FRI, Oct 8 \ 18.30-20.30 \ Trauma - Victimology
099
MARITAL AND SEXUAL SATISFACTION AMONG BATTERED WIVES WHO HAVEHAD MARITAL RAPE
Sahika Yüksel, Aysun Genc-Discigil
Istanbul University, Medical Faculty Psychiatry, Psychosocial Trauma Program, Topkapi Istanbul, Turkey
sahikayuksel@tnn.net
Women subject to physical and emotional violence of their spouse usually are coerced to have sexual intercourse; thus, tend to have sexual problems. Marital rape for domestic violence victims have been overlooked in psychiatric practice. In this study we questioned the women who have been physically abused by their partners about their marital satisfaction, sexual dysfunction and self-esteem.
This study was carried out in Istanbul Medical Faculty, Psychosocial Trauma Programme outpatient unit. The study participants were 50 females who had a history of partner abuse and who seeked psychiatric help. They were studied for their marital satisfaction, sexual dysfunction and self-esteem. Participants were divided in two groups according to whether they had PTSD diagnosis and not.
Assessment: a structured interview included demographic questionnaire, self-reported violence, SCID, Posttraumatic Stress Diagnostic Scale, Maudsley Marital relationship Questionnaire, Shover-Sexual History form (S-SHF) and Rosenberg Self-esteem Inventory were used.
The mean age was 37±9.48, range was 22-57. Except for 3 women most of them were still married, half of them having been married with their free will and the other half had arranged marriages. Most women did not mention their sexual problems during the initial interview. But when they were asked, they disclosed their sexual problems very willingly as if Pandora's box was open at last. Furthermore, Schover et al. (1980-1982) proposed a multiaxial problem oriented system for women who were diagnosed with sexual dysfunction. In our study, except for 3 (6%) all women reported sexual problems such as lack of sexual desire (74%), lack of arousal (62%), orgasm related problems (44 %), pain during intercourse (40 %) and dissatisfaction during sex was reported by 88%.
In addition, PTSD positive women's self-esteem, marital satisfaction and sexual problems statistically higher than the ones who have not PTSD diagnoses.
Conclusion: Although it is only rarely investigated, being exposed to sexual violence by intimate partner is a risk factor for different psychiatric problems, low self-esteem and marital as well as sexual problems. Mental health professionals should be aware of marital rape and its relationship with psychiatric problems. In this study which was in concordance with other studies, violence within the family had negative effects on sexuality.
100
ATTEMPTED SUICIDE ASSOCIATED WITH PHYSICAL AND SEXUAL VIOLENCE AGAINST CHILDREN AND ADOLESCENTS
José Raimundo Lippi, Amadeu Cruz, Ana Dias, Rosangêla Las Casas, Silvia Oliveira
Mental Health Department of Medicine School of Federal University of Minas Gerais Belo Horizonte, Brasil
Ciope@uol.com.br
Using the in case-control methodology, we examined a sample of 644 people, with 68% of women and 32% of men, with ages between 10 and 70 years, that were admitted for medical attendance in to the urgency Hospital, in Belo Horizonte, M/G State, Brazil.
The sample was divided in two groups, called of group attempt (those that tried the suicide) and group control (people admitted for any reason, except suicide attempt).
The work hypothesis that the suicide attempt, in any age, can be associated with the sexual violence was approved with reference to the sexual and confirming the correlation. There was not correlation between suicide attempt, in any age, and physical violence in the childhood and adolescence.
The group attempt accused a frequency of 33% (106) of sexual abuse, while in the group control the frequency was of 13% (42). Both differences are statistically significant.
In spite of the lessening to the physical abuse, that didn't mean in the sample risk factor for suicide attempt, it was running to 35% in the total population.
In the analyzed illustrative clinical cases of who tried the suicide and was sexually abused in the childhood or adolescence exists high consumption of alcohol and drugs.
The patients of both sexes, sexually abused in the childhood or adolescence, used the ego's defense mechanisms, before they tried the suicide.
101
A PSYCHOTIC EPISOD IN A SEXUAL ABUSED PATIENT
Jadranka Antonijevic, Veroljub Petrovic, Tatjana Maric
Medical military academy, Belgrad, Serbia & Montenegro
vako@beotel.yu
Sexual abuse is more common thing then people want to speak in public. Silance problem goes with cultural characteristic in our country although attitude of society is not very positive to person who suffered sexual abused. Predominant number of women is the similar with other country which report this problem.
The patient we wont to discus was sexually abused by her relative in age 23. She had amnesia after that trauma with active refusing to talk about that experience. Intrusive memory with the felling of shame and guilty in that period, cause reaction with element of paranoid interpretation resulting psychotic decompensation which ended suicide tempt year after.
At the age of 23, six mount before coming at our clinic patient begane to show unusual behaving with anxiety, agitation, aggression to family and poor social function. At first, on initiation of family, patient hardly begane to talk about sexually abuse experience. In clinical symptoms mainly dominate low tolerance to frustration, low control of impulse, unconvinience and anxiety. Trought self critic and negative perception of herself patient try to compensate insomnia, flashbacks and nightmare of abuse experience.
Psychological exploration of patient showed dominant sensitive-depress structure of character with avoiding coping style of life. Vulnerability to stress with rape abuse in maturation period resulted with PTSD symptoms and permanent change of character, needing psychotherapy treating depressive symptoms and suicide tempt.
102
PROBLEMS OF RESEARCHING INTERGENERATIONAL SEX
Vern L. Bullough
vbullough@adelphia.net Adult sexual interaction with pre-pubertal or earyl pubertal youths are not uncommon in society. For much of history such activities were accepted if not condoned. Though the age of consent has been rising, intergeneration sex still takes place. Much of twentieth century research has concentrated on the effects of such activities on the youths themselves or on their later memories. Research of offenders is more difficult except in a prison situation and it is from these that most data has been gained. In the U.S. therapists involved with adult offenders have to report them, and this is an impediment to serious research. Kinsey interviewed many who were involved as adults in such activity but came under severe attack as a result and there is a reluctance to report on his findings.
My own experience replicates his since my studies on age of consent, and attempt to understand intergenerational sex has resulted in smear campaigns against me and actual legislative investigations. Though I was eventually cleared of any wrong doing, and even recently given an honorary doctorate, I was probably just fortunate since others have even served jail terms. I strongly believe, however, that we need to understand these adult offenders, many of whom never enter the criminal justice system, and research is the best way to do it. This paper, as it recounts my own experience, emphasizes the importance of having individuals and societies involved in dealing with the topic speak out for the importance of research in non prison populations in helping us better understand to the those involved with intergenerational sex activity |
