Search results for ‘Subject term:"mental health problems"’ Sort:
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Given a voice
- Author:
- SAYCE Liz
- Journal article citation:
- Nursing Times, 8.9.93, 1993, pp.48-50.
- Publisher:
- Nursing Times
Workers in mental health are in a unique position to help women who were sexually abused as children speak out about it and so regain their self-esteem.
Self psychology and male child sexual abuse: healing relational betrayal
- Journal article citation:
- Clinical Social Work Journal, 42(1), 2014, pp.41-48.
- Publisher:
- Springer
- Place of publication:
- New York
The prevalence of male child sexual abuse (MCSA) is higher than initially thought with up to 26 % of men in community samples reporting sexual abuse in childhood, and up to 36 % of men in clinical samples reporting childhood sexual abuse. Disclosure of MCSA is complex because of men’s difficulties in viewing themselves as victims, especially of sexual violence. This difficulty is exacerbated by societal attitudes that sexual abuse rarely occurs with boys, and is further complicated with the taboo of victimisation by same sex perpetrators. Too often, the response to disclosure is disbelief and minimisation. For these reasons disclosure is often delayed or withheld thus prolonging the abuse. The negative effects of child sexual abuse are well documented and far reaching with depression, anxiety, post-traumatic stress disorder, addictions, sexual dysfunction and impaired interpersonal relations as common presenting issues in therapy. Treatment is indicated for significant numbers of male survivors. This paper identifies aspects of interpersonal relational difficulties commonly experienced by male sexual abuse survivors, and describes self psychology as guiding a clinical approach to address these interpersonal difficulties. The application of self psychology with male sexual abuse survivors is traced and discussed through the use of a clinical case study with Adam. (Edited publisher abstract)
Sexual deviancy: diagnostic and neurobiological considerations
- Authors:
- SALEH Fabian M., BERLIN Fred S.
- Journal article citation:
- Journal of Child Sexual Abuse, 12(3/4), 2003, pp.53-75.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Individuals who engage in sexual offenses may be afflicted with a paraphilic disorder or sexual deviation syndrome. Paraphilias are psychiatric disorders characterized by deviant and culturally non-sanctioned sexual fantasies, thoughts, and/or behaviours. A proportion of these individuals may also suffer from symptoms of mental illness that can go unrecognized. Although the etiology and pathophysiology of paraphilic disorders continue to be under investigation, data from empirical, biomedical, and psychopharmacological studies suggest abnormalities at a biological level. This article will discuss and review clinical and neurobiological characteristics of the paraphilias. To this end, the authors begin with a general exploration and overview of basic principles that are germane to the subject matter and conclude with an examination of the most recent relevant research findings. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
The role of theory in the assessment of sex offenders
- Author:
- QUACKENBUSH Ray E.
- Journal article citation:
- Journal of Child Sexual Abuse, 12(3/4), 2003, pp.77-101.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
No generally accepted theory of sex offender behaviour exists at this point. As clinical experience and research findings interact within an evolving theoretical framework, the picture of what is important, as well as what is possible to know about a sex offender, is rapidly changing. It is vital that mental health professionals, the legal system, social service agencies, and other consumers and providers of sex offender assessments be aware of both what is possible to learn about an offender as well as the limitations on that knowledge and its application. Prominent theories that influence the assessment of offenders in North America and Europe are presented and examined. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Considerations on fantasy use by child molesters and exhibitionists
- Authors:
- DANDESCU Andrei, WOLFE Roger
- Journal article citation:
- Sexual Abuse a Journal of Research and Treatment, 15(4), October 2003, pp.297-305.
- Publisher:
- Sage
In many sex offender treatment programmes, the examination and replacement of deviant fantasy use with appropriate fantasy use is a well-established practice. This practice is based on the assumption that sexual offenders use deviant masturbatory fantasies prior and after committing sexual offenses, but the data available to support this assumption is fairly limited. This study attempted to test the validity of this assumption by finding out whether a majority of exhibitionistic offenders and child molesters used deviant masturbatory fantasies prior and/or after their first offense. Data analysis from 57 child molesters and 25 exhibitionistic offenders indicate that a majority of these offenders used masturbatory deviant fantasies before and after their first offenses, but they tended to use significantly more deviant fantasies after they engage in their first actual offense. Content of deviant fantasies was examined in relation to victim specificity. There were no significant differences between the number of deviant fantasies reported about a specific victim versus the number of fantasies reported about a nonspecific victim. The authors found a significant positive correlation between the number of deviant fantasies reported and the number of months spent in treatment by child molesters, but not by exhibitionistic offenders. Some tentative explanations for these findings are offered, but further elucidation is necessary.
Correlates of sexual abuse in a sample of adolescent girls admitted to psychiatric inpatient care
- Authors:
- KANAMULLER Juha, et al
- Journal article citation:
- Journal of Child Sexual Abuse, 23(7), 2014, pp.804-823.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The authors examined correlations of child sexual abuse among 300 adolescent girls in psychiatric inpatient treatment. Diagnostic and Statistical Manual of Mental Disorders (4th ed.)-based psychiatric diagnoses were obtained from the Schedule for Affective Disorder and Schizophrenia for School-Age Children—Present and Lifetime and from data on family and behavioural characteristics from the European Addiction Severity Index (EuropASI). A total of 79 girls (26.3%) had experienced child sexual abuse during their lifetime. Child sexual abuse was associated with an adolescent’s home environment, sibling status, smoking, posttraumatic stress disorder diagnosis, self-mutilating behaviour, and suicidal behaviour. At least 62% of the perpetrators were acquaintances of the victims. Correlates of child sexual abuse can be used to identify child sexual abuse victims and persons at heightened risk for child sexual abuse. (Edited publisher abstract)
The sexual victimization of women: substance abuse, HIV, prostitution, and intimate partner violence as underlying correlates
- Author:
- TAYLOR Ozietta D.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 21(7), October 2011, pp.834-848.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Sexual victimisation is a devastating crime with lifelong consequences. These lifelong effects can manifest themselves the forms of substance abuse, the human immunodeficiency virus, prostitution, intimate partner abuse, and an array of psychological disorders. Women entering into substance abuse treatment programmes may be coping with the underlying issues of childhood sexual assault or sexual trauma after childhood. This article starts discussing the major implications of the sexual victimisation of women across the life domain. It then discusses the treatment services needed to address the various issues faced by sexual assault victims. These women may be in need of therapeutic interventions to alleviate or eradicate the symptoms associated with the posttraumatic stress disorder, depression, and anxiety disorders. Further, treatment services may be needed to address the physiological and psychological symptoms of substance use disorders and intimate partner violence. Medical treatment is required for women affected with HIV or other sexually transmitted diseases. Family therapy and parenting sessions can serve to rehabilitate the entire family system.
A descriptive study on sexually exploited children in residential treatment
- Authors:
- TWILL Sarah, GREEN Denise, TRAYLOR Amy
- Journal article citation:
- Child and Youth Care Forum, 39(3), June 2010, pp.187-199.
- Publisher:
- Springer
Courtrooms in the United States are reporting an increase of young people who are prostituted and of the individuals who prostitute them. Known issues associated with juvenile prostitution include: negative family dynamics; poor parenting skills; lower intellectual functioning; poor school success; inadequate social skills; and abuse and neglect. This descriptive study focused on a group home treatment programme in a large southern city for adolescent females with a history of juvenile prostitution. Findings revealed that the participants had low IQ scores and multiple mental health disorders. The authors conclude with a discussion of the implications for intervention and treatment.
Challenging the cognitive distortions of child molesters: an implicit theory approach
- Authors:
- DRAKE Christopher R., et al
- Journal article citation:
- Journal of Sexual Aggression, 7(2), 2001, pp.25-40.
- Publisher:
- Taylor and Francis
Presents a way of structuring the cognitive distortions module of a comprehensive treatment programme for child molesters. The module is based upon using the notion of 'implicit theories' to provide a framework for conceptualising and challenging cognitive distortions. In this approach cognitive distortions are viewed as deriving from smaller number of more general, but maladaptive, set of underlying beliefs about the offender himself, his victims and the world in general, which then form the target of intervention. A description of how cognitive distortions can be collected and reframed in terms of their underlying implicit theories is provided. Then outline of a range of cognitive and affective techniques to undermine their validity and replace them with more appropriate cognitions is described. The possible advantages of using this approach in the treatment of sex offenders are discussed.
A coping model of adult survivors of childhood sexual abuse
- Author:
- DRAUCKER Burke Claire
- Journal article citation:
- Journal of Interpersonal Violence, 10(2), June 1995, pp.159-175.
- Publisher:
- Sage
Reports the test of a casual model that identifies relationships among sexual abuse situation characteristics, based on Finkelhor and Browne's traumagenic model of childhood sexual abuse; the accomplishment of cognitive coping tasks, based on Taylor's theory of cognitive adaptation; and long-term effects.