The long term consequences for children who experience systematic or sustained sexual abuse are well known: issues with differentiation (development of identity and sexual identity), problems in attachment (in ongoing and future relationships), and development of mental health issues and substance use problems (Watkins & Bentovim, 1992). Perpetrators of child sexual abuse exploit and corrupt the normal attachment and differentiation processes (Isely, et al, 2008) and in doing so create significant challenges in the development of sexuality, sexual identity and future intimate relationships for the developing individual.
Men who have been sexually abused as children have not usually been well supported by the caring professions. Men who were sexually abused as children are less likely to seek treatment, and if seeking treatment, are less likely to disclose their abuse history, than women in the same situation (Gold, et al, 1999). The shame which is commonly felt by survivors of sexual abuse is often further compounded for men due to the differential impact of same-sex abuse (Nathanson, 1989). Often the revelation of abuse leads to fractures in the internal and external world of the adult survivor, worsening the challenges faced in recovery.
Monday, 25 June 2012
Depression and Relationships
Major Depressive Disorder impacts a significant amount of people across the world, with the World Health Organisation (WHO) predicting that by 2030 depression will account for the highest disability in the world (WHO, 2008). When focused on the Individual this is a staggering prospect, but it is even more severe when considered in the context of the individual’s social field. The impact of depression is not only felt by the individual who is diagnosed but also their families and those with whom they have significant relationships.
It is reported that depression and relationship problems commonly occur in a bidirectional fashion where depressed married individuals report poorer marital adjustment, and poor martial adjustment has been seen to predict increases in depressive symptoms (Whisman & Beach, 2012). Some researchers have suggested that the ability of females empathic accuracy (ability to infer and understand their partners’ thoughts and feelings) is reduced when depressed (Gadassi, Mor & Rafaeli, 2011). This finding is not seen directly in males; however partners of depressed females who display the reduced empathic accuracy do tend to show a similar reduction of their partner. As such, couples therapy, and interventions that focus on the individual’s family system, is a promising therapeutic option for people in distressed relationships (Whisman & Beach, 2012)
Sunday, 11 March 2012
There are no changes to the eligibility requirements for the CDM items, including the allied health services for people with chronic disease. This is simply a change to terminology to bring it up to date. This will enable patients to have 5 further sessions per calendar year.
Clinical Psychologist & Principal