A Group Intervention Programme for Adult Survivors of Childhood Sexual Abuse

Fouché, Ansie; Walker-Williams, Hayley J.

doi:10.15270/52-4-529

Cited by 5 publications

(2 citation statements)

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“…It would be valuable to explore this in a future study. Fouché and Walker-Williams (2016) have outlined key theoretical approaches used for interventions with survivors of CSA; the degree to which gender influences outcomes has yet to be explored when considering the success of these treatment modalities.…”

Section: Discussionmentioning

confidence: 99%

Listening to the Therapeutic Needs of Male Survivors of Childhood Sexual Abuse

Rapsey

Campbell

Clearwater³

et al. 2017

J Interpers Violence

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Childhood sexual abuse of males is not uncommon with estimated prevalence rates across countries and different studies indicating that 8% of boys experience sexual abuse before age 18. A number of adverse outcomes are recognized in terms of mental health, behavioral, and relational difficulties. However, research also indicates that there is potential for healing. The present study explores the barriers, benefits, and processes involved in engagement in formal therapy for adult survivors of CSA from the male survivor's point of view. Nine men spoke of their treatment experiences in response to semistructured interviews. Participants were all members of a group for male survivors of sexual abuse. Seven participants reported benefiting from treatment. Interpretative phenomenological analysis (IPA) of the interviews identified three superordinate themes: "motivation to engage in treatment," "developing a connection with treatment providers," and "changing thinking about the abuse." These themes reveal a number of obstacles that are encountered in seeking treatment including stigma, process barriers, and engagement of a skilled and empathic therapist. For the men who were able to take part in therapy despite these barriers, improved quality of life were noted through the two primary mechanisms of relationship and changed thinking. Key changes in thinking included developing an awareness that they were not responsible for the abuse, understanding the effects of abuse, and developing an identity distinct from the experience of abuse. These changes in thinking occurred within the context of a robust therapeutic relationship.

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Section: Discussionmentioning

confidence: 99%

Listening to the Therapeutic Needs of Male Survivors of Childhood Sexual Abuse

Rapsey

Campbell

Clearwater³

et al. 2017

J Interpers Violence

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“…When developing a group intervention, several aspects need to be considered, such as the existence of a theory of change (Box 1); clearly defined and considered inclusion and exclusion criteria; prior decisions regarding the handling of attrition and the reporting of participant numbers; selection of an appropriate study design; the use of sound evaluation methods; ethical considerations and a standard of care. Lastly, the treatment should be manual-based, and measures should be in place to ensure that the facilitator adheres to the treatment manual (Kessler et al 2003 (Fouché & Walker-Williams 2016).…”

Section: Development and Core Components Of Survivor To Thrivermentioning

confidence: 99%

Resilience enabling processes and posttraumatic growth outcomes in a group of women survivors of childhood sexual abuse

Walker-Williams

Fouché

2018

Health SA Gesondheid

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Background: This study forms part of a pilot project, aiming to evaluate the benefits of a programme entitled S2T denoting from Survivor to Thriver, which is a collaborative strengths-based group intervention programme for women survivors of childhood sexual abuse. The objective of the S2T is to enable resilience processes and facilitate posttraumatic growth outcomes. A theory of change was developed to explain how these objectives are met, it outlines the theoretical approach, mediators, primary and secondary outcomes.Aim: To explore emerging resilience processes and posttraumatic growth outcomes in women survivors of childhood sexual abuse after attending the S2T.Setting: Data was collected during group treatment sessions of the S2T group intervention programme with women survivors of childhood sexual abuse.Methods: A quasi-experimental, one group, pretest, posttest, time-delay design was used with eight purposively selected women with a history of childhood sexual abuse, using qualitative methods to evaluate the benefit of this intervention. Nine group treatment sessions and a delayed follow-up session were conducted. A visual participatory technique and transcriptions of group sessions were used to collect qualitative data.Results: Qualitative thematic analysis revealed the following enabling resilience processes: group as healing vehicle of change; changing destructive to constructive rumination; coping strengths and meaning-making. Posttraumatic growth outcomes which evolved were: transforming wounded to healer; a changed life philosophy; excavated spirituality and re-briefing strengths through a posttrauma thriver identity.Conclusions: The themes suggest resilience processes and posttraumatic growth outcomes; a longitudinal study is recommended to establish effectiveness and inform treatment practice.

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