Beyond “Survivor”: How Childhood Sexual Abuse Informs the Identity of Adult Women at the End of the Therapeutic Process

Phillips, Alexis; Daniluk, Judith C.

doi:10.1002/j.1556-6678.2004.tb00299.x

Cited by 61 publications

(72 citation statements)

References 5 publications

(11 reference statements)

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“…The study findings indicate that childhood experiences of repeat sexual victimization across two developmental stages-childhood and adolescence-significantly increased trauma-related psychosexual shame reported in adulthood. This finding confirms previous research regarding the detrimental impact of sexual revictimization (Filipas & Ullman, 2006) and substantiates concerns regarding the lasting impact of sexual victimization during childhood and adolescence (Phillips & Daniluk, 2004).…”

Section: Discussionsupporting

confidence: 81%

“…Survivors of CSA may perceive their self-identity as contaminated, and struggle with feelings of self-loathing and shame (Phillips & Daniluk, 2004). Exposure to ongoing traumatic events (such as multiple incidents of CSA) may hinder survivors' ability to perceive future relationships as supportive or helpful and hamper the development of trust in others (Briere & Runtz, 1993).…”

Section: Enduring Effects Of Sexual Victimization and Revictimizationmentioning

confidence: 99%

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The Imprint of Childhood Abuse on Trauma-Related Shame in Adulthood

Reid¹

2018

Dignity

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Research has consistently linked residual trauma-related shame among child sexual abuse (CSA) survivors to sexual revictimization, health risk behaviors, and poorer response to mental health treatment. However, questions remain regarding the imprint of childhood maltreatment on trauma-related shame including which CSA characteristics or types of childhood maltreatment contribute to residual shame in adulthood. Using data drawn from a prospective study of 174 primarily African American women with histories of CSA and a matched comparison group, this study explores whether specific characteristics of CSA (familial CSA, CSA with penetration, force used by CSA perpetrator), repeat sexual victimization in adolescence, childhood physical abuse, childhood neglect, and childhood commercial sexual exploitation contribute to the level of trauma-related psychosexual shame reported during adulthood. Ordinal logistic regression revealed that the analyzed characteristics of CSA did not result in higher levels of shame. However, repeated sexual victimization during adolescence, childhood physical abuse, childhood neglect, and childhood commercial sexual exploitation resulted in higher levels of trauma-related shame reported in adulthood. For treatment providers, these findings highlight the critical need to address and treat trauma-related shame with clients who have experienced maltreatment or sexual exploitation during childhood.

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Section: Discussionsupporting

confidence: 81%

Section: Enduring Effects Of Sexual Victimization and Revictimizationmentioning

confidence: 99%

The Imprint of Childhood Abuse on Trauma-Related Shame in Adulthood

Reid¹

2018

Dignity

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“…At the same time, they point out that some elements of their selves remain and give them a sense of continuity. Phillips and Daniluk (2004) have also reported changes in self-definition and self-acceptance in sexually abused women at the end of the treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In order to do this, the study of Gómez (2016) integrates the knowledge obtained from previous research on psychotherapy and healing from sexual abuse considering the views of the victims (Banyard & Williams, 2007;Capella et al, 2016;Draucker et al, 2009Draucker et al, , 2011Foster & Hagedorn, 2014;Harvey et al, 2000;Jessiman et al, 2017;Nelson-Gardell, 2001;Phanichrat & Townshend, 2010;Phillips & Daniluk, 2004;Saha, Cheung, & Thorne, 2011) and the theoretical-clinical conceptualizations of psychotherapy in sexual abuse cases (Barudy, 1998;Cantón & Cortés, 2004, Capella & Gutierrez, 2014Gil, 2006;Llanos & Sinclair, 2001;Malacrea, 2000), complemented with the results of research on psychotherapeutic change (Altimir et al, 2010;Echá-varri, et al, 2009;Gonçalves et al, 2009;Krause, 2005;Krause et al, 2006) and psychotherapy with children and adolescents in the general clinical population (Binder, Moltu, Hummelsund, Sagen., & Holgersen, 2011;Bury, Raval, & Lyon, 2007;Carlberg, 1997;Carlberg et al, 2009;Caroll, 2002;Fernández, 2013;Gibson & Cartwright, 2014;Midgley, 2004;Midgley, Target, & Smith, 2006;Stith, Rosen, McCollum, Coleman, & Herman, 1996). From this point of view, Gómez (2016) suggests that psychotherape...…”

mentioning

confidence: 99%

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

Capella

Gutiérrez

Rodríguez

et al. 2018

ResPsy

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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.

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“…Es relevante mencionar que el concepto de superación posee algunas similitudes con lo que se ha conceptualizado en la literatura como cambio psicoterapéutico. En ambos marcos conceptuales se releva la existencia del crecimiento, la resignificación de experiencias disruptivas, la existencia de etapas sucesivas en el proceso, con sus indicadores de cambio o resultados, y la presencia de avances y retrocesos dentro del mismo (Draucker et al, 2011;Gonçalves, Matos & Santos, 2009;Krause et al, 2006;Phillips & Daniluk, 2004). Sin embargo, una de sus principales diferencias es que el concepto de cambio psicoterapéutico procede de la investigación en psicoterapia, mientras que el concepto de superación corresponde a la investigación sobre la temática específica de las agresiones sexuales.…”

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Narrativas de Padres de Niños, Niñas y Adolescentes que Han Finalizado Psicoterapia por Agresiones Sexuales: Un Proceso de Superación Conjunta

et al. 2017

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Este estudio tuvo como objetivo describir las narrativas de padres y figuras parentales en torno al proceso de superación de las agresiones sexuales vivenciado por sus hijos (víctimas directas) y por sí mismos (víctimas indirectas). Se utilizó el análisis narrativo de entrevistas en profundidad realizadas a una muestra intencionada de 18 padres y/o figuras parentales de niños/as y adolescentes, luego del alta de su proceso terapéutico por agresiones sexuales en 3 centros especializados en Santiago, Chile. Los resultados del estudio permiten visualizar la vivencia y significados asociados a la superación según la perspectiva de los participantes, así como los elementos que la favorecen, estableciendo, al mismo tiempo, las similitudes y diferencias que observan entre su propia experiencia de superación y la de sus hijos/as. Además, dan cuenta de la manera interrelacionada y conjunta en que este proceso se desarrolla en padres e hijos. Junto con ampliar el conocimiento teórico relativo al fenómeno de la superación, los resultados permiten relevar la importancia de ampliar los espacios terapéuticos disponibles actualmente en Chile para los padres de quienes han sido víctimas directas.

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Beyond “Survivor”: How Childhood Sexual Abuse Informs the Identity of Adult Women at the End of the Therapeutic Process

Cited by 61 publications

References 5 publications

The Imprint of Childhood Abuse on Trauma-Related Shame in Adulthood

The Imprint of Childhood Abuse on Trauma-Related Shame in Adulthood

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

Narrativas de Padres de Niños, Niñas y Adolescentes que Han Finalizado Psicoterapia por Agresiones Sexuales: Un Proceso de Superación Conjunta

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