Guilt, isolation and hopelessness among female survivors of childhood sexual abuse: effectiveness of group work intervention☆

Group Therapy for Women Sexually Abused as Children: Social Interaction, Adjustment, and Relationships Before and After Group Therapy

“…It appears that group treatment encourages cycles of interaction and of support, which may then open the way for these women to make better use of their current networks and eventually to engage in new social relations. The beneficial effects of group therapy on social improvements have been reported from other studies as well (Cloitre & Koenen, 2001;Gorey et al, 2001;Saxe & Johnson, 1999).…”

“…Roberts & Lie (1989) 53 Therapy group Self-assessment Scale Improved psychosocial, physical, and sexual functioning. Threadcraft & Wilcoxon (1993) (Gorey, Richter, & Snider, 2001), self-esteem (Kreidler, Einsporn, Zupancic, & Masterson, 1999), social adjustment (Morgan & Cummings, 1999), and support from friends (Saxe & Johnson, 1999). Between groups existed statistically significant improvements for the treatment group in relation to a community group (Morgan & Cummings, 1999) and in relation to waitinglist groups (Cloitre & Koenen, 2001;Gorey et al, 2001;Richter, Snider, & Gorey, 1997;Saxe & Johnson, 1999).…”

The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings

“…Depression can also manifest itself as emotional pain, for which NSSI can be an outlet. Negative statements, feelings of shame/guilt, and expression of sense of hopelessness (e.g., I hate my life, I'm of no use to anyone, I've done something awful, this is my fault, there's no hope for the future, and nothing is going to change for the better) have been observed particularly among survivors of sexual abuse (Aakvaag et al, 2016;Feiring & Taska, 2005;Gorey, Richter, & Snider, 2001). The fact that adolescents with ADHD and disruptive behavior disorder are more likely to engage in NSSI is also consistent with other past studies that suggest that adolescents who have difficulty controlling their own behavior or lack planning or insight into their actions may engage in risk-taking behaviors that put the safety of themselves and others at risk (Allely, 2014;Hinshaw et al, 2012;Meza, Owens, & Hinshaw, 2016).…”

Group Therapy for Survivors of Childhood Sexual Abuse Who Have Chronic Mental Illness

“…Survivors of sexual abuse are also at risk for numerous long-term effects such as posttraumatic stress disorder (PTSD), depression, anxiety, low self-esteem, sexual dysfunction, self-abusive behaviors, revictimization, substance abuse, and eating disorders (Gorey, Richter, & Snider, 2001;Liem & Boudewyn, 1999;Meiselman, 1990;Wonderlich et al, 2001). Richter, Snider, and Gorey (1997) reported in their study (N = 158) that 25% of sexually abused women were recovering from substance abuse, 66% had an eating disorder, 50% had moderate to severe depression, and 66% had attempted suicide at least once.…”

“…Sexual abuse survivors have also been found to be of higher risk than the general population for medical problems (gynecological, gastrointestinal, obesity, pain) as well as increased hospital use and difficulty with medical procedures (Roberts, 2000;Salmon & Calderbank, 1996). Different treatment approaches for the sequelae of CSA such as cognitive-behavioral, rationalemotive, behavioral, feminist, emotion focused, and problem solving have been shown to be effective in individual and group therapies (Gorey et al, 2001;Paivio & Nieuwenhuis, 2001;Rieckert & Moller, 2000;Westbury & Tutty, 1999). All of these treatment approaches have been found to provide the opportunity for participants to re-enact early family scripts, test new behaviors, and begin to change the roles and rules of their original dysfunctional family system (Courtois, 1993;Donaldson & Cordes-Green, 1994;Kreidler & Fluharty, 1994;Yalom, 1995).…”