 scores. No significant differences were found between the online or face-to-face modes of delivery, suggesting both options are effective. No adverse reactions were reported among the 144 staff who participated. Conclusion: This study provides evidence for the efficacy of EMDR in reducing traumatic stress symptom severity for residential OoHC staff. A larger, prospective research study is needed.
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