Rape Two approaches to treat a rape victim are CBT and group therapy. Most research to date shows that CBT has effective recovery outcomes. The specific forms of CBT that are commonly used with rape victims are: systematic desensitization, flooding, prolonged exposure treatment, and stress inoculation training. These approaches involve systematic exposure to traumatic memories and cognitive reinterpretation of these events. Helping clients to remember and visualize feared situations can help them gradually reduce their anxiety. Cognitive techniques, such as challenging automatic thoughts, may also be used to diminish guilt, fear, and depression. Review all past CBT sections.
Group therapy can be very beneficial for rape victims. Many rape crisis centers are based on crisis theory and supportive psychotherapy groups. They rely on dissemination of educational information, active listening and emotional support. Group sharing of experience may affect patients numbness, isolation and fear of isolation. Review all group therapy readings and slides.
Sexual Abuse Group therapy is a positive therapy for sexual abuse victims. Groups should be conducted at the same time as other treatment modalities. Some patients may need individual treatment before they are ready for group therapy. Groups are appropriate for victims, siblings of victims, mothers of victims, offenders, and adult survivors of sexual abuse. In addition, "generic" groups that include offenders, parents of victims, and survivors of sexual abuse have been found to be very powerful and effective for all parties involved. Groups may be time-limited, long-term, or open-ended. They may deal with specific issues (e.g., relapse prevention, sex education, or protection from future sexual abuse), or they may deal with a range of issues. Some programs have "orientation" groups for new clients, usually with separate groups for children and adults. Victims and offenders groups have been brought together for occasional sessions. Models that have concurrent groups for victims or children and their non-offending parents, where from time to time the two groups join for activities, are very productive.
Trauma-Focused CBT TF-CBT is a conjoint child and parent psychotherapy approach for children and adolescents who are experiencing significant emotional and behavioral difficulties related to traumatic life events. It is a components-based treatment model that incorporates trauma-sensitive interventions with cognitive behavioral, family, and humanistic principles and techniques. Children and parents learn new skills to help process thoughts and feelings related to traumatic life events; manage and resolve distressing thoughts, feelings, and behaviors related traumatic life events; and enhance safety, growth, parenting skills, and family communication.
TF-CBT has proved successful with children and adolescents (ages 3 to 18) who have significant emotional problems (e.g., symptoms of posttraumatic stress disorder, fear, anxiety, or depression) related to traumatic life events. This treatment can be used with children and adolescents who have experienced a single trauma or multiple traumas in their life. Children or adolescents experiencing traumatic grief can also benefit from this treatment. TF-CBT can be used with children and adolescents residing in many types of settings, including parental homes, foster care, kinship care, group homes, or residential programs.
Multiple treatment outcome research studies and much clinical evidence indicate that TF-CBT helps children, adolescents, and their parents overcome many of the difficulties associated with abuse and trauma. It is an efficacious treatment. TF-CBT has proven to be effective in addressing posttraumatic stress disorder, depression, anxiety, externalizing behaviors, sexualized behaviors, feelings of shame, and mistrust. The parental component increases the positive effects for children by reducing parents own levels of depression and emotional distress about their childrens abuse and improving parenting practices and support of their child.
Family Therapy for Sexual Abuse Stage 1: Creating a Context for Change In Stage 1, a context of safety and hopefulness is created. The family members commit to work toward change. A collaborative relationship between client and therapist is built to assess the problem and determine the therapeutic goals. Stage 2: Challenging Old Patterns and Expanding New Alternatives The family is encouraged to creatively challenge problematic thoughts, feelings, and behaviors which are no longer useful, giving way to more adaptive healthier alternatives. Therapeutic interventions are designed based on the family’s strengths. Stage 3: Consolidation In this stage, the family consolidates the positive, adaptive new behaviors they have made so that they will sustain. The family prepares for future situations and plans how to continue to make adaptive choices to insure that no further abuse takes place in their life or future generations of their family.
Family therapy chapters and readings should be reviewed.