Intervention and Rehabilitation for Sexual Abuse Trauma

Intervention and Rehabilitation for Sexual Abuse distressPresenting ProblemThe case is about an adult womans push to get over her harm for the sexual abuse she suffered in her childhood. Apparently, her monstrous memories of such a traumatic experience were triggered when she and her workmates visited a friends farm in the country. While in the farm, she had flashes of her agonising childhood memories which she pattern she has forgotten over the years. However, the sights, smells, sounds, etc. of the farm only made the flashbacks more vivid.Sherry was only four years old when her gramps began sexually molesting her in his barn. He did this to her until she was nine years old when she and her family had to move to another city due to her fathers employment. Sherry used to adore her grandfather because he brought her on trips around the country side and had ready treats for her every sentence she and her parents came to visit him and her grandmother. It is in the barn when he would sexually abuse her in the guise of pretend play. Sherry did not enjoy that kind of play at all and mat up uncomfortable with her grandfathers touch. notwithstanding if she was already toilet trained, she would sometimes soil her underwear in the hope that her grandfather pull up stakes not rape her. Although he told her that it was their secret and she was not divinatory to tell any hotshot, she tried to tell her mother when she was five years old, and in response, she was spanked, in the belief that she was lying. She never told anyone again.Bowlbys Attachment Theory (1969) is one theory that explains the development of attachment of children to their of import others. It posits that a individuals real relationships in the earliest stages of carriage shape his or her survival functions as he or she grows and develops through and throughout the life span. To Sherry, her attachment relationships to twain her grandfather and mother may have been shattered by her letdow n in them. Ringel (2012) contends that children same Sherry develop disorganized attachments alternating between in accepted and avoidant behaviors as well as divisible behaviors like freezing and instant behavior. The dissociative processes used by the child have been developed from his or her dysregulated, traumatic inter challenges with the people they are attached to. These provide protection from fire and unacceptable affects like being fearful or angry towards the significant other. Dissociation can also mean adopting alternate and disconnected identities, developing sensible sensations and conflicts in relationships. The individual may realize that such dissociative behavior is very unlike his or her character (Ringel, 2012). In Sherrys case, if she developed dissociative behaviors (such as soiling her underwear when she was with her grandfather), it was to cover up the fear and anger she keeps for her grandfather, who violated her, and her mother, who did not believe her and instead, rejected her. injury theories point to the victim trying to control the resurfacing of the memory of the painful incident and stashing it away in some part of the brain to enable him/her to center on living day to day. However, such memories can still be triggered by material factors from the environment causing the individual to react physically to the memory, be it conscious or not. Nonverbal messages are conveyed by facial, nonverbal body language (Jacobs, 1994).Recently, with the old pain being resurrected, Sherry always felt stressed out. She would feel palpitations and sudden episodes of intense fear that makes her unable to abbreviate on her work. She also felt worthless, as if she is damaged goods. Her self-esteem became so affected that she feels she has lost the former sureness she exuded. She does not feel like socializing with others and would rather be alone. That was the reason why she sought sea captain help.Proposed InterventionIn designing the most appropriate interpolation for Sherry, who has been through such an intense trauma and is in need of more judgment and less judgment from a counselling or therapist, it is important to call back that gaining her trust necessitates a more humanistic approach such as the one advocated by Rogers Person-Centered model. This emphasizes unconditional corroboratory regard and the quest for congruousness of self to achieve au pastticity, meaning the integration of the persons unexclusive and actual selves. This approach has great respect for a persons subjective views and potential for self-actualization. It offers a fresh and hopeful perspective on its views on human nature no matter how dire his or her past experiences may be (Weiten McCann, 2006).The intervention should target all aspects of Sherrys development, namely her socio-emotional, cognitive, physical and even spiritual aspects. The intervention includes counselling sessions with a competent counsellor or therapist wh o can accurately sympathize with Sherrys subjective experiences on an interpersonal, cognitive and affective level to richly unlock her perceptions, feelings and motivations for her behaviors (Corey, 2005). Sherry will find in Person-centered therapy a trustworthy and evaluate friend who is ready to listen but not judge her painful past. She will be encouraged to express her innermost feelings, both positive and negative, and feel assured that she remains acceptable to the counsellor. Eventually, the goal is for her to overcome her trauma by being reassured that it was not her fault, nudged to move on and eventually, embark on her healing by deciding on a positive action towards self-actualization.A huge part of Sherrys healing is forgiveness. This releases her from the heavy pack she has been struggling with all her life that she has managed to keep it repressed in her unconscious. The counsellor may help her process this huge step and support her when she finally makes that step to forgive her grandfather for the damage he has done to her person as well as her mother for not believing in her and losing her trust.Since Sherrys trauma not only brings about emotional and mental anguish but manifests physical symptoms as well, the intervention should also guide that. One therapy for trauma victims is the Observed Experiential Integration (OEI). This requires keen musing of the clients responses to their experiences brought up during therapy. Counselors provide continuous feedback to their clients as to the physical and emotional changes observed while treat shared traumatic experiences. Even minute changes such as the reddening or moistening of the eyes, blushing, tension in the jaw may depict higher levels of emotional or somatic responses while hesitations, brow furrowing, inconsistencies in narration of incidents may denote confusedness or emotional conflict (Bradshaw et al., 2011). Making the client aware of her corporeal responses will make it e asier for her to manage them. Walsh (2009) provides specific guidelines in helping clients regard with stress namely relaxation skills and stress prevention training. This involves the joint processing of relaxation skills and the agreement of relaxation techniques that work for the client such as listening to music or deep breathing exercises to calm the bodily reactions to the traumatic memories that surface. It also teaches the client to prevent further stress by avoiding things that would trigger stress in her system.EvaluationEvaluation of the effectiveness of the intervention can only be done after a certain period of time when Sherry has totally moved on from the ghosts of her past. The effectiveness will be apparent in how she manages her behaviors and attitudes. If she can effectively live her life without being bothered anymore by her painful memories, if she can conversation about it with deep wisdom and understanding and most importantly, if she has forgiven her grandf ather for his transgressions and spotted up her strained relationship with her mother. She should also manifest her old confidence and positive disposition as well as sustain her goodly relationships with her family and friends while also expanding her social network. If all of that happens after the designed intervention, then it can be considered effective.