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PubMed1988

Resisting the stigma of incest: an experiment in personal construct psychotherapy.

This paper describes a psychotherapeutic attempt to help an adolescent girl, incestuously assaulted by her father for over a decade, rebuild a satisfactory sense of self and escape to some degree the debilitating and stigmatizing effects of her experience. The course of events described was primarily determined by the young woman's own sense of what she needed from psychotherapy but was also informed by the theoretical framework of Personal Construct Theory. In terms of methodology the paper is a personal account of a personal experience and draws on a narrative rather than experimental tradition in clinical psychology. The paper ends with an uncertain picture of outcome and prognosis with which most clinicians will be familiar.

Adolescent↗
PubMed2003

Cultural norms versus state law in treating incest: a suggested model for Arab families.

OBJECTIVE: This article examines problems of intervention in sexual abuse cases among collective societies and offers a culturally sensitive model of intervention. METHOD: The manuscript is based on cross-cultural literature and clinical cases within the Palestinian community in Israel. RESULTS: Unlike Western societies in which the state takes responsibility for the needs of its citizens and has laws that aim to protect victims of sexual abuse and to punish the perpetrators, in many collective societies people live in interdependence with their families. The family, rather than the state, is the main provider and protector. Enforcing the laws against sexual perpetrators, typically, threatens the unity and reputation of the family, and therefore this option is rejected and the family turns against the victim. Instead of punishing the perpetrator, families often protect him and blame the victim for the resulting mess. The punishment of the abuser results in the re-victimization of the abused since the family possesses supreme authority. We suggest a culturally sensitive model of intervention that includes six stages: (1) verification of information, (2) mapping the family, (3) bonding with progressive forces, (4) a condemning, apologizing, and punishing ceremony, (5) treatment, and (6) follow-up. CONCLUSION: Culturally sensitive intervention that exploits the power of the family for the benefit of the victim of abuse before enforcing the law, may achieve the same legal objectives as state intervention, without threatening the reputation and the unity of the family, and may therefore save the victim from harm.

Adolescent↗
PubMed1991

Group therapy with mothers of incest victims, Part I: Structure, leader attributes, and countertransference.

Reality-based, ego-supportive group therapy is an intervention with mothers of children who were sexually abused by a father, stepfather, or man in the paternal role. Structure and process of a mothers' group that was co-led by the authors and met weekly for 2 years are described in this two part article. In Part I of this article, the structure of the Mothers' Group is described: setting and referral sources, purpose and goals, format, and group composition. Also discussed are the influence of leader attributes on group process, therapeutic interventions related to these attributes, and strategies to handle the potential for counter-transference and minimize its antitherapeutic effects.

Adolescent↗
PubMed1991

Individual predictors of outcome in group treatment for incest survivors.

Sixty-five abused women who participated in time-limited group therapy were evaluated before treatment on demographic variables, sexual abuse history, characteristics of the family of origin, and initial levels of depression and distress. Hierarchical regression analyses were conducted to determine the impact of these variables on response to treatment. Results suggest that education, marital status, type of sexual contact, and initial levels of depression and distress predicted response to treatment. In addition, a history of previous therapy showed a tendency to interact with type of group format to predict outcome. Implications for therapy and further research are considered.

Adult↗