Abstract not available

The aim of this thesis was to explore the experience of “self” within the clinical context of adult survivors of childhood trauma. Childhood trauma in this study referred to a range of childhood experiences of emotional and physical assault, including encounters with various kinds of abuse and neglect. The focus was on the experience of a sense of disintegration and dislocation, associated to aspects of self being in conflict. This was explored from theoretical perspectives of Jungian analytic psychology, as well as art therapy.Answers were sought to the questions of how claywork, as a form of art therapy, may facilitate the integration of the self and contribute to the development of a healing dialogue with feared and hated aspects of self. Grounded in Jungian theory, integration of the self was conceptualised as a movement towards “differentiating wholeness”. The study took the form of a phenomenological-hermeneutic case study. One participant’s experience of making and discussing a clay sculpture in a therapeutic setting according to Edwards’ method, was analysed thematically. It was concluded that the potential of claywork in therapy to facilitate the integration of the self is related to three aspects. Firstly, claywork in therapy may promote a concrete personification of feared and hated aspects of self, which may enable the maker to view these aspects from a distance, and learn to understand them in a new way. Secondly, claywork in therapy may facilitate the safe ‘unearthing’ of repressed feelings as well as hidden aspects of the personality. Thirdly, claywork’s potential to mediate symbolic functioning was shown to be an important aspect of the integration process. These findings confirmed and extended existing theory regarding the usefulness of claywork in psychotherapy with adult survivors of childhood trauma. Brief recommendations for future research were provided.

Differences in college student's psychological well-being, extrapunitiveness, and intropunitiveness were related to the presence or absence of maltreatment during childhood years, and its acknowledgement by the student. Subjects were 56 male and 85 female undergraduate students at the University of North Texas. Subjects were given structural scale v.3 of the California Psychological Inventory (CPI), the Extrapunitive (E), and Intropunitive (I) indices of the Hostility-Direction of Hostility Questionnaire (HDHQ), and the Physical Punishment scale (PP-scale) of the Assessing Environments Questionnaire (AEIII). Results indicate no significant differences in psychological well-being, extrapunitiveness, or intropunitiveness, which would be explained by the presence of maltreatment or its acknowledgement.

Research indicates that victims of childhood abuse are at increased risk for transmitting violence in adulthood-a phenomenon known as the intergenerational transmission of abuse (ITA). Adult survivors of childhood victimization (i.e., child abuse or witnessed parental violence) are at increased risk for becoming abusive parents, perpetrators of intimate partner violence, and victims of intimate partner violence. The current study examined the latter form of ITA, in which a survivor of childhood victimization is re-victimized in adulthood by intimate partner violence. Attachment theory has been used to explain the ITA by positing that abuse is transmitted across generations via insecure attachment. The purpose of this study was to use structural equation modeling to test the attachment theory of ITA by examining the role of childhood and adult attachment in predicting re-victimization and symptoms of distress in adulthood. In the hypothesized model, childhood victimization by one's parents was hypothesized to predict adult intimate partner violence victimization through insecure attachment relationships in childhood (with one's parents) and adulthood (with one's partner). Furthermore, adult romantic attachment anxiety and attachment avoidance were hypothesized to predict different symptoms of distress. Self-report measures from 59 adult woman seeking services for intimate partner victimization at a domestic violence clinic were analyzed using a partial least squares path analysis. Results supported a reduced model in which insecure attachments in childhood and adulthood significantly predicted the ITA, but only through father-child attachment and not mother-child attachment. In addition, adult romantic attachment anxiety and attachment avoidance predicted different symptoms of distress. Results supported the attachment theory of the ITA and highlighted the importance of examining outcomes of adult attachment anxiety and avoidance separately. Implications and directions for future research are discussed.

No description available.

Through a phenomenological qualitative approach, this study examined possible differences of introverted versus extraverted adult female survivors of childhood sexual abuse with regard to the coping mechanisms they chose. Preference modalities of introversion and extraversion were measured by the Myers-Briggs Type Indicator and data was collected through a semi-structured interview designed by the researcher. The interview contained questions about the 21 subjects' perceptions of their abuse and the ways in which they coped. Specific coping mechanisms included but were not limited to eating disorders, alcohol and/or drug abuse, high risk behavior, depression, anxiety, and somatic complaints. Results indicated that for both groups, the degree to which each of the individual coping mechanisms was used congregated at the level of "a driven pattern of behavior lasting for at least 7 days" or "on-going use resulting in severe problems". Extraverts showed higher percentages of severe use of the six coping mechanisms than did introverts. Depression was the most frequently used coping mechanism of both the introverts and the extraverts. Introverts showed higher percentages of stopping the use of eating disorders, alcohol/drug abuse, high risk behavior, and depression. Extraverts had higher percentages of discontinued use of anxiety and somatic problems. Introverts reported more somatic complaints, while extraverts reported more severe somatic problems. The most often reported somatic complaints of both groups were arthritis, migraines, sleep difficulty, nightmares, and gastrointestinal problems. The majority of each group used most of the coping mechanisms at some time, suggesting a need for therapeutic intervention that considers the possibility of difficulties stemming from combined use of many of these coping mechanisms in addition to focusing on the trauma of the sexual abuse itself.

Indiana University-Purdue University Indianapolis (IUPUI) / Epidemiologic studies suggest that depression is an independent risk factor for cardiovascular disease (CVD). Although several possible mediators of this association have been proposed, few studies have examined the role of moderators. Accordingly, I examined adverse childhood experiences (ACE) as a potential moderator of the depression-CVD association, given that individuals with a history of ACE show a greater inflammatory response to depression, and inflammation plays a role in the development of CVD. Data from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were analyzed. Participants were 29,282 adults (58% female, 42% non–white) aged 18–97 years, free of CVD diagnoses at baseline. Lifetime depressive disorder (LDD) was assessed by the Alcohol Use Disorder and Associated Disabilities Interview Schedule–IV (AUDADIS–IV), and adverse childhood experiences (abuse, neglect, and household dysfunction), and CVD were assessed during separate interviews. The primary outcome was incident CVD (n = 1,255), defined as nonfatal arteriosclerosis, angina pectoris, myocardial infarction, and/or stroke reported during the Wave 2 interviews. All analyses were adjusted for demographic and traditional CVD risk factors. Logistic regression models revealed that both LDD (OR = 1.44, 95% CI: 1.28–1.62, p < .001) and any ACE (OR = 1.25, 95% CI: 1.16–1.35, p < .001) were independent predictors of incident CVD. Interactions between LDD x any ACE (p = .024), LDD x neglect (p = .003), and LDD x household dysfunction (p < .001), but not LDD x abuse (p = 0.16), were detected. Analyses stratified by the ACE variables revealed that LDD was a predictor of incident CVD among adults with a history of (1) any ACE (OR = 1.51, 95% CI: 1.32–1.73, p < .001), but not among those without a history (OR = 1.15, 95% CI: 0.87–1.50, p = .332); (2) neglect (OR = 1.59, 95% CI: 1.36–1.87, p < .001) and among those without a history (OR = 1.25, 95% CI: 1.07–1.62, p = .005); (3) household dysfunction (OR = 1.73, 95% CI: 1.46–2.04, p < .001), but not among those without a history (OR = 1.18, 95% CI: 0.96–1.43, p = .11). Overall, the present findings suggest that depression may be a stronger risk factor for CVD among adults with a history of ACE, especially neglect and household dysfunction, than among adults who did not have these experiences.

Thesis (M.A. (Criminology and Criminal Justice)) -- University of Limpopo, 2021 / The incidence of child sexual abuse is reaching new statistical highs in South Africa. Studies indicate that every second a child is raped in South Africa. Therefore, Child Sexual Abuse requires abstained approaches to be fastened, solid knowledge foundation and understanding. Failure to respond precisely and treat sexually abused children with sensitivity and professionalism (SAPS officials, healthcare practitioners and the judiciary) limit chances for a successful prosecution and victory to conquer psychological impairments on victims. Therefore, this research explored experiences in the Criminal Justice System (CJS) in the treatment of and response to child sexual abuse. The study was confined to Polokwane Policing Cluster (PPC) involving a sample from the South African Police Services (SAPS), the Department of Justice (DOJ) and the Department of Social Department (DSD). This qualitative study adopted non-probability purposive sampling. Initially, the researcher targeted a population of fifteen (15) officials within the PPC who work directly with cases of CSA. However, two officials were not willing to form part of the study. This research was guided by the following objectives to: 1. Determine responses of the CJS to children as victims of sexual offences within the PPC; 2. Establish the protection of psychological well-being of children as victims of sexual offences in Polokwane Policing Cluster; and 3. Review regulatory legislative frameworks addressing the treatment of children as victims of sexual offence in Polokwane Policing Cluster. Moreover, this study examined causes and impacts associated with CSA. The study further reveals consequences of CSA and offer suggested mechanisms stemming from selected participants whom, among others include, but not limited to the following: using the legislative framework approach; the Constitution of the Republic of South Africa, 1996; protection of children‟s rights and broad statutory approaches for the treatment of sexual offence victims.

We hypothesized that the formation of malevolent introjects undermines the development of self-compassion, which in turn produces greater feelings of shame. We hypothesized that these feelings of shame account for concurrent depressive symptoms in adulthood. To test these hypotheses, we proposed a multiple mediator mediation model in which our independent variable was childhood maltreatment. We modeled child maltreatment as negatively predicting our first mediator, self-compassion, which in turn positively predicted internalized shame. We modeled internalized shame as positively predicting scores on our dependent variable, adult depressive symptoms. Participants were 158 adults fluent in English who were community members and college students living in a southwestern American metroplex. The model accounted for 61.8% of the variance in depressive symptoms in adulthood. A significant indirect effect from child maltreatment passed through both our mediators and ended in depressive symptoms in adulthood. We discuss limitations and theoretical and clinical implications, and future directions.

Thesis ((M.A. (Social work)) -- University of Limpopo, 2021 / Survivors of child sexual abuse experience a lot but various challenges in their everyday lives. The overall aim of the study was to describe the experiences of male adult survivors of child sexual abuse at Ga-Matlala, Limpopo Province. The study objectives were to identify types of child sexual abuse cases at Ga- Matlala uperpetrated prior 1994; to determine how adult male survivors of child sexual abuse handle their life problems; to describe the social impact of child sexual abuse on male adult survivors; and to recommend appropriate professional intervention to male adult survivors of child sexual abuse. The study utilised descriptive research design. The data was collected through semi-structured face-to-face interviews from three (3) survivors of child sexual abuse who were sexually abused prior 1994 who are residing at Ga-Matlala area. The sample consisted of survivors of child sexual abuse drawn from the database of Bakone Tribal Council compiled and administered pre 1994. A thematic analysis method was selected. Thematic analysis organises and describes data set in detail. The data was analysed in eight steps.Ethical considerations such as voluntary participation, permission to conduct the study, anonymity, confidentiality and no harm to respondents were considered.The researcher found that two survivors indicated to be having abilities to resolve their personal problems while one participant has indicated to be having problems in resolving his personal problems. All three survivors indicated to be engaged in an intimate relationships. All there survivors indicated to have had experienced child sexual abuse more than once and they also indicated to have had experienced more than one type of sexual abuse. Two participants out of three survivors had not reported of imitating what they experienced while one has adopted the lifestyle but he is not doing it with children like it was done to him. All survivors indicated to have forgiven their perpetrators. All of survivors indicated that their childhood experience had a negative impact in their childhood lives and it still has a negative influence in their adult life. All three survivors indicated to have not accessed professional assistance in their childhood even during their participation in the study they have not yet accessed professional intervention towards their past traumatic experience. However, all three survivors acknowledged the fact that post traumatic intervention is important to their personal growth with regard to finding closure, gaining confidence and finding coping strategies that will be helpful in facing their personal problems with an open mind and positivity of finding solutions without tracing their childhood past into it. The researcher concluded that all the participants of the study had experienced different kinds or types of child sexual abuse and it has negatively impacted them. Being involved in an intimate relationship was not difficult for the survivors as all of them were engaged in intimate relationships. All three survivors need to access professional help for them to overcome the impact of their past child sexual abuse experience. There is a huge difference/gap regarding the previous findings and the current findings mainly because most of the previous studies were European based than African Based (South Africa) and it was also showing a gap between European based Theories and African based theories when dealing with child sexual abuse. The main recommendation that the researcher had was to motivate the survivors to participate in the process of accessing professional help to enable them to deal with their current lives without tracing everything back to their childhood.