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Dissertation

Survivors of childhood sexual abuse: The formulation of a comprehensive inpatient treatment model

13 April 1990

Abstract

In recent years, interest and research on the topic of incest and molestation, and the after-effects of these childhood experiences, has escalated. A patient population referred to as Adults Molested as Children (AMAC) has been identified, and more recently these individuals have begun to be labeled survivors of sexual abuse. Research has focused on the typical symptom patterns and issues of the survivor patient, and a number of outpatient treatment models and approaches have been discussed. Interestingly, there is a dearth of literature addressing the etiological considerations that may give rise to these patterns and issues. little discussion or exploration of Furthermore, there is typical concomitant psychological diagnoses or problems. There does, however, appear to be a significant overlap between the symptomatology of survivors of childhood sexual abuse, and that of individuals diagnosed as having borderline personality disorder or suffering from Post-traumatic Stress Disorder. This monograph presents an exploration of the characteristic symptom patterns and issues of these patients, addresses a possible relationship between the above-mentioned disorders, and offers a treatment model specifically formulated for the inpatient survivor of childhood sexual abuse. In addition, the relationship between the Survivor Model and current outpatient treatment modalities is discussed. Finally, suggestions are offered regarding directions for .future research and expansion of the model; and considerations of testing, implementation and validation of the model are given.


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