Child sexual abuse (CSA) is a problem of increasing intensity both internationally and within the context of South Africa. While various studies have investigated the post-rape experiences of CSA survivors, few have studied these experiences from a child-centred perspective. The current study thus seeks to explore the personal views of children and their ways of seeing the world in relation to their helpful and harmful experiences in the aftermath of disclosure. The sample was taken from an NGO, located on the south coast of KwaZulu-Natal, which deals specifically with issues affecting abused children. The sample consisted of 20 child rape survivors, between the ages of 5 and 17. Qualitative interviews were conducted in isiZulu by a trained Counselling Psychologist, who served the role of both interviewer and counsellor. Interview transcripts were translated into English and analyzed thematically. Data were organized within an ecosystemic framework in an attempt to conceptualize experiences at various systemic levels. Results indicate varying helpful and harmful experiences with regard to familial, community, institutional, and broader macrosytemic levels of influence. Harmful experiences at the institutional level appeared to have to do with the lack of information shared with the children as to the nature of the proceedings, and what was expected of them, rather than with the post-rape medical examination. Reactions of significant others, in particular the primary caregiver, were found to have a significant impact upon the child’s own feelings towards the sexual abuse. Fear of revictimization, disbelief regarding the minimum punishment afforded to the perpetrator, and feelings of being tricked, deceived, and let down by the perpetrator, were other common themes within the data. / Thesis (M.Soc.Sci.)-University of KwaZulu-Natal, Durban, 2010.

D.Ed. / The underlying dynamics of Cases A and B have been integrated into a comprehensive description in this chapter. The cross case analysis allowed the researcher to determine the similarities and differences in these two cases. These research findings were then verified against a detailed literature control. The research, as verified by current literature, shows that women who were sexually abused as children all suffer from an Identity Problem. Most literature on the treatment of sexual abuse victims stresses the need to address the women's low selfesteem. Yet, the treatment is geared at her present low self-esteem believed to be a result of the abuse. The research findings agree that sexually abused women have low self-esteem, although their Identity Problem is not a result of the abuse, but an intensification of an already present low self-esteem and Identity Problem. The research findings indicate that their Identity Problems started before the abuse, as early as in the womb. The present Identity Problem renders the young girl more vulnerable to the abuse. The treatment of women who were sexually abused as children should be aimed at reconstructing their Identity's and specifically at treating the root cause of the problem, which is not the abuse itself. Women who were sexually abused as children are prone to feelings of worthlessness and responsibility. Powered by their Identity Problem, a Spiritual Walking Zombie Syndrome develops. Sexually abused women have an overwhelming sense of being responsible for others. And if they cannot keep others happy, which is impossible, they feel like failures and think they are worthless. The feeling of being responsible starts before the sexual violation and the abuse only intensifies these feelings. The research finds that sexual abuse can be a physical, subconscious threat to a person. Subconscious reactions to life threatening incidents differ from individual to individual. If one has accepted death one tends to act dead-like. On the other hand, if one expects death one lives in fear of dying and life is full of disasters. The research also finds that as a result of pre-natal and early childhood experiences, sexually abused women tend to act immaturely when compared to their chronological age. Their immaturity is evident in their dress, their constant self-rejection and by their dysfunctional relationships. From the research findings it is clear that each individual plays out her own life script. This life script determines how she reacts to herself and her environment. Women who were sexually abused as children have a similar life script, which in turn makes them more prone to abuse. Sexually abused women deny themselves the right to be themselves. Their perceived shameful existence, of relegating themselves, starts prior to the abuse. Treatment should therefore address these destructive life scripts and not treat the presenting symptoms. Chapter 7 proposes recommendations for the treatment and prevention of sexual abuse.

Children have been shown to respond differently to the hurt that they suffer at the hands of others. Some of these responses involve internalised behaviours (i.e., repression of feelings, bodily symptoms, etc.); whilst others hurt manifest as externalised behaviours, such as physical attacks on others. These may include sexualised behaviours. The latter is particularly common amongst (but not restricted to) children who have been sexually abused (The American Psychological Association, 2001). For the purposes of this study a distinction is made between developmentally appropriate sexual behaviour and non normative sexualised behaviour which evoke complaints from and discomfort in those involved in the behaviour. The manifestation of these sexualised behaviours is especially pronounced amongst children in institutional care; and hence, it calls for constructive and effective management by the child care workers who are primarily responsible for their safe care and behaviour modification whilst in the institution. This qualitative study – with an exploratory, descriptive and contextual research design – served to explore how the child care workers’ effective management of such behaviours could be enhanced, so that the emotional wellbeing of both the “offender” and the “perpetrator” of this behaviour can be promoted. A non-probability purposive sampling technique was employed to recruit research participants from three different child and youth care centres in Port Elizabeth. A total number of 10 research participants were involved and data was collected up to the point of data saturation. Thematic content analysis was utilised for the analysis of the data and the necessary strategies were employed to enhance the trustworthiness of the data and to meet all the ethical requirements of the study. The main findings alert to the key requirements of Child and Youth Care Workers; it confirms the occurrence of sexualised behaviours; the urgent need for a consistent approach to the management of such behaviours; and for enhanced team work between the helping professionals in the team. The value of the study is embedded in the contributions it can make to practical interventions for children in institutional care, and to the sparse body of knowledge in this area.