FMSC 431 Lecture Notes - Lecture 14: Rape Of Males, Stage Fright, Psychotherapy
Document Summary
Child abuse, rape, & stressors associated with sexual dysfunction. Reports of abuse by children rarely are false; reports by adolescents sometimes reflect conflict with an adult and are distorted, but generally should be taken very seriously. Most sexual abuse is seductive rather than coercive, so don"t expect bruises. Precocious sexual interest or preoccupation; indiscreet masturbation; pain when sitting or walking; boundary problems. Social withdrawal; fear of authorities or a specific adult; excessive acquiescence to authority figures. Shame; depression; underachievement, distraction; self-deprecation, low self-esteem; suicidal thinking; substance abuse; poor impulse control; eating disorders. Post-traumatic stress disorder symptoms (e. g. , startle response, hyper-vigilance, anxiety; dissociation symptoms (e. g. , denial, blanking out); (cid:1688)child abuse accommodation syndrome(cid:1689) of accepting and not fighting the abuse. Dependence on abuser (e. g. , physically, financially, emotionally) Was taught that bad people are punished, so assumes s/he has been bad. Was taught no one talks about sexual issues. Child lacks vocabulary to describe what occurred; adults fail to pick up on cues.