Male Survivors of Childhood Sexual Abuse: A Qualitative Study and Issues for Clinical Consideration

ABSTRACT

This qualitative study explored the effects of childhood sexual abuse with 10 adult male survivors. The men who participated in the research were largely motivated by their perception that North American society does not acknowledge the sexual abuse of boys. They described the abuse as having significantly affected their sexual identity, as well as their emotional and sexual relationships as adults. The implications of these issues for clinical intervention are described.     

Paving the Way for A Normal Life: A Qualitative Study of Coping Strategies Among Iranian Divorced Women

Regarding the devastating aftermath of divorce among Iranian divorced women, which is mainly affected by sociocultural factors, this qualitative study was conducted to explore their applied strategies in reorganizing their lives. Data collection started through deep unstructured interviews followed by semistructured interviews with 18 divorced women who were chosen by purposive sampling from mental health clinics, social work centers, or available cases. Gathered data were analyzed using the qualitative content analysis method. Two main themes—behaviors of self-preservation and abstinence and struggling for balance—emerged. Subcategories were concealing the divorce, feminine self-restriction, avoidance behaviors, replacement of losses, seeking support, role development, handling the tensions, and defending oneself against the divorce failure. This study provides comprehensive knowledge of how Iranian divorced women reregulate their lives and also highlights their unique and culture-based coping strategies. Therefore, it provides specialists with a context-specific foundation for mental health care and enables them to intervene more effectively.     

Shame and Guilt in Men Exposed to Childhood Sexual Abuse: A Qualitative Investigation

This study examined the experiences of shame and guilt in adult males sexually abused as children. Seven participants attending a service for male sexual abuse completed measures of shame, guilt, dissociation, and childhood trauma history and subsequently participated in a focus group. All participants experienced childhood sexual abuse in the “severe” range and showed elevated scores for shame, guilt, and dissociation. Four superordinate themes with associated subordinate themes emerged: (a) self-as-shame (foundations of self-as-shame, fear of exposure, temporary antidote: connection), (b) pervasiveness and power of doubt and denial (from others, from self, consequences of incredulity), (c) uncontrollability (of problems after disclosure, of rage, of intrusions and emotional pain), and (d) dissociation. Results are discussed with reference to the existing literature and the emerging “self-as-shame” construct, which appeared to encapsulate participants’ view of themselves.     

Experiences of Young People with Harmful Sexual Behaviors in Services: A Qualitative Study

ABSTRACT

Young people are responsible for a significant number of the sexual offenses that are committed every year. These young people are generally referred to specialist services for treatment. This article explores the health characteristics and service experiences of 117 young people with sexual behavior problems, and the issues that services face when working with them. The study is based on analysis of 117 case files, identified from nine specialist services in the UK. The case files were thematically analyzed. Case files provided information on the following topics: the reasons why the young people were referred to harmful sexual behavior services; the young people’s personal characteristics; their medical and mental health problems; the young people’s interests and aspirations; their attitudes toward services and interventions; continued problematic sexual incidents in services; progress in services; and post-service experiences. Overall, the findings of the study indicate that these young people have a number of strengths, but often have problems across a range of personal and health domains. A number of them continue to remain sexually and generally violent in services, particularly in residential settings, which has risk management implications for staff.     

Healing from Childhood Sexual Abuse: A Meta-Synthesis of Qualitative Studies

ABSTRACT

Although the global prevalence of childhood sexual abuse (CSA) is very high, the experience of healing after such abuse has not been well documented. The goal of this study was to characterize the healing experience among CSA survivors presented in the literature. Metaethnography was used to synthesize an integrative literature review. The CINAHL, PubMed, PsycINFO, and Web of Science databases were used as data sources. Eight articles that explored healing experiences from CSA, published between 2007 and 2017, were included in the analysis. After performing a quality assessment, line-of-argument synthesis was used to construct the integrating scheme of healing experiences from CSA. CSA healing experiences included dissociating oneself from the memories of CSA, finding peace by creating a comfort zone, disclosure as the start of healing, attempting to establish identity through ongoing self-reflective activities, feeling comfort by sharing experiences and connecting with CSA survivors, and accepting CSA as part of the life history and stepping forward. Healing experiences from CSA synthesized from the analysis focused on personal growth, supporting previous theory on CSA health in the broader literature. A tailored care plan could be developed for CSA survivors who are at varying stages of healing.     

Treatment Experiences of Child Sexual Offenders in Norway: A Qualitative Study

This article is an attempt at gaining a better understanding of treatment of adults who have committed sexual offenses against children. In this study we aimed to explore what people who have committed sexual offenses against children find useful in therapy. The study was approached using qualitative methodology, and information was collected through semistructured interviews. Four male child sexual offenders were recruited from the Institute of Clinical Sexology and Therapy in Oslo, Norway. The informants were interviewed with a focus on what factors they found useful in therapy. Through an explorative, thematic analysis, five main themes were found. These themes include: “Why I started going to therapy,” “Why did I do it?” “Therapy as life,” “Previous and current relationships with others,” and “I lived in a fantasy world where everything was okay.” Based on this study and other earlier studies and theories it appears that the previously mentioned themes recur as important contributory factors in the treatment of child sexual offenders.     

Sexual Dysfunction among Male Patients with Tramadol abuse: A Case-Control Study

Objective: Here we have investigated the association between tramadol abuse and male sexual function. Methods: Eighty-two male tramadol abuse patients and 55 healthy controls (20- to 45-years-old) were included in the study. Data from a sociodemographic questionnaire and the International Index of Erectile Function Questionnaire were collected and analyzed. Results: The tramadol abuse patients were 5 times more likely than their healthy counterparts to have erectile dysfunction. The tramadol abuse patients also had worse scores in the orgasmic, sexual desire, intercourse satisfaction, and overall satisfaction domains compared to the controls. Conclusion: Sexual dysfunctions are common among tramadol abuse patients.     

Perception of Identity Threat as the Main Disturbance of Iranian Divorced Women: A Qualitative Study

Postdivorce identity challenges can be experienced differently in societies that underline the lack of normalcy of divorce. Therefore, this study was conducted to explore Iranian divorced women’s perceptions of their identities. A qualitative content analysis method was applied. Participants included 18 divorced women recruited based on purposive sampling. Data were gathered using unstructured interviews, and analyzed via content analysis method. Three categories—stigmatization, separation shock, and remarriage paradox—were extracted, and the main theme was identity threat. Findings illustrate that Iranian divorced women can be considered at risk, and hence, understanding their views is vital for developing context-specific preventive and intervention programs.     

An Exploratory Qualitative Study of the Self-Reported Impact of Female-Perpetrated Childhood Sexual Abuse

The limited findings on the impact of female-perpetrated sexual abuse of children are often contradictory, particularly in relation to males. In this exploratory qualitative study, a sample of nine men and five women who reported that they had been sexually abused by women in their childhood were recruited from the general community. They completed a questionnaire that asked them to describe various aspects of their abuse experiences and the perceived consequences. For both men and women, the abuse was associated with negative outcomes across a range of functional areas in both childhood and adulthood. Many impacts were similar to those reported by victims of male-perpetrated sexual abuse. It is argued that the consequences of female-perpetrated child sexual abuse are serious, and further research is required to bring these issues to the awareness of both the public and professionals working in the field of child protection and counseling.     

Breaking Singles Up: Sexual Satisfaction among Men and Women

ABSTRACT

Using the National Health and Social Life Survey, we investigate sexual satisfaction by marital status and gender. We disaggregate the “single” category into “never-married” and “ever-married” individuals, rather than lumping never-married, divorced, separated, and widowed individuals into the “single” category. We argue that the use of a combined category neglects variation between never-married and ever-married single individuals due to differences in age and life-course transitions. We find that self-reports of physical and emotional sexual satisfaction vary between ever-married and never-married single individuals, and also between men and women. Further, we find that intimacy and commitment beliefs are associated with only emotional sexual satisfaction for women but with both physical and emotional sexual satisfaction for men.     

The Use of Internet Chat Rooms to Meet Sexual Partners: A Comparison of Non-Heterosexually Identified Men with Heterosexually Identified Men and Women

ABSTRACT. Objectives: Prior work suggests that many individuals use the Internet to meet romantic or sexual partners. Our intent was to explore perceptions and experiences with meeting people online. Methods: In 2008, the authors conducted U.S.-based online interviews with 65 predominantly White, self-identified heterosexual men and women and gay/bisexual men (Mean age = 30.8 years). Results: Reasons for meeting people online, desired partner characteristics, and the process of connecting for sex paralleled those observed in face-to-face contexts. People used Internet chat rooms to identify more partners and specific partner characteristics. “Background checks” of online partners, though often believed to be inaccurate, increased familiarity and trust leading to reduced condom use. Participants said online condom use negotiation was easier but usually occurred in face-to-face contexts. Conclusions: The fundamental processes of meeting partners online are similar in many ways to meeting partners face-to-face; however, the Internet facilitates rapid access to relatively large numbers of potential partners.     

Women with disabilities in the North West province of Cameroon: resilient and deserving of greater attention

Cameroonian women living with disabilities face three‐fold discrimination as a result of their sex, perceived inability and low socio‐economic status. A needs assessment using focus groups (two focus groups, n = 24) and key participant interviews (n = 12) was conducted to explore the experiences of women with disabilities in the North West province in both urban and rural areas. The findings show that women faced both physical and attitudinal barriers, lived in poverty and felt that they lacked opportunities for gaining an education, finding employment and forming meaningful social ties. There was significant complexity of relationships, marriage and children in their lives. Participants generated ideas on changes that needed to be made for the betterment of their lives. Aspirations included increasing empowerment and education, gaining support from family and friends, increasing public awareness, adapting the physical environment and finding allies.     

How Rumination Affects Marital Conflict in Iranian Women: A Qualitative Study

Rumination can cause numerous problems for an individual. Previous studies have indicated that the tendency of women toward rumination is greater than that of men. Therefore, the aim of this study was to investigate how rumination might affect marital conflict in Iranian women. This qualitative study has a thematic analysis design. Using purposeful sampling, women were recruited to be interviewed using a semistructured manual, and the sampling continued until it reached saturation (N = 63). Analysis of the data showed that findings could be grouped into 5 themes: insecure attachment style, deteriorating behaviors, deactivation, uncertainty about the relationship, and negative emotions. The finding of this research is that when marital conflicts are not solved, insecure attachment styles are activated, possibly resulting in rumination. As a result, rumination will exacerbate the negative emotions and marital relationship quality.     

The Prevalence and Risk Factors of Sexual Dysfunction Among Czech Women

ABSTRACT. This article presents the results of a representative national study highlighting the risk factors of female sexual dysfunction in the Czech Republic. The study design is a representative quota survey of 1,000 Czech women aged 15 years and older. The questionnaire is a part of wider long-term survey of sexual behavior within the Czech population, which started in 1993. Besides the various aspects of sexual behavior, the questionnaire included a specific section on sexual dysfunction. The prevalence of sexual dysfunction among women in the Czech Republic is 20%. Risk factors that increase the likelihood of sexual dysfunction are: sexual abuse during childhood and having been forced to engage in sex during their lifetime, having sexually transmitted diseases, and having positive attitudes toward casual sex. Sexual characteristics that strongly associate with sexual dysfunction are: not being satisfied with sex and having faked orgasm “often and almost always.” These results indicate that there are risk factors for developing female sexual dysfunction, which can be identified, and there are other related characteristics that can have a negative impact on sexual behavior.     

Measuring the Effectiveness of Experiential Date Nights: A Qualitative Study

ABSTRACT

This qualitative study examines the experience of 13 couples who attended a relationship education date night in two metropolitan areas in a western state. The intent of these date nights was to reach audiences that may not attend traditional classroom relationship education. Reasons for, benefits of attending, and impacts were explored with participants. Findings indicate that most participants had fun and enjoyed spending time together, learned qualities and skills of healthy relationships, and had positive learning experiences with other couples. Additionally, although most individuals’ reason for attending was to have fun, most experienced a positive impact on their relationships after the event, such as improved communication, increase in affection and gratitude, or spending more time together. This finding may indicate that regardless of the reasons for attending, it is possible to create an environment for learning relationship skills that can, and most likely will, extend beyond the night of the event and could potentially lead to long-term positive impacts in relationships. Based on findings and existing research, activity-based relationship education, such as date nights, needs to be taken seriously as a model for couple education and considered as part of a well-rounded approach to relationship education.     

Fairy Godmothers and Guardian Angels: A Qualitative Study of the Gay Mentorship Relationship

We conducted a qualitative study to explore the benefits of one gay male community resource, gay mentorship, particularly regarding sexual identity development. Findings indicate that gay mentorship is most involved in gay identity integration, and aided in supporting gay identity development, connecting men to gay-related resources, helping men to feel part of a gay community, improving management of gay-related stressors and role-modeling a positive gay identity. We found that gay mentorship was not associated with gay identity formation. Our research does suggest that gay mentorship fosters psychosocial benefits in gay men, and should therefore be fully explored in future studies.     

The Impact of HIV Pre-exposure Prophylaxis (PrEP) Use on the Sexual Health of Men Who Have Sex with Men: A Qualitative Study in Seattle,WA

This study explores the impacts of HIV pre-exposure prophylaxis (PrEP) use on the sexual health of men who have sex with men (MSM). The authors conducted in-depth interviews with MSM who use PrEP (n = 14). Data was analyzed using interpretative phenomenological analysis. PrEP use reduced fear and shame associated with sex and facilitated greater sexual satisfaction and intimacy. Although participants generally viewed PrEP as empowering and beneficial, they also experienced PrEP-related stigma. The authors’ analysis emphasizes the importance of understanding the reasons MSM use PrEP and highlights opportunities for reducing harm and fostering sexual health among MSM who are using or considering PrEP.