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The Effectiveness of Therapy with Couples Reporting a History of Childhood Sexual Abuse: An Exploratory Study

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Abstract

The purpose of this pilot study was to explore the impact of childhood sexual abuse (CSA) on couples therapy. Participants were couples seeking therapy who were screened for CSA prior to therapy. Groups were compared using self-report and therapist-rated measures of individual and relational distress. Results indicate that although therapists report significant differences between CSA couples and couples not reporting abuse at the onset of therapy, those differences do not translate into significant differences in the perceived effectiveness of therapy as measured by change scores on therapist rated levels of distress, questions regarding the effectiveness of therapy, dropout, and length of treatment.

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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th Text Revision ed.). Washington, D.C.: Author.

    Google Scholar 

  • Beitchman, J. H., Zucker, K. J., Hood, J. E., & DaCosta, G. A. (1992). A review of the long-term effects of child sexual abuse. Child Abuse & Neglect, 16(1), 101–118.

    Article  Google Scholar 

  • Briere, J., & Runtz, H. (1991). The long-term effects of sexual abuse: A review of and synthesis. In J. Briere (Ed.), Treating victims of child sexual abuse (pp. 3–13). SanFrancisco, CA: Jossey-Bass.

    Google Scholar 

  • Busby, D. M., Crane, D. R., Larson, J. H., & Christensen, C. (1995). A revision of the Dyadic Adjustment Scale for use with distressed and nondistressed couples: Construct hierarchy and multidimensional scales. Journal of Marital & Family Therapy, 21(3), 289–308.

    Google Scholar 

  • Busby, D. M., Glenn, E., Steggell, G. L., & Adamson, D. W. (1993). Treatment issues for survivors of physical and sexual abuse. Journal of Marital & Family Therapy, 19(4), 377–391.

    Google Scholar 

  • Cobia, D. C., Sobansky, R. R., & Ingram, M. (2004). Female survivors of childhood sexual abuse: Implications for couples’ therapists. Family Journal: Counseling and Therapy for Couples and Families, 12(3), 312–318.

    Article  Google Scholar 

  • Colman, R. A., & Widom, C. S. (2004). Childhood abuse and neglect and adult intimate relationships: A prospective study. Child Abuse & Neglect, 28(11), 1133–1151.

    Article  Google Scholar 

  • Crane, D. R., Middleton, K. C., & Bean, R. A. (2000). Establishing criterion scores for the Kansas Marital Satisfaction Scale and the Revised Dyadic Adjustment Scale. American Journal of Family Therapy, 28(1), 53–60.

    Article  Google Scholar 

  • Dausch, B. M., Miklowitz, D. J., & Richards, J. A. (1996). Global Assessment of Relational Functioning Scale (GARF): II. Reliability and validity in a sample of families of bipolar patients. Family Process, 35(2), 175–189.

    Article  PubMed  Google Scholar 

  • Feinauer, L. L. (1989a). Comparison of long-term effects of child abuse by type of abuse and by relationship of the offender to the victim. American Journal of Family Therapy, 17(1), 48–56.

    Google Scholar 

  • Feinauer, L. L. (1989b). Relationship of treatment to adjustment in women sexually abused as children. American Journal of Family Therapy, 17(4), 326–334.

    Google Scholar 

  • Finkelhor, D., Hotaling, G., Lewis, I. A., & Smith, C. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics, and risk factors. Child Abuse & Neglect, 14(1), 19–28.

    Article  Google Scholar 

  • Gelinas, D. J. (1983). The persisting negative effects of incest. Psychiatry: Journal for the Study of Interpersonal Processes, 46(4), 312–332.

    Google Scholar 

  • Goodwin, J. M., Cheeves, K., & Connell, V. (1990). Borderline and other severe symptoms in adult survivors of incestuous abuse. Psychiatric Annals, 20(1), 22–32.

    Google Scholar 

  • Gottman, J. M., & Rushe, R. H. (1993). The analysis of change: Issues, fallacies, and new ideas. Journal of Consulting and Clinical Psychology, 61(6), 907–910.

    Article  PubMed  Google Scholar 

  • Herman, J. (1992). Trauma and recovery. New York: Basic Books.

    Google Scholar 

  • Johnson, S. M. (1989). Integrating marital and individual therapy for incest survivors: A case study. Psychotherapy: Theory, Research, Practice, Training, 26(1), 96–103.

    Google Scholar 

  • Johnson, S. M., & Williams-Keeler, L. (1998). Creating healing relationships for couples dealing with trauma: The use of emotionally focused marital therapy. Journal of Marital & Family Therapy, 24(1), 25–40.

    Google Scholar 

  • Josephson, G. S., & Fong-Beyette, M. L. (1987). Factors assisting female clients’ disclosure of incest during counseling. Journal of Counseling & Development, 65(9), 475–478.

    Google Scholar 

  • Lambert, M. J., Hansen, N. B., Umpress, V., Lunnen, K., Okiishi, J., Burlingame, G. M., et al. (1996). Administration and scoring manual for the OQ-45.2. Stevenson, MD: American Professional Credentialing Services.

    Google Scholar 

  • Leonard, L. M., & Follette, V. M. (2002). Sexual functioning in women reporting a history of child sexual abuse: Review of the empirical literature and clinical implications. Annual Review of Sex Research, 13, 346–388.

    PubMed  Google Scholar 

  • Masi, M. V., Miller, R. B., & Olson, M. M. (2003). Differences in dropout rates among individual, couple, and family therapy clients. Contemporary Family Therapy: An International Journal, 25(1), 63–75.

    Article  Google Scholar 

  • McCarthy, B. W. (1997). Therapeutic and iatrogenic interventions with adults who were sexually abused as children. Journal of Sex & Marital Therapy, 23(2), 118–125.

    Google Scholar 

  • Mennen, F. E., & Pearlmutter, L. (1993). Detecting childhood sexual abuse in couples therapy. Families in Society, 74(2), 74–83.

    Google Scholar 

  • Miller, R. M., & Sutherland, K. J. (1999). Partners in healing: Systemic therapy with survivors of sexual abuse and their partners. Journal of Family Studies, 5(1), 97–111.

    Google Scholar 

  • Najman, J. M., Dunne, M. P., Purdie, D. M., Boyle, F. M., & Coxeter, P. D. (2005). Sexual Abuse in Childhood and Sexual Dysfunction in Adulthood: An Australian Population-Based Study. Archives of Sexual Behavior, 34(5), 517–526.

    Article  PubMed  Google Scholar 

  • Nelson, B. S., & Wampler, K. S. (2000). Systemic effects of trauma in clinic couples: An exploratory study of secondary trauma resulting from childhood abuse. Journal of Marital & Family Therapy, 26(2), 171–184.

    Google Scholar 

  • Reid, K. S., Taylor, D. K., & Wampler, R. S. (1995). Perceptions of partner involvement in the therapeutic process by patients who experienced sexual abuse as children. Journal of Sex Education & Therapy, 21(1), 36–45.

    Google Scholar 

  • Reid, K. S., Wampler, R. S., & Taylor, D. K. (1996). The ’alienated’ partner: Responses to traditional therapies for adult sex abuse survivors. Journal of Marital & Family Therapy, 22(4), 443–453.

    Google Scholar 

  • Roche, D. N., Runtz, M. G., & Hunter, M. A. (1999). Adult attachment: A mediator between child sexual abuse and later psychological adjustment. Journal of Interpersonal Violence, 14(2), 184–207.

    Google Scholar 

  • Rosen, K. H., McCollum, E. E., Middleton, K., Locke, L., & Bird, K. (1997). Interrater reliability and validity of the Global Assessment of Relational Functioning (GARF) Scale in a clinical setting: A preliminary study. American Journal of Family Therapy, 25(4), 357–360.

    Google Scholar 

  • Ross, N. M., & Doherty, W. J. (2001). Validity of the Global Assessment of Relational Functioning (GARF) when used by community-based therapists. American Journal of Family Therapy, 29(3), 239–253.

    Article  Google Scholar 

  • Roy-Byrne, P., Dagadakis, C., Unutzer, J., & Ries, R. (1996). Evidence for limited validity of the Revised Global Assessment of Functioning Scale. Psychiatric Services, 47(8), 864–866.

    PubMed  Google Scholar 

  • Scott, D. (1995). The social construction of child sexual abuse: Debates about definitions and the politics of preference. Psychiatry, Psychology and Law, 2(2), 117–126.

    Article  Google Scholar 

  • Sheldon, H. (1988). Child sexual abuse in adult female psychotherapy referrals: Incidence and implications for treatment. British Journal of Psychiatry, 152, 107–111.

    Article  PubMed  Google Scholar 

  • Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage & Family, 38, 15–28.

    Google Scholar 

  • Stone, M. H. (1981). Borderline syndromes: A consideration of subtypes and an overview, directions for research. Psychiatric Clinics of North America, 4, 3–13.

    PubMed  Google Scholar 

  • Vogeltanz, N. D., Wilsnack, S. C., Harris, T. R., Wilsnack, R. W., Wonderlich, S. A., & Kristjanson, A. F. (1999). Prevalence and risk factors for childhood sexual abuse in women: National survey findings. Child Abuse & Neglect, 23(6), 579–592.

    Article  Google Scholar 

  • Walker, J. L., Carey, P. D., Mohr, N., Stein, D. J., & Seedat, S. (2004). Gender differences in the prevalence of childhood sexual abuse and in the development of pediatric PTSD. Archives of Women’s Mental Health, 7(2), 111–121.

    Article  PubMed  Google Scholar 

  • Wheeler, B. R., & Walton, E. (1987). Personality disturbances of adult incest victims. Social Casework, 68(10), 597–602.

    Google Scholar 

  • Wilkins, L. P., & White, M. B. (2001). Interrater reliability and concurrent validity of the Global Assessment of Relational Functioning (GARF) Scale using a card sort method: A pilot study. Family Therapy, 28(3), 157–170.

    Google Scholar 

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Acknowledgments

The authors wish to thank Lee Johnson, Mark Butler, and Robert Stahmann for their invaluable editorial advice on this and earlier versions of this paper.

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Correspondence to Shayne R. Anderson.

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Anderson, S.R., Miller, R.B. The Effectiveness of Therapy with Couples Reporting a History of Childhood Sexual Abuse: An Exploratory Study. Contemp Fam Ther 28, 353–366 (2006). https://doi.org/10.1007/s10591-006-9015-x

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