Understanding sexual abuse: A single case study of a sexual abuse support group

Sexual abuse produces wounds that, to most, seem unspeakable. These unspoken words of pain cause wounds of body, mind, and soul. If these wounds are not given a chance to heal, the victim leads a life of isolation and shame. The pain is so deep that the individual searches for ways to cope. Coping with sexual abuse takes many forms. Some may include anorexia, bulimia, perfectionism, or suicidal ideation (Kearney-Cooke & Striegel-Moore 1994). Hundreds of articles have been written studying sexual abuse, yet there is something missing--the voice of the victims. This case study has allowed for the emergence of the voices of the victims. By studying the voice of the victims, knowledge, awareness, insight, and skills can be ascertained for educators and health care practitioners. The purpose of this case study was to develop a deeper understanding of childhood sexual abuse as described by participants in a sexual abuse support group. The procedure utilized in this case study was careful observation of a sexual abuse support group. This support group, consisting of seven women, met weekly and was studied over a period of four months. The researcher studied past data and journals of the support group participants. Five support group participants volunteered to be interviewed, and two in-depth interviews were conducted with each. Analyzing the data, using direct interpretation, and aggregating the information, the following themes emerged: The Raw Wound; The Silent Scream; Infection of the Soul; The Enemy Within; A Hole in My Soul; and Moving On. By this procedure, data were collected that served to draw awareness and possible implications for educators and health care practitioners. The main findings of this study revealed the devastating. lifelong impact that childhood sexual abuse had on the seven women studied. This in-depth formal, qualitative research will enable educators and health care practitioners to learn and share with appropriate students and/or patients. Changes may be made in the way educators and practitioners view sexual abuse, and may increase knowledge regarding the depth of anguish experienced by the victims