Dissertations / Theses: 'Survivors of Childhood Sexual Abuse (CSA)'

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Bolar, Eleanor A. "African American Clergy: Fostering Supportive Relationships with Survivors of Childhood Sexual Abuse." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1314114117.

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Smith, Christa M. "Sexual cognitions of childhood sexual abuse survivors /." View online, 2008. http://repository.eiu.edu/theses/docs/32211131464745.pdf.

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Tshume, Nobom. "Resilience in childhood sexual abuse survivors." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50438.

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Thesis (MA) -- Stellenbosch University, 2005.
ENGLISH ABSTRACT: This study will review the literature on resilience in adult female childhood sexual abuse survivors with specific focus on incestuous abuse. Adults with histories of sexual abuse are categorised as either resilient or non-resilient on the basis of current functioning. Characteristics of the family of origin and its perceived contribution to the child sexual abuse are discussed. The developmental psychopathology literature addressing issues of resilience and vulnerability to stresses is addressed. The theoretical concepts of resilience, as they relate to protective mechanisms are discussed.
AFRIKAANSE OPSOMMING: Hierdie navorsingstuk bied 'n oorsig oor die literatuur met betrekking tot die herstelvermoe van volwasse vroulike persone wat as kinders seksueel mishandel is, met besondere klem op bloedskandelike mishandeling. Volwassenes met 'n geskiedenis van seksuele mishandeling word op grond van hulle huidige funksionering beskryf as Of in staat om te herstel of nie daartoe in staat nie. Kenmerke van die gesin van oorsprong en die waargenome bydrae van die gesin tot die seksuele mishandeling van kinders word bespreek. Die literatuur met betrekking tot ontwikkelingsgerigte psigopatologie gee aandag aan vraagstukke met betrekking tot herstelvermoe en kwesbaarheid teen die agtergrond van stres. Die teoretiese konsepte van herstelvermoe, en die verband daarvan met beskermende meganismes, word ook bespreek.

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Lyons, Jennifer. "Sexual Abuse Characteristics and Psychological Functioning among Male Survivors of Childhood Sexual Abuse." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37585.

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Childhood sexual abuse among males has been associated with many negative psychological outcomes. Studies have attempted to identify which sexual abuse characteristics (e.g., duration, age of onset) are associated with mental health difficulties. While informative, this research has been mostly limited to variable-centered analyses, which do not capture the heterogeneity in males’ abuse experiences and psychological presentations. This two-part dissertation advances our understanding of how best to measure childhood sexual abuse and how to account for the diversity of sexual abuse experiences and outcomes among men using a person-centered approach. Given that there are few validated measures of childhood sexual abuse, the first study examined the psychometric properties of a commonly-used measure in the sexual abuse literature, the Sexual Victimization Survey (SVS; Finkelhor, 1979). Once the validity and reliability of the SVS were established, the SVS was used to generate profiles on the basis of abuse characteristics (Study 2). Data for both studies were drawn from a sample of 302 males (85% Caucasian) aged 18 to 65 years seeking support for childhood sexual abuse. Participants completed a modified version of the SVS as well as the sexual abuse subscale of the Childhood Experiences of Violence Questionnaire-Short Form (CEVQ-SF; Tanaka et al., 2012). Twenty-one males completed the SVS again one week later for test-retest purposes. The SVS showed high inter-rater reliability on sexual abuse status and sexual abuse characteristics. Most males (85%) who endorsed sexual abuse on the SVS did so on the CEVQ-SF, resulting in fair concurrent validity. The SVS showed perfect one-week test-retest reliability on abuse status, as well as good to excellent agreement on sexual abuse characteristics between the initial and one week time points. Given the strong psychometric properties of the modified SVS, it was then used to generate childhood sexual abuse profiles in Study 2. Once participants with significant missing data were deleted, 215 men remained and were included in the generation of profiles. Latent profile analyses revealed three distinct profiles which varied in the severity of abuse experiences. The Severe profile (n = 56, 26%) depicted sexual abuse which began in mid-childhood and consisted of a one or two time fondling by an unfamiliar extrafamilial perpetrator. Men in the More Severe profile (n = 71, 33%) also experienced abuse in mid-childhood by an extrafamilial perpetrator, but experienced more severe sexual acts that spanned several months to several years. Men in this profile were emotionally closer to their perpetrators prior to abuse onset than males in the Severe profile. The Most Severe profile (n = 88, 41%) depicted abuse which began in early childhood and consisted of very severe sexual acts by trusted individuals both within and outside of the family. Men in the Most Severe were significantly more likely to concurrently have experienced child emotional and physical abuse as well as a greater number of non-victimization adversities, compared with men in the other two profiles. Profiles varied with respect to psychological outcomes. Males in the More Severe and Most Severe profiles reported significantly more internalizing problems than men in the Severe profile, and men in the Most Severe profile reported significantly more trauma symptoms than men in the Severe profile. Certain contextual variables were also associated with greater psychological difficulties, namely greater present-day use of avoidant coping predicted more internalizing and externalizing problems, as well as greater trauma symptoms. Worse childhood family functioning was associated with more internalizing and externalizing problems, and disclosure of the abuse (compared to non-disclosure) was associated with more externalizing problems and trauma symptoms. These results have several research and clinical implications, including tailoring assessment and treatment to meet the individual needs of male survivors.

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Ah, Hing Antoinette Danielle. "The impact of child sexual abuse (CSA) on the school life experiences and academic performance of adult CSA survivors." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1259.

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Child Sexual Abuse (CSA) is a societal problem whose origins date back to the times of the ancient Greeks and Romans. It is found in all levels of society, from the wealthiest to the poorest; and the short-term and long-term impacts it has on the lives of the victims, can be devastating. There are many reasons for the occurrence of child sexual abuse, but in all cases, the ultimate accountability rests on the shoulders of the sexual offender. The nature of child sexual victimisation varies from verbal suggestions to violent physical force. Irrespective of which type the child is being subjected to, as the weaker partner in the pedagogical relationship with the adult, s/he is never able to defend herself/himself. The global phenomenon, and the increase in CSA, has given rise to the research question, namely: How does child sexual abuse impact on the school life experiences and academic performance of learners at school? The purpose of this research study was to provide insight into the following issues: • The nature and identification of the symptoms of child sexual abuse; • The manner in which sexually abused children manifest their experiences of sexual abuse at school; • How sexually abused children cope with their learning tasks; and • Recommendations for educators. The literature relating to CSA was reviewed, with the aim of establishing a solid theoretical foundation for the study. CSA has been looked at holistically, encompassing the accepted definitions, the related concepts, the nature of sexual abuse, the prevalence and incidence of CSA, the possible causes, the short-term and long-term impacts, and the suggestions by adult survivors for use by educators in their efforts to help abused learners. 11 In an attempt to provide acceptable answers to the research problem, a mixed- method research design was implemented. The research study was conducted in two phases: Stage 1 consisted of an exploration of the research problem by means of the following question put to the participants: In your experience as an adult survivor of child sexual abuse how did the abuse impact on your school life experiences, including your academic performance? A total of nineteen participants from the Eastern Cape Province shared their experiences, by means of writing their life story as a narrative. Purposive and availability sampling of adult survivors was undertaken. In order to ensure the trustworthiness and authenticity of the research methodology, Guba’s model of data verification was used. Accepted ethical measures were taken into consideration and adhered to during the research. The analysed data were taken directly from the narratives that the individual participants saved onto flashdrives. Consensus by the researcher and coder was reached regarding the identification of themes, categories and subcategories. The following four significant themes emerged, based on the results of the data analysis: Theme One: Health, sexuality and the sexual experiences of sexual abused children and adolescents. Theme Two: The social development of sexually abused children and adolescents. Theme Three: School-related experiences and academic performance of sexually abused children and adolescents. Theme Four: Advice and suggestions from adult survivors for young victims of CSA. 12 Stage 2 offered recommendations to the teachers of learners who are, or have been sexually abused, derived from the findings of Phase 1. The conclusion was reached that CSA does have an impact on the academic performance of learners. Therefore, teachers are in need of a greater understanding and awareness of CSA, in order to help these learners.

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Granger, Melissa Ann. "Spirituality, depression, and anxiety in survivors of childhood sexual abuse /." View abstract, 2001. http://library.ccsu.edu/ccsu%5Ftheses/showit.php3?id=1628.

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Thesis (M.A.) -- Central Connecticut State University, 2001.
Thesis advisor: Laura Levine. "...in partial fulfillment of the requirements for the degree of Master of Arts in General Psychology." Includes bibliographical references (leaves [26]-[31]).

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Hodder-Fleming, Leigh. "Adult Survivors of Childhood Sexual Abuse: Forgetting and Remembering." Queensland University of Technology, 2004. http://eprints.qut.edu.au/16678/.

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Past research on adult memory for childhood sexual abuse (CSA) has provided support for the phenomenon of forgetting and subsequent recovery of the memories, after a period of time. This phenomenon, however, remains a source of debate and is still not fully understood by researchers and psychological and legal practitioners. The research has provided conflicting evidence about the factors which are thought to lead to CSA forgetting for extensive periods of time, in addition to the processes involved in forgetting, triggering and later remembering of the abuse memories by adult survivors. This study utilised a mixed method to investigate and explore the factors and processes associated with CSA forgetting, triggering and later remembering, in a sample of Australian adult CSA survivors (N = 77). Participants were asked to complete a test booklet, containing the Traumatic Events Questionnaire (TEQ), Symptom Checklist-90-Revised (SCL-90-R), Dissociative Experiences Scale II (DES II), Impact of Events Scale - Revised (IES-R), a scale designed to measure persistence of memory (Loftus), and a scale designed to measure emotional intensity at the time of the abuse and now (Williams). Participants were then asked to participate in a semi-structured interview. Seventy-one participants completed the interview process. Five separate analyses were conducted on the data. Methodological issues, such as the use of retrospective data and corroboration of the abuse were outlined. All participants were asked to provide details about any corroboration they had received that the abuse had occurred. The participants were streamed into one of three categories of forgetting (Always Remembered, n = 28; Partial Forgetting, n = 16; and Extensive Forgetting, n = 33). The first analysis (Stage One Analysis One) examined the factors thought to be associated with CSA forgetting, such as abuse parameters (TEQ), current psychological functioning (SCL-90-R), persistence of memory (Loftus), emotional intensity at the time of the abuse and now (Williams), the trauma response experienced at the time of the abuse (IES-R), and current dissociation (DES II), to determine the significant differences between the three groups. A significant difference was found regarding the age at which the abuse commenced, with the Extensive Forgetting group reporting an earlier age at which the abuse commenced. Significant differences were found on the variable that related to being abused by an aunt or uncle, and on the current experience of hostility (SCL-90-R sub-scale), and on the current levels of anger (Williams Emotional Intensity) experienced by the participants. Significant differences between the groups were also found on two of the Persistence of Memory items, namely clarity of memory and participants' memory of the tastes related to the abuse. Finally, a significant difference was found on the participants' current dissociation levels, with the Extensive Forgetting group reporting higher levels of current dissociation than the other two groups. Statistical profiles for each of the three groups were constructed, based on the mean scores of the SCL-90-R, IES-R and DES II, for use in the Stage Two, Analysis Two, profile comparison. Stage Two, Analysis One, provided a qualitative analysis relating to the experience of always remembering the abuse. The aim of this analysis was to provide a deeper understanding of why some participants (n = 23) did not forget about their abuse, when other participants reported being able to forget for a period of time. The results indicated that participants' responses formed clusters, such as older age at abuse onset, failed dissociative mechanisms, constant reminders, and others. Stage Two, Analysis Two, presented and compared each participant's profile against the statistical profiles constructed in Stage One. The participant's profiles included a summary of their TEQ responses and interview responses, in addition to their Stage One test booklet scores. The comparison was made, firstly, on a specific basis against the mean scores obtained by each category of forgetting, and secondly, on a broader basis, against the score range for each measure of the statistical profile. This was done to determine if there was a "typical" member of each category of forgetting and to investigate the within-group differences. The specific profile comparison demonstrated that there was no "typical" member of any of the three groups, with participants varying widely in their scores and patterns of scores. However, when the profile comparison was broadened to include score ranges, 61% of participants, who always remembered the abuse, 44% of participants who partially forgot the abuse, and 47% of participants who extensively forgot their abuse, matched the profile of a "typical" member of their relevant category of forgetting. Stage Two, Analysis Three, provided an in-depth qualitative exploration on the process involved in CSA forgetting, triggering and later remembering, for a selection of participants who reported partially forgetting the abuse (n = 6), and extensively forgetting the abuse (n = 10). Participants' interview responses were transcribed verbatim and analysed, using Interview Analysis. This analysis explored the differences between participants, from the two categories of forgetting, on their experiences of CSA forgetting, triggering and later remembering, in addition to exploring how these participants were able to forget about the abuse; what events triggered their abuse memories; and how the initial memories returned. Issues of memory recovery, while in therapy or under hypnosis, were also explored. Stage Two, Analysis Four, presented the case study of a participant, who had been identified as an "outlier", due to her high score on the DES II, claims of being able to remember abuse incidents that occurred prior to the age of two years, diagnosis of DID, and the substantiated conviction and sentencing of her abuser, based on her recovered memories of the abuse and corroboration from her sister and mother. Her case was examined against some of the criticisms often made by false memory supporters. This thesis found that some CSA survivors forgot about their abuse, either partially or extensively. The thesis also found support for some, but not all, of the factors that previous researchers have identified as being associated with CSA forgetting by adult survivors, specifically the individual's age at the time the abuse commenced and the individual's ability to dissociate from the abuse. The research then explored, in-depth, the issues of: CSA remembering, CSA survivor profiling, and the "how" of CSA forgetting, triggering and later remembering, by adult survivors.

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Garratt, Elisabeth Featherston. "The childbearing experiences of survivors of childhood sexual abuse." Thesis, Sheffield Hallam University, 2008. http://shura.shu.ac.uk/4054/.

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This project was initiated by Maggie Smith, whose interest in the topic arose as a result of her experiences as a practising midwife. It seeks to gain understanding into the problems and difficulties encountered by childbearing women who have a history of childhood sexual abuse (CSA). It consists of twenty in-depth interviews with mothers with such a history, half of whom were also midwives at the time of their interview. Recruitment was in two phases: the first consisted of women who were contacted via survivors' support groups; the second, of midwives recruited via the letters pages in midwifery journals. The exact extent of childhood sexual abuse is unknown, but some authorities suggest that as many as half of all women will experience some kind of sexual abuse in their lives (Kelly 1988). The shame and secrecy which surrounds CSA means that, inevitably, it is under-reported and consequently many maternity workers will inadvertently come into contact with survivors during their working lives. The aim of this study was to gain an insight into the lived experiences of survivors of sexual abuse during pregnancy, birth and early parenting, in order to inform those working in the maternity services, to enable them to provide appropriate, research-based care for these women. The project was undertaken from a feminist standpoint in that it was conducted through the promotion of a non-hierarchical reciprocal relationship between the respondents and myself. Data was analysed using grounded theory techniques coupled with the voice-centred relational approach propounded by Mauthner and Doucet (1998). The findings suggest that there are direct parallels between the dehumanising effects of sexual abuse and the experience of giving birth within a medically dominated organisation driven by its own needs for efficiency, calculability and predictability. The interviewees appeared to have realistic expectations of the physical sensations of labour but were unprepared for uncaring and impersonal encounters with maternity staff. Re-traumatisation was more often than not associated with a routine-focussed approach by caregivers and failures in communication resulting in the women experiencing powerlessness, betrayal and humiliation. Good relationships with carers, in which the women perceived themselves to be valued and respected as individuals appeared to have a protective effect. The data also suggests that there is no 'standard' approach to providing care for survivors of CSA, but that it is incumbent on practitioners to collaborate with each individual in order to discover how best to care for her.

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Viviani, Anna Michele. "Counselor meaning-making: working with childhood sexual abuse survivors." Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/3006.

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Childhood sexual abuse is a prevalent but taboo topic in society. Conservatively 80,000 new cases are reported each year with many more either unreported or unsubstantiated within the legal system. Survivors of childhood sexual abuse often times seek counseling assistance to manage the variety of short- and long-term emotional issues that may arise as a result of their abuse. Professional counselors listen to the stories of the survivors and attempt to assist survivors in making sense of this horrific act of personal violence. This study examines the meaning-making experience of master's level professional mental health counselors who work with childhood sexual abuse survivors. A phenomenological qualitative research design was utilized to better understand the process that these counselors use to make sense of their work. Fifty participants were selected from a national data-base of professional mental health counselors who work with survivors. Telephone interviews were conducted with 10 participants. The study revealed that the stories of abuse had a profound impact on the counselors and that there was a significant evolution in how they felt about their work and the survivors they helped. The participants shared that a strong belief system and their theoretical orientation as counselors were essential in their meaning-making process. Other issues such as supervision and mentoring and the development of increased empathy proved to be important to the counselor's meaning-making process.

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Ericksen, Stephanie J. "Factors Affecting Revictimization in Survivors of Childhood Sexual Abuse." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc30453/.

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Structural equation modeling was used to examine how childhood sexual abuse (and other associated variables, such as family functioning and experiencing multiple forms of abuse) relates to revictimization and psychological distress. Participants were women who participated in Project HOW: Health Outcomes of Women interviews, a longitudinal study that spanned six waves of interviews. Only women with a history of childhood sexual abuse were included in the present study (n=178). Experiencing nonsexual child maltreatment in addition to childhood sexual abuse appears directly related to adult sexual and physical revictimization and indirectly related to psychological distress. Childhood sexual abuse alone was not predictive of revictimization or psychological abuse. This suggests that other mediating factors may explain the relation between CSA and revictimization found in other research. Clinical implications based on the results of the present study emphasize the importance of identifying children who have experienced multiple forms of abuse as particularly at risk for future victimization. In addition, providing interventions with a focus on education and empowerment might decrease risk for future violence and subsequent emotional maladjustment. Potential future research could examine the treatment outcomes and efficacy of these interventions as well as identify those mediating factors that increase the risk for adult revictimization for those individuals who experience only childhood sexual abuse.

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Collins, Christi M. "Catholic Women Survivors of Childhood Sexual Abuse| An Exploratory Study." Thesis, Union Institute and University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3595216.

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The purpose of this qualitative phenomenological research was to explore the influence of the Catholic Church teachings and culture on the recovery and healing of women survivors of Childhood Sexual Abuse (CSA). This study intended to identify which attributes of Catholicism these survivors consider salient. Narratives of 8 women raised as Catholics who were abused sexually as children and experienced a minimum of two years of psychotherapy were collected in individual interviews and then analyzed.

A review of the vast array of studies on the long-term effects of CSA reveals numerous psychological, social, and behavioral difficulties in adults, ranging from poor self-esteem and depression to sexual disorders and post-traumatic stress disorder (PTSD) (Briere & Elliott, 2003; Kim, Talbot, & Cicchetti, 2009; Lemieux & Byers, 2008). The available literature rarely considers whether religious factors themselves play a role in the creation or maintenance of the difficulties from which these women later suffer. I speculated that the healing of the woman and her presenting problems are compounded when she is engaged in what may be called traditional psychotherapies. In addition to the tenacious suffering that may emerge during the psychotherapy process, the Catholic survivor may be struggling with issues such as the perpetual silence of the church, the belief that faith comes from the leaders of the institution, the idea that God cannot be separated from a sense of religion, and the need to first acknowledge sins before the Lord. The focus of this research was to explore the women's lived experiences of recovery within the broader context of Catholicism. To best support clients, it is essential to develop openness to cultural variability and an ability to reach clients within their own cultural frameworks. The current study forms part of a body of work on the developmental and cultural aspects of spirituality and their interaction with healing from trauma. A willingness to learn from the client about her experiences, coupled with professional training and consultation may facilitate improvement in clients who suffered trauma and for whom religion and spirituality have played an important role in their lives.

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Etherington, Kim. "Adult male survivors of childhood sexual abuse : a preliminary exploration." Thesis, University of Bristol, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261319.

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MacIntosh, Heather B. "Emotionally focused therapy for couples and childhood sexual abuse survivors." Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/29231.

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The purpose of this study was to explore the use of Emotionally Focused Therapy for Couples (EFT) with childhood sexual abuse survivors (CSA) and their partners. Ten couples participated in this exploratory study. In assessing outcomes the concept of the reliable change index was utilized to determine whether the treatment did have an impact on couples over the course of the therapy. Qualitative coding strategies were utilized to relate the process of change in couples to the identified outcomes. A case study replication methodology was utilized to examine the use of EFT with these couples thematically. Half of the couples in this study reported clinically significant increases in mean relationship satisfaction over the course of the therapy. Similarly, half of the CSA survivors reported clinically significant decreases in trauma symptoms on a self-report measure and a statistically significant decrease in trauma symptoms was identified on a standardized interview measure of trauma symptoms in the group of survivors. Very little change was identified over the course of therapy on a self-report measure of attachment. Thematic analyses identified numerous areas where trauma survivors were challenged in fully engaging in the therapy process. In particular, trauma symptoms such as affect dysregulation and hypervigilance, shame, anger, emotional numbing and dissociation were identified to play a role in the challenges that survivors experienced in fully engaging in the EFT therapy process. The EFT model and therapist behaviours were also analyzed observationally and results of these thematic analyses yielded clinical recommendations for working with CSA survivors and their partners in EFT for traumatized couples. Recommendations for future study were articulated.

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Hollingworth, Tracy J. "Female Sexual Abuse Survivors and the Therapeutic Relationship." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6582.

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Childhood abuse can impact the survivors' life in many ways. Children learn various skills from their caregivers, such as the tools needed to develop and maintain healthy relationships. When a child is abused by their caregiver, there can be a drastic impact on how the child perceives the world, and the therapeutic relationship is important in the healing process. This interpretative phenomenological analysis (IPA) study explored the lived experiences of therapists who work with adult women who are survivors of childhood sexual abuse to better understand the effects that childhood sexual abuse has on the therapeutic relationship. The theoretical base for the study was attachment theory that was conceptualized within a traumatic framework. Participants were recruited through online media forums and with the use of flyers posted at local counseling offices in the metro area of Albuquerque, New Mexico. Eight therapists who self-identified as meeting the criteria for this study were recruited and interviewed in-person; the data was analyzed by hand. Five themes emerged during the analysis: the enhancing effects of disclosure, seeking to empower clients, the client's emotional distress, negative feelings and loss of self, and ability to maintain boundaries. This study contributes to provide avenues for social change by developing awareness and education resources for therapists to increase their effectiveness of treatment and develop ways in which support can be employed to serve the affected population through education and rapport building. This in turn has the potential of increasing successful treatment outcomes, which allows clients to build better external positive, healthy relationships.

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Avilés, Martha F. "Time-limited group treatment with women survivors of childhood sexual abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq23205.pdf.

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Lewis, H. "Gender role and sexuality in male survivors of childhood sexual abuse." Thesis, University of Liverpool, 2018. http://livrepository.liverpool.ac.uk/3027956/.

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Nidsjö, Aili Sofia. "Coping styles and disordered eating in survivors of childhood sexual abuse." Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/47797/.

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Childhood sexual abuse (CSA) is a complex form of trauma that can have long-lasting effects on how an individual copes with stress and adversity in their daily life. CSA has been associated with a number of sequelae, one of them being eating disorder (ED). This thesis focuses on the coping styles of CSA survivors and explores the link between CSA and ED, through the lens of coping and trauma-related cognitions. Due to a gender imbalance in the current literature, a systematic review of studies measuring the link between ED and CSA in males was carried out. Half of the studies included in the review found support for the relationship between CSA and harmful eating patterns in males. A case study of a male CSA survivor presenting with difficulties coping with emotions, expressed as self-injury, binge eating and physical and sexual aggression towards others, revealed that a coping-focused intervention successfully reduced harmful behaviours. An empirical study (N=295) investigated coping styles and early maladaptive schema as mediating variables in the link between CSA and ED, using the EAT-26, the Young Schema Questionnaire (YSQ-S3) and the Brief COPE. The sample included participants recruited from social media platforms (n 118), as well as ED (164) and CSA support forums (13). Only early maladaptive schema were found to mediate the relationship between CSA and ED. An interpretation may be that ED itself is a coping mechanism. A psychometric review of the Brief Coping with Problems Experienced (COPE) scale, highlights difficulties in the measurement of coping and explores potential benefits of a conceptualisation focusing on flexibility in coping, rather than style of coping. It also indicates a need for more trauma-sensitive measures when assessing coping strategies in this population. Future research should focus on the specific early maladaptive schemas or schema domains that may influence the relationship between CSA and ED. Future efforts should also aim to better understand the relationships of these variables in male survivors. Clinical implications are discussed, along with limitations of the thesis.

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Sharpe, Chelsea. "Experiences of Parenting for African American Female Survivors of Childhood Sexual Abuse." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5038.

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Childhood sexual abuse (CSA) has been linked to a number of adverse effects in adulthood including higher levels of depression, shame, guilt, self-blame, somatic concerns, anxiety, dissociation, repression, denial, relationship problems, and sexual problems. Little is known, however, about the influence CSA has on parenting, specifically among African American mothers, as previous researchers have primarily focused on the trauma experienced by survivors. Examining the impact of CSA on African American mothers' parenting is important as those children of survivors will often also experience the impact of the long-term sequelae associated with CSA. Guided by womanist theory, the purpose of this hermeneutic phenomenological qualitative inquiry was to explore the lived experiences in relation to parenting of African American mothers who survived CSA. Experiential anecdotes of data collected from interviews with 7 participants were hand coded for emergent themes; analysis generated 4 essential themes and 10 subthemes of experience. Themes included impact of abuse, bonding, efforts to protect, spirituality, and desires. This study's implications for positive social change include contributing to the knowledge base about the process of parenting experienced by African American female survivors of CSA. Findings may add insight shedding light on cultural nuances in parenting and coping with trauma and inform culturally-competent practice. Using study findings, mental health providers may be able to develop tailored treatment interventions and better support services for the prevention of adverse long-term effects of CSA in African American women.

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Motley, Rebecca Roper. "Adult Survivors of Childhood Sexual Abuse : Characteristics of the Mother-child Relationship." Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc278448/.

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This qualitative study examined the characteristics of the mother-child relationship of adult survivors of childhood sexual abuse at the time of the abuse. The study consisted of data from the McMaster Family Assessment Device (FAD), the Family of Origin Scale (FOS), and a set of structured interview questions designed by the researcher. Autonomy/intimacy concepts from the FOS examined constructs of clarity of expression, responsibility, respect, openness, acceptance of loss and separation, expression of a wide range of feelings, conflict resolution, mood and tone, and empathy.

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Frost, Ami Mariko Hood. "Disclosure of Abuse as a Moderating Variable for Internalized Shame in Adult Survivors of Childhood Sexual Abuse." Diss., CLICK HERE for online access, 2007. http://contentdm.lib.byu.edu/ETD/image/etd2101.pdf.

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Beaton-Stokell, Dana. "Helping female survivors of childhood sexual abuse develop positive coping, a group intervention." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0007/MQ45142.pdf.

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Morgan, Tracy. "Psychological change in group therapy experienced by women survivors of childhood sexual abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0002/NQ42569.pdf.

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Charles, Martine Aline. "The experiences of women survivors of childhood sexual abuse who practice Buddhist meditation." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ56525.pdf.

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Asberg, Kia. "RESILIENCY FACTORS AND PATHWAYS TO INCARCERATION IN FEMALE SURVIVORS OF CHILDHOOD SEXUAL ABUSE." Doctoral diss., University of Central Florida, 2008. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/4328.

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Studies find consistently that survivors of childhood sexual abuse (CSA) are likely to suffer from depression, post-traumatic stress, and problematic substance use, and may experience also a variety of adjustment difficulties in several emotional, behavioral, and interpersonal domains. Involvement with the legal system is one such outcome to consider, especially given the increasing number of women serving time in correctional facilities with nearly two-thirds of these women being survivors of CSA (e.g., Browne, Miller, & Maguin, 1999). The current literature lacks comparisons between female survivors of CSA who have legal involvement and those who do not; hence, the current study addresses the need for a comprehensive investigation of early victimizations and later adjustment. Data were obtained from 169 female inmates and 420 female college students, a number of whom were survivors of CSA (66% and 35.5%, respectively), so that group differences could be examined and relationships among family environment, abuse disclosure history, coping, perceived social support, adjustment (i.e., trauma symptoms, substance abuse, depressive symptomatology, revictimization), and criminal history could be explored. Results suggested that inmate survivors experience poorer functioning overall relative to student survivors of CSA, including more depressive symptoms, trauma symptoms, and substance abuse. Further, avoidance coping by using substances mediated fully the relationship between trauma symptoms and substance abuse for both groups. Finally, severity of CSA, problematic substance use, and social support emerged as significant predictors of incarceration among survivors of CSA. Findings may aid in the refinement of interventions, prevention efforts, and educational programs regarding CSA, and shed light on pathways to incarceration.
Ph.D.
Department of Psychology
Sciences
Psychology PhD

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Hung, Su-Chen. "The process of recovery from childhood sexual abuse for female survivors in Taiwan." Thesis, Durham University, 2000. http://etheses.dur.ac.uk/1204/.

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The dislocation between the literature on the recovery process from sexual abuse and my clinical experience led me to develop three research questions about the recovery process from childhood sexual abuse: these concern the experience of sexual abuse itself, the process of recovery from the experience of sexual abuse and the difference in recovery process between the participants who received counselling and those participants who did not. I invited ten female survivors of sexual abuse, who received counselling and three female survivors who did not to participant in this study. Each participant had four to eight hours in-depth interview and the data had been analysed according to the principles of grounded theory. I analysed the available literature of recovery process and compared this with the findings in this study. Finally, I developed an account of the process of recovery from sexual abuse according to the findings of this study and comparison with the available literature review. There are three main findings in this study: 1. There were four reasons the participants used to explain why the abuse happened. Firstly, they perceived their family dynamics as a cause of abuse. Secondly, the abusers might use the offensive behaviour to satisfy their emotional needs. Thirdly, the abusers felt curious about sex but the family did not have adequate sex education to satisfy the curiosity. Finally, the abuse was not a physically painful experience for some of the participants so they did not disclose or run away from it. 2. Five systems interact with each other in the process of recovery: (1) The positive and vulnerable parts of the self. (2) Four areas (surviving, issue of self, issue of external world, and integration) of the recovery process. (3) Five outcomes (issue of self, emotions, cognition, sexuality and relations) of the recovery process. (4) Three areas (issues of self, emotions and relations) of unresolved issues. (5) Nine elements (the abuse, family situations, childhood, nature, adulthood, relations, counselling, society's of sexuality, and religions) affecting the above systems. 3. There are different perceptions about the experience of abuse between Group A, who received counselling, and Group B, who did not.

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Hogg, Megan. "Studying the Phenomenon of Expressive Arts with Male Survivors of Childhood Sexual Abuse." Thesis, Pepperdine University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10831073.

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Male childhood sexual abuse (CSA) is a traumatic experience that is prevalent, under-reported, and under-treated. CSA leaves males with feelings of shame, low self-esteem, and interpersonal problems, which put them at risk of developing mental health disorders that persist into adulthood. Although expressive arts therapy has been used as a treatment for trauma in children and adolescents, existing literature on the use of expressive arts with adult CSA survivors is limited to female survivors. The current study aims to explore the experiences of male CSA survivors who have participated in expressive arts therapy, including the effects that expressive arts has on their sense of self, relationships, and trauma symptoms. Participants (N = 8) were recruited from the Greater Los Angeles area, and included in the study if they were male CSA survivors and had previously been in expressive arts therapy. A mixed-methods approach was used, using interpretative phenomenological analysis (IPA) as the primary research approach, which generated emergent themes that were supported with concurrent measures, including the Trauma Symptom Checklist-40 and a demographics measure. Results suggested that male survivors perceived expressive arts to be a positive experience and useful tool in the therapeutic process. The study provided exploratory findings on the use of expressive arts as a way for male survivors to release emotions, find their voice, rediscover their self, reconnect interpersonally with others, and facilitate a sense of empowerment. Results also suggested that male survivors perceive judgment and limited art modalities to be negative experiences in expressive arts therapy. Since the sample included primarily ethnic minority men, this study also provided contributions to the literature on the use of expressive arts with ethnic minority male survivors. Due to these findings, it is recommended that further research be conducted on the use of expressive arts with male survivors.

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Burnside, Elizabeth. "The relationship between autobiographical memory and depression in survivors of childhood sexual abuse." Thesis, Bangor University, 2001. https://research.bangor.ac.uk/portal/en/theses/the-relationship-between-autobiographical-memory-and-depression-in-survivors-of-childhood-sexual-abuse(6c0b4f41-f58b-4be2-82f0-25867512217c).html.

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Overgeneral autobiographical memory (AM) style has been observed in depressed clinical groups when compared with controls. It has been proposed that an overgeneral style is the consequence of traumatic experiences in childhood and serves to minimise the affect associated with painful memories. It has also been suggested that overgeneral AM results in poor problem solving ability and is therefore an indicator of vulnerability to depression. This thesis reviews the evidence relevant to these propositions and in particular considers whether overgeneral AM is capable of longer term protection against distress, or is more importantly a vulnerability factor as suggested by its association with poor problem solving. To examine this issue, 41 women who had reported childhood sexual abuse (CSA) as participants in a previous study, completed the Autobiographical Memory Test (AMT) and were interviewed about adult episodes of major depression using the Schedule for Affective Disorders and Schizophrenia - Lifetime version. Current depression was assessed using the 13 item Beck Depression Inventory. Women not reporting depression in adulthood gave significantly fewer specific responses to negative cue words (but not positive or neutral cue words) than those reporting episodes which fulfilled DSM-I V diagnostic criteria for major depression. Lower numbers of specific responses for cue words combined were associated with more severe CSA, CSA lasting over a longer duration and starting at an earlier age. Multiple regression analysis suggested that of these, duration of abuse was the most important predictor. These results support the association between overgeneral AM and CSA, but suggest that AM is more importantly a protective factor against depression. The results are discussed in the context of previous findings and longitudinal research is recommended to address the issues raised.

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Mckay, Eimear. "Exploration of explicit and implicit emotion in adult survivors of childhood sexual abuse." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/14166.

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Background: Childhood sexual abuse (CSA) has the potential to compromise the socioemotional development of the victim resulting in an increased vulnerability to difficulties regulating emotions and one’s sense of self. Emotion is thought to play a key part in a number of psychological disorders which CSA survivors are at increased risk of developing. A better understanding of the basic emotions experienced in this population and emotion regulation will inform current treatment. Aims: This research aimed to develop a better understanding of the emotions experienced by survivors of CSA and the relationship between “implicit” and explicit emotions and psychopathology. Method: Two empirical studies were conducted. Study 1 employed a cross-sectional consecutive case series design involving 109 survivors of CSA. Participants completed a set of measures relating to basic emotions, emotion regulation and symptoms. Exploratory factor analyses were conducted on the Basic Emotions scale (BES). Regression analyses were used to explore the relationship between emotions experienced, emotion regulation strategies and psychological symptoms. Study 2 examined basic emotions, “implicit disgust self-concept” and psychopathology in a population of CSA survivors (n=26) and a group of individuals currently receiving psychological therapy who reported that they had not experienced childhood trauma (n=25). Participants completed self-report measures pertaining to emotion, emotion regulation, symptoms and cognitive fusion. Participants also completed an implicit association test. Results: Exploratory factor analyses supported the structure of three versions of the BESWeekly, General, and Coping in a sample of survivors of childhood sexual abuse. In all three versions of the scale, disgust explained the largest proportion of variance. The basic emotions of sadness, fear and disgust as well as external dysfunctional coping strategies appear to predict PTSD symptomatology in this sample. The results of Study 2 also support the finding that self-reported disgust is prominent in the emotion profile of CSA survivors. Implicit disgust self-concept was not significantly correlated with other emotions or psychopathology. However, implicit disgust self-concept was found to be significantly associated with cognitive fusion. Discussion: Psychotherapeutic approaches for survivors of childhood sexual abuse should address the emotional experience of this population. In particular, these findings suggest that sadness and disgust should be targeted in therapy.

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29

Manley, David William. "Researching the need for resources to help husbands of survivors of childhood sexual abuse." Theological Research Exchange Network (TREN), 1994. http://www.tren.com.

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30

Heberling, Michele L. "A Qualitative Analysis of Conjoint Therapy With Adult Survivors of Childhood Sexual Abuse and Their Partners." University of Akron / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=akron1163467889.

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31

Groves, Charlotte L. "Clinical work with adult female survivors of childhood sexual abuse from a Christian perspective." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000grovesc.pdf.

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32

Pinkoski, Leanne Kim. "Predicting emotional reactions of adult survivors of childhood sexual abuse, testing an attributional model." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0001/MQ34403.pdf.

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33

Hunter, Elaine. "The nature, antecedents and consequences of forgetting in adult survivors of childhood sexual abuse." Thesis, Royal Holloway, University of London, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.313716.

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34

Kebker, Eric Ford. "Attributional Style, Presenting Symptoms, And Readiness to Change in Female Childhood Sexual Abuse Survivors." Diss., NSUWorks, 2010. https://nsuworks.nova.edu/cps_stuetd/42.

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The purpose of this study was to gain a better understanding of the effect that attribution style and presenting symptoms has on the self-reported readiness to change of female survivors of childhood sexual abuse. The aim was to demonstrate that the stages of change are a useful concept in understanding how to approach treatment with female child sexual abuse survivors seeking psychotherapy. One factor that influences the effectiveness of psychotherapy is a client's degree of motivation. The concept of "stage of change" has been used as a measure of client motivation. Stage of change consists of four basic stages; precontemplative, contemplative, action, and maintenance. Prior research has demonstrated that assisting clients in transitioning from a lower to a higher stage of change early in psychotherapy can improve outcomes. Assigning clients a "readiness to change" score is a simple method of categorizing their stage of change. There are many variables that could impact a client's readiness to change. The two selected for this study were attributional style and presenting symptoms. The statistical analysis consisted of using correlation to determine the strength of the relationship between readiness to change, overall attribution styles, and presenting symptoms. Multiple regression was used to see how much of the variance in readiness to change could be accounted for by different levels of attributions or symptomatology. No correlation was found between readiness to change and the other variables, although internal attribution style, external attribution style, and symptomatology were all correlated with each other. Likewise, the different levels of attribution and symptomatology did not account for a significant amount of variance in readiness to change. A secondary analysis into the relationship between total attributions endorsed and symptomatology provided evidence that individuals who make more attributions report significantly more presenting symptoms than individuals who make fewer attributions. The conclusions drawn from this study focus on the importance of utilizing client motivation in the initial sessions of therapy, and propose that focusing on reducing the number of attributions made could be more beneficial to clients than helping them move from one attribution style to another.

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35

Mousavi, Mahnaz Nowroozi. "QUALITY OF LIFE AND RACIAL IDENTITY AMONG BLACK WOMEN SURVIVORS OF CHILDHOOD SEXUAL ABUSE." University of Akron / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=akron1153700610.

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36

Kallstrom-Fuqua, Amanda C. "Examining parenting outcomes of childhood sexual abuse survivors utilizing observation and self-report methods." Thesis, University of North Texas, 2004. https://digital.library.unt.edu/ark:/67531/metadc4600/.

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Childhood sexual abuse (CSA) is associated with negative outcomes in adulthood, including difficulty in relationships. Research has posited CSA may lead to insecure attachment in survivors, which may be the vehicle by which dysfunctional parent-child relationships develop. The purpose of the proposed study was to examine differences in parenting outcomes between CSA and non-CSA mothers utilizing both observational and self-report methods and to examine the unique impact of CSA on parenting attitudes. Abuse status was determined by scores on the Sexual Abuse subscale of the Childhood Trauma Questionnaire (CTQ), with the CSA group comprised of mothers scoring in the moderate to severe range. Mothers self-reported parenting attitudes on the Parent-Parental Acceptance Rejection Questionnaire/Control (P-PARQ/Control) and the Adult Adolescent Parenting Inventory-2 (AAPI-2), while parental depression was assessed with the revised Beck Depression Inventory (BDI-2). Parenting behaviors were observed by coding the Parent-Child Interaction Assessment (PCIA). Hypotheses were not supported until child gender was considered as a third variable. Results of MANCOVA analyses indicated CSA mothers, but not comparison mothers, exhibited significantly poorer limit-setting skills (h² = .21) with male children compared to female children, but did not self-report these differences. Although not statistically significant, small but potentially meaningful effect sizes were found when the self-reports of CSA mothers were compared to their observed behaviors. Specifically, CSA mothers displayed increased levels of physical nurturance (h² = .11) and role reversal (h² = .08) with male children compared to female children, but again, did not self-report these differences. Finally, CSA mothers, but not comparison mothers tended to self-report greater beliefs in corporal punishment with male children compared to females (h² = .08). Secondary findings revealed parental depression was the only unique predictor of parental nurturance, attitude toward corporal punishment, and role reversal. Findings confirm the importance of third variables, including child gender and parental depression. Theoretical and clinical implications are discussed, as well as limitations and future research directions.

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37

Etkind, Susan. "Childhood Sexual Abuse Experiences and Their Correlates Among Female Survivors of Intimate Partner Violence." NSUWorks, 2010. http://nsuworks.nova.edu/cps_stuetd/28.

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Childhood sexual abuse (CSA) and intimate partner violence (IPV) are both crimes with high prevalence rates which frequently have females as their victims. Survivors of each are frequently found in psychotherapy, yet to date few studies have examined the interaction between each form of gender violence. The present study looked at several ways in which CSA and IPV interact, including assessing prevalence rates of CSA among female IPV survivors, examining somatic difficulties found among female CSA survivors who are also survivors of IPV vs. female non-CSA IPV survivor controls, and by exploring body image and sexual difficulties found among female CSA survivors who are also survivors of IPV vs. female non-CSA IPV survivor controls. Participants were a sample of 140 women with a history of domestic violence recruited from a variety of settings including community mental health facilities and correctional facilities. Results showed that all three forms of childhood maltreatment studied (CSA, childhood physical abuse (CPA), and childhood witnessing of IPV) were elevated among survivors of IPV; rates of CSA were 51.4% within our sample of female survivors of IPV, rates of CPA were 52.1%, and rates of childhood witnessing of IPV were 67.1% within the same sample. Among various somatic complaints studied (sleep difficulties, depression, eating difficulties, and weight problems), female CSA survivors of IPV evidenced higher rates of childhood sleep difficulties, childhood and adulthood depression, and adulthood eating difficulties than did female non-CSA IPV survivor controls. While participants overall evidenced high rates of problems with body image and sexuality, there were no significant differences between female CSA survivors of IPV and female non-CSA IPV survivor controls within this study. Possible reasons underlying the latter negative findings were discussed. Both groups showed higher rates of body image and sexual dysfunction than would be predicted for normative participants, though given the absence of a normal control group in the present study it is difficult to discern how much higher these rates might be.

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38

Ewing, Kimberly J. "The role of memory in the therapy of adult survivors of childhood sexual abuse, women survivors tell their stories." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq24462.pdf.

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39

Miller, Colleen Michelle. "Personal constructions of gender and the impact of childhood sexual abuse on adult male survivors." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0009/NQ27418.pdf.

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40

Bautz, Gabriele. "The impact of long-term group therapy on adult female survivors of childhood sexual abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape16/PQDD_0001/NQ28110.pdf.

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41

DiMito, Anne M. "Memories and imagings of traumatic and nontraumatic events by women survivors and childhood sexual abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0012/MQ26952.pdf.

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42

Wang, Yu-wei. "A feminist qualitative study of childhood sexual abuse survivors in Taiwan : coping in cultural context /." free to MU campus, to others for purchase, 2004. http://wwwlib.umi.com/cr/mo/fullcit?p3144467.

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43

Mrkaljevic, A. "The experience of therapy among women survivors of childhood sexual abuse : an Interpretive Phenomenological Analysis." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/19939/.

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This study set out to explore the experience of psychological therapy amongst women survivors of Childhood Sexual Abuse. The aim is to give a voice to survivors’ unique experiences of therapy, in order to better meet the multifaceted needs of survivors and to inform policies and clinical practice. The research utilised a qualitative form of enquiry, in order to stay rooted in the participants’ experience. Six women who had experienced sexual abuse in childhood, and who had undergone therapy for the effects of Childhood Sexual Abuse took part in this study. Individual semi-structured interviews were conducted in order to gain insight into participants’ experiences of therapy, and the data was analysed using Interpretive Phenomenological Analysis. The findings demonstrated that there were four superordinate themes related to participants’ therapy experiences: ‘The help-seeking journey’, ‘Development of the therapeutic alliance”, ‘Salient therapeutic experiences’, as well as ‘Healing as a process’. Additionally, each superordinate theme consisted of a number of sub-themes. The findings are considered in relation to the wider literature. Potential implications for clinical practice and polices are addressed, and suggestions for further research are provided.

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44

Fritchel, Kellie Bree. "Mediators of self-destructive behaviors in women survivors of childhood sexual abuse: A structural model." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3364.

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The purpose of this project was to examine the predictors of risky sexual behaviors and poor eating behaviors for women who experienced childhood sexual abuse, including family hardiness, and depression in a structural equation model. A second group of those who had not been sexually abused as children was also tested using the same structural equation model.

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45

van, Dyk Ryno K. "Telling the secret : a qualitative study of adult male survivors' disclosure of childhood sexual abuse." Thesis, University of Essex, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.411280.

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46

Warner, Stidham Andrea. "Survivors of Sexual Violence and Altruism: Designing a Typology." Kent State University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=kent1248372833.

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47

Dolson, Robyn. "Pocket ACE: Neglect of Child Sexual Abuse Survivors in the ACEs Study Questionnaire." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3573.

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In 1998, a seminal study on adverse childhood experiences (ACEs) and subsequent health risks catapulted ACEs and the study questionnaire into the zeitgeist. However, its childhood sexual abuse (CSA) item is problematic as it requires the perpetrator have been 5-years or older than the victim. To assess whether some survivors’ CSA is not identified by the current item, whether their exclusion prevents access to services requiring a four-threshold ACE score, and how their health outcomes compared to other CSA groups and controls, an international sample of 974 women completed an online survey assessing their current health and CSA history using the original item and an experimental item without the 5-year modifier. Results indicated many CSA survivors are not identified by a 5-year modifier, exclusion has service implications for some, and on most variables, they had increased adverse health outcomes compared to controls. Means of assessing CSA must be thoughtfully revised.

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48

Gregory, Sarah. "Pyschopathology and childhood sexual abuse : an investigation of the relationship between sexual arousal, attributional style, attributions of blame for CSA and psychological adjustment." Thesis, Bangor University, 2000. https://research.bangor.ac.uk/portal/en/theses/pyschopathology-and-childhood-sexual-abuse--an-investigation-of-the-relationship-between-sexual-arousal-attributional-style-attributions-of-blame-for-csa-and-psychological-adjustment(cc73a6f8-8565-4998-8fbb-5fee5ad3e7c3).html.

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The relationships between sexual arousal, attributional style, attributions of blame for child sexual abuse (CSA) and psychopathology were investigated in a non-clinical sample. One hundred female undergraduates completed a questionnaire incorporating the Rosenberg Self-Esteem Scale, (Rosenberg, 1965), the Symptom Checklist 90-R (Derogatis, 1996), the Extended Attributional Style Questionnaire (Peterson et al., 1988) and questions about CSA experiences. Participants reporting CSA also completed the Attributions of Responsibility and Blame Scales (McMillen and Zuravin, 1997), and were asked if they had experienced sexual arousal during their CSA. Twenty five per cent of participants reported a history of CSA, and of this group, 32% reported experiencing sexual arousal during CSA. The CSA group had higher levels of symptomatology and negative attributional style than the Comparison non-abused group. Within the CSA group, symptomatology was positively associated with self-blame and negative attributional style, and negatively associated with selfesteem. Self-blame for CSA was positively associated with family/other blame, and negatively associated with self-esteem. The Aroused group experienced greater frequency and severity (number of types) of CSA, and showed higher levels of selfblame for the CSA than the Non-Aroused group. No evidence was found in the current study for a connection between sexual arousal and psychopathology. Further research using a larger sample size is indicated. The importance of including frequency, severity and sexual arousal as possible characteristics of CSA experiences during clinical assessment and interventions with adult survivors and focussing treatment strategies accordingly is discussed.

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Harford, Kelli-Lee. "The role of intelligence and coping processes on resilience in adult survivors of childhood sexual abuse." [Tampa, Fla.] : University of South Florida, 2004. http://purl.fcla.edu/fcla/etd/SFE0000613.

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50

Carnegie, Debra V. "Group work with adult female survivors of childhood sexual abuse utilizing an empowerment model of intervention." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0012/MQ32070.pdf.

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Dissertations / Theses on the topic 'Survivors of Childhood Sexual Abuse (CSA)'

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