Clinical Decision-Making Strategies of Marriage and Family Therapists in the Treatment of Adult Childhood Sexual Abuse Survivors

Kessler, Mindi R. Higgins; Nelson, Briana S.; Jurich, Anthony P.; White, Marilyn Domas

doi:10.1080/01926180490255800

Cited by 10 publications

(3 citation statements)

References 6 publications

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“…In fact, it has been suggested that most clients do not tell their therapist at all about CSA (Briere & Runtz, 1988). The researchers had an assumption, supported by research, that disclosures of CSA that occur later in therapy may be handled differently than disclosures of CSA early in therapy (Higgins Kessler et al, 2004). The data concerning this third decision-making area generally did not support this assumption.…”

Section: Discussionmentioning

confidence: 94%

Initial Treatment Decisions with Adult Survivors of Childhood Sexual Abuse

Kessler

Goff²

2006

Journal of Trauma Practice

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Providing therapy for survivors of childhood sexual abuse (CSA) can be a complex process with many critical decisions throughout treatment; however, literature that offers suggestions on how to proceed in therapy with CSA survivors is limited. In the current study, a qualitative, phenomenological methodology was used to explore the decisionmaking process in the initial stages of therapy. Participants included 11 national experts who offered suggestions to help facilitate therapy with CSA, responding to client disclosures, and determining treatment modality and focus. Although some experts had divergent views on how they would handle early treatment decisions, a number of concrete suggestions, as well as justifications, to support different choices when making initial treatment decisions are provided.

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Section: Discussionmentioning

confidence: 94%

Initial Treatment Decisions with Adult Survivors of Childhood Sexual Abuse

Kessler

Goff²

2006

Journal of Trauma Practice

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“…Based on the findings of the data collected and previous studies, some recommendations are made to assist counsellors in assisting clients who have experienced sexual abuse as children. The first step is to evaluate the client's current situation, including the difficulties encountered, the client's resilience, and the impact of sexual abuse on the client's current functioning (Kessler et al, 2004). Second, the counsellor helps clients overcome feelings of guilt, anxiety, and severe depression (Hartman et al, 1987).…”

Section: Counselling Implicationsmentioning

confidence: 99%

Interpersonal Relationships and Psychological Well-Being of Individuals with Childhood Sexual Abuse History and Counsellor Roles

Mohamad¹,

Nen²,

Subhi³

2022

IJARBSS

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Numerous studies demonstrate that adults who were sexually abused as children suffer from long-term psychological and social consequences. Without proper support and intervention, the effects may become increasingly chronic, affecting the victim's health for the remainder of his or her life. This study aimed to examine the long-term effects of childhood sexual abuse on the interpersonal and psychological relationships of abuse victims. To investigate the phenomenon, this study employs the qualitative research method of case study. Two informants have volunteered to take part in this study. The informants were questioned using a method of semi-structured interviewing. The informants, both women in their 20s, were unmarried and have been victims of child sexual abuse by individuals they know. The collected data was then analysed using techniques of thematic analysis to extract themes from the interviews. According to the study's findings, childhood sexual abuse had long-term consequences for both participants. Participants reported that it was challenging to maintain a romantic relationship, that they feared intimacy, held negative views of marriage, and insecure in a relationship. Both informants mentioned depression, trauma, eating disorders, sleep disorders, suicidal thoughts, and psychosomatic symptoms in terms of psychological effects. Before providing appropriate interventions, counsellors must evaluate the victim's issues, the impact of sexual abuse on the present, and coping skills. To aid victims in their recovery, it is necessary to cultivate strong relationships, demonstrate compassion, and promote their empowerment.

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“…Un estudio adelantado en Estados Unidos por Kessler, Nelson, Jurich, & White (2004) sobre las estrategias y decisiones clínicas que toman los terapeutas de personas que durante la terapia manifiestan haber sido víctimas de abuso sexual infantil, mostró que los siguientes 6 factores fueron considerados por los terapeutas como los más importantes para trabajar en terapia con víctimas de abuso sexual infantil: evaluar problemas emocionales, recoger la descripción del cliente sobre el abuso, determinar la razón de la revelación, evaluar el impacto del abuso en el funcionamiento pasado, evaluar el impacto del abuso en el funcionamiento presente y evaluar las estrategias de afrontamiento actuales.…”

Section: Ntroducciónunclassified

Estructura psíquica de un grupo de terapeutas profesionales de niños, niñas y adolescentes que han vivido experiencias de abuso sexual de la ciudad de Medellín, Colombia

Otálvaro

Porras

Quiroz

2017

infpsic

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Estrutura psíquica de um grupo de terapeutas profissionais de meninos, meninas e adolescentes que tem vivido experiencias de abuso sexual na cidade de Medellín, ColômbiaPsychic structure of a group of professional therapists of children and adolescents who have had experiences of sexual abuse in the city of Medellín, ColombiaResumo Objetivo: descrever a estrutura psíquica de um grupo de terapeutas profissionais de meninos, meninas e adolescentes que tem vivido experiencias de abuso sexual (grupo 1) em comparação com um grupo de terapeutas profissionais que não atendem este tipo de população da cidade de Medellín (grupo 2). Método: partiu-se de um enfoque quantitativo não experiencial, de esboço transversal, com um alcance descritivo comparativo. A amostra foi intencional por disponibilidade de sujeitos, dividida em dois grupos: o grupo 1 (terapeutas de abuso sexual infantil) esteve conformado em um 84% de mulheres e em um 16% de homens e o grupo 2 (terapeutas que não trabalham abuso sexual infantil) em um 64% de mulheres e um 36% de homens (n=50, com 25 em cada um dos grupos). O instrumento usado foi o inventario Bochum de personalidade e competências (BIP). Resultados: no Grupo 1, acharam-se correlações significativas entre estabilidade emocional e capacidade de trabalho (.79), correlação media entre estabilidade emocional e distorção da imagem (.52), capacidade de trabalho e distorção da imagem (.55) seguridade em si mesmo e distorção da imagem (.56). no grupo 2, acharam-se correlações medias entre estabilidade emocional e capacidade de trabalho (.54) entre capacidade de trabalho e seguridade em si mesmo (.50) e uma correlação significativa entre capacidade de trabalho e distorção da imagem (.76). na variável Distorção da imagem observou-se uma diferencia significativa na prova da mediana para amostras independentes (p=.046). Conclusões: as analises mostram que não se tem diferenças estatísticas significativas entre os grupos de objeto de estudo, excetuando a estabilidade emocional e a distorção da imagem com um sesgo mais negativo, isto é, uma tendência a se mostrar mais autocríticos que os do grupo 1. Palavras chaveEstrutura psíquica, terapeuta de abuso sexual infantil, estilo pessoal do psicoterapeuta. AbstractObjective: to describe the psychic structure of a group of professional therapists of children and adolescents who have had experiences of sexual abuse (Group 1) in comparison with a group of professional therapists who do not serve this type of population of the city of Medellín (Group 2). Method: we started from a non-experimental quantitative approach, cross-sectional design, with a comparative descriptive scope. The sample was intentional by availability of subjects, divided into two groups: Group 1 (child sexual abuse therapists) was formed by 84 per cent of women and 16% of men and Group 2 (therapists who do not work child sexual abuse) by 64% of women and 36% of males (n = 50, with 25 in each of the groups). The instrument used was the Bochum inventory of personality and skills (BIP). Results: ...

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Clinical Decision-Making Strategies of Marriage and Family Therapists in the Treatment of Adult Childhood Sexual Abuse Survivors

Cited by 10 publications

References 6 publications

Initial Treatment Decisions with Adult Survivors of Childhood Sexual Abuse

Initial Treatment Decisions with Adult Survivors of Childhood Sexual Abuse

Interpersonal Relationships and Psychological Well-Being of Individuals with Childhood Sexual Abuse History and Counsellor Roles

Estructura psíquica de un grupo de terapeutas profesionales de niños, niñas y adolescentes que han vivido experiencias de abuso sexual de la ciudad de Medellín, Colombia

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