Most treatment specialists in regard to children distinguish rape from abuse, but the boundary between them is often indistinct. Men constitute a small minority of its victims, and as yet there is a paucity of data describing their post-trauma symptoms. Recent estimates indicate 17 % of US women are sexually attacked during their lifetime (National Institute of Justice, 1998). It persists as a brutal common crime in all parts of the world. Rape is experienced always as a terrible trauma associated with terror, pain, and fear of death. The author proposes that full comprehension of severe numbing is essential in the selection of the best intervention strategy because this symptom (or affect) may determine the prognosis of raped patients. Two vignettes contrast the treatment processes and outcomes of these two women to two other patients who had been sexually assaulted, but whose psychopathology was less severe. Also psychodynamic comprehension may be particularly suitable for “complex PTSD” as defined below in this article. Schottenbauer et al, (2008) concluded that PET and CBT approaches had high non-response and dropout rates. But many therapists continue to use psychoanalytic based approaches to treat rape victims. Choice of these two treatments is supported by substantial statistical evidence. Psychodynamic treatment was chosen for investigation rather than Prolonged Exposure (PET), or Cognitive Behavioral Therapy (CBT). The article investigates a variety of therapeutic responses to ameliorate disabling post-rape psychological symptoms, especially an intense feeling of numbing. The author considers the reactions of four women who had been sexually assaulted, with a focus on the rape trauma of two women with the diagnosis of “Complex-PTSD.” Both patients also had prolonged episodes of illegal drug dependence. The stiff Heart questions ‘was it He, that bore,’įirst – Chill – then Stupor – then the letting go – After great pain a formal feeling comes –
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |