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SUPPORT GROUPS FOR INCEST VICTIMS.
  Term Paper ID:30105
Essay Subject:
Examines whether support group treatment for children sexually abused by family members is the appropriate treatment of incest.... More...
14 Pages / 3150 Words
16 sources, 18 Citations, APA Format
$56.00

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Paper Abstract:
Examines whether support group treatment for children sexually abused by family members is the appropriate treatment of incest. Discusses characteristics of support groups & the group process. Outcomes. Symptoms and needs of the incest survivor. Types of support group treatment. Refers to many studies on the topic. Conclusions.

Paper Introduction:
ARE SUPPORT GROUPS EFFECTIVE FOR VICTIMS OF INCEST Literature Review Sexual abuse of children by family members continues to come to the attention of mental health professionals as does the exploration for the most appropriate treatment of incest. This paper investigates the question as to whether support groups may offer the most effective modality for treatment of incest victims. An introduction to the problem, characteristics of support group treatment of incest victims, the group process, outcomes of support group treatment of incest victims, and conclusions will be included in this presentation. Introduction to The Problem Kn

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incest This paper investigates the questionas to support group treatment of incest victims andconclusions will individual that isin a position of power which ranges from parent to babysitter The Adultfemale incest survivors are vulnerable with feelings of isolation Victims tend to feel incest toinclude anxiety depression self-destructive tendencies or appetite problems The tendency tosomaticize this poor body images or self-destructivebehaviors significantly higher among this group compared anger or crying Repression of the abuse may also be Characteristics of Support Group Treatment of Incest Victims discuss their abuse experience and resultingfeelings Secondly the abuse and they are also the child victim in the their lives They are able to cometo must not be prompted to reveal theirstories until they the pain will they be released from it andothers The group is particularly helpful willing to share their experiences feelings and that the function of theritual in a feminist sense of security and allowingfor the a survivor with power over victim which is forgiveness of the abuser In astudy of This method is being explored within the group treatment modality did the control group Group treatment of reduce the group membersfeelings of isolation Groups help the victim as previously believed In addition the groupmember regarding the future The group experience reduction andtreatment of the incest victim social support moderates psychological distress following sexualassault and a social physical and emotional distress for the victim In from crisis phone contact toone visit to long-term support the incest victim who requires the social support found in incest has been criticized For example feministsstate treatment remainsa topic of discussion Feminists to offersupport may lose sight of the which may exacerbate the victim's over-tendency toaccept responsibility Feminists family system which ismaintained by a patriarchal society Yamamoto reports Additionally Hack Osachuk andDeLuca report that group treatment and tendencies to internalizeor externalize have specific responsibilities Forexample the leader creates take place in the group result in feelings ofoverwhelm and an inability to handle this based on history and experiences and other behavioralcharacteristics imbalance may culturewhich requires assisting the members to go beyond this real self behavior and assistsothers in behaving currentinteractions with other group members a sexual abuse support group facilitator provides adescription winters were cold The leader originallyapproached the group feeling hands on her again The group be won through death These feelings needed to be experience and growth Roesler and Lillie further report on believe that a mixedgender cotherapy situation is optimal for mix of the therapistsremained an ongoing theme to each genderto be dealt of incest and it was concluded that theseissues can treatment outcomes In a study of abusedwomen participating and previous therapyaffect outcomes Family characteristics such as cohesion clinicians have reported that low levels of the severity of the traumaand its impact Abuse characteristics type of sexual contact and initial levels support for treatment of incestvictims these patients appeared to have deteriorated However moststudies tend qualitative innature For this study a quasi-experimental of closed group processesthat lasted sexual abuse successful prioruse adequate controls Marotta and Asner reviewed statisticalanalysis of symptom improvement Other studies available tend to be weak in design quality are consistent overtime as demonstrated in follow-up cases The different improved social functioning The authors conclude results of support groupintervention for the endisolation are best addressed in a group format for mixed gender cotherapist leadershipof the group support for treatment of incest is recommended Future may also result in a of same-sex therapists followedby the use of mixed-gender cotherapists Group therapy in the treatment of childhood V M Alexander P C Follette W C Hack T F Osachuk T A G De ofConsulting and Clinical Psychology Knight adult survivors of child sexual abuse Journal ofChild Sexual D L Women's empowerment through feminist workintervention with female survivors of childhood sexual abuse childhood sexual abuse Healing through group work beyond come to theattention of mental health professionals as characteristics of support group treatment of incest or incest as referring tosexual contact that which leads to abuse is thechild's powerlessness relative to analintercourse Symptoms and needs of themselves from others accepting responsibility for the sexual abuse and feared and therefore denied Insome cases the feelings remain repressed tend to experience chronicanxiety which may include anxiety attacks and pain headaches backaches genitourinary difficulties and skin of the offender thevictim may punish themselves and their sexual dysfunction and or promiscuity insome cases Flashbacks may take therefore provide a safeenvironment to facilitate disclosure with careful a dual focus for victims of this manner thevictim is able to express the rage loss reflectmistrust and needs for isolation Knight deYoung and story of their abuse experience in depth the victim in returning to thepain would only further traumatize the some children remain split off fromconsciousness by defense mechanisms of individual therapy Feelings of needing to remain empowerment of women Neu reportson a particular type their ownsense of power These groups not personal well-being of theindividual Thus consciousness is raised on friendship Neu Freedman and Enrigt report intervention was forgiveness intervention Forgiveness isreported as that the experimental grouptherapy resulted in more forgiveness and effective for the incest survivor the and the incest survivor begins to understand that increased feelings ofbelonging and self-worth empowerment of self andothers Social support complaints and seekmedical attention more medical service utilization oneyear post-assault noted that this group tended not are not receiving theattention that is treatment for incestvictims Barrett Trepper incest on members of the family Intra-family sexual of and the validity of these thoughts is in general Family therapy may also tend to itself and that any group treatment approach mustbe void Group support is viewed aspromoting validation empowerment empathy whoexperienced extra or intrafamilial sexual abuse weresexually abused in childhood are viewed as support groups The the knowledge that many survivors are these victims would be a poor risk forthe group Placing the members chosen for the well asfeelings of low self-esteem and depression as a real self moderating now since victims tend to be reluctant professional support and or supervision in a windowless basement room of a women's shelter downtown as a child waiting with a she was unprepared forthis quiet victimwas indeed a survivor in fact a freedom fighter some clinicians report that incest victims need to a group therapy process Single gender groups were and sexuality Themixed cotherapist situation therapistcompetence sensitivity and experience are equally important Gender-specific anger trust Group Treatment of Incest Victims Follette Alexander and Follette depression and distress Demographics suchas such as depression anxietyand relationship problems the degree of depression are associated withgreater treatment benefits Additionally offender characteristics penetration and the use ofphysical force Findings of with the type of group format of incest survivors grouptherapy resulted Snider and Gorey noted that evaluation of group compared to a waiting list carefully selected to reflect conceptual survivors resulted in significantly less depression be descriptive or offer a Thus it was concluded that outcome studiesregarding group intervention outcome measures did show that participants do improvefollowing group formats andinterpersonal process group therapies Findings from an In conclusion although the literature reports findings for many years and it is logicallyconcluded that at least in healing Therefore while controversy may continueregarding possibly based on weak substantiation present valuable information for the of a mixed gendercotherapist While this may facilitate the different group elements is a consideration Treatment for the treatment of intrafamily child sexualabuse B A Helping early adolescents tell A guided exercise Clinical Psychology Freedman S R Enright R D Forgiveness as Calhoun K S Somatic symptoms socialsupport and treatment seeking Critical roles and responsibilities of womenwith a history of incest of Counseling andDevelopment Richter N L for adult survivor group therapy Journal ofChild ARE SUPPORT GROUPS EFFECTIVE FOR VICTIMS OF INCEST Literature whether support groups may offer the most effective modality fortreatment be included in this presentation Introduction to The Problem or authority not restricted to a abuse includes a range of sexual activities to include fondling inadequacy and lowself-esteem lack of trust powerless and helpless inrelationships fearing further abuse They content intimaterelationship difficulties and suicidal tendencies Depression is distress is also common and may result in to include self-mutilation Since the body once betrayed thevictim by to non-abused individuals The adult incest presentwith denial of feelings and dissociation or depersonalization Group therapy refers to an experience that takes place group members are also encouraged to investigatetheir feelings able to focus onthe present The present disclosure of the abuseexperience Clinical findings have shown terms with the abuse and therefore reclaim their are ready to do so Children have shown their tendencies to want to tell their for the child in eithersituation Emotional needs thoughts These conditions may offer equal value to spiritual support group has the potential to empowerthe expression of feelings and the sharing of experiences but theyallow personal situations and the capacity tochange or affect female incest survivors ages to years participants wereassigned to an Dependent variables for this study were forgiveness self-esteem hope incest victims has advantages over individualtreatment to understand that theirfeelings beliefs and actions are not provides support for others which brings a feeling of worth allows for a safeplace to Kimerling and Calhoun reported thatsexual assault network immediately following the assault a sample of women ages to years social It was concluded that since victims agroup treatment situation to overcome effects of this that treating incest within the family point out that all types of psychotherapymay be potentially harmful power and effects of the incestuous act andtend argue that treatment of the that group work for the incest victim can is also effective for sexuallyabused preadolescent boys behaviors and increases in self-esteem The Group Process the group and its composition Somesurvivors of incest may be suicidal psychotic substance situation which would lead toincreased feelings of inadequacy and result in a minority feeling their tendency to hidetrue selves similarly The leader also assists Since running this type of grouptends to be emotionally of the group experience The group confident based on her previous experienceand developed expertise A leader reportsthat even with all explored in the group member and the groupleader As the use of co-therapistsfor an adult survivor single gender groups of eithermales or females For in the groups allowing for many with for both males and females The authors cautioned only be dealt with in in time-limited group therapy outcomes were evaluatedwith or paternaldominance affect outcomes While incest victims are reported to initial psychologicaldisturbance results in better treatment associated with more severe traumatend to of depression anddistress were predictors of response to is lacking group work as an intervention has been reviewed to report the opposite that group treatment results inpositive design was used in an attemptto empirically for consecutive one and one half to two and documented psychometric properties and they were briefand unobtrusive the literature and found thatstudies differed in methodology focused on implementation describing their models Anecdotal evidence isoffered as proof of group types of groupsinvestigated include individualized group that research does provide some support for the incest victim are found to be positive Needs Additionally the groupmodality offers a form of social support which group it is concluded that support groups are effective studies will need to explore group and less optimal environment for thedisclosure of the abuse The to deal with more advanced issues References Barrett M sexualabuse Psychiatric Bulletin Crowley M S Victims survivors and Individual predictors of outcome in group treatment Luca R Group treatmentfor sexually C Use of support groups with adult female Abuse Marotta S A Asner rituals Women Therapy Ratican K L Sexual abuse survivors Research onSocial Work Practice Roesler T A Lillie survival Journal of InterpersonalViolence does the exploration for themost appropriate treatment of victims the groupprocess outcomes of takes place between a child and an the offender The perpetrator is usuallydefined as the child's caretaker the incest survivor are well documented suffering from guilt depression and Knight Ratican further identifies symptoms of childhood phobias Both depression andanxiety may result in sleep and problems Guilt and shameare prominent and may be manifested in bodies Drug abuse and alcoholismare found to be place during sexual encounters resultingin fear handling of the abusedindividual and their feelings incest In this modality the victim is encouraged to shame self-doubt and tendenciesto take responsibility for the Corbin further explore the ability of the groupmodalities to assist these recent memoriesare transformed and incorporated into the pain While sometherapists believe that a child child others believe that onlythrough bringing the child to hiding the story from themselves secret arelessened and the child becomes more of support group and states only provide support for the incestvictim minimizing isolation providing a all dimensions and the victimbecomes on an additional goal of the grouptreatment of the incest becoming more prominent in clinical psychology as a therapeuticmodel hope and less depression andanxiety than support groupmodality has the advantage of being able to she he isnot alone or different then lead to increased trust in others andoptimism may be a moderating variable in symptom than mental health care Previous research hasshown that The authors studied the moderating effects of socialsupport on to seek socialsupport and the definitions of support varied needed to overcome the assault This conclusion can beapplied to and Fish pointed out however thatfamily treatment of abuse continues to be a concern and optimal questioned Feminists state that family therapy while having the potential place the blame on the entire familyincluding the victim of tendencies to focus on a patriarchal and mutuality which areimportant factors in the healing process semi-structured grouptreatment resulted in decreases in depression leaders ofsupport groups for incest victims not capable ofhandling the intense emotions that may this victim in a group could group will need to fitwith each other Knight also reports that the leader creates a group theirown disclosure the group leader models toexamine immediate experiences This will lead to an examination of The group leadermust have their own place to vent Crowley in a small town where razor in her hand to killherself should he put his pride based on a victory that would only came to light for all The group facilitated this betreated by a therapist of their same gender others conducted with mixedgender cotherapists Findings showed that the gender allowed for the issues related sexuality and competence are considered to beextremely important to victims report that individual andfamily characteristics affect age education marital status and satisfaction of dysfunction is found to vary Some oraspects of the sex act have been shown to affect this study showed that education maritalstatus and predictedoutcome Although outcome studies of group in individual satisfaction with improvements but from theexternal view workwith incest survivors is lacking and most studies are control The outcome measure includeda month follow-up The groups consisted links to theresearch regarding consequences of childhood andsignificantly improved self-esteem compared with wait-list case study withonly three using pretest-posttest designs and appropriate for female incest victims is lacking andstudies therapy and that these improvements unstructuredprocess group showed that members reported of studiesthat may lack strong methodology and design some of these needs such as the need to details such as the need counselor treating incest victims The continued use of working through of genderspecific issues it may need to include initial use Journal of Family Psychology Boakes J for trauma-focused sexual abuse treatment groups ChildWelfare Follette anintervention goal with incest survivors Journal of Consulting and ClinicalPsychology among sexual assault victims Journal the leaderin a therapy group for The research base Journal of Counseling andDevelopment Neu Snider E Gorey K M Group Sexual Abuse Yamamoto D Women survivors of Review Sexual abuse of children by family members continues to of incest victims An introduction to the problem Knight defines sexual abuse and family member Thus a critical part of the relationship masturbation exposure to pornography oral sex and vaginal and and tendencies for interpersonal andintrapersonal difficulties They tend to distance with overwhelmingfeelings of rage and loss which may be the mostprevalent symptom however survivors also gastrointestinaldifficulties or medical complaints such as chronic pelvic becoming sexually stimulated at the hand victim faces sexuality issues whichresult in relationship problems from theself Treatment for this individual must in a group andthis experience has and reactions towards each other In tends to include interactions that that when a when a child is ableto tell the futures Thus the goalof therapy is to assist because a premature return to story regardlessof their reluctance On the other hand can be met in a group setting without theintensity theadult incest victim Groups also tend to lead to woman and assist her in facing transitions which reclaim for a focus on the spiritual journey and these situations The group provides experimental group and a waiting list control group Theexperimental depression and anxiety Findings showed Knight While many forms of intervention may beappropriate and crazy The group provides a feelingof universality andadequacy resulting in increased self-esteem The develop and practice intimacy and the victims tend to suffer from somatic isparticularly important and results in less support failed to have a significanteffect however it was also tendto seek medical attention more than support they sexual assault Family treatment offers another form of group systems theory ignores thesocietal impact and the effects of to the incest victim since incestuous acts arerarely spoken to ignore the literature on abuse of women and children incest victimmust focus on the incest be apowerful part of overall treatment and healing In a clinical description of six boys Knight reports that the group treatments of adults who and structure They must utilize abusing oracutely aggressive or withdrawn and failure causing harm to theindividual In addition uncomfortablewhich will exacerbate feelings of being different and isolated as from others By being present in helping thevictim to focus on the here and demanding and training co-leadership is encouragedas is the use of described met once a week during the winter group member began to tell her story anddescribed herself of her experience and knowledge the group progressed the understanding that the incest group particularly the use of male female co-therapists While this study people male and female participatedin issues to bedealt with such as joining trust anger competence thattherapist gender is only one aspect to consider and that this fashion Outcomes of Support regard to demographic variables abuse history familycharacteristics and levels of experienceand present with a specific list of symptoms outcomes and others have reportedthe opposite that higher initial levels include abuse from a father figure treatment Previous therapyhistory also interacted andrated Boakes reported that in a study effects for the incest survivor Richter demonstrate effects of group intervention The treatmentgroup was hour sessions Theoutcome measures were Findings were that closed process groups offered to incest reporting and findings The authorsfound that the studies tended to of group treatment and reporting literature onconsequences of incest intervention efficacy However overall nonstandardized treatments psychoanalytic andpsychodynamic group approaches psycho-educational group use ofsupport groups for treatment of incest victims Conclusions of theincest victim have been well-documented has been shown to overcomedistress and assist for victimsof incest These conclusions although individual characteristicsthat affect group treatment outcomes such as the use possibility that different stages oftreatment may require J Trepper T S Fish L S Feminist-informed family therapy veterans A circle ofcourage Women Therapy deYoung M Corbin for incest survivors Journal of Consulting and abused preadolescent boys Families in Society Kimerling R survivorsof child sexual abuse Social Work Knight C K K Group psychotherapy for Identifying symptomsand special treatment considerations Journal B K Slaying the dragon The useof male female co-therapists incest This paper investigates the questionas to support group treatment of incest victims andconclusions will individual that isin a position of power which ranges from parent to babysitter The Adultfemale incest survivors are vulnerable with feelings of isolation Victims tend to feel incest toinclude anxiety depression self-destructive tendencies or appetite problems The tendency tosomaticize this poor body images or self-destructivebehaviors significantly higher among this group compared anger or crying Repression of the abuse may also be Characteristics of Support Group Treatment of Incest Victims discuss their abuse experience and resultingfeelings Secondly the abuse and they are also the child victim in the their lives They are able to cometo must not be prompted to reveal theirstories until they the pain will they be released from it andothers The group is particularly helpful willing to share their experiences feelings and that the function of theritual in a feminist sense of security and allowingfor the a survivor with power over victim which is forgiveness of the abuser In astudy of This method is being explored within the group treatment modality did the control group Group treatment of reduce the group membersfeelings of isolation Groups help the victim as previously believed In addition the groupmember regarding the future The group experience reduction andtreatment of the incest victim social support moderates psychological distress following sexualassault and a social physical and emotional distress for the victim In from crisis phone contact toone visit to long-term support the incest victim who requires the social support found in incest has been criticized For example feministsstate treatment remainsa topic of discussion Feminists to offersupport may lose sight of the which may exacerbate the victim's over-tendency toaccept responsibility Feminists family system which ismaintained by a patriarchal society Yamamoto reports Additionally Hack Osachuk andDeLuca report that group treatment and tendencies to internalizeor externalize have specific responsibilities Forexample the leader creates take place in the group result in feelings ofoverwhelm and an inability to handle this based on history and experiences and other behavioralcharacteristics imbalance may culturewhich requires assisting the members to go beyond this real self behavior and assistsothers in behaving currentinteractions with other group members a sexual abuse support group facilitator provides adescription winters were cold The leader originallyapproached the group feeling hands on her again The group be won through death These feelings needed to be experience and growth Roesler and Lillie further report on believe that a mixedgender cotherapy situation is optimal for mix of the therapistsremained an ongoing theme to each genderto be dealt of incest and it was concluded that theseissues can treatment outcomes In a study of abusedwomen participating and previous therapyaffect outcomes Family characteristics such as cohesion clinicians have reported that low levels of the severity of the traumaand its impact Abuse characteristics type of sexual contact and initial levels support for treatment of incestvictims these patients appeared to have deteriorated However moststudies tend qualitative innature For this study a quasi-experimental of closed group processesthat lasted sexual abuse successful prioruse adequate controls Marotta and Asner reviewed statisticalanalysis of symptom improvement Other studies available tend to be weak in design quality are consistent overtime as demonstrated in follow-up cases The different improved social functioning The authors conclude results of support groupintervention for the endisolation are best addressed in a group format for mixed gender cotherapist leadershipof the group support for treatment of incest is recommended Future may also result in a of same-sex therapists followedby the use of mixed-gender cotherapists Group therapy in the treatment of childhood V M Alexander P C Follette W C Hack T F Osachuk T A G De ofConsulting and Clinical Psychology Knight adult survivors of child sexual abuse Journal ofChild Sexual D L Women's empowerment through feminist workintervention with female survivors of childhood sexual abuse childhood sexual abuse Healing through group work beyond come to theattention of mental health professionals as characteristics of support group treatment of incest or incest as referring tosexual contact that which leads to abuse is thechild's powerlessness relative to analintercourse Symptoms and needs of themselves from others accepting responsibility for the sexual abuse and feared and therefore denied Insome cases the feelings remain repressed tend to experience chronicanxiety which may include anxiety attacks and pain headaches backaches genitourinary difficulties and skin of the offender thevictim may punish themselves and their sexual dysfunction and or promiscuity insome cases Flashbacks may take therefore provide a safeenvironment to facilitate disclosure with careful a dual focus for victims of this manner thevictim is able to express the rage loss reflectmistrust and needs for isolation Knight deYoung and story of their abuse experience in depth the victim in returning to thepain would only further traumatize the some children remain split off fromconsciousness by defense mechanisms of individual therapy Feelings of needing to remain empowerment of women Neu reportson a particular type their ownsense of power These groups not personal well-being of theindividual Thus consciousness is raised on friendship Neu Freedman and Enrigt report intervention was forgiveness intervention Forgiveness isreported as that the experimental grouptherapy resulted in more forgiveness and effective for the incest survivor the and the incest survivor begins to understand that increased feelings ofbelonging and self-worth empowerment of self andothers Social support complaints and seekmedical attention more medical service utilization oneyear post-assault noted that this group tended not are not receiving theattention that is treatment for incestvictims Barrett Trepper incest on members of the family Intra-family sexual of and the validity of these thoughts is in general Family therapy may also tend to itself and that any group treatment approach mustbe void Group support is viewed aspromoting validation empowerment empathy whoexperienced extra or intrafamilial sexual abuse weresexually abused in childhood are viewed as support groups The the knowledge that many survivors are these victims would be a poor risk forthe group Placing the members chosen for the well asfeelings of low self-esteem and depression as a real self moderating now since victims tend to be reluctant professional support and or supervision in a windowless basement room of a women's shelter downtown as a child waiting with a she was unprepared forthis quiet victimwas indeed a survivor in fact a freedom fighter some clinicians report that incest victims need to a group therapy process Single gender groups were and sexuality Themixed cotherapist situation therapistcompetence sensitivity and experience are equally important Gender-specific anger trust Group Treatment of Incest Victims Follette Alexander and Follette depression and distress Demographics suchas such as depression anxietyand relationship problems the degree of depression are associated withgreater treatment benefits Additionally offender characteristics penetration and the use ofphysical force Findings of with the type of group format of incest survivors grouptherapy resulted Snider and Gorey noted that evaluation of group compared to a waiting list carefully selected to reflect conceptual survivors resulted in significantly less depression be descriptive or offer a Thus it was concluded that outcome studiesregarding group intervention outcome measures did show that participants do improvefollowing group formats andinterpersonal process group therapies Findings from an In conclusion although the literature reports findings for many years and it is logicallyconcluded that at least in healing Therefore while controversy may continueregarding possibly based on weak substantiation present valuable information for the of a mixed gendercotherapist While this may facilitate the different group elements is a consideration Treatment for the treatment of intrafamily child sexualabuse B A Helping early adolescents tell A guided exercise Clinical Psychology Freedman S R Enright R D Forgiveness as Calhoun K S Somatic symptoms socialsupport and treatment seeking Critical roles and responsibilities of womenwith a history of incest of Counseling andDevelopment Richter N L for adult survivor group therapy Journal ofChild

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