Victimisation in the lives of lesbian-identified women in South Africa : implications for clinical assessment and treatment
- Padmanabhanunni, Anita, Edwards, David J A
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6237 , http://hdl.handle.net/10962/d1007787
- Description: Few clinical studies have examined victimisation in the lives of lesbian women in South Africa and whether there are distinct implications for psychological treatment. This paper presents the assessment and treatment of a lesbian-identified South African survivor of childhood sexual abuse who, as an adult, was raped and later gang raped. Her victimisation in adulthood represented ‘corrective rape’ motivated by the prejudiced assumption that the sexuality of lesbian women is pathological and should be ‘corrected’ through rape. This paper lends insights into the role of heterosexism in shaping vulnerability to victimisation and the process of recovery. It provides recommendations for work with sexual minority clients and highlights the implications when there is an absence of safety and support in the external environment.
- Full Text:
- Date Issued: 2013
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6237 , http://hdl.handle.net/10962/d1007787
- Description: Few clinical studies have examined victimisation in the lives of lesbian women in South Africa and whether there are distinct implications for psychological treatment. This paper presents the assessment and treatment of a lesbian-identified South African survivor of childhood sexual abuse who, as an adult, was raped and later gang raped. Her victimisation in adulthood represented ‘corrective rape’ motivated by the prejudiced assumption that the sexuality of lesbian women is pathological and should be ‘corrected’ through rape. This paper lends insights into the role of heterosexism in shaping vulnerability to victimisation and the process of recovery. It provides recommendations for work with sexual minority clients and highlights the implications when there is an absence of safety and support in the external environment.
- Full Text:
- Date Issued: 2013
“It’s like uprooting trees”: responsive treatment for a case of complex post-traumatic stress disorder following multiple rapes
- Van der Linde, Francois, Edwards, David J A
- Authors: Van der Linde, Francois , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6238 , http://hdl.handle.net/10962/d1007788
- Description: This systematic case study documents 27 sessions of assessment and treatment with cognitive therapy of Bongi (23)who presented with major depression, posttraumatic stress disorder and borderline traits. Bongi had been raised in a punitive environment, had been raped three times, the first time at age 9, and had been in a series of abusive relationships. The treatment illustrates the importance of therapist responsiveness in addressing this kind of complex presentation, the importance of drawing on case formulation to guide the course of treatment and the range of different interventions that need to be incorporated into an integrative treatment of a complex case. Self-report measures of depression, anxiety and posttraumatic stress indicators provided evidence that the therapy contributed to positive changes and the qualitative therapy narrative gives details of the nature of some of those changes. Although treatment was not complete when Bongi moved away, Bongi herself judged that the therapy had been a valuable experience which had resulted in her feeling more alive, more confident, and better able to take care of herself.
- Full Text:
- Date Issued: 2013
- Authors: Van der Linde, Francois , Edwards, David J A
- Date: 2013
- Language: English
- Type: Article
- Identifier: vital:6238 , http://hdl.handle.net/10962/d1007788
- Description: This systematic case study documents 27 sessions of assessment and treatment with cognitive therapy of Bongi (23)who presented with major depression, posttraumatic stress disorder and borderline traits. Bongi had been raised in a punitive environment, had been raped three times, the first time at age 9, and had been in a series of abusive relationships. The treatment illustrates the importance of therapist responsiveness in addressing this kind of complex presentation, the importance of drawing on case formulation to guide the course of treatment and the range of different interventions that need to be incorporated into an integrative treatment of a complex case. Self-report measures of depression, anxiety and posttraumatic stress indicators provided evidence that the therapy contributed to positive changes and the qualitative therapy narrative gives details of the nature of some of those changes. Although treatment was not complete when Bongi moved away, Bongi herself judged that the therapy had been a valuable experience which had resulted in her feeling more alive, more confident, and better able to take care of herself.
- Full Text:
- Date Issued: 2013
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