title: Talking therapy services for adult survivors of childhood sexual abuse (CSA) in Scotland: perspectives of service users and professionals.
abstract: This study aimed to elicit perceptions and experiences of talking therapy services for CSA survivors and professionals utilizing qualitative interviews and analyzing transcripts using Interpretative Phenomenological Analysis. Participants included 13 adult survivors and 31 professionals in statutory and voluntary services in Scotland. Main themes were benefits from and challenges of the therapeutic process. Benefits included a trusting therapeutic relationship, feeling safe to disclose, breaking isolation, enhancing self-esteem and self-worth, contextualizing the abuse, and moving toward recovery. Challenges included trauma-focused work, supportive contact, continuity and consistency of services, accessibility during acute episodes, hearing and managing disclosures, child protection issues, and availability and accessibility of services. The findings support a greater emphasis on relational models, supervision, and training.
authors: Ninewells Hospital, Dundee, Scotland. zchouliara@qmu.ac.uk
authors: Zoë
authors: Z
authors: Chouliara
authors: Thanos
authors: T
authors: Karatzias
authors: Georgia
authors: G
authors: Scott-Brien
authors: Anne
authors: A
authors: Macdonald
authors: Juliet
authors: J
authors: MacArthur
authors: Norman
authors: N
authors: Frazer
mesh_terms: D000328:Adult; D000739:Anecdotes as Topic; D001291:Attitude of Health Personnel; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology / Q000534:rehabilitation*; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D010358:Patient Participation / Q000523:psychology*; D010817:Physician-Patient Relations; D011369:Professional-Patient Relations; D012606:Scotland; D012650:Self Disclosure; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D055815:Young Adult