Pastoral Psychology

, Volume 64, Issue 4, pp 453–467 | Cite as

The Struggles of Victims of Sexual Abuse Who Seek Pastoral Care

  • Lisa Rudolfsson
  • Inga Tidefors


The main focus of this research was on sexually abused individuals’ experiences and their perceptions of the benefits and shortcomings of pastoral care, including their experiences of raising faith-related issues in psychotherapy. Our interest was upon sexual abuse that occurred outside religious congregations, that is, that was not perpetrated by a minister or a representative of the Church. Interviews were conducted with seven women and one man, and transcripts were analyzed according to inductive thematic analysis. The informants described their struggle to get help, their difficulty in raising the topic of sexual abuse in pastoral care, their need to be recognized, their feelings of ambiguity, and their sometimes contradictory needs. They described their struggles with faith, their need to express their doubts, and their wish not to be rushed toward forgiveness. It was important to the informants that pastoral caregivers be aware of their therapeutic limits and be willing to refer them to another helper if necessary. They also described feeling misunderstood from a faith perspective in psychotherapy and wished psychotherapists would gain a deeper understanding about the faith implications of sexual abuse.


Forgiveness Interview study Pastoral care Psychotherapy Sexual abuse Vow of silence 



This study was funded by the Swedish Research Council (344-2009-6599). We wish to offer our warmest thanks to the informants for sharing their stories with us.


  1. Bengtsson, I. (2005). Slog följe med dem: En bok om själavård och själasörjare [I walked with them: A book on pastoral care and pastoral caregivers]. Gothenburg: Göteborgs stift.Google Scholar
  2. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 33, 77–101.CrossRefGoogle Scholar
  3. Chen, L. P., Murad, M. H., Paras, M. L., Colbenson, K. M., Sattler, A. L., Goransson, E. N., & Zirakzadeh, A. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. Mayo Clinic Proceedings, 85, 618–629.PubMedCentralPubMedCrossRefGoogle Scholar
  4. Church of Norway/Bishops Assembly (2007). “Veiledningshefte for kirkelige arbeidsgivere ved mistanke eller anklage mot arbeidstaker om seksuelle overgrep” [Guidebook for employers within the Church when suspecting or receiving accusations against staff concerning sexual assault]. Oslo: Kultur- og Kirkedepartementet. Departementets servicesenter, 07/07–2500.Google Scholar
  5. Church of Sweden (2010). Ett skyddat rum: Tystnadsplikt i Svenska kyrkan [A protected room: The vow of silence in the Church of Sweden]. Stockholm: Svenska kyrkans utredningar 2010:3.Google Scholar
  6. Farrell, D. P. (2009). Sexual abuse perpetrated by roman catholic priests and religious. Mental Health, Religion and Culture, 12, 39–53.CrossRefGoogle Scholar
  7. Frenken, J., & Van Stolk, B. (1990). Incest victims: inadequate help by professionals. Child Abuse & Neglect, 14, 253–263.Google Scholar
  8. Ganje-Fling, M. A., & McCarthy, P. (1996). Impact of childhood sexual abuse on client spiritual development: counseling implications. Journal of Counseling and Development, 74, 253–258.CrossRefGoogle Scholar
  9. Hendron, J. A., Irving, P., & Taylor, B. (2011). The unseen cost: a discussion of the secondary traumatization experience of the clergy. Pastoral Psychology, 61, 221–231.CrossRefGoogle Scholar
  10. Holaday, M., Lackey, T., Boucher, M., & Glidewell, R. (2001). Secondary stress, burnout, and the clergy. American Journal of Pastoral Counseling, 4, 53–71.CrossRefGoogle Scholar
  11. Lemoncelli, J., & Carey, A. (1996). The psychospiritual dynamics of adult survivors of abuse. Counseling and Values, 40, 175–185.CrossRefGoogle Scholar
  12. Lount, M., & Hargie, O. D. W. (1997). The priest as counselor: an investigation of critical incidents in the pastoral work of Catholic priests. Counseling Psychology Quarterly, 10, 247–259.CrossRefGoogle Scholar
  13. McCullough, M. E., & Witvliet, C. V. O. (2002). The psychology of forgiveness. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 446–458). New York: Oxford University Press.Google Scholar
  14. McNulty, C., & Wardle, J. (1994). Adult disclosure of sexual abuse: a primary cause of psychological distress? Child Abuse & Neglect, 18, 549–555.CrossRefGoogle Scholar
  15. Murray-Swank, N. A., & Pargament, K. (2005). God, where are you? evaluating a spiritually-integrated intervention for sexual abuse. Mental Health, Religion and Culture, 8, 191–203.CrossRefGoogle Scholar
  16. Pargament, K. I. (2002). The bitter and the sweet: an evaluation of the costs and benefits of religiousness. Psychological Inquiry, 13, 168–181.CrossRefGoogle Scholar
  17. Pennebaker, J., Kieholt-Glaser, J. K., & Glaser, R. (1988). Disclosure of traumas and immune function: health implications for psychotherapy. Journal of Consulting and Clinical Psychology, 56, 239–245.PubMedCrossRefGoogle Scholar
  18. Persson, L. W. (2004). “Tiga har sin tid och tala har sin tid”. Om tystnadsplikt och handledning i frikyrklig själavård, [“There is a time to speak and a time to keep silent”: On the vow of silence and supervision in pastoral care within the Free Church Movement]. Stockholm, Sweden: S:t Lukasbrev om tystnadsplikt och pastoral handledning.Google Scholar
  19. Read, J., Hammersley, P., & Rudegeair, T. (2007). Why, when and how to ask about child abuse. Advances in Psychiatric Treatment, 13, 101–110.CrossRefGoogle Scholar
  20. Rudolfsson, L., & Tidefors, I. (2009). Shepherd my sheep: clerical readiness to meet psychological and existential needs from victims of sexual abuse. Pastoral Psychology, 58, 79–92.CrossRefGoogle Scholar
  21. Rudolfsson, L., & Tidefors, I. (2013). I stay and I follow: clerical reflections on pastoral care for victims of sexual abuse. Journal of Pastoral Care and Counseling, 67(5), 1–14.Google Scholar
  22. Rudolfsson, L., Tidefors, I., & Strömwall, L. A. (2012). Sexual abuse and the Christian congregation: the role of gender in pastoral care for victims. Pastoral Psychology, 61, 375–388.CrossRefGoogle Scholar
  23. Shannon-Lewy, C., & Dull, V. T. (2005). The response of Christian clergy to domestic violence: help or hindrance? Aggression and Violent Behavior, 10, 647–659.CrossRefGoogle Scholar
  24. Smith, S. (2004). Exploring the interaction of trauma and spirituality. Traumatology, 10, 231–243.CrossRefGoogle Scholar
  25. Testa, M., Miller, B. A., Downs, W. R., & Panek, K. D. (1992). The moderating impact of social support following childhood sexual abuse. Violence and Victims, 7, 173–186.PubMedGoogle Scholar
  26. Tidefors, I., & Drougge, M. (2006). The difficulties in understanding the role of sexuality in sexual abuse towards children: in-depth interviews with perpetrators. International Journal of Qualitative Studies on Health and Well-Being, 1, 178–187.CrossRefGoogle Scholar
  27. Ulland, D., & DeMarinis, V. (2014). Understanding and working with existential information in a Norwegian adolescent psychiatry context: a need and a challenge. Mental Health, Religion and Culture, 17, 582–593.CrossRefGoogle Scholar
  28. Ullman, S. E. (2003). Social reactions to child sexual abuse disclosures: a critical review. Journal of Child Sexual Abuse, 12, 89–120.PubMedCrossRefGoogle Scholar
  29. Weaver, A. J., Koenig, H. G., & Ochberg, F. M. (1996). Posttraumatic stress, mental health professionals, and the clergy: a need for collaboration, training, and research. Journal of Traumatic Stress, 9, 847–856.PubMedCrossRefGoogle Scholar
  30. Wilkes, L., Cioffi, J., Fleming, A., & LeMiere, J. (2011). Defining pastoral care for older people in residential care. Contemporary Nurse, 37, 213–221.PubMedCrossRefGoogle Scholar
  31. Young, J. L., Griffith, E. H., & Williams, D. R. (2003). The integral role of pastoral counseling by African-American clergy in community mental health. Psychiatric Services, 54, 688–692.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of GothenburgGothenburgSweden

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