title: Pervasive effects of childhood sexual abuse in lesbians' recovery from alcohol problems.
abstract: In narratives of 35 lesbians in alcohol recovery, 46% unexpectedly disclosed having survived childhood sexual abuse (CSA), linking it with addiction and recovery experiences. This subgroup described unbounded difficulties that pervaded their lives well into recovery. They reported multiple addictions, self-harm, isolation, sexual problems, depression, self-loathing, physical illness, and inability to work more often than did other participants. Those not reporting CSA were more socially and occupationally stable, self-satisfied, and physically well in recovery; their alcohol problems seemed circumscribed and responsive to conventional intervention. Conclusions indicate that CSA history may foster health risks that complicate alcohol recovery, necessitating more comprehensive clinical attention.
authors.affiliation: Health Maintenance Department, University of Wisconsin-Milwaukee School of Nursing, Milwaukee, Wisconsin 53201, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Hall
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D015897:Comorbidity; D005260:Female; D018452:Homosexuality, Female / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D010552:Personality Assessment; D012050:Rehabilitation, Vocational / Q000523:psychology; D016896:Treatment Outcome