The risk of telling : a dyadic perspective on romantic partners' responses to child sexual abuse disclosure and their associations with sexual and relationship satisfaction

Essai présenté à la Faculté des arts et des sciences en vue de l'obtention du grade de Doctorat en psychologie clinique (D. Psy.)Les survivants d’agression sexuelle à l’enfance (ASE) doivent souvent composer avec les conséquences à long terme de ce trauma. Toutefois, il existe une grande variabilité quant aux impacts individuels de l’ASE. Certains auteurs croient que la réponse obtenue lors du dévoilement de l’ASE aux proches du survivant, pourrait être l’un des déterminants de cette variabilité. Cependant, le dévoilement à l’âge adulte, notamment au partenaire amoureux, a été peu étudié. La présente étude examine les associations entre les réponses des partenaires amoureux au dévoilement, tels que perçues par les survivants, ainsi que la satisfaction sexuelle et conjugale des deux membres du couple, auprès d’un échantillon de 70 couples de la communauté ayant rapporté une ASE et l’ayant dévoilée à leur partenaire. Les participants ont complété des questionnaires auto-rapportés en ligne. Les résultats d’analyses de trajectoire au sein d’un modèle « Actor-Partner Interdependence Model » (APIM) indiquent que les réponses de « soutien émotionnel » de la part des partenaires durant le dévoilement, telles que perçues par les survivants, étaient positivement associées à leur propre satisfaction sexuelle ainsi qu’à celle de leur partenaire. Les réponses de « stigmatisation/se sentir traité différemment » de la part des partenaires, telles que perçues par les survivants, étaient associées à une moins bonne satisfaction conjugale, à la fois pour les survivants et leurs partenaires. Les résultats suggèrent que les réponses des partenaires au dévoilement d’une ASE, tels que perçues par les survivants, peuvent avoir un impact positif autant que négatif sur la satisfaction conjugale et sexuelle des deux partenaires.Survivors of childhood sexual abuse (CSA) often experience adverse trauma-related long term consequences, which vary widely among survivors. Some authors argued that this variability might be explained in part by the response of others to survivors’ disclosure of the CSA. However, disclosure during adulthood has received little empirical attention, in particular, disclosure to a romantic partner. Among 70 community couples who reported CSA and disclosure to their partner, this study examined associations between survivors’ perception of partner responses to their disclosure, and both partners’ sexual and relationship satisfaction. Participants completed self-report questionnaires online. Results of path analyses within an actor-partner interdependence model indicated that survivors’ perceived partner responses of emotional support to disclosure were associated with their own and their partners' higher sexual satisfaction. Survivors’ perceived responses of being stigmatized/treated differently by the partner were associated with their own and their partners’ poorer relationship satisfaction. Findings suggest that survivor-perceived partner responses to the disclosure of CSA can have both a positive and a negative impact on the sexual and relationship satisfaction of both partners

Parents' experiences of their child's disclosure of sexual abuse

A child’s disclosure of sexual victimisation is a difficult experience for parents, and has been associated with traumatisation, disbelief, denial, self-blame and clinical difficulties. To date, most studies on parents’ responses have been quantitative assessments of the psychological impact of disclosure on parents. A paucity of research has qualitatively explored mothers’ experiences of their child’s disclosure of child sexual abuse (CSA) and fathers’ experiences have been even further neglected. The current study seeks to characterise parents’ experiences of their child’s disclosure of CSA and to uncover the process-oriented nature of parental responses. This qualitative study, using a grounded theory approach to analysis, involved interviews with 10 mothers and four fathers, whose children (3 to 18 years) had experienced sexual abuse. Three themes emerged from the analysis. The first theme – making sense of the abuse in retrospect – captured the process through which parents sought to make sense of their child’s disclosure, focusing on why their child had not disclosed the abuse to them earlier, and how they had noticed something was wrong but misattributed their child’s behaviour to other factors. The second theme – negotiating parental identity as protector – reflected how parents’ identity as a protector was challenged, their perception of their world had been forever altered, and they now experienced themselves as hypervigilant and overprotective. The final theme - navigating the services – pertained to parents’ struggle in navigating child protection and police services, and feeling of being isolated and alone. These findings highlight the need for empathy and parental support following child disclosure of sexual victimisation

In whose best interest? A Canadian case study of the impact of child welfare policies in cases of domestic violence

North American child protection systems have been experiencing an era of sweeping child welfare reform over the last decade. Despite the breadth of these changes, legislative and policy impacts are rarely evaluated to ascertain whether changes are resulting in the outcomes they were designed to achieve. Using a participatory research framework, 70 participants from relevant service sectors and service recipients from a large urban centre in Canada, were interviewed about legislation in cases of children exposed to domestic violence. While most stakeholders noted the "spirit of the Act" to be well-meaning and based on a credible body of child research, there were serious concerns cited with the implementation and impact of policies that resulted from this piece of child welfare legislation. Reluctance of abused women to disclose or seek services for their families, isolation between helping professionals from different sectors, increased demand for services, increased surveillance of mothers, and decreased accountability of perpetrators were predominant themes identified. These data strongly suggest that response models be tested as pilot studies, rigorously evaluated and fully implemented only when there are assurances that appropriate and adequate services are available to meet the complex needs of the communities they are designed to serve. & copy; The Author 2007. Published by Oxford University Press. All rights reserved