Therapeutic Work with Trauma,Revictimization, and Perpetration: Bearing Witness,Offering Hope,Embracing Despair

ABSTRACT

This paper offers a case study of a survivor of childhood incest who in adulthood has become a victim of violence in her relationships with chosen partners and is concerned that she herself may be a perpetrator of sexual abuse. It examines selected literature on attachment, dissociation, transference/countertransference, role responsiveness and sadomasochistic therapeutic enactments, the two-system superego model, and the triadic self. The paper focuses on long-term treatment dynamics with survivors of cumulative trauma and explores such psychodynamic psychotherapy issues as the therapist as a perpetrator of violence, the development of sacred space, authenticity, and the importance of both offering hope and embracing despair in this work.     

Risk of sexual revictimization: A theoretical model

Survivors of child sexual abuse suffer serious short- and long-term psychological consequences. Sexual revictimization as an adult is one of the consequences that has been reported. At present, there is no theoretical model identifying the risk factors that result in child sexual abuse survivors being at greater risk of experiencing an adult sexual assault. The proposed model is designed to integrate existing research, stimulate further empirical work, and eventually aid in the development of a program to prevent revictimization. The variables hypothesized to play a mediating role in the pathway to revictimization include: severe psychological symptoms as a consequence of the child sexual abuse, poor coping styles, an insecure attachment style, hyperfemininity, delinquent behavior, drug use, and high risk sexual behavior.     

A Preliminary Report Comparing Trauma-Focused and Present-Focused Group Therapy Against a Wait-Listed Condition Among Childhood Sexual Abuse Survivors with PTSD

Summary

The movement among states to promulgate, publish, and implement treatment standards for programs and providers of treatment for men who batter has gained increasing momentum in recent years. This movement, in turn, has created controversy. On the one hand, there are those who view the process of standards development, as well as the products, as essentially good and evolving. On the other hand, there are those who have argued that the process has been flawed, exclusionary, and the products based more on philosophy than sound science. The present paper describes the thoughts of a researcher who also served as chair of a state standards committee. The role of research in standards development and evolution is discussed. The role and contribution of researchers to a collaborative process of standards development and implementation is discussed. Suggestions for enhancing the collaborative process are provided.     

The Prevalence and Co-Occurrence of the Forms of Violence Against Women

ABSTRACT

To examine the relative risk of the multiple forms of violence against women as well as the incidence and co-occurrence rates of self-reported childhood sexual assault (CSA), childhood physical assault (CPA), intimate partner violence (IPV), and witnessing family violence. The sample included 1,069 female undergraduates who completed measures of childhood trauma exposure (CPA, CSA, and exposure to family violence) and IPV victimization. Fifty-four percent of women in the sample experienced one or more forms of violence. Nearly 30% of participants reported IPV, 23% reported witnessing violence as a child, 13% reported experiencing CPA, and 11% reported experiencing CSA. Regarding co-occurrence, 31% experienced only one form of violence, 16% reported two forms, 6% reported three forms, and just over 1% of the sample reported experiencing all four forms of violence. For all forms of violence, the relative risk of experiencing another form of violence was significant at p < .0001, with witnessing violence and CPA being associated with the highest risks. This study highlights the importance of more carefully describing the violence experiences of participants used in violence research and accounting for poly-victimization in explanatory models of these forms of aggression and abuse.