The role of traumagenic dynamics on the psychological adjustment of survivors of child sexual abuse

The aim of this study was to analyse the consequences of child sexual abuse (CSA) on the psychological adjustment of survivors, as well as to determine the role of the feelings provoked by the abuse, following Finkelhor and Browne's traumagenic dynamics model (1985), on the adjustment of CSA victims. The sample of the study comprised 182 survivors of CSA, and another 182 participants selected as a comparison group. Results showed that CSA survivors, in contrast with the group of non-victims of CSA, had significantly higher scores on state anxiety, trait anxiety and depression, and lower on self-esteem. With regard to the role of traumagenic dynamics, feelings of powerlessness, self-blame, traumatic sexualization and, to a lesser extent, betrayal, predicted the scores of the CSA survivors in the four psychological adjustment variables assessed. To summarize, the results confirm the relation between CSA and the development of psychological problems in adulthood, explaining the survivors' feelings to a substantial extent the variability of adjustment.     

Religious socialization and benevolence: a study among American Pentecostals

This study explores benevolent action among Pentecostals in the USA using a congregational questionnaire survey of worshippers among the Church of God (Cleveland, TN) (N = 1522). The influence of religiosity and the socialization of a perceived relationship of love with God (Godly Love) are explored, while controlling for background variables. The findings suggest that Pentecostal spirituality expressed in terms of charismatic experience is a predictor of benevolence, alongside the socialization factor of Christian media, and to a limited extent the factors of reference group, significant other and personal agency.     

Religious involvement,God images,and life satisfaction

This study addresses two issues. The first is to identify the aspects of religious life that are associated with benevolent images of God including denominational affiliation (Conservative Christians versus others), church attendance, and church-based social support (i.e., spiritual support). Data from a nationwide survey suggests that church-based support appears to be the most consequential. The second issue involves embedding these constructs in a conceptual model that traces effects of benevolent God images on life satisfaction. The following hypotheses form the core of this model: (1) Conservative Christians will attend worship services more often, (2) individuals who go to church more often tend to receive more support, (3) people who receive more support are more likely to have benevolent images of God, (4) benevolent images of God are associated with greater hope, and (5) greater hope is associated with greater life satisfaction. The findings provide support for each hypothesis.     

The Perceived Benefits of Religious and Spiritual Coping Among Older Adults Living with HIV/AIDS

Although religious and spiritual beliefs and practices have been frequently associated with greater psychological well-being among illness populations, little is known about the specific benefits individuals perceive they receive from these beliefs and practices. This issue was examined in interviews with 63 older HIV-infected adults. Participants reported a variety of benefits from their religious and spiritual beliefs and practices, including: (1) evokes comforting emotions and feelings; (2) offers strength, empowerment, and control; (3) eases the emotional burden of the illness; (4) offers social support and a sense of belonging; (5) offers spiritual support through a personal relationship with God; (6) facilitates meaning and acceptance of the illness; (7) helps preserve health; (8) relieves the fear and uncertainty of death; (9) facilitates self-acceptance and reduces self-blame. These perceived benefits suggest potential mechanisms by which religion/spirituality may affect psychological adjustment.     

Religion and Spirituality in Coping with Advanced Breast Cancer: Perspectives from Malaysian Muslim Women

This article is part of a larger study on the role of spirituality in coping with breast cancer among Malaysian Muslim women. The study seeks to reveal the meaning of the experience through the stories of three Muslim women surviving advanced breast cancer, to better understand the deep meanings that inform their experiences with spirituality and transformation as they cope with the challenges of breast cancer. Data were gathered using in-depth interview. Qualitative methods were used in identifying two themes—illness as an awakening and hope and freedom comes from surrendering to God. The themes were discussed in the context of two broad areas: (1) what are the new meanings these women discovered in their experiences with cancer; and (2) how did the new meanings change their lives? The study suggests that cancer survivors’ experiences with cancer and their learning processes must be understood within the appropriate cultural context. This is especially so for spirituality. The common emphasis of spirituality on relationship with God, self and others, may significantly influence how people learn to live with cancer.     

Spirituality and Sexual Abuse: Issues and Dilemmas for Survivors

Abstract

Sexual abuse profoundly affects survivors to the extent that they are unable to maintain previously held viewpoints or ways of being, including those relating to their spirituality. Certainly the experience has considerable potential to complicate the spiritual lives of survivors. For Christian survivors, this may include how they perceive and relate to both themselves and God as well as affect participation in sacraments such as eucharist and reconciliation. Spiritual traditions often promote the embracing of silence, but this may be problematic for survivors who have been silenced and unable to give expression to their experiences. Similarly, socialization resulting in beliefs that Christians should always forgive and/or never be angry needs to be overcome. While negotiating these pitfalls may result in explorations of spirituality being even less straightforward for survivors of sexual abuse than it is for others, a transformative spirituality within a Christian framework can be realized.     

The impact of child sexual abuse on adult interpersonal functioning: A review and synthesis of the empirical literature

The many studies that have examined the long-term impact of child sexual abuse (CSA) on adult functioning have primarily focused on the personal distress of survivors, largely ignoring the impact of CSA on interpersonal relationships. This article reviews empirical findings concerning the interpersonal distress of survivors as expressed in their intimate and sexual relationships. First, current conceptualizations of the relationship between CSA and interpersonal relationships are reviewed, with a focus on the theoretical models that appear to have implications for the long-term interpersonal sequelae associated with CSA. This is followed by a review of the research conducted on intimacy within the area of social psychology and a summary of the empirical findings related to intimacy functioning in CSA survivors. A hypothesized typology of intimacy functioning for survivors is suggested. The effects of CSA on three components of sexuality—sexual dysfunctions, underlying psychological components of sexuality, and sexual orientation—are discussed. Finally, the interpersonal issues believed to be most salient for CSA survivors in the therapeutic setting are discussed, along with implications for the client–therapist relationship. Methodological, assessment, and conceptual issues are discussed throughout. Recommendations for future research and clinical endeavors are suggested.     

Theistic Dissonance Among Religious Jewish Holocaust Survivors: A Psychodynamic Perspective

Coining the term theistic dissonance to capture conflicted attitudes and feelings toward God, this article examines faith-based reactions to the Holocaust. The theological weltanschauung of religious Jewish Holocaust survivors is analyzed, with a particular focus on their attempts to reconcile the notion of a benevolent and caring God with their harrowing experience. Basic religious sources and contemporary literature are presented to elucidate the realm of resolutions of theistic dissonance. It is suggested that elements of defense mechanisms are adapted from the emotional into the cognitive realm, and are used by survivors to facilitate respective interpretations of God’s role during the Holocaust. Dissonance resolution is seen as being informed theologically and experientially for these victims who confronted stark challenges to their religious integrity.     

Nonsuicidal Self-Injury and Attachment to God or a Higher Power

The relationship between nonsuicidal self-injury (NSSI) and spirituality is an emerging area of research deserving additional investigation. The authors examined the link between NSSI and attachment to God or a higher power among college students (N = 516). They found a statistically significant relationship between anxious attachment to God or a higher power and NSSI and avoidant attachment to God or a higher power and NSSI. Researchers and counselors can draw implications from these findings.     

Context matters: the benefits and costs of expressing positive emotion among survivors of childhood sexual abuse

Positive emotions promote adjustment to aversive life events. However, evolutionary theory and empirical research on trauma disclosure suggest that in the context of stigmatized events, expressing positive emotions might incur social costs. To test this thesis, the authors coded genuine (Duchenne) smiling and laughter and also non-Duchenne smiling from videotapes of late-adolescent and young adult women, approximately half with documented histories of childhood sexual abuse (CSA), as they described the most distressing event of their lives. Consistent with previous studies, genuine positive emotional expression was generally associated with better social adjustment two years later. However, as anticipated, CSA survivors who expressed positive emotion in the context of describing a past CSA experience had poorer long-term social adjustment, whereas CSA survivors who expressed positive emotion while describing a nonabuse experience had improved social adjustment. These findings suggest that the benefits of positive emotional expression may often be context specific.     

Symbolic Attachment Security and Eudemonic Well-Being in Older Adults

According to attachment theory, the appraisal that an attachment figure is available, caring, and responsive facilitates psychological and social adjustment. Although the theory is regarded as a lifespan theory of development, little research has addressed the correlates of attachment in late adulthood. Symbolic attachment figures such as God may be particularly important for older adults because they have often lost loved ones, including former attachment figures. This study tested whether secure attachment to God was associated with psychological flourishing in older adults. A community sample of 106 adults (mean age = 75) completed measures of attachment to God and psychological well-being. In regression analyses controlling for age, sex, education, and self-rated religiosity, secure (non-anxious) attachment to God predicted positive relationships with others, self-acceptance, environmental mastery, and personal growth. Avoidant attachment did not predict any of the well-being indices. Results are discussed in the context of attachment theory and positive psychology.     

The experience of spirituality in the psycho-social adaptation of cancer survivors

This article presents the results of a retrospective, phenomenological study of the experience of spirituality in the psychosocial adaptation of cancer survivors. The experience of illness for the participants in the study is one which promotes greater personal and spiritual growth. The study demonstrates that illness provokes personal growth and transformation in the individual. While making use of pre-existing coping resources, the person with cancer reevaluates and restructures her or his life, integrating new values, priorities, and perspectives which lead the patient to invest her or his life in something meaningful and beneficial to others.     

Memory for autobiographical facts and events: a comparison of women reporting childhood sexual abuse and non‐abused controls

Although there is evidence that many adult survivors of childhood sexual abuse (CSA) have a period when they forget their abuse, existing research is equivocal about whether such individuals show other autobiographical memory impairments. The present study addressed some of the sampling and measurement problems apparent in previous studies and compared 74 women reporting a history of CSA with 60 non‐abused controls on their ability to recall facts and events from childhood. The results showed that the CSA group did not differ from the controls in the quality of their memories for autobiographical incidents. However, they were significantly less able than controls to recall specific facts about their personal history, such as significant addresses and names of significant individuals, after controlling for educational level, depression and childhood address changes. CSA group participants reporting a period of abuse forgetting appeared more impaired than those with continuous abuse memories in their recall of personal semantic facts, but were similar in their recall of autobiographical incidents. The findings suggest that experiencing a period of abuse forgetting is a more influential factor in predicting the ability to recall personal semantic facts than abuse status alone. Copyright © 2002 John Wiley & Sons, Ltd.     

Posttraumatic Growth in Trauma Survivors: Associations With Attachment to God and God Representation

Individuals often turn to religion or spirituality to cope with or make sense of trauma. In this study of 222 university students who reported a history of trauma, we examined whether God representation and attachment to God were associated with posttraumatic outcomes. Trauma outcomes include both the negative impacts of trauma and the perceived posttraumatic growth (PTG) that can occur in trauma survivors. Results revealed that both an authoritarian representation of God and an avoidant attachment to God were predictive of experiences of PTG.     

The effects of perpetrator age and abuse disclosure on the relationship between feelings provoked by child sexual abuse and posttraumatic stress

The present study examined the relationship between feelings provoked by child sexual abuse (CSA) and posttraumatic stress disorder (PTSD) symptom scores in a sample of 163 female survivors of CSA. Finkelhor and Browne's traumagenic dynamics model was applied. The interactive effects of provoked feelings with perpetrator age and the existence of abuse disclosure were also studied. Results showed an overall relationship between feelings provoked by CSA and PTSD symptom scores. Feelings of stigma, betrayal, and powerlessness as a result of CSA were associated with PTSD symptom score when the entire group of CSA victims was analyzed. The role of traumatic sexualization was relevant only when analyzed in interaction with the age of the perpetrator and disclosure. The relationship between traumatic sexualization and PTSD symptom scores was only significant when the abuse was committed by an adult perpetrator and when a disclosure was made during the time of abuse, or a short time after the abuse had occurred.     

Growth: A Journey from Experience to Higher Perception Among Iranian Muslim CPR Survivors

Several studies have been conducted among cardiopulmonary resuscitation (CPR) survivors. Some studies have shown that positive and negative experiences coexist. Emotional distress and psychopathology in CPR survivors are related to the urgent need to make growth. Understanding the meaning of CPR survivors’ lived experiences of growth may facilitate their growth. The aim of the study was to illuminate the meaning of CPR survivor’s lived experiences of growth in southeast Iran. A qualitative design using a phenomenological hermeneutic approach influenced by Ricoeur was used in 12 CPR survivors. Three main themes emerged including: (1) opening up a new horizon in the meaning of life, (2) opening up a new horizon in the meaning of interpersonal connections and (3) opening up a new horizon in the meaning of God and spirituality. The interpreted comprehensive understanding conveyed a meaning that CPR survivors’ experience of growth seems to be like opening the doors of perception to the higher reality. The finding may assist other CPR survivors to learn from participants in this study. Exposure to suitable narratives under health care provider supervision could develop profound learning. Training sessions with an emphasis on meditation education and how to use connecting to God in the adaptation process may approve the quality of life of CPR survivors.

     

The paradoxical nature of surrender

Surrender is one of the most fundamental, important aspects of spirituality and of integration. It is crucial to our relationship to God, to self, and to others. While surrender is essential for any real attempt at authenticity and integration, it is also one of the most challenging aspects of any spiritual pursuit or endeavor. The inability or unwillingness to surrender is a serious impediment to our relationship with God, with others, and even with ourselves. Paradoxically, there is great freedom and an increased sense of control that is experienced when one is able to surrender. This article explores two themes that the author believes are involved in surrender: fear and trust. Clinical as well as personal examples of the paradoxical nature and transformational power of surrender are offered.     

The effects of perpetrator age and abuse disclosure on the relationship between feelings provoked by child sexual abuse and posttraumatic stress

Abstract

The present study examined the relationship between feelings provoked by child sexual abuse (CSA) and posttraumatic stress disorder (PTSD) symptom scores in a sample of 163 female survivors of CSA. Finkelhor and Browne's traumagenic dynamics model was applied. The interactive effects of provoked feelings with perpetrator age and the existence of abuse disclosure were also studied. Results showed an overall relationship between feelings provoked by CSA and PTSD symptom scores. Feelings of stigma, betrayal, and powerlessness as a result of CSA were associated with PTSD symptom score when the entire group of CSA victims was analyzed. The role of traumatic sexualization was relevant only when analyzed in interaction with the age of the perpetrator and disclosure. The relationship between traumatic sexualization and PTSD symptom scores was only significant when the abuse was committed by an adult perpetrator and when a disclosure was made during the time of abuse, or a short time after the abuse had occurred.     

The Role of Attachment in Predicting Spiritual Coping with a Loved One in Surgery

Research has examined the relationship between spiritual coping and adjustment and found that individuals employ spirituality in coping in various ways. However, the reasons that individuals choose certain strategies remains unclear. The current project examined whether spiritual coping mediates the relationship between attachment to God and adjustment for individuals (N = 155) waiting for a loved one undergoing inpatient surgery. Results from the present study indicated that attachment to God was differentially related to spiritual coping activities and styles. In turn, spiritual coping was associated with the adjustment to the surgery vigil. Data were analyzed through path analysis of models for each of the outcome variables (Religious Outcome, General Outcome, Stress-Related Growth, and General Health Questionnaire). Attachment to God was predictive of spiritual coping, which, in turn, was predictive of adjustment. Attachment to God provides a useful framework for understanding why individuals choose particular coping strategies.     

Attachment,religiousness, and distress among the religious and spiritual: links between religious syncretism and compensation

Using the Adult Attachment Interview, we explored differences in attachment, distress, and religiousness among groups of traditionally religious, New Age spiritual, and religiously syncretistic (high on both) participants (Ps) (N?=?75). Religiously syncretistic Ps showed a preponderance of insecure attachment and were raised by non-religious parents, who were estimated as relatively insensitive. Moreover, religiously syncretistic Ps perceived a personal relationship with God and had experienced increased religiousness/spirituality during difficult life periods, but did not suffer elevated distress. New Agers often mirrored the religiously syncretistic, but had a more even secure–insecure attachment distribution, typically did not perceive a personal relationship with God, and did suffer elevated distress. Traditionally religious Ps were low on distress and raised by religious parents, estimated as relatively sensitive. We conclude that religious syncretism may often express religion/spirituality as compensation. Finally, we speculate that a perceived relationship with God may attenuate distress among those at risk.