Child Sexual Abuse

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Child Sexual Abuse

Treatment of Mentally Disturbed Patient


This paper focuses on the issue of child sexual abuse while dealing with the case of a 35 year old woman. The section reconsidered the state of information about personality disorder and problems faced by her since her childhood. Being a therapist, I am required to get her 5through all of her difficulties and bring her to a normal life through treatments.

Treatment of Mentally Disturbed Patient


Adult survivors of child sexual abuse are high users of health and mental health services and make up a significant proportion of many clinical health population groups. Despite the frequent interactions with health professionals (HPs), many child sexual abuse survivors often do not disclose their abuse. It is estimated that the prevalence rates of female child sexual abuse range from 13% to 30%. A large random household survey in Aotearoa/New Zealand found that 1 in 4 girls had been affected by child sexual abuse. This study aimed to explore female child sexual abuse survivor interactions with and experiences of counsellor's responsiveness to disclosure of child sexual abuse history (Gilman 2003, 263).

Survivors of child sexual abuse are restricted in their ability to give verbal feedback to clinicians when they feel uncomfortable about a practice. Some have falsely reported to psychotherapists that they have “recovered” so as to avoid further treatment with insensitive clinicians. This latter strategy, designed to avoid insensitive practice, has the added potential of reinforcing a clinician's less than optimal practice. However, the lack of disclosure by child sexual abuse survivors has been found to result in negative experiences during examinations, especially for gynaecological procedures.

Case Overview

Sarah is a 35 year old woman who is admitted to a hospital. Her history is appalling. She does not be close to any stranger and run away from people. Sarah has a diagnosis of emerging emotionally unstable personality disorder. She is currently on 15 minutes observations and is no lone working. She spends a fair amount of time in high care/seclusion due to her violent behaviour towards staff. She has no contact with her family apart from her maternal aunt, with whom she has regular phone contact.

Sarah was a looked after child with social services and her parents worked at Tesco. She also has a younger brother. Her parents worked in different shifts. She is acclaim of being sexually abused by her father from the age of six till twelve. Her mother did not know about it. Now, as her therapist, I have found out this through continuous sessions with her. She has admitted that she has been sexually abused by her father when she was very young.

Personal History

Sarah has a history of violent, verbal aggression and physical aggression towards others. Her mood fluctuates significantly within the period of a few hours. She was impulsive and self harms. She was aggressive and disruptive towards other children from the age of 7 and was suspended many times from school after ...
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