Substance abuse counselors' experiences with victims of incest

Glover-Graf, Noreen M.; Janikowski, Timothy P.

doi:10.1016/s0740-5472(00)00146-x

Cited by 10 publications

(11 citation statements)

References 18 publications

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“…This study suggests that two factors affect the underdiagnosis and undertreatment of PTSD in SUD facilities, which is also reported in the literature (Gielen et al, 2012; Glover-Graf & Janikowski, 2001; Najavits et al, 2004; Young et al, 2005). (1) Although most clinicians are well aware of the adverse consequences of trauma exposure and PTSD on SUD, in general, SUD clinicians are not aware of the high prevalence rates of trauma exposure and PTSD among their patients.…”

Section: Discussionsupporting

confidence: 83%

“…Despite the bulk of evidence and the development of guidelines, relatively few substance dependence treatment centres have implemented an integrated treatment approach, leaving PTSD in most cases untreated during SUD treatment (Glover-Graf & Janikowski, 2001; Najavits, Sullivan, Schmitz, Weiss, & Lee, 2004; Young, Rosen, & Finney, 2005). Furthermore, assessment for PTSD does not take place in every new patient, and underdiagnosis is fairly common (Gielen et al, 2012; Young et al, 2005).…”

mentioning

confidence: 99%

“…Some researchers have previously used surveys with the same goal. Glover-Graf and Janikowski (2001) and Janikowski and Glover-Graf (2003) used the SACSCIH to survey substance abuse clinicians who work with victims of incest. Najavits, Norman, Kivlahan, and Kosten (2010) and Young et al (2005) used surveys (resp.…”

mentioning

confidence: 99%

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Why clinicians do not implement integrated treatment for comorbid substance use disorder and posttraumatic stress disorder: a qualitative study

Gielen

Krumeich

Havermans

et al. 2014

European Journal of Psychotraumatology

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BackgroundHealthcare providers working in addiction facilities do not often implement integrated treatment of comorbid substance use disorder (SUD) and posttraumatic stress disorder (PTSD) while there is empirical evidence to do so.ObjectiveThis study aims to get insight into the views of clinicians with regard to the diagnosis and treatment of PTSD in SUD patients.MethodA qualitative research method was chosen. Fourteen treatment staff members of different wards of an addiction care facility were interviewed by an independent interviewer.ResultsDespite acknowledging adverse consequences of trauma exposure on SUD, severe underdiagnosis of PTSD was mentioned and treatment of PTSD during SUD treatment was not supported. Obstacles related to the underestimation of PTSD among SUD patients and to the perceptions of SUD clinicians concerning the treatment of comorbid SUD/PTSD were reported.ConclusionsIt is concluded that SUD facilities should train their clinicians to enable them to provide for integrated treatment of SUD/PTSD.

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Section: Discussionsupporting

confidence: 83%

mentioning

confidence: 99%

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Why clinicians do not implement integrated treatment for comorbid substance use disorder and posttraumatic stress disorder: a qualitative study

Gielen

Krumeich

Havermans

et al. 2014

European Journal of Psychotraumatology

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“…Ball et al, 2002; Glover-Graf & Janikowski, 2007) we operationalized recovery status with a single-item yes/no question, “Are you personally in recovery?” Responses were coded 0 = no and 1 = yes.…”

Section: Methodsmentioning

confidence: 99%

Recovery at work: The relationship between social identity and commitment among substance abuse counselors

Curtis¹,

Eby²

2010

Journal of Substance Abuse Treatment

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The complex makeup of the substance abuse treatment workforce poses unique challenges to the field. One interesting dynamic is the high rate of counselors who are personally recovering from addictions. Based on social identity theory, it was expected that counselors working in the field of substance abuse treatment who are in recovery themselves will identify more with their profession and report higher professional and organizational commitment. Data from a study of substance abuse counselors from across the United States supports the proposed relationship between personal recovery status and professional commitment but not organizational commitment.

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“…The importance of this consideration was made evident by a study of the Office for National Statistic for England and Wales (2017) , which showed that more than half of adults who were molested during childhood experienced sexual abuse in later life and, in particular, suffered from domestic violence. Actually, CSA is a predictor of adult psychopathology, bringing about anxiety, fear and panic, personality disorders and psychiatric or psychological symptoms, sexualized behavior, sexual addiction or dissatisfaction or sexual maladjustment and disturbance, alcoholism and substance abuse, depression, dissociation, personality and eating disorders, feelings of isolation and stigma, low self-esteem, difficulty in trusting others, self-destructive behavior and suicide ( Alexander et al, 1998 ; Turell and Armsworth, 2000 ; Glover-Graf and Janikowski, 2001 ; Dube et al, 2005 ; Finkelhor et al, 2009 ; Fortier et al, 2009 ; Fergusson et al, 2013 ; Greenfield, 2014 ; Unlu and Cakaloz, 2016 ; Hannan et al, 2017 ; Papalia et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Domestic Violence Between Childhood Incest and Re-victimization: A Study Among Anti-violence Centers in Italy

2018

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The study focuses on a specific problem in the area of child sexual abuse (CSA), which is still under-researched: the relationship between incest and adult female re-victimization treatment within the ambit of domestic violence in Italian centers. About 112 anti-violence centers were contacted, but only 13 participated and only 16 psychologists were interviewed to reconstruct the biographies of 32 victims. The study aimed to examine if and how the service centers recognized and dealt with the problem of re-victimization among survivors based on psychologists’ narrations. Findings showed that the description of perpetrators revealed not only sexual abuse was perpetrated, but also psychological and physical abuse. About half of mothers did not come to their daughters’ aid and those who cooperated with the abusers had mostly suffered from CSA at a time in their life. Only three mothers did help their daughters in contacting the anti-violence centers. However, most of the service centers were not concerned with the relationship between incest and domestic re-victimization, while those who considered the problem, dealt with it only on the practitioner–patient level. In addition, despite the psychologists used professional and empathetic language, they disclosed their high emotional involvement and a genuine bewilderment. A discussion on the need to standardize the psychotherapeutic support given to these re-victimized women was presented, with a critique to the un-discriminated de-pathologization approach adopted by almost all anti-violence centers. In particular, we wanted to underline the fact that, although, this approach is useful in treating victims who were not abused during infancy, it could be insufficient for women who suffered from incest.

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Substance abuse counselors' experiences with victims of incest

Cited by 10 publications

References 18 publications

Why clinicians do not implement integrated treatment for comorbid substance use disorder and posttraumatic stress disorder: a qualitative study

Why clinicians do not implement integrated treatment for comorbid substance use disorder and posttraumatic stress disorder: a qualitative study

Recovery at work: The relationship between social identity and commitment among substance abuse counselors

Domestic Violence Between Childhood Incest and Re-victimization: A Study Among Anti-violence Centers in Italy

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