This research focuses on the personal stories surrounding men who were sexually abused in childhood. The aim of this study is to shed light on the experiences of these men, and attempt to lift the veil of secrecy and stigma attached to male childhood sexual abuse. Three participants were selected for this qualitative study using the selection procedure of purposive sampling. Each participant was introduced with the use of a semi-structured interview format, and the information that was obtained from each participant was explored using a hermeneutic analysis approach. The results suggest that society’s naivety and ignorance of issues pertaining to sexually abused men are prominent. Both differences and similarities, in relation to the experiences of these men, are evident. With particular reference to the three participants whom partook in this study, the differing experiences that appear significant are suicidal ideation; low self-esteem; flashbacks; fear of men in general; and mind-body separation. The similar experiences that are evident within the participants’ stories are their desire for secrecy; fear of what society may think of them; desperate attempts to cope and subsequently escape the memories of their pasts; long-lasting effects, such as a lack of trust and an absence of intimacy; and determination to move forward and prevail. / Psychology / M.A. (Clinical Psychology)

published_or_final_version / SPACE / Master / Master of Arts

Childhood sexual abuse (CSA) has been linked to a number of adult psychological maladies. The MMPI-2 has shown specific patterns such as an inverted V in the validity scales, a floating profile, and a 4-5-6 configuration to be present more often in adults who have experienced childhood trauma. Both children and adults who have experienced trauma have shown a number of neurophysiological differences when compared to non-traumatized individuals. However, little research has looked at differences in quantitative electroencephalography (QEEG) patterns in these individuals. The purpose of this study is to determine differences seen in the MMPI-2 and the QEEG when comparing adults who report CSA to adults who deny any history of childhood abuse. Differences between the two groups in MMPI-2 basic scales and supplementary scales PK and PS were determined. This study also examined the ability to correctly classify individuals into the two groups using three patterns seen in the MMPI-2 basic scale profiles (inverted V, floating profile, and 4-5-6 configuration). In addition, this research included exploratory analyses to develop predictor models for CSA group membership. Predictors in the models were derived from MMPI-2 scales, alpha relative power at each of the 19 sites in the International 10/20 electrode placement system, as well as alpha/delta, alpha/theta, and alpha/beta ratios at each of the 19 sites. A total of 46 participants were included in this study, 24 from archived files and 22 newly recruited individuals. Each participant received a MMPI-2 and a QEEG. Significant differences were found between the MMPI-2 scores of the two groups, but MMPI-2 patterns were unable to correctly classify individuals. Models were found which were clinically relevant and statistically significant. The models were based on depression and social maladjustment. The depression models included scales F and 2 of the MMPI-2 and alpha relative power at left frontal sites. The social maladjustment models included scales 4 and 8 of the MMPI-2 and alpha relative power at temporal sites. These findings support previous research showing higher levels of pathology in MMPI-2 profiles and evidence for temporal and left-frontal differences in adults who report CSA.

M.A. / Adults who have experienced sexual abuse as a child may encounter long-term effects on their functioning that could be regarded as problematic to the adult (Corby, 2006). Child sexual abuse has been a problem for many years, although it took societies exceptionally long to realise the actual implications of child sexual abuse on the adult (Spies, 2006). Long-term effects of childhood sexual abuse can be observed well into adulthood and effects such as depression and a low self-esteem have been confirmed by studies. The female victim of childhood sexual abuse often finds herself in the role of mother within her own family. The goal of this study is to explore the self-description of the female adult victim of childhood sexual abuse in terms of her role as mother in her family. This study seeks to explore the self-description of the female adult victim of childhood sexual abuse in terms of her role as mother in her family. The literature review gives an overview regarding the definition of childhood sexual abuse. Literature exists on the different long-term effects of childhood sexual abuse that may impact the adult victim and this has been discussed. Quantitative studies in terms of children that have been sexually abused and the long-term effects thereof indicate that childhood sexual abuse has an impact on the adult development. Minimal research has been conducted with regards to the female adult victim of childhood sexual abuse and her self-description of her role as mother in her family. The systems theory was used as a basic framework for the study. The systems theory focuses on the reciprocal interaction, interdependence, boundaries, roles and homeostasis. Assumptions from the literature review suggest that the mother cannot fulfil her role successfully because of the prevalence of negative behavioural symptoms such as fluctuating self-esteem and feelings of powerlessness and worthlessness. The counter argument included that the mother because of this experience may discover an inner power that may contribute to positive emotions from which she can successfully fulfil her role as mother (Bannister, 1998).

This study examined the relation between level of rape acknowledgement and levels of PTSD symptoms reported in female college students. Subjects were administered the Sexual Experiences Survey (SES), the PTSD Interview, and a demographics questionnaire. Subjects were then grouped into the following categories based on their responses to the SES: reported rape victims, acknowledged rape victims, unacknowledged rape victims, and a control group of non-rape subjects. Small sample analyses did not reveal the expected linear relation between the two variables. Only the acknowledged group showed greater PTSD symptoms. The unacknowledged and control groups did not significantly differ on overall PTSD symptom severity, or on any cluster of PTSD symptoms. Naturalistic selection factors are discussed that could have affected the outcome of the study.

The primary purpose of the present study was to investigate factors associated with childhood sexual abuse which mediate long-term effects. Of particular interest were the mediators of disclosure and its perceived impact, as well as variables related to the severity of the abuse. Also of interest were impact areas related to a history of molestation which have received little attention in the literature. Five hundred and seventy-five female undergraduates completed an extensive questionnaire with measures of family background, childhood and adult sexual experiences, health status, and psychological variables. Of these subjects, 286 reported at least one incident of child sexual abuse. It was hypothesized that those females with histories of sexual abuse who received a positive response to their disclosure of abuse would demonstrate more adaptive adult functioning as compared to those victims receiving a negative response, or those who never disclosed. Significant differences were not detected among the three groups on the outcome measures. A number of reasons were explored for why these differences may not have been detected in the present investigation. Although differences were not detected for disclosure status, significant differences were detected between females reporting a history of child sexual abuse and those reporting no abuse on all of the outcome measures. Specifically, sexual abuse victims were more likely than nonvictims to be sexually revictimized in adulthood. Potential explanations for this finding were explored in a discriminant function analysis predicting revictimization status. Further, abused females had significantly higher levels of depression, dissociation, and perceptual disturbances when compared to their nonabused peers. Sexual abuse victims also reported more health symptoms across various bodily systems and had more negative attributions about their physical health status. Differences between the abused and nonabused groups on levels of perceptual disturbance and perceived physical health status are particularly noteworthy since previous research has detected these symptoms only through clinical samples.

Previous research indicates that survivors of sexual assault often blame themselves for the assault. Research has also shown that people blame the perpetrator in some situations and the survivor in other situations involving sexual assault. The purpose of this study was to discover if survivors of sexual assault who blame themselves tend to blame other survivors (survivor blame) in situations different from their own. Another purpose was to assess whether or not sexual assault survivors who do not blame themselves for their attack tend to blame other survivors. The participants' attributional style was also assessed in order to understand the relations between self-blame and survivor blame in situations involving sexual assault. Findings indicated that certain types of attributional style are related to self-blame in sexual assault survivors and blame toward sexual assault survivors depicted in vignettes. This indicates that attributional style may have important implications in the clinical setting to aid sexual assault survivors who experience self-blame, as well in educating society about sexual assault and the ultimate responsibility of perpetrators.

Prevention of HIV following sexual assault is an important aspect of rape care. This includes taking Post Exposure Prophylaxis for 28 days. The present study aimed to provide an in-depth understanding of social and environmental factors that predisposed, promoted and also served as barriers to adherence to post exposure prophylaxis to prevent HIV infection after sexual assault in women in the Eastern Cape Province. The study involved a purposive sample of women who were offered Post Exposure Prophylaxis (PEP) after a sexual assault. Sixteen women were accessed at the Sinawe Referral Centre and participated in the study. Their ages ranged from 16 to 73 years. An interview guide was developed to assist the researcher, and semistructured, in-depth interviews were used to collect data. These women were interviewed at the end of 28 days of taking the prophylactic medication. The data were analyzed inductively using grounded theory. Only three women completed the 28 days of PEP treatment. Participants gave different explanations for why they did not complete the treatment with only four participants returning to the centre for their medication. Some reported having no money for transport; others mentioned deciding to discontinue the medication because of its side-effects. Poor support systems, both within the community and the health services, including the provision of conflicting information also played a role. The study showed that few women were able to complete their PEP medication and knowledge about the service and access to it were the main factors that lead to non-adherence. There is an urgent need for the improvement of PEP services particular in the support to the women during the period of taking the PEP treatment to ensure protection from HIV after a sexual assault. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2008.

The research investigated the impact of sexual harassment on withdrawal behaviors and attitudes toward harassment by examining the gender composition of the harassment dyad and the organizational status of the perpetrator in relation to the victim. Archival data from the Inter-University Consortium for Political and Social Research at the University of Michigan was used to obtain surveys in which participants rated their attitudes and experiences related to sexual harassment. Only individuals who reported experiencing sexual harassment within the 24 months prior to data collection are included in the current research. A MANOVA was conducted to determine if withdrawal behaviors and attitudes of victims varied by the gender dyad and/or the organizational status of the perpetrator. Results indicated that individuals harassed by people with higher organizational status displayed more withdrawal behaviors in the form of decreased productivity and increased use of sick, annual, and unpaid leave. Individuals harassed by a member of the same gender also used more unpaid leave. Interestingly, individuals harassed by members of the opposite gender, tended to disagree more strongly with the attitude index measuring cautious awareness of sexual harassment.

The purpose of the following study was to evaluate sexual trauma and the effects on women veteran's quality of life ratings and current and past coping strategies. Participants were screened for sexual trauma history and divided into five mutually exclusive categories: 1)childhood sexual trauma, 2)civilian adult sexual trauma, 3)military sexual trauma, 4)multiple sexual trauma, and 5)no sexual trauma. Results of the study were mixed, retaining some hypotheses and rejecting others. Results regarding differences in QOL for the sexual trauma groups were rejected, as none of the QOL analyses were significant. Issues of small effect size for the QOL measure and low power to detect differences are discussed as limitations in the current study. Several significant findings were detected in the coping analyses. As predicted, the no trauma group was found to use significantly more approach coping strategies than the sexual trauma group for the past problem. Additionally, the sexual trauma group used significantly more avoidant coping techniques for past problem than the no trauma group. No between group differences were detected for sexual trauma type, however, several significant differences emerged in the comparisons of the multiple sexual trauma and military sexual trauma group's past coping compared to the no sexual trauma group's coping strategies. For past coping, the no trauma group used more approach strategies than the military or multiple trauma group. Past and current significant CRI subscale differences were also detected. Results regarding the relationship between QOL and CRI were rejected, as the two scales were not found to correlate significantly. Trauma history and avoidant coping were also nonsignificant predictors for General Life Satisfaction on the QOL measure. Additional exploratory analyses are presented as well as implications for research, theory and clinical practice.