Conceptualization of the complex outcomes of sexual abuse: a signal detection analysis.

Abstract:

:Eighty-five New Zealand based practitioners experienced in treating adults with a history of child sexual abuse participated in an online judgment study of child sexual abuse outcomes using signal detection theory methodology. Participants' level of sensitivity was assessed independent of their degree of response bias when discriminating (a) known child sexual abuse outcomes from behaviors thought to be unrelated to child sexual abuse and (b) direct child sexual abuse effects from subsequent coping strategies. Results demonstrated good sensitivity (accuracy) when identifying child sexual abuse effects from noneffects. When asked to discriminate direct child sexual abuse effects from ways of coping with distress, practitioners' accuracy was reduced, revealing a tendency to identify all effects as coping. Although treatment approaches highlight the pivotal role of identifying coping strategies, practitioners did not perceive maladaptive coping as a distinct clinical feature. Complex abuse cases may benefit from replacing maladaptive coping strategies (e.g., self-harm) with constructive coping (e.g., social support) in order to deliver efficacious practice.

journal_name

J Child Sex Abus

authors

Pechtel P,Evans IM,Podd JV

doi

10.1080/10538712.2011.627418

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

677-94

issue

6

eissn

1053-8712

issn

1547-0679

journal_volume

20

pub_type

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