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Childhood Sexual Abuse and Posttraumatic Stress Disorder: Considerations for Rehabilitation Counsellors

Published online by Cambridge University Press:  27 August 2015

Kylie Dearn*
Affiliation:
CRS, Australia
Lynda R. Matthews
Affiliation:
The University of Sydney
*
CRS Australia, Suite 1, 77 Albert Avenue, Chatswood NSW 2067, Australia
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Abstract

Childhood sexual abuse (CSA) is a frequently occurring event that has a strong and lasting impact on adult functioning. A significant percentage of adults who are sexually abused as children subsequently meet the diagnostic criteria for posttraumatic stress disorder (PTSD) and demonstrate an increased vulnerability toward further traumatisation. Despite the likelihood that rehabilitation counsellors will encounter clients with this history, published literature on the contribution of rehabilitation counsellors to work with adults who were abused as children is limited. This report discusses ways rehabilitation counsellors can contribute to the inter-professional collaboration required to achieve a reduction in impact of disability and handicap associated with the long-term impact of CSA.

Type
Articles
Copyright
Copyright © Cambridge University Press 1998

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References

Bandurra, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychobgicd Review, 84, 191215.CrossRefGoogle Scholar
Baladerian, N. (1991). Sexual abuse of people with developmental disabilities. Sexuality and Disability, 9, 323335.CrossRefGoogle Scholar
Beck, R.J. & Franke, D.I. (1996). Rehabilitation of victims of natural disasters. Journal of Rehabilitation, 62(4), 2832.Google Scholar
Boudewyn, A.C. & kLiem, J.H. (1995). Childhood sexual abuse as a precursor to depression and self-destructive behaviour in adulthood. Journal of Traumatic Stress, 8(3), 445459.Google ScholarPubMed
Bourne, E.J. (1996). The Anxiety and Phobia Workbook. Oaklands, CA: New Harbinger Publications.Google Scholar
Bremner, J.D., & Brett, E.A. (1997). Trauma-related dissociative states and long-term psychopathology in posttraumatic stress disorder. Journal of Traumatic Stress, 10(1), 3749.CrossRefGoogle ScholarPubMed
Briere, J.N. (1997). Psychological assessment of child abuse effects in adults. In Wilson, J. & Keane, T. (Eds) Assessing Psychological Trauma and PTSD (pp. 4368). New York: The Guilford Press.Google Scholar
Briere, J.N. (1992). Child Abuse Trauma: Theory and Treatment of The Lasting Effects. California: SAGE publications.Google Scholar
Briggs, L. & Joyce, P.R., (1997). What determines the post-traumatic stress disorder symptomatology for survivors of childhood sexual abuse? Child Abuse and Neglect, 21(6), 575581.CrossRefGoogle ScholarPubMed
Brown, I. (1992). Some challenges to counselling in the field of disabilities. In Robertson, S.E. & Brown, R.I. (Eds.) Rehabilitation Counselling: Approaches in the field of disability, (pp. 275295). London: Chapman & Hall.Google Scholar
Brunt, D. (1994). Long-term repercussions of the trauma of sex abuse in childhood. In Watts, R. and Home, D. (Eds.) Coping with trauma (pp. 121136). Brisbane: Australian Academic Press.Google Scholar
Cole, P.M., & Putnam, F.W. (1992). Effect of incest on self and social functioning: A developmental psychopathology perspective. Journal of Consulting and Clinical Psychology, 2, 174184.CrossRefGoogle Scholar
Farley, R.C. & Akridge, R.L. (1987). The contribution of relaxation training to the acquisition of job interview skills: A pilot study. Vocational Evaluation and Work Adjustment Bulletin, 20(3), 115118.Google Scholar
Fergusson, D.M., Horwood, L.J., Lynskey, M.T. (1997). Childhood sexual abuse, adolescent sexual behaviours and sexual revictimization. Child Abuse and Neglect, 31(8), 789803.CrossRefGoogle Scholar
Fogarty, C.A., & Beck, R.J. (1995). Work adjustment for individuals with PTSD. Vocational Evaluation and Work Adjustment Bulletin, 28(3), 7680.Google Scholar
Follette, V.M., Polusny, M.A., Bechtle, A.E., & Naugle, A.E. (1996). Cumulative trauma: The impact of child sexual abuse, adult sexual assault, and spouse abuse. Journal of Traumatic Stress, 9(1), 2535.CrossRefGoogle ScholarPubMed
Froehlich, J. (1992). Occupational therapy interventions with survivors of sexual abuse. In Merrill, Susan Cook (Ed). Occupational Therapy and Psychosocial Dysfunction, (pp. 125). New York: Hawthorn Press.Google Scholar
Gartner, R.B. (1997). Considerations in the psychoanalytic treatment of men who were sexually abused as children. Psychoanalytic Psychology, 14(1), 1341.CrossRefGoogle Scholar
Gold, S.N., Hughes, D.M., & Swingle, J.M. (1996). Characteristics of childhood sexual abuse among female survivors in therapy. Child Abuse and Neglect, 20(4), 13231333.CrossRefGoogle ScholarPubMed
Goldman, D.G., & Padayachi, U.A. (1997). The prevalence and nature of child sexual abuse in Queensland, Australia. Child Abuse and Neglect, 21 (5), 489498.CrossRefGoogle ScholarPubMed
Gorey, K.M. & Leslie, D.R. (1997). The prevalence of child sexual abuse: Integrative review adjustment for potential response and measurement biases. Child Abuse and Neglect, 21 (4), 391397.CrossRefGoogle ScholarPubMed
Green, B.L. (1994). Psychosocial research in traumatic stress: An update. Journal of Traumatic Stress, 7(3), 341362.CrossRefGoogle ScholarPubMed
Herman, J.L. (1992). Trauma and Recovery: From Domestic Abuse to Political Terror. London: Harper & Collins.Google Scholar
Hershenson, D.B. (1990). A theoretical model for rehabilitation counseling. Rehabilitation Counseling Bulletin, 33(4), 268277.Google Scholar
Kendall-Tacket, K.A., Williams, L.M., & Finkelhor, D. (1992). Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164180.CrossRefGoogle Scholar
Liem, J.H., O'Toole, J.G., & James, J.B. (1996). Themes of betrayal in sexual abuse survivors' characterisations of interpersonal relationships. Journal of Traumatic Stress, 9(4), 745761.CrossRefGoogle ScholarPubMed
Lisak, D. & Luster, L. (1994). Educational, occupational, and relationship histories of men who were sexually and/or physically abused as children. Journal of Traumatic Stress, 7(4), 507523.CrossRefGoogle ScholarPubMed
Marmar, C. (1997). Trauma and dissociation. PTSD Research Quarterly, 8(3), 16.Google Scholar
Matthews, L.R. (1999). Road trauma, PTSD and occupational functioning: Implications for policy development, intervention and rehabilitation. Australian and New Zealand Journal of Public Health, 23(3), 323325.CrossRefGoogle ScholarPubMed
Meichenbaum, D. (1985). Stress Inoculation Training. New York: Pergamon Press.Google Scholar
Mullen, P.E., Martin, J.L., Anderson, J.C., Romans, S.E. and Herberson, G.P. (1996). The long-term impact of the physical, emotional, and sexual abuse of children: A community study. Child Abuse and Neglect, 20(1), 721.CrossRefGoogle ScholarPubMed
Neumann, D.A., Houskamp, B.M., Pollock, V.E., & Briere, J. (1996). The long-term sequelae of childhood sexual abuse in women: A meta-analytic review. Child Maltreatment, 1, 616.CrossRefGoogle Scholar
Ochberg, F. (1993). Posttraumatic therapy. In Wilson, J. & Raphael, B. (Eds.) International Handbook of Traumatic Stress Syndromes (pp. 773783). New York: Plenum Press.CrossRefGoogle Scholar
Ratican, K.L. (1992). Sexual abuse survivors: Identifying symptoms and special treatment considerations. Journal of Counseling and Development, 71, 3338.CrossRefGoogle Scholar
Richards, D.A., Lovell, K., & Marks, I.M. (1994). Posttraumatic stress disorder: Evaluation of a behavioral treatment program. Journal of Traumatic Stress, 7(4), 669679.Google ScholarPubMed
Rodriguez, N., Ryan, S.W., Rowan, A.B., & Foy, D.W. (1996). Posttraumatic stress disorder in a clinical sample of adult survivors of childhood sexual abuse. Child Abuse and Neglect, 20(10), 943952.CrossRefGoogle Scholar
Rowan, A.B., Foy, D.W. (1993). Posttraumatic stress disorder in child sexual abuse survivors: A literature review. Journal of Traumatic Stress, 6(1), 320.Google Scholar
Silva, C., McFarlane, J., Soeken, K., Parker, B., & Reel, S. (1997). Symptoms of post-traumatic stress disorder in abused women in a primary care setting. Journal of Women's Health, 6(5), 543552.CrossRefGoogle Scholar
Silverman, A.M., Reinherz, H.Z., & Giaconia, R.M. (1996). The long-term sequelae of child and adolescent abuse: A longitudinal community study. Child Abuse and Neglect, 20(8), 709723.CrossRefGoogle ScholarPubMed
Strauser, D. (1995). Applications of self-efficacy theory in rehabilitation counseling. Journal of Rehabilitation, 61(1), 711.Google Scholar
Thomas, J.R. (1995). Post-traumatic stress disorder: Vocational considerations. Journal of Applied Rehabilitation Counseling, 26(1), 912.CrossRefGoogle Scholar
van der Kolk, B.A. (1996). The complexity of adaption to trauma: Self-regulation, stimulus discrimination, and characterological development. In van der Kolk, B.A.McFarlane, A.C. & Weisaeth, L., (Eds), Traumatic Stress (pp. 182213). The Guildford Press: New York.Google Scholar
van der Kolk, B.A., & Fisler, R. (1995). Dissociation and the fragmentary nature of traumatic memories: Overview and exploratory study. Journal of Traumatic Stress, 8(4), 505525.CrossRefGoogle ScholarPubMed
van der Kolk, B.A., McFarlane, A.C. & van der Hart, O. (1996). A general approach to treatment of posttraumatic stress disorder. In van der Kolk, B.A.McFarlane, A.C. & Weisaeth, L., (Eds), Traumatic Stress (pp. 417440). The Guildford Press: New York.Google Scholar
Williams, M.B. (1994). Establishing safety in survivors of severe sexual abuse. In Williams, M.B. & Sommer, J.F. (Eds.) Handbook of Post Traumatic Therapy (pp. 162178). Greenwood Press: Westpoint.Google Scholar
Williams, M.B. & Sommer, J.F. (1994). Toward the development of a generic model of posttraumatic stress disorder treatment. In Williams, M.B. & Sommer, J.F. (Eds.) Handbook of Post Traumatic Therapy (pp. 541563). Greenwood Press: Westpoint.Google Scholar