Adult survivors' of childhood sexual abuse perspectives of services: A systematic review

Chouliara, Zoë; Karatzias, Thanos; Scott-Brien, Georgia; Macdonald, Anne; MacArthur, Juliet; Frazer, Norman

doi:10.1080/14733145.2012.656136

Cited by 15 publications

(10 citation statements)

References 23 publications

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“…The need for models of recovery from CSA which capture the dynamic and relational aspects of the change process in adulthood has been highlighted before (Chouliara et al, 2014; Chouliara et al, 2012; Saunders, 2003; Williams, 2003). The findings of the present study bear significance, which extends to a clinically meaningful understanding of relational processes in group therapy.…”

Section: Resultsmentioning

confidence: 99%

Therapeutic Change in Group Therapy For Interpersonal Trauma: A Relational Framework for Research and Clinical Practice

Chouliara

Karatzias

Gullone

et al. 2017

J Interpers Violence

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Our understanding of therapeutic change processes in group therapy for complex interpersonal trauma has been limited. The present study aimed at addressing this gap by developing a framework of therapeutic change in this field from a survivor and therapist perspective. This is a qualitative study, which utilized semistructured individual interviews. Transcripts were analyzed using interpretative phenomenological analysis (IPA) to identify recurrent themes. A final sample of n = 16 patients and n = 5 facilitators completed the interview. Main change processes identified by survivors were as follows: self versus others, trust versus threat, confrontation versus avoidance, and "patching up" versus true healing. Therapeutic processes identified by therapist facilitators included managing group dynamics, unpredictability and uncertainty, and process versus content. The proposed framework explains therapeutic change in group therapy in relational terms, that is, therapeutic dissonance, the dynamic interaction of self and experience as well as building empathic trusting relations. The importance of managing dissonance to aid personally meaningful recovery was highlighted. These findings have implications for the usefulness of relational and person-centered approaches to clinical practice in the area of interpersonal and complex trauma, especially in the early identification, prevention, and management of dropouts.

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Section: Resultsmentioning

confidence: 99%

Therapeutic Change in Group Therapy For Interpersonal Trauma: A Relational Framework for Research and Clinical Practice

Chouliara

Karatzias

Gullone

et al. 2017

J Interpers Violence

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“…Indeed, Olio suggests the establishment of an effective therapeutic relationship "is probably the single most important factor" in the successful treatment of adult sexual abuse survivors (1989, p.98). Consequently, as a result of the particular relational difficulties CSA survivors can experience, it is important to understand how survivors experience talking therapies (Chouliara et al, 2012).…”

Section: How Do Adult Survivors Of Childhood Sexual Abuse Experience Formally Delivered Talkingmentioning

confidence: 99%

“…In terms of therapeutic modality, CSA survivors have, in some studies, reported that the type of therapy they have received has not influenced whether therapy itself was beneficial (Chouliara et al, 2012;Hetzel-Riggin, Brausch & Montgomery, 2007;Nelson & Phillips, 2001). Moreover, a recent meta-synthesis (Draucker et al, 2009) exploring healing for sexual violence survivors concluded that it was understanding experiences, rather than developing positive or adaptive coping strategies, which survivors found helpful.…”

Section: How Do Adult Survivors Of Childhood Sexual Abuse Experience Formally Delivered Talkingmentioning

confidence: 99%

How Do Adult Survivors of Childhood Sexual Abuse Experience Formally Delivered Talking Therapy? A Systematic Review

Parry

Simpson

2016

Journal of Child Sexual Abuse

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This systematic review explored how adult survivors of child sexual abuse experienced nonspecific and trauma-focused talking therapies. Following extensive systematic searches of academic databases, 23 qualitative empirical studies were chosen for review. Using a line-by-line thematic synthesis, four analytical themes developed. These themes were: The Therapeutic Process as a Means for Forming Connections, which discusses therapeutic relationships; Developing a Sense of Self Through the Therapeutic Processes, which identifies stages of developmental recovery; Therapeutic Lights and Black Holes in the Shadows of child sexual abuse, which reflects on how a history of child sexual abuse influenced experiences of therapy; and Healing or Harrowing: Connecting With Others and First-time Experiences, which explores what was helpful, hindering, and new throughout the therapeutic journey. Findings related to participants developing new options for interpersonal relationships through the experience of authentic trust and the experiential learning of control and choice. Recommendations are discussed in relation to developing therapeutic practice and future research.

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“…[38] Trust has also been shown to be central to recovery from CSA in adulthood both within and without mental health services, as well as a sign of recovery. [44][45][46] Trust has also been shown to be an important factor in survivors' satisfaction with mental health services. [47] CSA is associated with negative impacts on the stability and quality of intimate relationships in adulthood.…”

Section: Introductionmentioning

confidence: 99%

Trust as a mediator in the relationship between childhood sexual abuse and IL-6 level in adulthood

Leng

Xie

et al. 2020

PLoS ONE

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Childhood sexual abuse (CSA) has been shown to predict the coupling of depression and inflammation in adulthood. Trust within intimate relationships, a core element in marital relations, has been shown to predict positive physical and mental health outcomes, but the mediating role of trust in partners in the association between CSA and inflammation in adulthood requires further study. The present study aimed to examine the impact of CSA on inflammatory biomarkers (IL-6 and IL-1β) in adults with depression and the mediating role of trust. A cross-sectional survey data set of adults presenting with mood and sleep disturbance was used in the analysis. CSA demonstrated a significant negative correlation with IL-6 level (r =-0.28, p<0. 01) in adults with clinically significant depression, while trust showed a significant positive correlation with IL-6 level (r = 0.36, p < .01). Sobel test and bootstrapping revealed a significant mediating role for trust between CSA and IL-6 level. CSA and trust in partners were revealed to have significant associations with IL-6 level in adulthood. Counterintuitively, the directions of association were not those expected. Trust played a mediating role between CSA and adulthood levels of IL-6. Plausible explanations for these counterintuitive findings are discussed.

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Adult survivors' of childhood sexual abuse perspectives of services: A systematic review

Cited by 15 publications

References 23 publications

Therapeutic Change in Group Therapy For Interpersonal Trauma: A Relational Framework for Research and Clinical Practice

Therapeutic Change in Group Therapy For Interpersonal Trauma: A Relational Framework for Research and Clinical Practice

How Do Adult Survivors of Childhood Sexual Abuse Experience Formally Delivered Talking Therapy? A Systematic Review

Trust as a mediator in the relationship between childhood sexual abuse and IL-6 level in adulthood

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