000 02933nab a22003017a 4500
999 _c7000
_d7000
005 20250625151543.0
008 210125s2019 ||||| |||| 00| 0 eng d
040 _aAFVC
100 _aMacGinley, Maureen
_99697
245 _aA scoping review of adult survivors’ experiences of shame following sexual abuse in childhood
_cMaureen MacGinley, Jan Breckenridge and Jane Mowll
260 _bWiley,
_c2019
500 _aHealth and Social Care, 2019, 27(5): 1135-1146
520 _aShame following childhood sexual abuse (CSA) can be intensely painful and destructive to one's sense of self and place in the world. Organised around an internalised core belief of worthlessness, extreme shame presents as a major therapeutic challenge in therapy with many CSA survivors. A range of clinical and empirical literature, alongside recounts of survivors lived experience, shows that shame is an effect of CSA for many survivors. Yet research has rarely focused specifically on survivors’ qualitative or lived experiences of shame. This article reports the results of a scoping review of the empirical research investigating adult survivors’ experiences of shame following sexual abuse in their childhood. Conducted in March 2018, the search strategy involved on‐line searches of English language, peer review and select grey literature repositories for articles published up to the end of 2017. Of the 28 peer reviewed studies included in the review, only three studies specifically investigate adult survivors lived experiences of shame. The synthesised findings from the studies identify five themes demonstrating the pervasive and detrimental influence of shame following CSA: (1) Psychological effects and trauma symptoms; (2) Relationships and social connections and disconnections; (3) Disclosure; (4) Self concept; and, (5) The process of recovery. These findings resonate with conceptual literature and broader research on the influence of shame following violence and highlight areas for future research and clinical practice. This scoping review identifies three key gaps: a need for further research across specific populations and groups; research evaluating therapeutic interventions responding to shame; and research that specifically investigates adult survivors’ lived experiences of shame following CSA. (Authors' abstract). Record #7000
650 4 _946
_aADULT SURVIVORS OF SEXUAL ABUSE
650 4 _aCHILD SEXUAL ABUSE
_9121
650 4 _aLITERATURE REVIEWS
_9350
650 4 _aPSYCHOLOGICAL ASPECTS
_9473
650 0 _94202
_aSHAME
650 4 _aTRAUMA
_9612
651 _aINTERNATIONAL
_93624
651 4 _aAUSTRALIA
_92597
700 _94142
_aBreckenridge, Jan
700 _aMowll, Jane
_99698
773 0 _tHealth and Social Care, 2019, 27(5): 1135-1146
830 _aHealth and Social Care
_99699
856 _uhttps://doi.org/10.1111/hsc.12771
_zDOI: 10.1111/hsc.12771
942 _2ddc
_cARTICLE