What happens when people disclose sexual or physical abuse to staff at a community mental health centre?

Agar, Kirsty; Read, John

doi:10.1046/j.1440-0979.2002.00230.x

Cited by 68 publications

(81 citation statements)

References 45 publications

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“…This is particularly important given the significant under-detection of posttraumatic stress in patients diagnosed with psychosis (Salyers et al 2004;Lommen & Restifo, 2009;Mauritz et al 2013), and that such individuals are less likely to receive an appropriate clinical response (e.g., trauma-focused interventions) relative to those with non-psychotic diagnoses (Agar & Read, 2002;Salyers et al 2004;Grubaugh et al 2011) especially in instances where healthcare workers have strong convictions about biogenetic aetiology (Read & Fraser, 1998;Young et al 2001;Agar & Read, 2002).…”

Section: Discussionmentioning

confidence: 99%

Childhood adversity and psychosis: generalised or specific effects?

Longden

Sampson

Read

2015

Epidemiol Psychiatr Sci

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Background. This study examines relationships between childhood adversity and the presence of characteristic symptoms of schizophrenia. It was hypothesised that total adversity exposures would be significantly higher in individuals exhibiting these symptoms relative to patients without. Recent proposals that differential associations exist between specific psychotic symptoms and specific adversities was also tested, namely: sexual abuse and hallucinations, physical abuse and delusions, and fostering/adoption and delusions.

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Section: Discussionmentioning

confidence: 99%

Childhood adversity and psychosis: generalised or specific effects?

Longden

Sampson

Read

2015

Epidemiol Psychiatr Sci

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“…Furthermore, even when abuse is disclosed, these patients are less likely to be referred for specialized counseling or receive recourse to legal agencies (Agar & Read, 2002;Read et al, 2005). It is of equal importance that clinicians do not assume a history of maltreatment.…”

Section: Trauma and Abusementioning

confidence: 99%

Dissociation, trauma, and the role of lived experience: Toward a new conceptualization of voice hearing.

Longden¹,

Madill

Waterman

2012

Psychological Bulletin

196

151

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Voice hearing (VH) is often regarded as pathognomic for schizophrenia. The purpose of this article is to review and integrate historical, clinical, epidemiological, and phenomenological evidence in order to suggest that VH may be more appropriately understood as a dissociative rather than a psychotic phenomenon. First, we discuss the lifetime prevalence of VH in the general population, which is estimated to range between 1% and 16% for adult nonclinical populations and 2% and 41% in healthy adolescent samples. Second, we demonstrate how the ubiquity of VH phenomenology, including variables like voice location, content, and frequency, limits its diagnostic and prognostic utility for differentiating psychotic from trauma-spectrum and nonclinical populations. Finally, we report on the empirical associations between VH, measures of dissociation, and trauma particularly (though not exclusively) childhood sexual abuse. There are 2 main conclusions from this review. First, we argue that available evidence suggests that VH experiences, including those in the context of psychotic disorders, can be most appropriately understood as dissociated or disowned components of the self (or self-other relationships) that result from trauma, loss, or other interpersonal stressors. Second, we provide a rationale for clinicians to use psychotherapeutic methods for integrating life events as precipitating and/or maintaining factors for distressing voices. Potential mechanisms for the relationship between trauma, dissociation, VH, and clinical diagnosis are described, including the relevance of literature from the field of attachment in providing a diathesis for dissociation. Suggestions for future research are also discussed.

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“…Adult survivors of abuse come into contact with a wide range of services -probably all services -and there is a growing literature on their experiences of services (Richey-Suttles and Remer, 1997;Hooper et al, 1999;Nelson, 2001;Lab et al, 2000;Agar and Read, 2002). It is clear from this that while certain professionals (especially psychotherapists and counsellors) and certain services (especially voluntary organizations) are particularly highly valued, contacts with many other individuals and in many contexts may contribute to a reparative experience for survivors.…”

Section: Experience Of Servicesmentioning

confidence: 99%

Gender and the politics of service provision for adults with a history of childhood sexual abuse

Hooper

Warwick

2006

Critical Social Policy

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This paper reviews the evidence on the relevance of gender to the prevalence and impacts of sexual abuse in childhood, and to the interaction between adults with a history of child sexual abuse ('survivors') and services. It is widely acknowledged now that child sexual abuse increases the risk of a range of problems in adult life, that a wide range of services can offer reparative experiences, and that there is also a risk of retraumatization if the dynamics of abuse are replicated. Points where gender may affect whether experiences of service provision are reparative or retraumatizing include disclosure, allocation of workers and group work. In a context in which the voluntary sector plays a significant role in provision, the potential gains and losses in the current trend for formerly single-sex specialist voluntary organizations to 'go mixed' are discussed. The paper suggests that the politics of recognition adds a useful frame for considering survivors' needs and the relevance of gender to their experiences.

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What happens when people disclose sexual or physical abuse to staff at a community mental health centre?

Cited by 68 publications

References 45 publications

Childhood adversity and psychosis: generalised or specific effects?

Childhood adversity and psychosis: generalised or specific effects?

Dissociation, trauma, and the role of lived experience: Toward a new conceptualization of voice hearing.

Gender and the politics of service provision for adults with a history of childhood sexual abuse

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