THE RELATIONSHIP BETWEEN CHILDHOOD SEXUAL ABUSE & SUBSEQUENT SELF-HARM

Undergraduate dissertation submitted in partial fulfilment of the requirements for a

BSc (Hons) Nursing

Mental Health Branch

MAY 2000

9484 words

CONTENTS:

Author's declaration of original work and word count i

Table of contents ii
List of illustrations iv
Acknowledgements v
Abstract vi

Introduction & Background
Methodology
Aim and research questions
Inclusion criteria/parameters for the literature search
Searching strategies
Strategy for evaluating literature obtained
Data handling strategy
Strategy for analysis and synthesis of findings
Resources required and sources identified
Prevalence of Self-Harm and Child Sexual Abuse
Community study
College samples
Clinical studies
Prospective studies
Pilot study
Longitudinal study
Conclusion
Effects of Child Sexual Abuse
Short-term effects
Long-term effects
Emotional reactions and self perceptions
Impact on interpersonal relations
Effects on sexuality
Effects on social functioning
Conclusion
Efficacy of the Interventions Available for Victims
of Child Sexual Abuse
CBT
Group therapy
Less common treatments
Conclusion
Summary of Findings
Limitations of the Work Reviewed
Limitations of the Literature Reviewing Process
Conclusions, Implications for Practice & Directions
for Future Research
Conclusion
Implications for Practice
Directions for Future Research
References
Bibliography
Appendix A: Criteria for Critiquing Quantitative Research
(Adapted from Gould, 1994)
Appendix B: Criteria for Critiquing Literature Reviews
(Adapted from Oxman & Guyatt, 1991)
Appendix C: Formal Dissertation Proposal

LIST OF ILLUSTRATIONS:

Figure 1 Research reviewed: overview of the methodology
Figure 2 Summary of findings

Chapter 1

Introduction & Background

1.1: Introduction
In the past, writers have attempted to obtain substantial evidence to support their claim that there is an inherent association between CSA and self-harm (Klonsky et al, 2003) (Keeley et al, 2003). The previous works encompassing this hypothesis are primarily methodically flawed in their approach, often outdated (>10 years) and involve small samples. To-date, there has not been a review of the relevant literature!

From a personal perspective, the two

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