This thesis portfolio consists of two key pieces of work, a systematic review and an empirical research project, both of which explore outcomes associated with traumatic experiences. Systematic Review – There is a growing body of literature which demonstrates that, alongside the difficulties people may experience following trauma, many individuals are also likely to report growth following the struggle to come to terms with the event. This review explores the evidence for a relationship between reported growth and distress following civilian, interpersonal trauma. The review includes 13 studies which met the inclusion criteria (9 cross-sectional and 4 prospective). Findings are inconsistent and suggest that prospective study designs are more likely than cross-sectional designs to report significant relationships. A number of methodological issues and the implications for future research are discussed. Empirical Research Project – Survivors of childhood sexual abuse (CSA) present with a wide range of difficulties and the current evidence base for the treatment of complex trauma is limited. It is proposed that self-compassion and forgiveness based approaches may have the potential to be of benefit to this population. This cross-sectional study explored the relationships between posttraumatic stress symptoms, dissociation, self-blame, self-compassion and forgiveness. A clinical sample of adult survivors of CSA (N = 19) completed all measures. In keeping with previous literature, significant relationships were found between posttraumatic stress and both dissociation and self-blame. Forgiveness was positively correlated with dissociation, but not the other variables and no significant relationships were found between self-compassion and the variables of interest. Findings, implications and study limitations are discussed.

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.

D. Litt. et Phil. / This study aims to create a grounded model that can contribute to the knowledge about successfully coping with sexual molestation. Sexual molestation is a worldwide problem and is not unique to South Africa. In the past few decades, the problem of sexual molestation has emerged from the cloak of secrecy and has become an important theme in the social sciences and professions. Research on sexual molestation has mainly developed from a pathogenic perspective where the main function was to describe the nature and negative effects of sexual molestation, and to diagnose and treat sexual molestation as an illness. Recent research has however shown that not all sexually abused children develop psychopathology and therefore, a growing number of researchers have moved beyond psychopathology to a salutogenic perspective within the past two decades to explain why many people show signs of adaptation after traumatic experiences. The epistemological framework of this study is that of constructivism where the approaches of both modernism and post modernism are integrated. The dominating paradigm of the study is that of salutogenesis where the focus is on health and the successful adaptation of mankind. The grounded theory research methodology was used to develop a conceptual model about successfully coping with sexual molestation. This model can serve as a point of departure for future research and can contribute to the existing knowledge on resilience. Studying woman who have been sexually molested within a salutogenic paradigm, can have various implications for research and intervention strategies. Salutogenesis provides an optimistic alternative to the study of sexually molested woman and can help them to deal with the trauma in a more constructive way.

Magister Artium - MA / Young people have high rates of risk-taking, including alcohol use/abuse and high risk sex. The main purpose of this study was to gain insight into the drinking patterns and sexual behaviour of young UWC students. The aim was to investigate the relationship between alcohol use and unsafe sex practices (such as unplanned sex, multiple partners, and non/inconsistent condom use) and to identify any shifts in sexual practices in response to the HIV/AIDS crisis. / South Africa

Sexual abuse perpetrated by trusted members of the clergy presents unique challenges to clinicians and yet the current literature on the effects of clergy sexual abuse is sparse. The vast majority of current research on clergy sexual abuse is based on the perspective of the perpetrators and not the survivors. Some literature suggests that clergy sexual abuse is equivalent to incest due to the level of betrayal trauma associated with each form of abuse. The current study seeks to examine the effects of clergy perpetrated sexual abuse on survivors and examine those effects in the context of the general literature on childhood sexual abuse. Adult male and female survivors of clergy sexual abuse were recruited online and asked to complete a series of self-report measures of religiosity, spirituality, and traumatic symptomology, including the Spiritual Beliefs Inventory (SBI-15R), Spiritual Wellbeing Scale (SWBS), and the Trauma Symptoms Inventory-2 (TSI-2). Participants also provided demographic information and completed a structured self-report questionnaire of history of sexual abuse. Analysis of variance (ANOVA) indicated that there were no between-group differences on measures of trauma or existential belief, but found that those abused by clergy reported lower levels of religious beliefs and practice, less social support from their religious community, less satisfaction with their relationship with God, and were more likely to have changed their religious affiliation. These data suggest that abuse perpetrated by clergy has a unique and measurable impact on survivors’ future religiosity and spirituality as compared to other forms of childhood sexual abuse.

The overall purpose of this thesis was to study the situation of such children in the legal process. In depth-interviews were carried out on ten children aged 8-18 years old. The interviews focused on the children´s experiences and perceptions of meeting with various professionals in the legal process. In-depth interviews were also conducted with nine parents of children who had been sexually abused and who had entered into a legal process. Parents described how they experienced the situation for their children as victims, but also their experiences as parents whose children participated in a legal process. Seven prosecutors with experience of cases where children were plaintiffs were also interviewed in this study. The interviews were analysed using Interpretative Phenomenological Analysis (IPA). This is an appropriate method to explore the participants´ life-world/personal-world and the individuals´ personal perceptions of objects or events, as opposed to an attempt to produce an objective account. In the first study (study I) on the children, five major themes emerged through the analysis: not being believed, making child sexual abuse visible, need for support, sanctions for offenders and lack of respect for the child´s integrity. Almost all of the children had a feeling of not being believed. In the study (study II) on the parents, three superordinate themes emerged from an analysis of the data: stigmatization, need for support in the parental role and transforming consequences to reality. Three themes emerged from prosecutors study (study III) difficulties with the evidence of crime, children´s special needs and children´s dependence on adults. The informants´ descriptions of how they perceived the children in the legal process were associated with their experience of the difficulty of finding proof of the crime. The aim of study IV was to identify and describe the obstacles that can prevent children from talking about sexual abuse in a police interview. Data consisted of 28 investigative interviews with children and 12 police interrogations with non-offending parents. Data interpretation and analysis were based on content analysis. The following categories were identified: not being believed/telling the truth, need for support and dependence on adults, guilt and shame, fear and difficulty in spatial and temporal characterization. The main conclusion of the thesis is that there are difficulties in confirming evidence when children who have suffered sexual abuse are involved in a legal process. It is also concluded that there is an absence of models with the aim to support children and parents going through the process.

This study examines the way in which three South African novelists, K. Sello Duiker, Phaswane Mpe and Sindiwe Magona portray the sexual abuse of men and women in the post-apartheid era. The novels under discussion are: Thirteen Cents (2000) and The Quiet Violence of Dreams (2001) by K.Sello Duiker, Beauty’s Gift (2008) by Sindiwe Magona and Phaswane Mpe`s Welcome to Our Hillbrow. It will also look at the characters and the events to show that sexual abuse can be physical, traumatic and emotional, and that it affects both males and females, reinforcing in a sense Pucherova`s assertion that “both men and women are oppressed by a patriarchal heterosexist society” (2009:937).

Unwanted early sexual experiences (UESE) are traumatic experiences that many children worldwide are exposed to on a daily basis. Some of these victims struggle to adapt to life, whereas others become survivors, exhibiting post-traumatic growth after such an experience. South Africa has some of the highest UESE prevalence rates in the world, highlighting the importance of research conducted within this field in the country. With an overarching psychofortogenic framework, and through the implementation of a convergent parallel mixed methods research design, the study explored and described whether resilience and attachment act as mediators impacting upon the psychosocial sequelae which a UESE survivor might experience. The study was divided into three phases. Phase 1 consisted of a small-scale survey design which was conducted with 304 participants while Phase 2 consisted of nine semi-structure interviews with UESE survivors, who were volunteers from the original sample. Finally, Phase 3 provided an integrated summary of the findings from the first two phases. During Phase 1 significant findings relating to the survivors of UESE, their levels of resilience and attachment relationships were outlined. Of the total sample, 32.43% males and 30.5% females indicated that they had been exposed to a UESE. Most of the perpetrators were known to the survivors with friends being identified as the most common perpetrators. Parental relationships characterised by trust, open communication and less alienation were found to impact upon the degree to which participants reported being bothered by the UESE. Furthermore, parental alienation at the time of the UESE had a significantly negative impact on the survivors’ adult relationship styles. During Phase 2 a number of themes emerged including the manner of disclosure, reasons for delayed disclosure, relationship to the confidant, confidant’s response to disclosure, effects of the response to disclosure, the impact of the UESE upon the survivor, impact of the UESE on relationships, coping/resilience, advice to professionals, the confidant, and the survivor. The final phase confirmed the research hypothesis that resilience and attachment act as mediating factors impacting upon a variety of psychosocial sequelae which a UESE survivor might experience. Serendipitously, disclosure was found to be a mediating factor, securing a significant role within the study. In conclusion a future intervention titled ‘Post-Traumatic Growth: A UESE model of Disclosure, Resilience and Attachment’, was outlined, based on the study’s findings.

The South African Constitution provides that a child’s best interests are of paramount importance in every matter concerning the child. This principle emanates from the United Nations Declaration on the Rights of the Child (UNCRC) and the African Charter on the Rights and Welfare of the Child (ACRWC). Accordingly the State and its various departments have adopted and are enforcing legislation and policies in defence of the child’s best interest. The principle of the best interest of the child is seldom observed in most of our schools. Incidents of child abuse are on the increase, especially by educators. This unfortunate situation prevails against the backdrop of legislation which condemns these atrocities. Section 17 of the Employment of Educators Act1 provides that educators must be discharged if they are found guilty of, inter alia, sexual abuse, intimate relationship with a learner and assault with grievous bodily harm. These measures have been taken to combat the vicious cycle of child abuse in schools and to advance children’s-rights agenda and the universal principle of the child’s best interests. For the department to successfully prosecute educator cases against child abuse, the testimony of a child witness is crucial. However, it is shocking to discover that the interests of the child witness are not always served in these disciplinary hearings. Officials are prone to be biased towards their fellow professionals at the expense of the interest of the child witness. This situation normally arises probably as a result of a lack of professional capacity because most of these officials tasked with disciplining educators have a teaching, human-resource or legal qualification. Others may have been recruited from the ranks of the trade-union movement without any formal qualification. Secondly, they may be specialists in the field of labour law which is essentially concerned with the regulating the employer and employee relationship. Thirdly, the disciplinary code and procedures that are used during educator-disciplinary processes are premised on the principles and values of the Labour 1 Act 76 of 1998. Relations Act Code of Good Practice: Dismissal2 and Schedule 2 of the Employment of Educators Act3 which addresses the interest of the child witness to a very limited extend. Finally, the policies regulating workplace discipline are generally biased towards employee rights as espoused in the Labour Relations Act4 and CCMA guidelines on misconduct arbitrations. This study has identified a number of challenges confronting the child witness and also areas of capacity improvement on the side of officials officiating over the disciplinary cases of educators. These challenges form the basis for a comprehensive and consolidated list of aspects in which officials need to be trained to effectively promote and defend the interest of the child witness in a professional manner. The role of the departmental representative in becoming the champions of the democratic Constitution and the vanguard of the child’s best interest cannot be over-emphasised. The question of how best to serve the best interest of the child witness has been addressed. The child witness can be a credible witness provided officials win over his or her confidence to speak out against abuse. The 16 days of activism against women and children abuse has to resonate consciously with departmental officials.

For over 40 years, the term moral panic and concept to which it is adjoined have been used throughout the socio-criminological literature as a means of describing collective overreactions to perceived wrongs. Since the 1980s, the concept has also been criticized for its inability to adapt to differing moral viewpoints and research paradigms. To address these criticisms and question the significance of moral panic’s continued use, this paper works to redefine the concept from its theoretical foundation to practical employment. A contextual-constructionist/post-positivist approach is, first, used to weigh claims of fact against an imperfect understanding of ‘the truth’. Moral panic is then defined as a means of describing collective, corrective-intended behaviour based on an irrational belief that exaggerates the threat posed by a social problem. To test and further nuance this definition, the Parliament of Canada’s decision to pass four bills that introduced or amended section 172.1 (luring a child) of the Criminal Code of Canada is deconstructed. Using a Historical Dialectic-Relational Approach to analyze the transcripts of House of Commons and Senate debates and committee meetings related to bills C-15A, C-277, C-2, and C-10, the concept of moral panic is found to be an appropriate means of describing certain forms of collective behaviour. An outline of how members of parliament spoke, during the legislative process, of the media, expert witnesses, Internet child lurers, and victims of child sexual abuse provides additional context. The paper concludes by arguing that the moral panic concept can be mobilized in a way that is theoretically justifiable, adaptable to differing moral viewpoints, and of practical use.