Recovering the Lost Soul: Older Women’s Reflections on Past Intrafamilial Child Sexual Abuse

Abstract

Intrafamilial child sexual abuse (IFCSA) is a social problem with longstanding effects on victims’ lives. While scholarly literature has focused on the adverse aftermath of sexual abuse, only a few studies have acknowledged older women’s perspectives on their experience of IFCSA and their journey of healing and recovery. The aim of the present study was to explore how older survivors of IFCSA construct and shape their experience of healing in later life and the meaning they assign to this process. Narrative inquiry was selected to explore the narratives of 11 older women survivors of IFCSA. Participants were interviewed using a biographical narrative interviewing method. The narratives were then transcribed and analyzed using thematic, structural, and performance analyses. Four major themes emerged from the participants’ narratives: Achieving closure; Spiritual framing of IFCSA as a platform for self-growth; Becoming whole in old age; and Looking to the future after IFCSA. During the aging years, IFCSA survivors may redefine their identity and their place in the world. Using life review processes, older women in this study were striving to heal and reconcile with their past.

Keywords

older women intrafamilial child sexual abuse social constructivism life review qualitative study

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References

Allers

C. T.

Benjack

K. J.

Allers

N. T.

(1992). Unresolved childhood sexual abuse: Are older adults affected? Journal of Counseling and Development, 71(1), 14–17. https://doi.org/10.1002/j.1556-6676.1992.tb02163.x

Anderson

K. M.

Hiersteiner

(2008). Recovering from childhood sexual abuse: Is a “storybook ending” possible? The American Journal of Family Therapy, 36(5), 413–424. https://doi.org/10.1080/01926180701804592

Arias

B. J.

Johnson

C. V.

(2013). Voices of healing and recovery from childhood sexual abuse. Journal of Child Sexual Abuse, 22(7), 822–841. https://doi.org/10.1080/10538712.2013.830669

Barth

Bermetz

Heim

Trelle

Tonia

(2013). The current prevalence of child sexual abuse worldwide: A systematic review and meta-analysis. International Journal of Public Health, 58(3), 469–483. https://doi.org/10.1007/s00038-012-0426-1

Biedka

Ł.

Bierzyński

Domagalska-Kurdziel

Izdebski

(2019). Psychotherapy of holocaust survivors–integration of traumatic experiences? Israel Journal of Psychiatry, 56(1), 4–9.

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Bruner

(1991). The narrative construction of reality. Critical Inquiry, 18(1), 1–21. https://doi.org/10.1086/448619

Buchbinder

Sinay

(2020). Incest survivors’ life-narratives. Violence Against Women, 26(8), 803–824. https://doi.org/10.1177/1077801219847295

Bunting

Davidson

McCartan

Hanratty

Bywaters

Mason

Steils

(2018). The association between child maltreatment and adult poverty – a systematic review of longitudinal research. Child Abuse and Neglect, 77, 121–133. https://doi.org/10.1016/j.chiabu.2017.12.022

10.

Butler

R. N.

(1963). The life review: An interpretation of reminiscence in the aged. Psychiatry, 26(1), 65–76. https://doi.org/10.1080/00332747.1963.11023339

11.

Campbell

K. A.

Orr

Durepos

Nguyen

Whitmore

Gehrke

Graham

Jack

S. M.

(2021). Reflexive thematic analysis for applied qualitative health research. The Qualitative Report, 26(6), 2011–2028. https://doi.org/10.46743/2160-3715/2021.5010

(2014). Local volunteerism and resilience following large-scale disaster: Outcomes for health support team volunteers in Haiti. International Journal of Disaster Risk Science, 5(3), 206–213. https://doi.org/10.1007/s13753-014-0028-z

13.

Casey

K. L.

(1998). Surviving abuse: Shame, anger, forgiveness. Pastoral Psychology, 46(4), 223–231. https://doi.org/10.1023/A:1023093601201

14.

Chan

Fung

Chien

(2015). Bracketing in phenomenology: Only undertaken in the data collection and analysis process. The Qualitative Report, , 18(30), 1–9. https://doi.org/10.46743/2160-3715/2013.1486

15.

Clandinin

D. J.

Connelly

F. M.

(2000). Narrative inquiry: Experience and story in qualitative research. Jossey-Bass.

16.

Cook

J. M.

Dinnen

O’Donnell

(2011). Older women survivors of physical and sexual violence: A systematic review of the quantitative literature. Journal of Women’s Health, 20(7), 1075–1081. https://doi.org/10.1089/jwh.2010.2279

17.

Corbin

Morse

J. M.

(2003). The unstructured interactive interview: Issues of reciprocity and risks when dealing with sensitive topics. Qualitative Inquiry, 9(3), 335–354. https://doi.org/10.1177/1077800403009003001

18.

Courtois

C. A.

(2010). Healing the incest wound: Adult survivors in therapy (2nd ed.). W. W. Norton.

19.

DiLillo

Tremblay

G. C.

Peterson

(2000). Linking childhood sexual abuse and abusive parenting: The mediating role of maternal anger. Child Abuse and Neglect, 24(6), 767–779. https://doi.org/10.1016/S0145-2134(00)00138-1

20.

Draper

Pfaff

J. J.

Pirkis

Snowdon

Lautenschlager

N. T.

Wilson

Almeida

O. P.

Depression and Early Prevention of Suicide in General Practice Study Group (2008). Long-term effects of childhood abuse on the quality of life and health of older people: Results from the depression and early prevention of suicide in general practice project. Journal of the American Geriatrics Society, 56(2), 262–271. https://doi.org/10.1111/j.1532-5415.2007.01537.x

21.

Draucker

C. B.

Martsolf

D. S.

(2008). Storying childhood sexual abuse. Qualitative Health Research, 18(8), 1034–1048. https://doi.org/10.1177/1049732308319925

22.

Easton

S. D.

Kong

(2017). Mental health indicators fifty years later: A population-based study of men with histories of child sexual abuse. Child Abuse and Neglect, 63, 273–283. https://doi.org/10.1016/j.chiabu.2016.09.011

23.

Easton

S. D.

Kong

Gregas

M. C.

Shen

Shafer

(2019). Child sexual abuse and depression in late life for men: A population-based, longitudinal analysis. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 74(5), 842–852. https://doi.org/10.1093/geronb/gbx114

24.

Ege

M. A.

Messias

Thapa

P. B.

Krain

L. P.

(2015). Adverse childhood experiences and geriatric depression: Results from the 2010 BRFSS. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 23(1), 110–114. https://doi.org/10.1016/j.jagp.2014.08.014

25.

Ehrensaft

M. K.

Knous-Westfall

H. M.

Cohen

Chen

(2015). How does child abuse history influence parenting of the next generation? Psychology of Violence, 5(1), 16–25. https://doi.org/10.1037/a0036080

26.

Farris

Gibson

J. W.

(1993). The older woman sexually abused as a child. Journal of Women and Aging, 4(3), 31–44. https://doi.org/10.1300/J074v04n03_03

27.

Fehér

(2011). Understanding the homeless experience in Hungary through a narrative approach. European Journal of Homelessness, 5(1), 49–65.

28.

Fergusson

D. M.

McLeod

G. F. H.

Horwood

L. J.

(2013). Childhood sexual abuse and adult developmental outcomes: Findings from a 30-year longitudinal study in New Zealand. Child Abuse and Neglect, 37(9), 664–674. https://doi.org/10.1016/j.chiabu.2013.03.013

29.

Freedman

Combs

(1996). Narrative therapy: The social construction of preferred realities (1st ed.). Norton.

30.

Freedman

S. R.

Enright

R. D.

(1996). Forgiveness as an intervention goal with incest survivors. Journal of Consulting and Clinical Psychology, 64(5), 983–992. https://doi.org/10.1037/0022-006X.64.5.983

31.

Gagnon

Hersen

(2000). Unresolved childhood sexual abuse and older adults: Late-life vulnerabilities. Journal of Clinical Geropsychology, 6(3), 187–198. https://doi.org/10.1023/A:1009589115942

32.

Gall

T. L.

Basque

Damasceno-Scott

Vardy

(2007). Spirituality and the current adjustment of adult survivors of childhood sexual abuse. Journal for the Scientific Study of Religion, 46(1), 101–117. https://doi.org/10.1111/j.1468-5906.2007.00343.x

33.

Gekoski

Davidson

J. C.

Horvath

M. A. H.

(2016). The prevalence, nature, and impact of intrafamilial child sexual abuse: Findings from a rapid evidence assessment. Journal of Criminological Research, Policy and Practice, 2(4), 231–243. https://doi.org/10.1108/JCRPP-05-2016-0008

34.

George

Bance

L. O.

(2020). Religious and spiritual coping: A component of post traumatic growth among female young adults with an experience of child sexual abuse. International Bibliography of the Social Sciences, 8(1–3), 17–20.

35.

Gergen

K. J.

Gergen

(2000). The new aging: Self-construction and social values. In Schaie

F. W.

Hendricks

(Eds.), The evolution of the aging self: The societal impact on the aging process (pp. 281–306). Springer.

36.

Gichaz

Band-Winterstein

Avieli

(2022). Growing older in the shadow of childhood intrafamilial sexual abuse: Women’s reflections on parenthood experiences throughout the life course. The Gerontologist, 62(2), 232–240. https://doi.org/10.1093/geront/gnab102

37.

Graham

Patterson

Justice

Rapsey

(2022). It’s not a great boulder, it’s just a piece of baggage”: Older women’s reflections on healing from childhood sexual abuse. Journal of Interpersonal Violence, 37(1–2), 705–725. https://doi.org/10.1177/0886260520916270

38.

Haber

(2006). Life review: Implementation, theory, research, and therapy. International Journal of Aging and Human Development, 63(2), 153–171. https://doi.org/10.2190/DA9G-RHK5-N9JP-T6CC

39.

Haffejee

Theron

(2017). Resilience processes in sexually abused adolescent girls: A scoping review of the literature. South African Journal of Science, 113(9/10), 9. https://doi.org/10.17159/sajs.2017/20160318

40.

Harvey

M. R.

(2000). In the aftermath of sexual abuse: Making and remaking meaning in narratives of trauma and recovery. Narrative Inquiry, 10(2), 291–311. https://doi.org/10.1075/ni.10.2.02har

41.

Hugill

Berry

Fletcher

(2017). The association between historical childhood sexual abuse and later parenting stress: A systematic review. Archives of Women’s Mental Health, 20(2), 257–271. https://doi.org/10.1007/s00737-016-0708-3

42.

Hunter

S. V.

(2010). Evolving narratives about childhood sexual abuse: Challenging the dominance of the victim and survivor paradigm. Australian and New Zealand Journal of Family Therapy, 31(2), 176–190. https://doi.org/10.1375/anft.31.2.176

43.

Irish

Kobayashi

Delahanty

D. L.

(2010). Long-term physical health consequences of childhood sexual abuse: A meta-analytic review. Journal of Pediatric Psychology, 35(5), 450–461. https://doi.org/10.1093/jpepsy/jsp118

44.

Isobel

(2021). Trauma informed qualitative research: Some methodological and practical considerations. International Journal of Mental Health Nursing, 30(Suppl 1), 1456–1469. https://doi.org/10.1111/inm.12914

45.

Kaminer

Stein

D. J.

Mbanga

Zungu-Dirwayi

(2000). Forgiveness: Toward an integration of theoretical models. Psychiatry, 63(4), 344–357. https://doi.org/10.1080/00332747.2000.11024928

46.

Kamiya

Timonen

Kenny

R. A.

(2016). The impact of childhood sexual abuse on the mental and physical health, and healthcare utilization of older adults. International Psychogeriatrics, 28(3), 415–422. https://doi.org/10.1017/S1041610215001672

47.

Kirkner

Ullman

S. E.

(2020). Sexual assault survivors’ post-traumatic growth: Individual and community-level differences. Violence Against Women, 26(15–16), 1987–2003. https://doi.org/10.1177/1077801219888019

48.

Krayer

Seddon

Robinson

C. A.

Gwilym

(2015). The influence of child sexual abuse on the self from adult narrative perspectives. Journal of Child Sexual Abuse, 24(2), 135–151. https://doi.org/10.1080/10538712.2015.1001473

49.

Lalchandani

Lisha

Gibson

Huang

A. J.

(2020). Early life sexual trauma and later life genitourinary dysfunction and functional disability in women. Journal of General Internal Medicine, 35(11), 3210–3217. https://doi.org/10.1007/s11606-020-06118-0

50.

Lambie

Seymour

Lee

Adams

(2002). Resiliency in the victim–offender cycle in male sexual abuse. Sexual Abuse: A Journal of Research and Treatment, 14(1), 31–48. https://doi.org/10.1177/107906320201400103

51.

Lee

Y. R.

Enright

R. D.

(2014). A forgiveness intervention for women with fibromyalgia who were abused in childhood: A pilot study. Spirituality in Clinical Practice, 1(3), 203–217. https://doi.org/10.1037/scp0000025

52.

Lentz

G. M.

(Ed.), (2012). Comprehensive gynecology (6th ed.). Elsevier Mosby.

53.

Lev-wiesel

(2000). Quality of life in adult survivors of childhood sexual abuse who have undergone therapy. Journal of Child Sexual Abuse, 9(3–4), 1–8. https://doi.org/10.1300/J070v09n01_01

54.

Lincoln

Y. S.

Guba

E. G.

(2013). The constructivist credo. Left Coast Press, Inc.

55.

Linscott

Randolph

A. L.

Mayle

(2016). The impact of spirituality on wellness for Appalachian older adults. Adultspan Journal, 15(2), 96–108. https://doi.org/10.1002/adsp.12024

56.

Lomranz

(1998). An image of aging and the concept of integration: Coping and mental health implications. In Lomranz

(Ed.), Handbook of aging and mental health: An integrative approach. Plenum.

57.

Lomranz

Benyamini

(2016). The ability to live with incongruence: Aintegration—the concept and its operationalization. Journal of Adult Development, 23(2), 79–92. https://doi.org/10.1007/s10804-015-9223-4

58.

MacIntosh

H. B.

Ménard

A. D.

(2021). Where are we now? A consolidation of the research on long-term impact of child sexual abuse. Journal of Child Sexual Abuse, 30(3), 253–257. https://doi.org/10.1080/10538712.2021.1914261

59.

Mapp

S. C.

(2006). The effects of sexual abuse as a child on the risk of mothers physically abusing their children: A path analysis using systems theory. Child Abuse and Neglect, 30(11), 1293–1310. https://doi.org/10.1016/j.chiabu.2006.05.006

60.

McAdams

D. P.

(2009). The person: An introduction to the science of personality psychology (p. 5). Wiley.

61.

McAdams

D. P.

(2013). The psychological self as actor, agent, and author. Perspectives on Psychological Science, 8(3), 272–295. https://doi.org/10.1177/1745691612464657

62.

McInnis-Dittrich

(1996). Adapting life-review therapy for elderly female survivors of childhood sexual abuse. Families in Society: The Journal of Contemporary Social Services, 77(3), 166–173. https://doi.org/10.1606/1044-3894.891

63.

Melville

(2016). Conducting sensitive interviews: A review of reflections. Law and Method. https://doi.org/10.5553/REM/.000015

64.

Meraz

R. L.

Osteen

McGee

(2019). Applying multiple methods of systematic evaluation in narrative analysis for greater validity and deeper meaning. International Journal of Qualitative Methods, 18, 1–6, 160940691989247. https://doi.org/10.1177/1609406919892472

65.

Monahan

(2010). Themes of adult sibling sexual abuse survivors in later life: An initial exploration. Clinical Social Work Journal, 38(4), 361–369. https://doi.org/10.1007/s10615-010-0286-1

66.

Mooney

(2020). Using biographical narrative interviewing methodology to research adults’ experiences of disclosing childhood sexual abuse. Social Work and Social Sciences Review, 22(1), 64–82. https://doi.org/10.1921/swssr.v22i1.1503

67.

Morse

J. M.

(2000). Determining sample size. Qualitative Health Research, 10(1), 3–5. https://doi.org/10.1177/104973200129118183

68.

Moustakas

C. E.

(1994). Phenomenological research methods. Sage.

69.

Mukherjee

S. B.

(2016). Spirituality and religion: Elderly’s perception and understanding. Indian Journal of Gerontology, 30(3), 336–354.

70.

Palgi

Shrira

Shmotkin

(2015). Aging with trauma across the lifetime and experiencing trauma in old age: Vulnerability and resilience intertwined. In Cherry

K. E.

(Ed.), Traumatic stress and long-term recovery: Coping with disasters and other negative life events (pp. 293–308). Springer International Publishing. https://doi.org/10.1007/978-3-319-18866-9_16

71.

Patton

M. Q.

(2002). Two decades of developments in qualitative inquiry: A personal, experiential perspective. Qualitative Social Work, 1(3), 261–283. https://doi.org/10.1177/1473325002001003636

72.

Pereda

Guilera

Forns

Gómez-Benito

(2009). The prevalence of child sexual abuse in community and student samples: A meta-analysis. Clinical Psychology Review, 29(4), 328–338. https://doi.org/10.1016/j.cpr.2009.02.007

73.

Peteet

J. R.

Zaben

F. A.

Koenig

H. G.

(2019). Integrating spirituality into the care of older adults. International Psychogeriatrics, 31(1), 31–38. https://doi.org/10.1017/S1041610218000716

74.

Peters

Kaye

L. W.

(2003). Childhood sexual abuse. Clinical Gerontologist, 26(3–4), 29–53. https://doi.org/10.1300/J018v26n03_04

75.

Pietkiewicz

Smith

J. A.

(2014). A practical guide to using interpretative phenomenological analysis in qualitative research. Czasopismo Psychologiczne Psychological Journal, 20(1), 7–14. https://doi.org/10.14691/CPPJ.20.1.7

76.

Prieto-Ursúa

(2020). Is it possible to forgive child sexual abuse? Frontiers in Psychology, 11, 619597. https://doi.org/10.3389/fpsyg.2020.619597

77.

Puchalski

Ferrell

Virani

Otis-Green

Baird

Bull

Chochinov

Handzo

Nelson-Becker

Prince-Paul

Pugliese

Sulmasy

(2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. Journal of Palliative Medicine, 12(10), 885–904. https://doi.org/10.1089/jpm.2009.0142

78.

Putnam

F. W.

(2003). Ten-year research update review: Child sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry, 42(3), 269–278. https://doi.org/10.1097/00004583-200303000-00006

79.

Rapsey

C. M.

Scott

K. M.

Patterson

(2019). Childhood sexual abuse, poly-victimization and internalizing disorders across adulthood and older age: Findings from a 25-year longitudinal study. Journal of Affective Disorders, 244, 171–179. https://doi.org/10.1016/j.jad.2018.10.095

80.

Reker

Birren

Svensson

(2012). Restoring, mantaining and enhancing personal meaning in the life through autobiographical methods. In Wong

P. T. P.

(Ed.), The human quest for meaning: Theories, research, and applications (pp. 383–407). Routledge.

81.

Riessman

C. K.

(2008). Narrative methods for the human sciences. Sage.

82.

Riessman

C. K.

(2012). Analysis of personal narratives. In Gubrium

J. F.

(Ed.), The Sage handbook of interview research: The complexity of the craft (2nd ed., pp. 367–379). Sage.Publications.

83.

Ritchie

Lewis

(Eds.), (2003). Qualitative research practice: A guide for social science students and researchers. Sage Publications.

84.

Rodham

Fox

Doran

(2015). Exploring analytical trustworthiness and the process of reaching consensus in interpretative phenomenological analysis: Lost in transcription. International Journal of Social Research Methodology, 18(1), 59–71. https://doi.org/10.1080/13645579.2013.852368

85.

Sanci

(2019). Understanding and responding to the long-term burdens of childhood sexual abuse. The Lancet Psychiatry, 6(10), 795–797. https://doi.org/10.1016/S2215-0366(19)30329-3

86.

Scheffelaar

Janssen

Luijkx

(2021). The story as a quality instrument: Developing an instrument for quality improvement based on narratives of older adults receiving long-term care. International Journal of Environmental Research and Public Health, 18(5), 2773. https://doi.org/10.3390/ijerph18052773

87.

Shaked

Bensimon

Tuval Mashiach

(2021). Internalization and opposition to stigmatized social discourse among incest survivors. Journal of Child Sexual Abuse, 30(7), 847–868. https://doi.org/10.1080/10538712.2021.1970680

88.

Sheinberg

True

(2008). Treating family relational trauma: A recursive process using a decision dialogue. Family Process, 47(2), 173–195. https://doi.org/10.1111/j.1545-5300.2008.00247.x

89.

Simon

V. A.

Feiring

Kobielski McElroy

(2010). Making meaning of traumatic events: Youths’ strategies for processing childhood sexual abuse are associated with psychosocial adjustment. Child Maltreatment, 15(3), 229–241. https://doi.org/10.1177/1077559510370365

90.

Steine

I. M.

Winje

Krystal

J. H.

Bjorvatn

Milde

A. M.

Grønli

Nordhus

I. H.

Pallesen

(2017). Cumulative childhood maltreatment and its dose-response relation with adult symptomatology: Findings in a sample of adult survivors of sexual abuse. Child Abuse and Neglect, 65, 99–111. https://doi.org/10.1016/j.chiabu.2017.01.008

91.

Tener

Murphy

S. B.

(2015). Adult disclosure of child sexual abuse: A literature review. Trauma, Violence, and Abuse, 16(4), 391–400. https://doi.org/10.1177/1524838014537906

92.

Toivonen

Charalambous

Suhonen

(2018). Supporting spirituality in the care of older people living with dementia: A hermeneutic phenomenological inquiry into nurses’ experiences. Scandinavian Journal of Caring Sciences, 32(2), 880–888. https://doi.org/10.1111/scs.12519

93.

Van Der Westhuizen

Walker-Williams

H. J.

Fouché

(2022). Meaning making mechanisms in women survivors of childhood sexual abuse: A scoping review. Trauma, Violence, and Abuse. https://doi.org/10.1177/15248380211066100

94.

Wallace

J. B.

(1992). Reconsidering the life review: The social construction of talk about the past. The Gerontologist, 32(1), 120–125. https://doi.org/10.1093/geront/32.1.120

95.

Walton

(2005). Therapeutic forgiveness: Developing a model for empowering victims of sexual abuse. Clinical Social Work Journal, 33(2), 193–207. https://doi.org/10.1007/s10615-005-3532-1

96.

Wengraf

(2001). Qualitative research interviewing. SAGE Publications, Ltd. https://doi.org/10.4135/9781849209717

97.

Westerhof

G. J.

Bohlmeijer

E. T.

(2014). Celebrating fifty years of research and applications in reminiscence and life review: State of the art and new directions. Journal of Aging Studies, 29, 107–114. https://doi.org/10.1016/j.jaging.2014.02.003

98.

Willis

D. G.

DeSanto-Madeya

Fawcett

(2015). Moving beyond dwelling in suffering: A situation-specific theory of men’s healing from childhood maltreatment. Nursing Science Quarterly, 28(1), 57–63. https://doi.org/10.1177/0894318414558606

99.

Wolf

Kusmaul

Mucha

(2022). It gets better: Childhood sexual abuse and trauma symptoms in female older adults. Journal of Women and Aging, 34(6), 800–809. https://doi.org/10.1080/08952841.2021.1995305

100.

Woodiwiss

(2014). Beyond a single story: The importance of separating ‘harm’ from ‘wrongfulness’ and ‘sexual innocence’ from ‘childhood’ in contemporary narratives of childhood sexual abuse. Sexualities, 17(1–2), 139–158. https://doi.org/10.1177/1363460713511104

101.

Wylie

J. L.

(2011). Drawing from the well: Women’s spiritual experiences in healing from child sexual abuse. Queen’s University.