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Post-traumatic Stress Disorder in Childhood Sexual Abuse: A Synthesis and Analysis of Theoretical Models

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Abstract

The notion that post-traumatic stress disorder (PTSD) may be found in children who have experienced sexual abuse has become an important issue in research and clinical practice. To date however, there is a lack of consensus on what theoretical model(s), if any, best account for PTSD within this population. As a way of contributing to the existing body of literature pertaining to PTSD and its relationship to childhood sexual abuse, this paper synthesizes and presents a critical analysis of contemporary theoretical models.

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References

  • Bandura, A. (1969). Principles of behavior modification. New York: Holt, Rinehart & Winston.

    Google Scholar 

  • Bandura, A. (1977). Social learning theory. Englewood Cliffs: Prentice Hall.

    Google Scholar 

  • Beitchman, J., Zucker, K., Hood, J., daCosta, G., Akman, A., & Cassavia, F. (1992). A review of the short term effects of child sexual abuse. Child Abuse and Neglect, 15, 537-556.

    Google Scholar 

  • Berliner, L. (1991). Cognitive therapy with a young victim of sexual assault. In W. Friedrich (Ed.), Casebook of sexual abuse treatment. (pp, 93-111). New York: Norton.

    Google Scholar 

  • Berliner, L., & Wheeler, J. (1987). Treating the effects of sexual abuse on children. Journal of Interpersonal Violence, 2, 415-434.

    Google Scholar 

  • Black, M., Dubowitz, H., & Harrington, D. (1994). Sexual abuse: Developmental differences in children's behavior and self-perception. Child Abuse & Neglect, 18, 85-95.

    Google Scholar 

  • Blume, S. (1990). Secret survivors: Uncovering incest and its after effects in women. New York: Wiley.

    Google Scholar 

  • Boney-McCoy, S., & Finkelhor, D. (1995). Prior victimization: A risk factor for child sexual abuse and for PTSD-related symptomatology among sexually abused youth. Child Abuse & Neglect, 19, 1401-1421.

    Google Scholar 

  • Browne, A., & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66-77.

    Google Scholar 

  • Courtois, C. (1992). The memory retrieval process in incest survivor therapy. Journal of Child Sexual Abuse, 1, 15-31.

    Google Scholar 

  • Dolan, Y. (1991). Resolving sexual abuse: Solution-focused therapy and Ericksonian hypnosis for adult survivors. New York: Norton.

    Google Scholar 

  • Eth, S., & Pynoos, R. (1985). Developmental perspective on psychic trauma in childhood. In C. R. Figley (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 36-52). New York: Brunner/Mazel.

    Google Scholar 

  • Finkelhor, D. (1987). The trauma of child sexual abuse: Two models. Journal of Interpersonal Violence, 2, 348-366.

    Google Scholar 

  • Finkelhor, D. (1990). Early and long-term effects of child sexual abuse: An update. Professional Psychology: Research and Practice, 21, 325-330.

    Google Scholar 

  • Finkelhor, D., & Browne, A. (1985). The traumatic impact of child sexual abuse: A conceptualization. American Journal of Orthopsychiatry, 55, 530-541.

    Google Scholar 

  • Finkelhor, D., & Browne, A. (1988). Assessing the long-term impact of child sexual abuse: A review and conceptualization. In L. E. Walker (Ed.), Handbook on sexual abuse of children: Assessment and treatment issues (pp. 55-71). New York: Springer.

    Google Scholar 

  • Friedrich, W. (1990). Psychotherapy of sexually-abused children and their families. New York: Norton.

    Google Scholar 

  • Friedrich, W., Beilke, R., & Urquiza, A. (1987). Children from sexually abusive families: A behavioral comparison. Journal of Interpersonal Violence, 2, 391-402.

    Google Scholar 

  • Gelinas, D. (1983). The persisting negative effects of incest. Psychiatry, 4, 312-332.

    Google Scholar 

  • Goddard, C., & Stanely, J. (1994). Viewing the abusive parent and the abused child as captor and hostage. Journal of Interpersonal Violence, 9, 258-269.

    Google Scholar 

  • Goodwin, J. (1984). Incest victims exhibit post-traumatic stress symptoms. Clinical Psychiatry News, 12, 13.

    Google Scholar 

  • Gomes-Schwartz, B., Horowitz, J., & Sauzier, M. (1985). Severity of emotional distress among sexually abused pre-school age and adolescent children. Hospital and Community Psychiatry, 36, 503-508.

    Google Scholar 

  • Green, B., Wilson, J., & Lindy, J. (1985). Conceptualizing post-traumatic stress disorder: A psychosocial framework. In C. R. Figley (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 53-69). New York: Brunner/Mazel.

    Google Scholar 

  • Hartman, C., & Burgess, A. (1988). Information processing of trauma: Case application of a model. Journal of Interpersonal Violence, 3, 443-457.

    Google Scholar 

  • Herman, J. (1995). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. In G. Everly & Lating, J. (Eds.), Psychotraumatology: Key papers and core concepts in post-traumatic stress (pp. 87-100). New York: Plenum.

    Google Scholar 

  • Herman, J. (1992). Trauma and recovery: The aftermath of violence–3-from domestic abuse to political terror. New York: Basic Books.

    Google Scholar 

  • Horowitz, M. (1976). Stress response syndromes. (2nd ed.), New Jersey: Jason Aronson.

    Google Scholar 

  • Janoff-Bulman, R. (1985). The aftermath of victimization: Rebuilding shattered assumptions. In C. R Figley (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 15-34). New York: Brunner/Mazel.

    Google Scholar 

  • Kendall-Tackett, K., Meyer-Williams, L., & Finkelhor, D. (1993). Impact of sexual abuse in children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164-180.

    Google Scholar 

  • Kirschner, S., Kirschner, D., & Rappaport, R. (1993). Working with adult incest survivors: The healing journey. New York: Brunner/Mazel.

    Google Scholar 

  • Kiser, L., Heston, J., Millsap, P., A. & Pruitt, D. (1991). Physical and sexual abuse in childhood: Relationship with post-traumatic disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 30, 776-783.

    Google Scholar 

  • Lyons, J. (1987). Post-traumatic stress disorder in children and adolescents: A review of the literature. Journal of Developmental and Behavioral Pediatrics, 8, 349-356.

    Google Scholar 

  • Marmar, C., & Horowitz, M. (1988). Diagnosis and phase-oriented treatment of post-traumatic stress disorder. In J. Wilson, Z. Harel & B. Kahana (Eds.), Human adaptation to extreme stress from the Holocaust to Vietnam (pp. 81-102). New York: Plenum Press.

    Google Scholar 

  • Monahon, C. (1993). Children and trauma: A parent's guide to helping children heal. New York: Lexington Books.

    Google Scholar 

  • Rosenfeld, A., Nadelson, C., Krieger, M., & Backman, J. (1979). Incest and sexual abuse of children. Journal of the American Academy of Child Psychiatry, 16, 327-339.

    Google Scholar 

  • Rowan, A., & Foy, D. (1993). Post-traumatic stress disorder in child sexual abuse survivors: A literature review. Journal of Traumatic Stress, 6, 3-22.

    Google Scholar 

  • Scott, M., & Stradling, S. (1992). Counseling for post-traumatic stress disorder. Newbury Park, CA: Sage.

    Google Scholar 

  • Terr, L. (1991). Childhood traumas: An outline and overview. American Journal of Psychiatry, 148, 10-20.

    Google Scholar 

  • Tharinger, D. (1990). Impact of child sexual abuse on developing sexuality. Professional Psychology: Research and Practice, 21, 331-337.

    Google Scholar 

  • Waites, E. (1993). Trauma and survival: Post-traumatic and dissociative disorders in women. New York: Norton.

    Google Scholar 

  • Wilson, J., Smith, W., & Johnson, S. (1985). A comparative analysis of post-traumatic stress disorder among various survivor groups. In C. R. Figley (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 142-172). New York: Brunner/Mazel.

    Google Scholar 

  • Wolfe, V., Gentile, C., & Wolfe, D. (1989). The impact of sexual abuse on children: A PTSD formulation. Behavior Therapy, 20, 215-228.

    Google Scholar 

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Morrissette, P.J. Post-traumatic Stress Disorder in Childhood Sexual Abuse: A Synthesis and Analysis of Theoretical Models . Child and Adolescent Social Work Journal 16, 77–99 (1999). https://doi.org/10.1023/A:1022357306804

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