Thesis (Psy. D.)--Wheaton College, 2007. / Abstract. Includes bibliographical references (leaves 40-47).

Thesis (Ph. D.)--West Virginia University, 2003. / Title from document title page. Document formatted into pages; contains viii, 132 p. Vita. Includes abstract. Includes bibliographical references (p. 97-107).

published_or_final_version / Social Work and Social Administration / Doctoral / Doctor of Philosophy

Theoretical and epidemiological studies indicate that women with a history of child sexual abuse (CSA) experience more sexual problems during adulthood compared to non-abused women. Despite the abundance of research conducted on prevalence and incidence of sexual difficulties associated with a history of CSA, very little is known on the psychophysiological sexual response of CSA survivors. A study was conducted to examine whether women with and without a history of CSA differed in their physiological and subjective sexual responses when exposed to erotic videos. A second study was conducted to explore potential predictors of the physiological and subjective sexual responses of women with a history of CSA. Overall, the physiological sexual arousal of CSA survivors was not significantly weaker than the response of women with no history of CSA. However, when controlling for levels of sexual distress and sexual function those CSA survivors with higher levels of sexual distress showed lower physiological sexual arousal compared to CSA survivors with less sexual distress. In agreement with prior studies, for women with no history of CSA the relationship between levels of distress and physiological sexual arousal was not significant. Similarly, levels of subjective sexual arousal reported in the laboratory were associated with sexual distress in CSA survivors but not in women with no history of CSA. Women who reported more re-experiencing symptoms and more negative affect before the erotic video showed a significantly lower increase in subjective sexual arousal in the presence of an increase in physiological sexual arousal. Cortisol levels measured before and after exposure to the erotic video indicated that higher dissociation experienced during the sexual interaction with a partner is associated with a cortisol secretion during exposure to sexual stimuli. This finding suggests a potentially learned stress response to erotic stimuli which may negatively affect the physiological sexual arousal for a subgroup of CSA survivors. Findings from the two studies suggest that the psychophysiological assessment of the sexual response of CSA survivors captures some important aspects of the sexual difficulties experienced by these women. A number of potential predictors of the physiological and the subjective sexual responses of CSA survivors were identified. Future studies will need to examine whether interventions that target these predictors can help CSA survivors to increase their physiological and subjective sexual arousal to sexual cues and whether this provides some relief to their sexual distress.

The purpose of this qualitative research study was to describe female adult children's experiences when they return to the parental home to live, and to develop theory to explain the processes and consequences involved in the return to the parental home. Primary data sources included 1 1/2 hour audiotaped, semi-structured interviews with 15 female adult children who had returned to the parental home to live. Other sources of data included individual and conjoint interviews with parents and daughters from a subset of four families, and field notes about the interviews. Grounded theory methodology (Strauss & Corbin, 1990, 1998) was used. Transcribed interviews were systematically analyzed to develop a theoretical model, in which the core social and psychological process was labelled "regrouping." In response to life events and personal choices, women return to the parental home to regroup--to recuperate, reenergize, contemplate and pursue lifeplans. Their intention is to enhance personal well-being and to secure a better quality life in the future. Regrouping is embedded in the life context of female adult children's specific life-events and choices, living environments, family and social relationships, and sociocultural scripts -- all conditions that can hinder or facilitate the process. Regrouping is a cyclical rather than a linear process. Female adult children who had returned to the parental home did not experience a simple, uncomplicated linear forward movement towards attaining valued personal goals. Rather, they experienced an oscillating pattern of “faltering” and "advancing" in their efforts to realize valued goals. This experience has implications for the development of a fluctuating sense of self or self-image, the fulfilment of personal goals, the quality of the experience as positive or negative, and for family relations. The contribution of the theoretical model to the literature is the discovery that returning home in adulthood may be a strategy for managing change and transition in one's life and for attaining certain lifespan development tasks (e.g., individuating from parents, establishing a career, and attaining financial security). Implications for counselling practice, and the self-help needs of adults who have returned home to live are noted. Suggestions for facilitating returning adult children's personal development (i.e., clarifying personal goals, weighing the pros and cons of returning and remaining at the parental home, maintaining self-esteem, seeking social support) and facilitating family relations . (i.e, having realistic expectations of parents, being sensitive to mothers, negotiating privacy and boundaries, managing cross-cultural dynamics) are discussed. It is suggested that future research extend the application of the theory to men, as well as more diverse ethnic groups.

Two-hundred and twenty-four participants who reported a history of child abuse trauma were recruited from the internet, clinical (community outpatient) and prison settings and completed a battery of assessment measures, including Briere's Child Maltreatment Interview Schedule (CMIS) (slightly modified), Detailed Assessment of Traumatic Stress (DAPS), Cognitive Distortion Scale (CDS), and Inventory of Altered Self Capacities (IASC); van der Kolk's Self Inventory of Disorders of Extreme Stress (SIDES-SR); Nijenhuis's Somatoform Dissociation Questionnaire (SDQ-20); and a modification of the CMIS to assess for adult victimization experiences (Adult Victimization Survey or AVS; Dietrich, unpublished instrument). It was hypothesized that Posttraumatic Stress Disorder (PTSD), Affect Dysregulation, and Problems with Interpersonal Relatedness would be associated with later revictimization experiences during adulthood with this sample, and that disturbances in ability to regulate self capacities and other complex posttraumatic sequelae would be associated with perpetration of physical or sexual violence during adulthood. Data were analyzed for 207 individuals who reported childhood maltreatment per the CMIS. Results provide partial support for the hypotheses. Women were significantly more likely to report revictimization, and male inmates were significantly more likely to perpetrate against others. Whereas PTSD and Somatoform Dissociation are the strongest dynamic predictors of any sexual or physical revictimization, Impaired Self Capacities are more often associated with revictimization by intimate partners in particular. Trauma-specific dissociation was associated with a decreased risk of revictimization, whereas peritraumatic and trait dissociation did not enter predictive models. Posttraumatic sequelae were not associated with increased risk of physical perpetration with these samples; however, IASC scores were associated with an increased risk of sexual perpetration and victim-based cognitive distortions were associated with decreased odds of sexual violence. These findings provide partial support for the Complex PTSD (Herman, 1992a) construct. Results are discussed in terms of implications for treatment, further study, and classification. Limitations are noted.

The purpose of this study was to provide an in-depth description of the lived experience of recovery for young adult women who had been sexually abused as children. Nine women participated in the study. In order to be a part of the study, the women were between the ages of 16 and 25 at the time of the first interview, and had been sexually abused before the age of 12 by a family member. Family members could include parents, step-parents, siblings, step-siblings, grandparents, aunts, uncles, and cousins. The sexual abuse must have been repetitive in nature and lasted for a period of 6 months or longer. The women had also participated in some type of therapy, for at least 6 months, where sexual abuse was the primary focus. As well, the women had some awareness that they were in recovery and were able to talk about their own experience of recovery. The interviews and the data analysis followed a phenomenological approach. The researcher conducted four interviews with each participant over a twenty month period. Ten common themes representing the lived experience of recovery from sexual abuse for young adult women emerged. The lived experience of recovery (1) involves working through the denial of being sexually abused, (2) diminishes the lasting effects of sexual abuse, (3) helps the person move from a victim stance to a survivor stance, (4) is a journey of self-discovery, (5) fosters the possibility for improved relationships with family members, friends, and partners, (6) reduces the negative influence of the perpetrator, (7) encompasses a variety of therapeutic encounters, (8) helps the person to explore the ambiguity of memory, (9) influences future direction, and (10) is a complex process with no clear resolution. The descriptions of each theme illustrate how the women were able to confront and transform the trauma of being sexually abused. The findings of this study describe how young adult women perceive the lived experience of recovery and illuminate what needs to take place so that recovery is possible. The lived experience of recovery is an interactive phenomenon which requires the women to explore the meaning of recovery both intrapersonally and interpersonally. As the women's thoughts, perceptions, beliefs, feelings, and expectations change internally, the ways in which they interact with the world around them shift as well. The lived experience of recovery is both complex and perplexing. The findings from this study offer recommendations for counselling research and practice in the area of sexual abuse for young adult women.

In reviewing the literature on adult survivors of child sexual abuse/incest, it became apparent that one area has remained in its infancy: a systematic method of symptom assessment. Symptoms, both short and long term, have become clinically well documented. An index, the Sexual Abuse Survivors Symptom Index (evaluating absence/presence, frequency, severity, and impact of symptoms upon the survivor), was developed rationally from the literature was administered. A background questionnaire, simplified from one already in use, was also administered to provide information regarding variables that could confound the research.Approximately 130 female adult clinical subjects were approached to determine whether they would participate in the study. Thirty-three subjects agreed to participate. Due to the small sample size, results of the factor analysis cannot be considered reliable. The principal component factor analysis did produce eight factors, which did not converge in the varimax rotation, however, three factors did emerge. The three factors represented an affective component (almost one half of the symptoms), a somatic/sexual component, and an acting out component.The background questionnaire provided some basic support to the variables the literature reported as affecting symptom severity or likelihood for abuse to occur. Areas endorsed as most severe or correlated strongly and moderately to individual symptoms were ones that were directly connected to the abuse(i.e., age of first inappropriate sexual experience, duration of the abuse, multiple abusers, frequency of the abuse, fear of being hurt by the abusers, and overt/contact type of abuse). The variables that influenced the likelihood for abuse to occur, (i.e., substance abuse, strictness, rigid religious traditions, and physical discipline) were endorsed by slightly less than one half of the subjects, but may have had severe impact individually upon each survivor of abuse. / Department of Counseling Psychology and Guidance Services

The current study assessed the effects of incest utilizing the Minnesota Multiphasic Personality Inventory (MMPI), an objective measure that can address such long term effects as low self esteem, isolation, depression, anxiety, suicidality, substance abuse, impaired sexual adjustment, psychosomatic concerns, and interpersonal relationship difficulties. Eighty-one women seeking counseling for issues related to an incestuous childhood, and 90 non sexually abused adult female clients completed the MMPI and a background information questionnaire.A Multivariate Analysis of Variance test comparing the mean profiles demonstrated that the incest group was more somatic, depressed, angry, anxious, and confused. A chi square analysis of two-point code type configurations found the incest group being more classified by the 48/84 and the 24/42 code types whereas the control group was more represented by the 46/64 code type. Lastly, the groups were compared by completing cluster analyses on each group's profiles. Both groups yielded an "overwhelmed" cluster that was statistically the same. Secondly, they each yielded a "normal" cluster that was similar but statistically different. Finally, the incest group yielded an "angry and confused" cluster and the control group yielded a "somatizer" cluster. Descriptions of the clusters and reasons for their differences are proposed.Differential impact was examined by comparing the incest clusters on number of abusers, use of threat or force, identity of the abuser, perceived betrayal by a non offending parent, length of time since abuse, and length of time in counseling. The only significant finding in these analyses was that the "overwhelmed" cluster had a greater number of abusers than the "angry and confused" and the "normal" clusters.The first two analyses were included in the study to validate the similarity of the present data with previous research and to demonstrate the myopic vision that results from analyzing the data in these manners. The cluster analysis allowed for the examination of the differential impact of the numerous long term sequalae. Recommendations for further research are presented as well as implications for treatment. / Department of Counseling Psychology and Guidance Services

Few studies have attempted to explore the area of abuser acknowledgement for survivors of childhood abuse. This qualitative research study used a case study methodology to explore the experience of a survivor of childhood sexual abuse in receiving acknowledgement from the abuser. Data was collected through an interview with the participant and was transcribed and analyzed as part of an in-depth data analysis process. Twelve themes of experience emerged from the data analysis process; these themes were experienced either in the immediate moment of receiving the acknowledgement or in the days. months, and years following the acknowledgement. These themes are discussed along with strengths and limitations of the study, directions for future research, and implications for practitioners.