Sexual dysfunction in women who were molested as children: One response pattern and suggestions for treatment

Abstract

A common pattern of women who were sexually molested as children and seek treatment for sexual dysfunction is described. The arousal, rather than the orgasmic, component is involved. The reasons for the evolution of this particular dysfunction are discussed. Treatment should extend the period of sensate focus and address the issues of the woman's anger, her need for control, and her guilt. Excellent results can be achieved in helping the patient to experience physical intimacy and the pleasure of sexual arousal.

Long‐term effects of sexual abuse which occurred in childhood: A review

“…In a survey of undergraduate women, Briere & Runtz (1985, cited in Browne & Finklehor, 1986 found that sexual abuse victims reported experiencing more depressive symptoms during the 12 months prior to the study than did non-abused subjects. When incest victims in therapy are compared with other therapy clients, however, no significant differences have been found in the rates of depression (Herman & Hirschman, 1981 ;Meiselman, 1978).…”

“…Finklehor (1.979, cited in Herman & Hirschman, 1981) found that girls whose mothers were frequently absent or ill were twice as likely to be abused as girls whose mothers were present. Russell (1986) reported that 16 per cent of cases of incestuous abuse in her sample 'progressed ' from non-sexual contact and this is also found in father-daughter incest, which progresses to more intrusive and severe acts of abuse (Herman & Hirschman, 1981 ;Meiselman, 1978). In 43 per cent of cases the abuse occurred only once, and in 68 per cent it took place in either the victim's, perpetrator's or a shared home.…”

“…Few victims tell anyone at the time, though many victims do try to tell someone, usually mother, relative, teacher or other adult (Herman & Hirschman, 1981;Meiselman, 1978). In the majority of cases that person refuses to believe the victim or refuses to get involved.…”

“…Women are Seen as rivals in the competition for men, and may be regarded with suspicion, hostility and contempt (Herman & Hirschman, 1981 ;Meiselman, 1978). Typically, in these cases men are idealized, being seen as strong, powerful and able to satisfy their needs, while women, by contrast, are viewed as weak, submissive and ineffectual.…”

“…For a few it is also a way of avoiding relationships with other men (see Herman & Hirschman, 1981 ;Meiselman, 1978). The clinical literature reports that many incest victims get married, have children, or live with a partner almost immediately on leaving the abusive home.…”