The purpose of this research is to document the response of a rape survivor to a treatment based on Ehlers and Clark's (2000) therapy model and to use the material to evaluate the effectiveness of this kind of therapy in the South African context. In so doing, the specific local cultural and contextual factors, which may affect the overall effectiveness of the treatment, will be highlighted and discussed.

This research report documents the therapeutic intervention undertaken with a 23-year-old Swazi rape victim. The format of this research report takes the form of a case study that follows the principles proposed by Fishman (2005). Its aim is to document the treatment process of an individual of African decent in order to establish whether the treatment model can be effective in clinical settings and in contexts and cultural settings different from that in which it was developed. The Ehlers and Clark (2000) cognitive therapy model for post-traumatic stress disorder (PTSD) was utilised to assess, conceptualise, and treat the case. The client entered therapy three years after being raped for a third time. The case formulation identified factors maintaining the disorder as well as how other traumatic and abusive events earlier in her life influenced her response to the rapes. Data consisted off audio-tape recordings and detailed written synopses of each assessment and therapy session, psychometric measurement instruments and self-report scales completed throughout the intervention, material written by the client, and a research interview conducted by an independent party. She was treated for PTSD and comorbid depression over a period of five months in accordance with the principles described by Ehlers and Clark and a narrative of the treatment process was written. The case narrative in conjunction with quantitative data suggested that this model assisted the client in initiating a healing process. As such the model was found to be both effective and transportable to an African context. Various points of discussion are highlighted, including the challenges of working with PTSD and comorbid major depression, the client-therapist relationship, and that a client and therapist from different cultures, backgrounds, and with different home languages can work together effectively using the Ehlers and Clark model.

The aims of this thesis are twofold: to provide an account of the lived experience of the harm of male-on-female rape in patriarchal societies and, on the basis of this account, to generate suggestions that could be of use in the recovery process for survivors of this type of rape. In order to reach these aims my thesis is divided into three parts. In the first part, I propose a phenomenologically based account of women’s situation as a group under patriarchy, according to which women as a group are subjugated to the hegemonic rule of patriarchal ideology. I argue, further, that the meaning, place and pervasiveness of sexual objectification in the lives of women under patriarchy typically results in women’s alienation from their bodies and creates an atmosphere of threat under which women qua women are especially vulnerable to rape. In the second part, I explore the lived experience of the harm of rape; focusing, first, on the reflexive process whereby a survivor attempts to understand how she has been harmed and, second, on providing explanations based on shared features in the lives of women for two phenomena reported to be experienced by rape victims in the aftermath of the trauma, which I call ‘shattering’ and ‘fragmentation'. My discussion of the lived experience of the harm of rape is meant to supplement existing accounts in the contemporary literature that, I argue, are limited to a thirdperson, objective point of view and so fail to provide a link between the harms they describe and the victim’s actual experience of these harms. Finally, I defend two suggestions for the building up of the survivor’s agency and personhood in the aftermath of rape—the deliberate therapeutic use of feminist consciousness-raising and the use of narrative understanding. / Adobe Acrobat 9.53 Paper Capture Plug-in