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Long-term effects of incest: life events triggering mental disorders in female patients with sexual abuse in childhood.

The authors studied several psychosocial, psychosomatic, and psychodynamic factors in 33 female psychiatric patients who had been victims of incest. Abuse was almost exclusively severe and prolonged. Three quarters of the female patients had been abused by their biological fathers or stepfathers. Sexual abuse experiences in childhood are connected with feelings of anxiety, helplessness, and powerlessness. Together with a lack of support on the part of the mother, these experiences lead to ego weakness, an autoplastic mode of coping with aggression and to patterns of objectal relationships which predispose them to object loss. The links between a girl's traumatic experiences in relationships and her vulnerability to separation in later life and their importance for the incidence of mental disorders will be discussed on the basis of Bowlby's attachment theory.

Adaptation, Psychological↗

Incest and its meaning: the perspectives of fathers and daughters.

This article describes incestuous events and the structure of meaning surrounding the events by biologic fathers and stepfathers and biologic daughters and stepdaughters. Using a symbolic interaction framework the study is guided by the thesis that the meanings people attach to incestuous events are central to understanding the phenomena of incest. Data were obtained from indepth interviews with 40 men (14 natural fathers and 26 stepfathers) and 44 children (18 biologic daughters and 26 stepdaughters). The interviews emphasized fathers' and daughters' recollection of events and their thoughts and interpretations of the incestuous activity while it was occurring. Both fathers and daughters reported that the sexual activity grew out of already existing family interactions. However, fathers and daughters' cognitions surrounding the events differed dramatically. Many of the fathers said their thoughts were dominated by themes of sexual gratification, control, power and anger, and rights and responsibilities vis-à-vis their role as father or stepfather. Daughters reported disbelief, confusion, guilt, and anger. According to fathers, they completely misread their child's reaction to what was happening. Although fathers said that they knew what they were doing was wrong, few reported that they were concerned with possible legal consequences.

Adolescent↗

Treatment of incest perpetrators: a five-phase model.

The author's experiences with treating fathers who committed incest and were sentenced to undergo therapy are discussed in this paper. The treatment consists of five phases. Following crisis intervention and assessment, an analysis is made of the sequence of events, thoughts, moods, and behaviors that precede sexual contact. In the third phase, the client's sense of guilt is brought out and he actively takes responsibility for the sexual abuse of his daughter. In the fourth phase, the origin of the sexual abuse is clarified as it is put into the context of his own problems and the problems within the family. In the fifth phase, strategies for relapse prevention are practiced. In addition there are partner-relationship sessions with the couple as well as family counseling sessions. Up to now none of the clients have recidivized.

Adolescent↗

The interpersonal and psychological functioning of women who experienced childhood physical abuse, incest, and parental alcoholism.

Questionnaires assessing childhood physical abuse (CPA), childhood incest (CI), and parental alcoholism (ACOA) were completed by 253 college women from introductory psychology classes at a large midwestern university. The relationship between these variables and the level of depression, self-esteem and involvement with physically abusive, sexually assaultive, sexually coercive, and chemically dependent partners was assessed. Support was found for an additive model of trauma that predicted a relationship between number of childhood traumas and adult outcomes. Limited support was found for a specificity model of trauma that predicted that specific childhood trauma would be predictive of parallel negative adult outcomes.

Adaptation, Psychological↗

Sibling incest in a clergy family: a case study.

A case study is presented of a female adult survivor of childhood sexual abuse where the perpetrator was her older brother. The children belonged to a clergy family where the father was a clergyman in a mainstream Christian church. The family dynamics are described, emphasizing the physically absent father, the emotionally distant mother, and the surrogate parent status of the perpetrator. The victim's adult years are described, revealing recurrent failures both socially and in the workplace, and a general dissatisfaction with life. Her several attempts to seek appropriate help are described. Eventually, one of these proved successful, and the victim's emotional outlook was transformed into that of a survivor. She is now able to view the world from a contented and achieving aspect. Her experiences of disclosing the abuse to her parents and confronting the church hierarchy are described. Concern is expressed at the perceived inappropriateness of some of the professional assistance the victim was offered as she came to terms with her experience of sibling incest.

Adaptation, Psychological↗

The prevalence and context of incest abuse in Finland.

The prevalence and context of father-daughter incest was surveyed in Finland in connection with a larger study about physical and sexual child abuse in 1988. A random sample of 409 comprehensive school classes with about 9,000 15-year-olds were asked to fill out questionnaires anonymously. The majority (93%) responded in the privacy of the school nurse's office, the rest in their classrooms. Eighty-nine percent of the selected classes participated in the survey and the response rate of the students in those classes was 96%. Girls reporting sexual experiences with their father or stepfather was 5%. Girls reporting experiences with their biological father was 2% and 3.7% of the girls living with a stepfather reported sexual experiences with him. This survey shows that the feelings of the girls about their incestual experiences are overwhelmingly negative. The results are compared with prevalence estimates from the U.S. and the Nordic countries.

Adolescent↗

Empowerment support with adult female survivors of childhood incest: Part II--Application of Orem's methods of helping.

This report addresses the integration and application of empowerment support with Orem's methods of helping, which include (1) providing a developmental environment, (2) psychological support, (3) guiding another, and (4) teaching another. Empowerment support is viewed as basic helping methods (supportive psychotherapy) for the psychiatric nurse to use with adult female survivors of childhood incest.

Adult↗

Children of incest.

Twenty-nine children of brother-sister or father-daughter matings were studied. Twenty-one were ascertained because of the history of incest, eight because of signs or symptoms in the child. In the first group of 21 children, 12 had abnormalities, which were severe in nine (43%). In one of these the disorder was autosomal recessive. All eight of the group referred with signs or symptoms had abnormalities, three from recessive disorders. The high empiric risk for severe problems in the children of such close consanguineous matings should be borne in mind, as most of these infants are relinquished for adoption.

Abnormalities, Multiple↗

Child sexual abuse and incest: community-based intervention.

OBJECTIVE: The primary aim of this article is to determine the effectiveness of community intervention in the case of child sexual abuse. The article describes and analyses an actual case in a small urban community in Israel. METHOD: After several incidents of child sexual abuse, much of it incestuous, were brought to light in the community, they were discussed openly, contained, and punished. A community campaign, in which community activists as well as all the service providers were involved, was organized by community social workers. Individual, group, and community interventions were used. RESULTS: The continuation of the abuse has been checked, and, so far, there is no evidence to suggest its resurgence. Community apathy to child sexual abuse seems to have been halted and reversed. The involvement of community residents, particularly the activists, has increased, and this appears to be the major factor in changed community norms toward child sexual abuse. CONCLUSION: Implications of the individual, group, and community interventions are discussed. An integrated program of intervention practices is advocated to contain and prevent the incidence of child sexual abuse and incest.

Attitude to Health↗

Sister-sister incest as a manifestation of multigenerational sexual abuse.

Incestuous child sexual abuse has received increasing attention recently, but relatively little attention has focused on the multigenerational dimensions of this problem. The case presented places incest into a multigenerational context and demonstrates how quickly family relationships may become eroticized in an uncommon form: between sisters.

Adolescent↗

Group therapy with mothers of incest victims, Part II: Therapeutic strategies, recurrent themes, interventions, and outcomes.

Part II of this article continues the discussion of group process in a reality-based, ego-supportive therapeutic group for mothers of incest victims that was co-led for 2 years by the authors. Strategies are discussed that fostered development of a therapeutic group. Recurrent themes that emerged in the group are identified. Interventions that provided opportunities for corrective interpersonal experiences are described, as are therapeutic values and beneficial outcomes.

Adolescent↗

Evolutionary adaptations to pre-eclampsia/eclampsia in humans: low fecundability rate, loss of oestrus, prohibitions of incest and systematic polyandry.

Gestational-hypertension/pre-eclampsia occurs in approximately 10% of human pregnancies. This persistent complication of pregnancy has been reported to occur more frequently in couples conceiving very shortly after the beginning of their sexual relationship and/or after a change in paternity. Primipaternity may be the leading cause of pre-eclampsia in women under 30 years of age when genetic susceptibility to cardio-vascular disease has not yet been expressed, especially in women before their twenties, who for the last 40,000 years have perhaps comprised the age group when the majority of parturients classified as Homo sapiens sapiens initiated their reproductive life. In terms of evolution, the prevalence of pre-eclampsia represents a distinct reproductive disadvantage in humans as compared with other mammals. Indeed, pre-eclampsia is a consequence of the defect of the normal human-specific deep endovascular invasion of the trophoblast. The large size of the human fetal brain imposing this deep trophoblastic invasion induced the need for major immunogenetic compromises in terms of paternal-maternal tissue tolerance. The price that mankind has had to pay to adapt to the pre-eclampsia risk is a low fecundability rate and therefore loss of oestrus, possibly a step in the deviation between apes and hominids. Further, pre-eclampsia risk may be a contributing factor leading to the rejection of systematic polyandry in human societies and have influenced prohibition of incest.

Adaptation, Biological↗

Forgiveness as an intervention goal with incest survivors.

An intervention, with forgiveness toward their abuser as the goal, was implemented with 12 female incest survivors. The women, from a midwestern city, were 24 to 54 years old, and all were Caucasian. A yoked, randomized experimental and control group design was used. The participants were randomly assigned to an experimental group (receiving the forgiveness intervention immediately) or a waiting-list control group (receiving the intervention when their matched experimental counterpart finished the intervention). Each participant met individually with the intervener once per week. The average length of the intervention for the 12 participants was 14.3 months. A process model of forgiveness was used as the focus of intervention. Dependent variables included forgiveness, self-esteem, hope, psychological depression, and state-trait anxiety scales. After the intervention, the experimental group gained more than the control group in forgiveness and hope and decreased significantly more than the control group in anxiety and depression. When the control group then began the program they showed similar change patterns to the above, as well as in self-esteem improvement.

Adult↗

Incest memories recalled in hypnosis--a case study: a brief communication.

Accuracy of repressed memories recovered in hypnosis cannot be reliably determined with any greater certainty than non-hypnotically recalled events. Therefore, the practice of therapists' accepting hypnotically enhanced memories as veridical, absent corroborating evidence, is not advocated. A 52-year-old woman with a 27-year history of panic attacks and sleep disorder inadvertently recovered incest memories in hypnosis. Photographs and remembered events by other family members were thought by the patient to provide general support although they did not constitute actual proof of abuse. Implications are discussed.

Abreaction↗

"Telling one's story" in an incest survivors group.

This article discusses the technical considerations that contribute to making "telling one's story" in an incest survivors group a ritual of active mastery leading to psychological growth. Survivors approach the task of sharing memories with a variety of wishes and fears that can emerge as powerful group transference paradigms. These paradigms, while they vividly illuminate the survivor's past and present interpersonal expectations, can threaten to derail the telling experience. Actively interpreted, however, the group transference aspects of the telling experience can yield valuable insights that become the focus for the remainder of the survivor's group treatment. This article details the process of preparing the individual survivor and the group for the process of telling (and listening) and the subsequent task of working through the insights derived from the telling experience. Two case examples demonstrate these techniques.

Adaptation, Psychological↗

The effects of pretraining on group psychotherapy for incest-related issues.

The effects of written, cognitive pretraining on self-reported self-disclosure and cohesion in group psychotherapy were studied. Subjects were members of time-limited psychotherapy groups that focused on incest-related issues. The experimental groups were given written cognitive pretraining designed to increase self-reported self-disclosure and cohesion. The control groups received general group information. Subjects in the pretrained groups reported higher levels of self-perceived self-disclosure than the control groups after sessions 4 (p = 0.003) and 8 (p = 0.003). Self-reported self-disclosure did not increase over time for pretrained or nonpretrained subjects. Cohesion did not differ across groups, but increased over time for experimental subjects (p = .008), and not for control subjects.

Adult↗

The impact of a history of rape and incest on the posthysterectomy experience.

I conducted a cross-sectional study to examine the impact of a history of rape and/or incest on the posthysterectomy experience. The sample consisted of 92 women recovering from elective hysterectomies. They were interviewed at 6, 12, 18, and 24 months after their operations. The Derogotis Sexual Functioning Index, the Center for Epidemiologic Studies-Depression Scale, and two hysterectomy-related questionnaires were administered. An analysis of variance compared abused with nonabused women on their sexual functioning, depression level, and satisfaction with their hysterectomy decision. Abused women had a significantly (p < .05) higher level of depression in the first year after the hysterectomy but not in the second year after the operation. Results suggest the need for expanded preoperative sexual history assessments and interventions and also to define areas for further research.

Adult↗

Incest and pelvic pain: the social worker as part of a research team.

This article suggests the valuable role a social worker can play as a researcher on a multidisciplinary team. In a study conducted by a gynecologist, a social worker, a psychiatrist, and a psychologist, women experiencing chronic pelvic pain were found to be profoundly affected by factors other than organic disease, such as traumatic early childhoods, psychopathology, and incest in a significant number of cases.

Adult↗