Integrating Cognitive-Behavioral and Expressive Therapy Interventions: Applying the Trauma Outcome Process in Treating Children with Sexually Abusive Behavior Problems

Faller, Kathleen Coulborn; Birdsall, William C.; Henry, James A.; Vandervort, Frank E.; Silverschanz, Peregrine

doi:10.1300/j070v10n04_02

Cited by 17 publications

(42 citation statements)

References 17 publications

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“…Both Rasmussen (2001) and Friedrich (as cited in Rasmussen, 2008) of attachment, emotional dysregulation, and self-perceptions in the assessment of individual risk factors. Additionally, certain personality disorders (primarily borderline, narcissistic, and antisocial variants) and traits as characterized by the Big Five theory of personality (Costa & McCrae, 1992; high neuroticism and/or low agreeableness; Engelhard, van den Hout, & Kindt, 2003;Fauerbach, Lawrence, Schmidt, Munster, & Costa, 2000;Jang, Stein, Taylor, Asmundson, & Livesley, 2003;Lauterbach & Vrana, 2001;Nightengale & Williams, 2000) are related both to increasing trauma risk and adverse trauma outcomes by impacting elements of attachment and self-regulation (Rasmussen, 1999(Rasmussen, , 2001(Rasmussen, , 2004(Rasmussen, , 2008. In contrast, high agreeableness may moderate negative outcomes following trauma exposure (Miller, 2003).…”

Section: Evidence Supporting Topa Model Elementsmentioning

confidence: 99%

“…Within the TOPA, family dynamics and broad-based support is considered next (Rasmussen, 1999(Rasmussen, , 2001(Rasmussen, , 2004(Rasmussen, , 2008Rasmussen et al, 1992). Although the original conceptualization of the model emphasized the immediate familial context (Rasmussen et al, 1992), the model has evolved with the extant literature and indicates that the support system is broader, including friends and other individuals in one's community (Borja, Callahan, & Long, 2006;Brewin et al, 2000;Rasmussen, 1999Rasmussen, , 2001Rasmussen, , 2004Rasmussen, , 2008.…”

Section: Evidence Supporting Topa Model Elementsmentioning

confidence: 99%

“…Although the original conceptualization of the model emphasized the immediate familial context (Rasmussen et al, 1992), the model has evolved with the extant literature and indicates that the support system is broader, including friends and other individuals in one's community (Borja, Callahan, & Long, 2006;Brewin et al, 2000;Rasmussen, 1999Rasmussen, , 2001Rasmussen, , 2004Rasmussen, , 2008. As such, the broad social support system was measured for the current investigation.…”

Section: Evidence Supporting Topa Model Elementsmentioning

confidence: 99%

“…Although a handful of integrative models have been proposed, most are limited to specific negative outcomes; for example, Traumagenic Dynamics of Sexual Abuse Model (Finkelhor, 1988;Finkelhor & Browne, 1985), Post-Traumatic Stress Disorder Model (American Psychiatric Association [APA], 2000), Sexual Abuse Cycle (Lane, 1997;Ryan, Lane, Davis, & Isaac, 1987), and thus are not truly integrative in nature. In contrast, the Trauma Outcome Process Assessment (TOPA; Rasmussen, 1999Rasmussen, , 2001Rasmussen, , 2004Rasmussen, Burton, & Christopherson, 1992;TOPA;Rasmussen, 2008) goes beyond previous models by explicitly including both affective and cognitive symptoms among the negative effects of trauma exposure and encompassing a range of behavioral outcomes beyond pathology. Furthermore, the TOPA differentiates self-destructive and abusive patterns that are directed toward others.…”

mentioning

confidence: 99%

“…Each outcome is thought to reflect thoughts and behaviors emerging from heightened self-focus and idiosyncratic processing. Readers interested in further information about the elements contained in each outcome wheel are encouraged to consult Rasmussen (1999Rasmussen ( , 2001Rasmussen ( , 2004Rasmussen ( , 2008. However, the present study was designed to focus on the relationships among the broad TOPA constructs (internalization of distress, externalization of distress, and recovery) and determine if the theoretical relationships among ecological variables and the range of outcome variables are psychometrically robust.…”

mentioning

confidence: 99%

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The Trauma Outcome Process Assessment Model: A Structural Equation Model Examination of Adjustment

Borja

Callahan

2009

Journal of Child Sexual Abuse

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This investigation sought to operationalize a comprehensive theoretical model, the Trauma Outcome Process Assessment, and test it empirically with structural equation modeling. The Trauma Outcome Process Assessment reflects a robust body of research and incorporates known ecological factors (e.g., family dynamics, social support) to explain internalizing distress (e.g., anxiety, depression), externalizing distress (e.g., aggression), and recovery outcomes following traumatic events. Results revealed that expected relationships among the variables were significantly related in the expected direction, and the measures mapped well onto the expected latent constructs. Following optimal specification of the relationships within the Trauma Outcome Process Assessment, structural equation modeling revealed strong support for the Trauma Outcome Process Assessment as a comprehensive identification and treatment model to explain the differential outcomes of those exposed to traumatic stressors.

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Section: Evidence Supporting Topa Model Elementsmentioning

confidence: 99%

Section: Evidence Supporting Topa Model Elementsmentioning

confidence: 99%

Section: Evidence Supporting Topa Model Elementsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The Trauma Outcome Process Assessment Model: A Structural Equation Model Examination of Adjustment

Borja

Callahan

2009

Journal of Child Sexual Abuse

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Child Sexual Abuse Evaluations

Kuehnle

2003

Handbook of Psychology

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Accurate estimates of true and false child sexual abuse evades researchers and the determination of whether sexual abuse has occurred is a complex problem. In recent years, the research community has been polarized over whether child victims of sexual abuse or nonabuse are grossly misidentified, to what degree children are suggestible, and whether false positive or false negative errors create the greatest harm. This chapter describes the scientific‐practitioner model for evaluating allegations of child sexual abuse, a model previously proposed by the author. According to this model, conclusions regarding child sexual abuse are based upon empirically established relationships between data and the behavior in question, rather than on subjective opinions. To address critical issues in these assessments, this chapter reviews two sources for information: published research and the law. Child sexual abuse is defined, focusing on risk factors for abuse and the meaning of symptoms. Studies citing the incidence and prevalence of child sexual abuse are reviewed. Topics include early memories, the impact of stress on memory, and the development of autobiographical memory. Since recall is subjected to the effects of suggestibility, research on this topic is considered. The structure of the assessment interview and a review of the research on the three most frequently used evaluation tools (anatomical dolls, projective instruments, and drawings) is described.

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Combining Dance/Movement Therapy with Cognitive Behavioral Therapy in Treatment of Children with Anxiety Disorders: Factors Explaining Therapists' Attitudes

Weitz

Opre²

2022

Am J Dance Ther

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Anxiety disorders (ADs) are among the most common psychiatric disorders and they may appear as early on as in childhood. The current study addressed the combination of two treatments approaches for ADs: Dance/movement therapy (DMT) and cognitive behavioral therapy (CBT), focusing on factors that explain the therapists' attitudes towards actually combining the two therapies. The study utilized a quantitative design, with a perceptions survey administered via an online questionnaire. Ninety-nine therapists participated in the study (DMT-only n = 35, CBT-only n = 42, and DMT + CBT, n = 22). Following preliminary analysis (comparison between the groups, correlations and factor analysis), the structural equation model (SEM, confirmatory factor analysis) revealed a good fit between the theoretical model and the empirical data. First, it was found that the reported actual use of the combined approaches (DMT + CBT) in treatment of children with ADs, was significantly explained by therapists who had experience practicing DMT but not CBT perceiving this combination as efficient. Second, the therapists' use of the combined therapy (DMT + CBT) approaches was not related to their sense of efficacy as therapists of children with ADs. The model represents concordance between the components of the therapists' attitudes: Affective—belief that it is efficient, cognitive—perception of it as effective, and behavioral—their actual use.

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Integrating Cognitive-Behavioral and Expressive Therapy Interventions: Applying the Trauma Outcome Process in Treating Children with Sexually Abusive Behavior Problems

Cited by 17 publications

References 17 publications

The Trauma Outcome Process Assessment Model: A Structural Equation Model Examination of Adjustment

The Trauma Outcome Process Assessment Model: A Structural Equation Model Examination of Adjustment

Child Sexual Abuse Evaluations

Combining Dance/Movement Therapy with Cognitive Behavioral Therapy in Treatment of Children with Anxiety Disorders: Factors Explaining Therapists' Attitudes

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