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Survivors of
Sexual Abuse: The Gift of Empowerment
Christopher
L. Heffner, Psy.D. May
15, 2002
Watching
the arrest and seeing a former priest handcuffed in the
standard issue orange jumpsuit brought a sense of hope and
empowerment to not only his alleged victims, but to thousands
of sexual abuse survivors around the world. Sexual abuse
is much more than the sexual violation of a child, it is also
a moral violation as it robs the child of his or her
innocence and power. As with any victim of crime, the
sense of helplessness and powerlessness is often the rock that
is carried year after year, often only increasing in weight as
time passes.
Certain
people in our society are given special rights and authority,
such as parents, police officers, judges, physicians, and
clergy. Along with these rights should come a higher
standard for protecting the innocent lives over whom they have
power. It is starting to appear that this is just the
opposite, at least until now. Being the victim of
someone of such power only serves to deepen the emotional
scares and add to the confusion and the sin of secrecy.
To be a helpless victim of this crime by an adult you are
taught to respect, to believe in, and to trust only adds immeasurable
weight you are forced to carry throughout your life. The child is often left with a great deal of
confusion between right and wrong, combined with self-blame,
powerlessness, and shame. These after effects do not disappear;
they sit inside the child and play a role in every decision
made, every action taken, every relationship, and every
thought until something conscious is done to stop it. Fighting
back restores some of the lost power, support from friends and
family bring strength and can start chipping away at the shame.
Seeing
the abuser taken into custody can give a survivor of sexual
abuse the gift of empowerment. It
brings a sense of hope to the victims of other abusers,
knowing that these men are not omnipotent, they are not above
the law, and they will all have to face their victims one way
or another.
Recent
research estimates the prevalence of sexual abuse among
children to be higher than ever before. Many studies
suggest that as any as 22% of females and 14% of males are
victims of childhood sexual abuse. If these estimates
are accurate, then this is the largest victim pool in our
country today; 30.8 million females and 19.6 million males in
the United States today were victims of this underreported and
obviously overlooked robbing of innocence.
The
after effects of sexual abuse are described in the table
below. These symptoms are the most common ones as
reported by researchers, therapists, and victims. Rarely
anyone will have all of the symptoms, and some may have very
few, but the fact remains, the after effects do not usually go away
with time, they worsen until something is done about them.
After Effects of
Childhood Sexual Abuse
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Emotional
Symptoms:
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Unsupported
fears (may or may not be related to sex) |
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Low
Self Esteem, Guilt, Shame |
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Exaggerated
or Diminished feeling of power and control |
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Difficulty
with Trust |
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Fear
of Abandonment |
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Cognitive
Symptoms:
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Intrusive
images or thoughts about sex |
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Viewing
sex as an obligation |
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Seeing
sex as a means to exert power |
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Rigid
boundaries or lack of boundaries |
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Confusing
sex and love |
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Poor
body image |
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Amnesia
for early years or periods surrounding sexual abuse |
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Difficulty
with authority figures |
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Behavioral
Symptoms:
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Somatic
Complaints (vague bodily complaints, gastrointestinal
problems) |
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Somatic
complaints related to the abuse (genital/urinary pain,
difficulty swallowing, TMJ) |
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Self
Injurious Behaviors and self mutilation (cutting, hair
pulling, biting, scratching) |
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Engaging
in physically dangerous behaviors |
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Sexual
Dysfunction
Males: impotence (can be situational), premature
ejaculation
Females: vaginismus, female orgasmic disorder, vaginal
pain during intercourse |
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Compulsive
masturbation, frequent anonymous sexual encounters |
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Stripping,
prostitution |
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Fetishes
(inability or difficulty becoming sexually aroused
without a specific object involved [shoe, underwear,
picture] or without focusing almost exclusively on a
specific body part [legs, genitalia, feet]
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Lack of
interest in sex or avoidance of sexual situations
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Difficulty
staying emotionally and mentally present during sex
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Placing self
in sexually dangerous situations
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When
any of these symptoms are present, it certainly does not mean
the person was sexually abused, and the symptoms may vary
depending on the individual, the type and duration of abuse,
and the relationship to the abuser.
In
victims, however, many of the after effects are due to the
theft of power, of innocence, and of dignity. This can
often result in a need to find ways to retrieve what was lost
in order to feel whole again, to feel safe again, and to like
your self again. I believe it takes a lot of courage and
support to face your abuser, and to do it in the spotlight as
many of the alleged victims of priests are doing today shows
even greater courage.
While
this is often the first stage in recovery from abuse, many times
it marks the transition from victim to survivor, from shame to
pride, and from powerlessness to strength. Whatever the
outcome of the trials and investigation into this or any other
cases of childhood sexual abuse, there are no doubt thousands
who have taken a step forward away from the past and toward a
more empowered future. It is certainly not an easy journey, but
is is much less difficult when you don't have to walk it alone.
Treatment
Issues
The effects for some survivors may be minimal, or may be
overcome through the help of friends and family.
However, the treatment for many survivors of childhood sexual
abuse is a complex and typically long term endeavor due to
several factors. First, the trauma occurred in childhood
which is the time when most of our psychological development
takes place. Second, Not only are these children
traumatized, it is typically done by a family member or close
family friend, which hinders the child's ability to develop
healthy trusting relationships. Third, the secrecy, and
perceived shame and guilt prevents many children from telling
anyone and therefore from getting help. They are forced
to endure and try to understand without the assistance of an
adult. And finally, the aftereffects of sexual abuse are
quite diverse and can involve many different aspects of the
person's functioning (e.g., social, relationship, intimacy,
trust, family security, safety).
The best recommendation for anyone who was sexually abused as
a child and who feels they are having difficulties because of
it is to gather as much information as possible and seek out
people with whom you feel safe. This could mean a close
friend, a sibling, therapist, or clergy. If you are
seeking therapy, ask a lot of questions and make sure you feel
completely safe with this person. It's okay if you
don't, and you are allowed to find someone else. If you
decide therapy is not right for you, make sure you have
relationships which make you feel good about yourself and
where you feel safe.
There are many web pages and newsgroups devoted to sexual
abuse, but don't believe everything you read. Make sure
you get a consensus from well respected resources before you
take anything to heart. Healing from sexual abuse is a
journey and it's a very personal journey. Go at your own
speed and do not proceed with anything with which you are not
comfortable. There is hope and there are many people who
understand, all you have to do is seek them out.
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