It isn't difficult to comprehend why many victims of childhood sexual abuse suffer from various forms of psychological problems. John Hunter (1991) investigated psychosocial dysfunction and came up with results showing that victims displayed more dysfunction than control on the Minnesota Multiphasic Personality Inventory, Dyadic Adjustment Scale, Derogatis Sexual Functioning Inventory, and the Rosenberg Self Esteem Scale. Hunter also found support indicating that male victims are more likely to suffer from identity conflicts and rumination while females are more likely to suffer from body image distortions.
Derek Jehu (1992) also studied the occurrence of personality problems in adulthood as a result of childhood sexual abuse, using the schema theory. He determined that the sexual abuse leads to the establishment and maintenance of lasting maladaptive schemata. These schemata are then activated by relevant events with accompanying automatic thoughts, emotional arousal, assimilation, accommodation, avoidance, and compensation. This ultimately leads to difficulties with safety, trust, self-esteem, control, and connection.
For those unfortunate adults who have survived childhood sexual abuse, treatment is almost always needed. But when (if ever) do victims seek treatment? Kendall and Kendall (1991) answered that question. Using interviews they investigated the relationship between characteristics of abuse an time before seeking treatment. They discovered four factors that were significantly related to the number of years between the end of the sexual abuse and time of seeking treatment- age at onset of abuse, duration of abuse, whether the abuse was reported to law enforcement, and the number of sexual acts. Results indicated that the mean time between the end of the sexual abuse and the time that treatment was sought was 17 years for both sexes.
Hunter, John A. (1991). A comparison of the psychosocial maladjustment of adult males and females sexually molested as children. Journal of Interpersonal Violence, 6(2), 205-217.
Jehu, Derek. (1992). Personality problems among adults molested as children. Sexual and Marital Therapy, 7(3), 231-249.
Kendall, Tackett & Kendall, Kathleen A. (1991). Characteristics of abuse that influence when adults molested as children seek treatment. Journal of interpersonal Violence, 6(4), 486-493.
Kendall, Tackett, Kendall, Kathleen A., & Simon, Arthur F. (1992). A comparison of the abuse experiences of male an d female adults molested as children. Journal of Family Violence, 7(1), 57-62.
Contributed by Trystin L. Kleiman, December 2, 1997.