“…Clinicians have often described pervasive patterns of distress present in the relationships of women reporting a history of child sexual abuse (Courtois, 1988;Kirschner, Kirschner, & Rappaport, 1993;Maltz & Holman, 1987;Meiselman, 1990). Consistent with these clinical observations are empirical findings from the PTSD literature documenting impaired interpersonal functioning among survivors of other forms of psychological trauma (Carroll, Rueger, Foy, & Donahue, 1985;Nadelson, 1989;Resick, Calhoun, Atekeson, & Ellis, 1981). Finally, several different theoretical conceptualizations, including attachment theory (Alexander, 1992), interpersonal schema theory (Cloitre, 1998), and a contextual behavioral perspective (Polusny & Follette, 1995) have been advanced as possible explanations for a causal link between CSA and adult interpersonal dysfunction.…”