Childhood sexual abuse (CSA) is prevalent among women. Personβcentered counseling (PCC) is an effective core therapeutic approach to use when treating women with this issue. This article provides (a) an overview of CSA, (b) an orientation to PCC, and (c) a case example illustrating the primary appli
Personality constellations in patients with a history of childhood sexual abuse
β Scribed by Rebekah Bradley; Amy Heim; Drew Westen
- Publisher
- Springer
- Year
- 2005
- Tongue
- English
- Weight
- 111 KB
- Volume
- 18
- Category
- Article
- ISSN
- 0894-9867
No coin nor oath required. For personal study only.
β¦ Synopsis
Although childhood sexual abuse (CSA) appears to have an impact on personality, it does not affect all survivors the same way. The goal of this study was to identify common personality patterns in women with a history of CSA. A national sample of randomly selected psychologists and psychiatrists described 74 adult female patients with a history of CSA and a comparison group of 74 without CSA using the Shedler-Westen Assessment Procedure-200 (SWAP-200), a Q-sort procedure for assessing personality pathology. Q-factor analysis identified four personality constellations among abuse survivors: Internalizing Dysregulated, High Functioning Internalizing, Externalizing Dysregulated, and Dependent. The four groups differed on diagnostic, adaptive functioning, and developmental history variables, providing initial support for the validity of this classification. The data have potential methodological and treatment implications.
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