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Toward a systematic model of treating adult victims of childhood sexual abuse
Abstract
The Transtheoretical Approach (Prochaska & DiClemente, 1983) predicts that people who are changing behaviors move through identifiable stages using specific processes of change at each stage. This study tested the applicability of the Transtheoretical Approach to AMAC (adults molested as children) clients in therapy. A multivariate analysis of variance was used to compare subjects in the Contemplation stage of change with subjects in the Action stage of change on their reported use of nine processes of change. Results showed that AMAC clients reported using four processes of change in the manner predicted by theory with Action stage clients reporting more use of three processes of change than Contemplation stage clients and equal use of a fourth process of change. Differences from theoretical predictions in reported use of two processes of change replicated the findings of two other studies. On one process, Helping Relationship, AMAC clients appear to differ from theory and from one previous study. Clients with more or less trauma symptoms and clients who had been abused more or less frequently differed in their reported use of the processes of change. Clients' reported use of the processes of change was not affected by their level of dissociation.
Subject Area
Psychotherapy
Recommended Citation
Koraleski, Stephanie F, "Toward a systematic model of treating adult victims of childhood sexual abuse" (1996). ETD collection for University of Nebraska-Lincoln. AAI9623628.
https://digitalcommons.unl.edu/dissertations/AAI9623628