Abstract
In a recent study 56% of women and 37% of men were survivors of childhood sexual abuse. These individuals who experience sexual trauma may experience depression, anxiety, post-traumatic stress disorder (PTSD) or substance use disorders (Devlin et al., in Fam J 27(4):359–365, 2019). While there are several treatment approaches specifically developed to target trauma and its effects, (e.g., trauma focused cognitive behavioral therapy, and eye movement desensitization and reprocessing) we propose that integrating internal family systems therapy (IFS) and solution focused brief therapy (SFBT) offers a brief, systemic way to improve family relationship patterns in families where one member has experienced sexual trauma. A case vignette is used to show the integration of these two approaches.
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References
Berthelot, N., Godbout, N., Hébert, M., Goulet, M., & Bergeron, S. (2014). Prevalence and correlates of childhood sexual abuse in adults consulting for sexual problems. Journal of Sex Marital Therapy, 40(5), 434–443. https://doi.org/10.1080/0092623X.2013.772548
Bonomi, A. E., Anderson, M. L., Rivara, F. P., & Thompson, R. S. (2007). Health outcomes in women with physical and sexual intimate partner violence exposure. Journal of Women’s Health, 16(7), 987–997.
Cantón-Cortés, D., & Cantón, J. (2010). Coping with child sexual abuse among college students and post-traumatic stress disorder: The role of continuity of abuse and relationship with the perpetrator. Child Abuse and Neglect, 34(7), 496–506.
Centers for Disease Control. (2012). Sexual violence: Facts at a glance. Retrieved from the national intimate partner and sexual violence survey from 2010–2012. http://www.cdc.gov/violenceprevention/pdf/sv-datasheet-a.pdf
Chaplo, S. D., Kerig, P. K., Bennett, D. C., & Modrowski, C. A. (2015). The roles of emotion dysregulation and dissociation in the association between sexual abuse and self-injury among juvenile justice–involved youth. Journal of Trauma and Dissociation, 16(3), 272–285.
Courtois, C. A. (1988). Healing the incest wound: Adult survivors in therapy. WW Norton & Company.
Courtois, C. A., & Ford, J. D. (Eds.). (2009). Treating complex traumatic stress disorders: An evidence-based guide. Guilford Press.
de Shazer, S. (1985). Keys to solution in brief therapy. W. W. Norton and Company Inc.
Devlin, J. M., Hill, L., Berry, J., Felder, K., & Wilson, C. (2019). Therapeutic practices for sexually abused children and adolescents: Resources for marriage, family, and couples’ counselors. The Family Journal, 27(4), 359–365. https://doi.org/10.1177/1066480719844017
Dossa, N. I., Zunzunegui, M. V., Hatem, M., & Fraser, W. (2014). Fistula and other adverse reproductive health outcomes among women victims of conflict-related sexual violence: A population-based cross-sectional study. Birth, 41(1), 5–13.
Edwards, V. J., Freyd, J. J., Dube, S. R., Anda, R. F., & Felitti, V. J. (2012). Health outcomes by closeness of sexual abuse perpetrator: A test of betrayal trauma theory. Journal of Aggression, Maltreatment and Trauma, 21(2), 133–148.
Epstein, N. B., & Baucom, D. H. (2002). Addressing individual psychopathology, unresolved issues, and interpersonal traumas within couple therapy. Enhanced cognitive-behavioral therapy for couples: A contextual approach (pp. 441–473). American Psychological Association.
Fassler, I. R., Amodeo, M., Griffin, M. L., Clay, C. M., & Ellis, M. A. (2005). Predicting long-term outcomes for women sexually abused in childhood: Contribution of abuse severity versus family environment. Child Abuse Neglect, 29(3), 269–284.
Gagnier, C., & Collin-Vézina, D. (2016). The disclosure experiences of male child sexual abuse survivors. Journal of Child Sexual Abuse, 25(2), 221–241.
Gehart, D. R. (2015). Theory and treatment planning in family therapy: A competency-based approach. Cengage Learning.
Godbout, N., Briere, J., Sabourin, S., & Lussier, Y. (2014). Child sexual abuse and subsequent relational and personal functioning: The role of parental support. Child Abuse Neglect, 38(2), 317–325.
Golding, J. M. (1996). Sexual assault history and women’s reproductive and sexual health. Psychology of Women Quarterly, 20(1), 101–121.
Green, E. J. (2008). Individuals in conflict: An internal family systems approach. The Family Journal, 16(2), 125–131. https://doi.org/10.1177/1066480707313789
Haase, A., Boos, A., Schönfeld, S., & Hoyer, J. (2009). Sexual dysfunction and sexual satisfaction in patients with post-traumatic stress disorder. Behavioral Therapy, 19(3), 161–167.
Huh, H. J., Kim, S. Y., Yu, J. J., & Chae, J. H. (2014). Childhood trauma and adult interpersonal relationship problems in patients with depression and anxiety disorders. Annals of General Psychiatry, 13(1), 26.
Kelly, U. A., Skelton, K., Patel, M., & Bradley, B. (2011). More than military sexual trauma: Interpersonal violence, PTSD, and mental health in women veterans. Research in Nursing and Health, 34(6), 457–467.
Kessler, R. C., Aguilar-Gaxiola, S., Alonso, J., Benjet, C., Bromet, E. J., Cardoso, G., & Florescu, S. (2017). Trauma and PTSD in the WHO world mental health surveys. European Journal of Psychotraumatology, 8(5), 1353383.
Kia-Keating, M., Sorsoli, L., & Grossman, F. K. (2010). Relational challenges and recovery processes in male survivors of childhood sexual abuse. Journal of Interpersonal Violence, 25(4), 666–683.
Kim, J. S. (2008). Examining the effectiveness of solution-focused brief therapy: A meta-analysis. Research on Social Work Practice, 18(2), 107–116.
Kilpatrick, D. G., Resnick, H. S., Milanak, M. E., Miller, M. W., Keyes, K. M., & Friedman, M. J. (2013). National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. Journal of Traumatic Stress, 26(5), 537–547.
Koss, M. P., Abbey, A., Campbell, R., Cook, S., Norris, J., Testa, C., Ullman, S., West, C., & White, J. (2007). Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization. Psychology of Women Quarterly, 31, 357–370.
Lucero, R., Jones, A. C., & Hunsaker, J. C. (2018). Using internal family systems theory in the treatment of combat veterans with post-traumatic stress disorder and their families. Contemporary Family Therapy, 40(3), 266–275. https://doi.org/10.1007/s10591-017-9424-z.
MacIntosh, H., Fletcher, K., & Collin-Vézina, D. (2016). “I was like damaged, used goods”: Thematic analysis of disclosures of childhood sexual abuse to romantic partners. Marriage and Family Review, 52(6), 598–611.
Maltz, W. (2012). The sexual healing journey: A guide for survivors of sexual abuse. William Morrow.
Maslow, A. H. (1943). Theory of human motivation. Psychological Review, 50, 370–396.
McLean, I. A. (2013). The male victim of sexual assault. Best Practice and Research Clinical Obstetrics and Gynaecology, 27(1), 39–46.
Meston, C. M., Rellini, A. H., & Heiman, J. R. (2006). Women’s history of sexual abuse, their sexuality, and sexual self-schemas. Journal of Consulting and Clinical Psychology, 74(2), 229.
Miller, B. J., Cardona, J. R. P., & Hardin, M. (2007). The use of narrative therapy and internal family systems with survivors of childhood sexual abuse: Examining issues related to loss and oppression. Journal of Feminist Family Therapy, 18(4), 1–27. https://doi.org/10.1300/j086v18n04_01
Ng, Q. X., Yong, B. Z. J., Ho, C. Y. X., Lim, D. Y., & Yeo, W. S. (2018). Early life sexual abuse is associated with increased suicide attempts: An update meta-analysis. Journal of Psychiatric Research, 99, 129–141.
Noll, J. G., Trickett, P. K., & Putnam, F. W. (2003). A prospective investigation of the impact of childhood sexual abuse on the development of sexuality. Journal of Consulting and Clinical Psychology, 71(3), 575.
Norman, S. B., Means-Christensen, A. J., Craske, M. G., Sherbourne, C. D., Roy-Byrne, P. P., & Stein, M. B. (2006). Associations between psychological trauma and physical illness in primary care. Journal of Traumatic Stress, 19(4), 461–470.
O’Brien, B. S., & Sher, L. (2013). Child sexual abuse and the pathophysiology of suicide in adolescents and adults. International Journal of Adolescent Medicine and Health, 25(3), 201–205.
O’Connell, B., & Palmer, S. (Eds.). (2003). Handbook of solution-focused therapy. Thousand Oaks: Sage.
Rellini, A. H., & Meston, C. M. (2007). Sexual desire and linguistic analysis: A comparison of sexually abused and non-abused women. Archives of Sexual Behavior, 36(1), 67–77.
Roesler, T. A., & McKenzie, N. (1994). Effects of childhood trauma on psychological functioning in adults sexually abused as children. Journal of Nervous and Mental Disease, 182(3), 145–150. https://doi.org/10.1097/00005053-199403000-00003
Schaeffer, P., Leventhal, J. M., & Asnes, A. G. (2011). Children’s disclosures of sexual abuse: Learning from direct inquiry. Child Abuse and Neglect, 35(5), 343–352.
Schloredt, K. A., & Heiman, J. R. (2003). Perceptions of sexuality as related to sexual functioning and sexual risk in women with different types of childhood abuse histories. Journal of Traumatic Stress, 16(3), 275–284.
Schoedl, A. F., Costa, M. C. P., Mari, J. J., Mello, M. F., Tyrka, A. R., Carpenter, L. L., & Price, L. H. (2010). The clinical correlates of reported childhood sexual abuse: An association between age at trauma onset and severity of depression and PTSD in adults. Journal of Child Sexual Abuse, 19(2), 156–170.
Schönbucher, V., Maier, T., Mohler-Kuo, M., Schnyder, U., & Landolt, M. A. (2012). Disclosure of child sexual abuse by adolescents: A qualitative in-depth study. Journal of Interpersonal Violence, 27(17), 3486–3513.
Schwartz, R. C. (1995). Internal family systems therapy. Guilford Press.
Schwartz, R. C., Schwartz, M. F., & Galperin, L. (2009). Internal Family Systems Therapy. In C. A. Courtois & J. D. Ford (Eds.), Treating complex traumatic stress disorders: An evidence-based guide (pp. 82–104). Guilford Press.
Seagram, B. C. (1997). The efficacy of solution-focused therapy with young offenders. Unpublished Doctoral Dissertation, York University, New York, Ontario, Canada.
Sharry, J., Madden, B., Darmody, M., & Miller, S. D. (2001). Giving our clients the break: Applications of client-directed, outcome-informed clinical work. Journal of Systemic Therapies, 20(3), 68–76. https://doi.org/10.1521/jsyt.20.3.68.23062
Sigurdardottir, S., Halldorsdottir, S., & Bender, S. S. (2014). Consequences of childhood sexual abuse for health and well-being: Gender similarities and differences. Scandinavian Journal of Public Health, 42(3), 278–286.
Smith, J. A., Hayes, N. D., & Smock Jordan, S. (2019). Systemic integration of IFS therapy and 12-step facilitation for substance use: A theoretical discussion. Alcoholism Treatment Quarterly, 37(1), 60–74.
Smith, H. L., Summers, B. J., Dillon, K. H., & Cougle, J. R. (2016). Is worst-event trauma type related to PTSD symptom presentation and associated features? Journal of Anxiety Disorders, 38, 55–61.
Staples, J., Rellini, A. H., & Roberts, S. P. (2012). Avoiding experiences: Sexual dysfunction in women with a history of sexual abuse in childhood and adolescence. Archives of Sexual Behavior, 41(2), 341–350.
Stein, M. B., & Barrett-Connor, E. (2000). Sexual assault and physical health: Findings from a population-based study of older adults. Psychosomatic Medicine, 62(6), 838–843.
Subica, A. M. (2013). Psychiatric and physical sequelae of childhood physical and sexual abuse and forced sexual trauma among individuals with serious mental illness. Journal of Traumatic Stress, 26(5), 588–596.
Sundstrom, S. M. (1993). Single-session psychotherapy for depression: Is it better to focus on problems or solutions? Unpublished Doctoral Dissertation, Iowa State University, Ames IA.
Tambling, R. B. (2012). Solution-oriented therapy for survivors of sexual assault and their partners. Contemporary Family Therapy, 34(3), 391–401.
The National Child Traumatic Stress Network. (2009). Coping with the shock of intrafamilial sexual abuse: Information for parents and caregivers. Retrieved from http://www.nctsn.org/products/coping-shock-intrafamilial-sexual-abuse-information-parents-and-caregivers-2009
Turchik, J. A. (2012). Sexual victimization among male college students: Assault severity, sexual functioning, and health risk behaviors. Psychology of Men & Masculinity, 13(3), 243.
Turner, H. A., Finkelhor, D., Ormrod, R., Hamby, S., Leeb, R. T., Mercy, J. A., & Holt, M. (2012). Family context, victimization, and child trauma symptoms: Variations in safe, stable, and nurturing relationships during early and middle childhood. American Journal of Orthopsychiatry, 82(2), 209.
Twornbly, J. H., & Schwartz, R. C. (2008). The integration of the internal family systems model and EMDR. In C. Forgash & M. Copeley (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 295–311). Springer Publishing Company.
Ullman, S. E., Relyea, M., Peter-Hagene, L., & Vasquez, A. L. (2013). Trauma histories, substance use coping, PTSD, and problem substance use among sexual assault victims. Addictive Behaviors, 38(6), 2219–2223.
Watson, B., & Halford, W. K. (2010). Classes of childhood sexual abuse and women’s adult couple relationships. Violence and Victims, 25(4), 518–535.
Whiffen, V. E., Judd, M. E., & Aube, J. A. (1999). Intimate relationships moderate the association between childhood sexual abuse and depression. Journal of Interpersonal Violence, 14(9), 940–954.
Wilkins, E. J. (2007). Using an IFS informed intervention to treat African American families surviving sexual abuse: One family’s story. Journal of Feminist Family Therapy, 19(3), 37–53. https://doi.org/10.1300/J086v19n03_03
Zimmerman, T. S., Jacobsen, R. B., MacIntyre, M., & Watson, C. (1996). Solution-focused parenting groups: An empirical study. Journal of Systemic Therapies, 15(4), 12–25. https://doi.org/10.1521/jsyt.1996.15.4.12
Zoldbrod, A. P. (2015). Sexual issues in treating trauma survivors. Current Sexual Health Reports, 7(1), 3–11.
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Jones, E.R., Lauricella, D., D’Aniello, C. et al. Integrating Internal Family Systems and Solutions Focused Brief Therapy to Treat Survivors of Sexual Trauma. Contemp Fam Ther 44, 167–175 (2022). https://doi.org/10.1007/s10591-021-09571-z
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DOI: https://doi.org/10.1007/s10591-021-09571-z