Case Study Sandra

Studies have shown a clear correlation between childhood sexual assault (CSA) and negative sexual experiences later in life. Of relevance to the criminal justice system, these later forms of sexual victimization include sexual assault and sex work. The relationship between CSA and adverse sexual development is a correlation between two things, not a direct pathway from cause to effect. While survivors of sexual assault are at a higher risk of experiencing these later forms of victimization, this correlation represents a highly complex process involving a wide range of mediating factors and the intersections between them. Any experience of sexual assault is highly traumatic. Survivors of CSA, however, represent a unique population, because their trauma occurs near the start of the human developmental process and therefore alters all development thereafter.

Any victim of sexual abuse faces the chance of having their development impacted. This is especially true amongst children. Studies have proven that children who have been sexually abused by a female offender often have different developmental experiences (T.A. Gannon, 2008, p. 356). Mental illness is yet another impact that victims face. Many sexual abuse victims transpire into states of depression, rage, and suicide; they even have strained relationships with certain individuals (Denov, 2014, p.

The last of the characteristics of childhood trauma are changed attitudes about life, people, and future possibilities (Terr, 1999). The traumatized child may lose hope of a fruitful future, may despise a particular gender due to abuse, or may even desire close contact with the same gender of the perpetrator. A last example demonstrating a traumatic characteristic is through a 16-year-old female client. A male family member sexually and physically abused this client as a child. Although most sexual assault victims may avoid persons of the same gender of the perpetrator, as described above, there are also victims that try to gain the attention of persons with the same gender of the perpetrator. This client demonstrates just that. The client is exceedingly flirtatious with male peers and staff of her residential facility. She has been caught several times attempting to perform sexual acts with her male peers and at times becomes very angry when she is not given the attention she desires from a male peer.

This paper will examine the impact of childhood sexual abuse (CSA) on women’s sexual behavior in adulthood. Childhood sexual abuse has been associated with a plethora of physical and emotional symptoms in women. It has been noted that there is a significant relationship between this maltreatment and the development of abnormal sexual behavior. Some women who have been abused as children are suffering from lack of sexual desire, emotional distress, sexual dysfunction, or engage in risky sexual behavior as they become adults. This paper has two purposes: (1) to provide a broad overview of the research on long-term effects of childhood sexual abuse on mental and physical health and (2) encourage counselors and therapists alike to seek knowledge of this issue and in turn provide victims of CSA with effective methods to overcome and deal with any long-term issues of childhood sexual abuse.

This paper reviews several articles that discuss the lasting effects that sexual abuse can have on a child into their adult years. The articles agree that victims of child sexual abuse (CSA) will most likely suffer from posttraumatic stress disorder (PTSD) and/or experience revictimization. This paper will also address the common forms of coping that victims of child sexual abuse take part in. Some research will touch on proper healing techniques for victims of CSA to receive.

Sexual assault is something that can affect people emotionally, physically, psychosocially, psychologically, and even spiritually. As often as it occurs in society, the effects that sexual assault can have on an individual are all relatively similar. Sexual assault is any sort of sexually-based action in which one or more participants have not given consent. Often times, people refer to sexual assault as simply rape, however there are other dimensions to sexual assault which can include unwanted kissing, groping, or touching of any form. Emotionally, victims are conflicted about whether it is their own fault or if it the fault of the attacker. In many instances, the victim will blame themselves for what has happened to them. Physically, there is nearly always damage in the affected areas (vagina, anus, penis, breasts, etcetera) that can lead to painful tissue damage. There is also the risk of pregnancy or STD’s that the victim must be aware of. Psychosocially, the victim becomes distant with everyone they were once close to. Their level of trust declines dramatically, causing relationships with spouses, family, and close friends to crumble. Since the victims tend to push their loved ones away, often without giving any sort of reason, they can sometimes face isolation and a lack of support from those whom would usually offer council. The psychological effects are tremendous as well. Victims of sexual assault will often have severe anxiety, post-traumatic stress

“American Psychiatric Association defines trauma as an event that represents a threat to life or personal integrity. Trauma can also be experienced when children are faced with a caregiver who acts erratically, emotional and /or physical neglect, and exploitation” (Maltby, L., & Hall, T. 2012. p. 304). Trauma comes in many different forms including: war, rape, kidnapping, abuse, sudden injury, and

As many as one in three females have experienced sexual abuse by the age of 18 (Russell, 1986). Many survivors of childhood sexual abuse (CSA) experience negative psychological symptoms (Browne & Finkelhor, 1986; Kendall-Tackett, Williams, L. M., & Finkelhor, 1993). These women may later in life engage in relationships. The negative impact of sexual abuse could result in challenges faced by the relationship due to shame and difficulty with trust (Kochka & Carolan, 2002; MacIntosh & Johnson, 2008). CSA may also result in sexual challenges for the couple (Kochka & Carolan, 2002). Research has found that couples therapy can be of significance to the healing of the CSA survivor as well as functioning and growth in the relationship (Kochka &

Lucy Berliner spoke about at a sexual abuse at Penn State University. She stated that Berliner stated that “you can be affected, without being ruined”, I feel that it is a statement that can be used as a power tool for victims of abuse. It does not matter what happens to you in the past as long as you have the will and determination to live through it. Ms. Berliner explained that there are many different psychological outcomes of victimization stating that 70% with PTSD has some form of depression. Treatment for Trauma includes Trauma Focused CBTs which work all over the world for adults and children, with 80-85% of individuals benefiting from multi-traumas and diverse ethnic/racial backgrounds.

The subject of victimization and childhood trauma and neglect, especially sexual victimization is in desperate need of additional awareness despite the increase in the research literature over the past three decades. Youth who experience any form of victimization, whether it be sexual, emotional, and/or physical throughout their childhood are known to have difficulties in their childhood and adolescent development (McCuish, Cale & Corrado, 2015). The abuse they experience can be from their caregivers, sexual victimization by acquaintances and strangers, assaults by peers and can be exposed to violence in their neighborhoods (Finkelhor, Ormrod, Turner and Holt, 2009).

Existing controlled examinations of intervention efficacy specific to only sexual assault and rape are presently minimal in comparison to intervention examinations of combination or other types of trauma (Regehr, Alaggia, Dennis, Pitts, & Saini, 2013). Psychotherapeutic interventions that fail to differentiate sexual assault and rape victims from other types of trauma victims may decrease the treatment effectiveness or inadvertently harm participants in this subgroup. Trauma associated from rape or sexual assault differs from other forms of trauma and treatment efficacy should be examined in this manner. Trauma from rape or sexual assault entail symptoms of PTSD, depression, suicidal ideations and sexual dysfunction. Individuals may also indicate feelings of vulnerability, loss of control, fear, shame, self-blame, societal blame and stigma (Russell & Davis, 2007; Regehr et al., 2013; Ullman &Peter-Hagene, 2014). This research proposal intends to explore the long term effectiveness of Prolonged Exposure Therapy (PE) at reducing distress and trauma explicitly for adult victims of sexual assault and rape.

The effects of Sandra sexual traumas include depression, drinking, had sex with 70 men, tried to commit suicide, do not have many friends, do not talk to her family, and find it hard to keep a boyfriend. Wilen, Littell, and Salanti (2012) state clients that experience sexual abuse in childhood will be in danger of many mental health problems, which include stress, anxiety, and posttraumatic stress disorder. In addition, survivors may attempt to have unprotected sex, use substance abuse, and self-mutilation. Furthermore, some survivors may experience suicide and have poor parenting skills. Survivors that have experience sexual abuse suffer when it comes to trust (Olio & Cornell, 2014).

Childhood trauma is one of the most heartbreaking situations to ever fathom happening. Childhood trauma includes neglect, maltreatment, physical and emotional abuse, and many other forms of mistreatment amongst children. Childhood trauma occurs between the ages of 0 and 6 years of age. When referencing to childhood trauma, one must take thought into who commits the abuse, who is affected by the abuse, and what long term effects can the abuse have on the victims. One must also take into consideration the sex differences when referring to childhood trauma. Numerous of studies have been conducted and many findings have been made. Prior to conducting this research paper, I only considered childhood trauma to be what it was and never considered the long term effects. Because of my assumption, I never even considered the other categories of the trauma.

The trauma needs to be addressed in individual sessions where imaginal exposure to the trauma can help decrease the PTSD symptoms and help in the process of acknowledging the event in a non-judgmental way. This exposure to the trauma will help with the dissociative symptoms as well. Regarding the outline of group sessions, I would follow the regular four stages of DBT; mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation. During the

Ullman (2007) and Ullman and Filipas (2005) declared that the negative social reactions that others had toward adults that were sexually abused are positively associated with their PTSD symptoms. This was established after exploring and learning about abuse severity, the self-blame that survivors endure, and the coping mechanisms of the survivors. Many people fail to realize that everyone that interact with those who suffer with PTSD, whether it be within the neighborhood or community, school, or home, are affected.