Male Survivors Of Sexual Abuse Research Articles

Training Male Sexual Abuse Survivors as Peer Leaders to Deliver Motivational Interviewing and Trauma-Informed Affirmative Care

ABSTRACT This paper provides a description and evaluation of training male sexual abuse survivors to deliver Motivational Interviewing (MI) and Motivational Interviewing with Trauma-Informed Affirmative Care (MI-AC) online to sexual and gender minority (SGM) men with sexual assault histories and depression. After a search and selection process, 26 men with lived experience of sexual abuse received MI training that included the use of role-playing, video demonstrations, and practice followed by weekly supervision while co-leading groups. Peer leaders completed several measures pre and post training, including beliefs about MI and self-reported learning of MI and satisfaction with the training. A sample of MI and MI-AC audio sessions were independently rated for adherence and competence. Peer leaders’ beliefs about MI changed over time, while self-rated skill level stayed consistent. Peer leaders demonstrated good adherence to the MI and MI-AC conditions. Results suggest that men with lived experience of sexual trauma effectively learned to deliver MI and/or MI-AC to SGM male survivors in online groups. These interventions have the potential to expand the reach of limited services for this population as well as reduce their depression and assist in SGM men with histories of sexual abuse entering into formal mental health services.

Survivor, family and professional experiences of psychosocial interventions for sexual abuse and violence: a qualitative evidence synthesis.

It is well-established that experiencing sexual abuse and violence can have a range of detrimental impacts; a wide variety of interventions exist to support survivors in the aftermath. Understanding the experiences and perspectives of survivors receiving such interventions, along with those of their family members, and the professionals who deliver them is important for informing decision making as to what to offer survivors, for developing new interventions, and enhancing their acceptability. This review sought to: 1. identify, appraise and synthesise qualitative studies exploring the experiences of child and adult survivors of sexual abuse and violence, and their caregivers, regarding psychosocial interventions aimed at supporting survivors and preventing negative health outcomes in terms of benefits, risks/harms and barriers; 2. identify, appraise and synthesise qualitative studies exploring the experiences of professionals who deliver psychosocial interventions for sexual abuse and violence in terms of perceived benefits, risks/harms and barriers for survivors and their families/caregivers; 3. develop a conceptual understanding of how different factors influence uptake, dropout or completion, and outcomes from psychosocial interventions for sexual abuse and violence; 4. develop a conceptual understanding of how features and types of interventions responded to the needs of different user/survivor groups (e.g. age groups; types of abuse exposure; migrant populations) and contexts (healthcare/therapeutic settings; low- and middle-income countries (LMICs)); 5. explore how the findings of this review can enhance our understanding of the findings from the linked and related reviews assessing the effectiveness of interventions aimed at supporting survivors and preventing negative health outcomes. In August 2021 we searched MEDLINE, Embase, PsycINFO and nine other databases. We also searched for unpublished reports and qualitative reports of quantitative studies in a linked systematic review, together with reference checking, citation searches and contacting authors and other researchers to identify relevant studies. We included qualitative and mixed-methods studies (with an identifiable qualitative component) that were linked to a psychosocial intervention aimed at supporting survivors of sexual abuse and violence. Eligible studies focused on at least one of three participant groups: survivors of any age, gender, sexuality, ethnicity or [dis]ability who had received a psychosocial intervention; their carers, family members or partners; and professionals delivering such interventions. We placed no restrictions in respect of settings, locations, intervention delivery formats or durations. Six review authors independently assessed the titles, abstracts and full texts identified. We extracted data using a form designed for this synthesis, then used this information and an appraisal of data richness and quality in order to stratify the studies using a maximum variation approach. We assessed the methodological limitations using the Critical Skills Appraisal Programme (CASP) tool. We coded directly onto the sampled papers using NVivo and synthesised data using a thematic synthesis methodology and used the GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach to assess our confidence in each finding. We used a narrative synthesis and matrix model to integrate our qualitative evidence synthesis (QES) findings with those of intervention review findings. We identified 97 eligible studies and sampled 37 of them for our analysis. Most sampled studies were from high-income countries, with four from middle-income and two from low-income countries. In 27 sampled studies, the participants were survivors, in three they were intervention facilitators. Two included all three of our stakeholder groups, and five included two of our groups. The studies explored a wide range of psychosocial interventions, with only one type of intervention explored in more than one study. The review indicates that features associated with the context in which interventions were delivered had an impact on how individuals accessed and experienced interventions. This included organisational features, such as staff turnover, that could influence survivors' engagement with interventions; the setting or location in which interventions were delivered; and the characteristics associated with who delivered the interventions. Studies that assess the effectiveness of interventions typically assess their impact on mental health; however, as well as finding benefits to mental health, our QES found that study participants felt interventions also had positive impacts on their physical health, mood, understanding of trauma, interpersonal relationships and enabled them to re-engage with a wide range of areas in their lives. Participants explained that features of interventions and their contexts that best enabled them to benefit from interventions were also often things that could be a barrier to benefiting from interventions. For example, the relationship with the therapist, when open and warm was a benefit, but if such a relationship could not be achieved, it was a barrier. Survivors' levels of readiness and preparedness to both start and end interventions could have positive (if they were ready) or negative (if they were not) impacts. Study participants identified the potential risks and harms associated with completing interventions but felt that it was important to face and process trauma. Some elements of interventions were specific to the intervention type (e.g. faith-based interventions), or related to an experience of an intervention that held particular relevance to subgroups of survivors (e.g. minority groups); these issues could impact how individuals experienced delivering or receiving interventions. We had high or moderate confidence in all but one of our review findings. Further research in low- and middle-income settings, with male survivors of sexual abuse and violence and those from minority groups could strengthen the evidence for low and moderate confidence findings. We found that few interventions had published quantitative and qualitative evaluations. Since this QES has highlighted important aspects that could enable interventions to be more suitable for survivors, using a range of methodologies would provide valuable information that could enhance intervention uptake, completion and effectiveness. This study has shown that although survivors often found interventions difficult, they also appreciated that they needed to work through trauma, which they said resulted in a wide range of benefits. Therefore, listening to survivors and providing appropriate interventions, at the right time for them, can make a significant difference to their health and well-being.

Lived Experiences of Male Sexual Abuse Survivors

Most often, the experiences and welfare of female sexual abuse survivors are being considered by the society. Campaigns and advocacies had been pushed by advocates to address this issue. However, male sexual abuse are often disregarded or neglected. Thus, this study aims to determine the lived experiences of male sexual abuse survivors. The researcher used qualitative approach through phenomenology. An in-depth interview was conducted, among participants in Baguio City, in order to gather the necessary data, which was analyzed through thematic analysis. The researcher found out that most male survivors suffered psychological disturbances such as internal conflict, suicidal attempts and disorganization with the society. In addition, in order to address these challenges, the participants had undergone counselling and rehabilitation programs through the help of various agencies. Male sexual victimization is a topic that needs to be addressed and the society may be more liberated to this topic since it has been around for several years. Sexual abuse does not discriminate age, ethnicity or gender. It may happen to anyone at anytime.

Comparison Between Male and Female Survivors of Sexual Abuse and Assault in Relation to Age at Admission to Therapy, Age of Onset, and Age at Last Sexual Assault: Retrospective Observational Study.

Sexual abuse and sexual assault are complex phenomena that involve many factors (or correlates) and have many health and financial implications for individuals, families, and society. Every correlate needs to be studied in detail, individually and in relation to other correlates. Only with a thorough understanding of these correlates can more efficient and targeted prevention and intervention programs be designed. The purpose of this study was to examine the differences between male and female survivors of sexual abuse and sexual assault regarding the correlates of the survivors' age of onset of assault, age at the last assault, and age at which they entered therapy. Therapists at eight sexual assault centers in the province of Alberta, Canada, completed a questionnaire on each of their clients over a period of 7 years. A total of 3302 participants, of whom 2901 (87.86%) were female and 401 (12.1%) were male survivors of sexual abuse and assault, were included in this study. Mostly descriptive analyses were carried out on the 4 variables of concern in this study. Regarding the number of survivors who sought therapy, female survivors outnumbered male survivors by a ratio of 7:1, with different ratios for different age groups. As children age, their risk of being sexually assaulted for the first time decreases. Male children are more likely to be sexually abused at a younger age, whereas female children are more vulnerable to being assaulted at all ages, particularly in adolescence. The mean age of onset of sexual abuse was found to be 6.71 (SD 2.86) years, and the odds of experiencing the first sexual assault during childhood, as opposed to adolescence, were 4:1 for females and 9:1 for males. Male survivors were two times more likely than female survivors to experience their first sexual assault in childhood. The vast majority of survivors sought help many years after being sexually assaulted, and male survivors waited an average of 3 years longer from the last sexual assault before seeking therapy. The majority of survivors of sexual abuse and sexual assault live with the consequences for many years before they seek help, and a large proportion of male survivors are not likely to seek help.

Discourse analysis of conception of masculinity among Chinese male sexual abuse survivors

This study aims to explore the conception of masculinity in organizing the help-seeking behavior of Chinese males in Hong Kong. Twelve informants, who had experienced being abused in various relationships, participated in the in-depth interviews. Discourse analysis drawn from the analytical process per James Paul Gee is applied to examine the data. Six discourse positions are highlighted, including placating masculinity, counter-masculinity, fragmented identity, masculinity through sex, identity through gender, and finally, non-normative sexual identity. The complicity of the concept of masculinity in Chinese culture and implications for social workers are further discussed.

"The Unheard Voices": Lived Experiences of Sexual Abuse in Male Survivors.

Background:Victims of sexual abuse face unique emotional challenges. Among them, the male survivors of sexual assault have largely been neglected in the literature, being traditionally considered “against the norm” and symbolic of reduced masculinity.Methods:Qualitative approach was used to study the lived experiences of five (three heterosexual and two homosexual) male survivors of sexual abuse. In-depth interviews were conducted with consent, transcribed verbatim, and analyzed using interpretative phenomenological analysis (IPA).Results:Commonality in the experiences of abuse (the identity of the abuser, nature of agony), perspectives of sharing the abuse history (lack of acceptance of “male” victimhood, the openness of the opposite gender, family reactions), and the long-term impact of abuse (withdrawal/change of interest as coping, sexual identity issues) emerged as the main superordinate theme (and subthemes).Conclusion:Society, with its patriarchy, often turns apathetic to male victimization in sexual abuse. Beliefs about masculinity and resultant trauma can cause a chronic social and psychosexual impact on the victims. More systematic research is needed to understand their perceptions, unmet needs, and experiences of recovery.

Perceived helpfulness and engagement in mental health treatment: A study of male survivors of sexual abuse.

Perceived helpfulness and engagement in mental health treatment: A study of male survivors of sexual abuse.

Psychotherapy with Male Survivors of Sexual Abuse: The Invisible Men by Alan Corbett

Psychotherapy with Male Survivors of Sexual Abuse: The Invisible Men by Alan Corbett

Top Ten Questions Male Sexual Abuse Survivors Want to Know from Health Care Research

ABSTRACTSexual abuse is an often overlooked public health issue for boys and men. Given its prevalence and well-documented connection to mental and physical health disorders, the relevance of male survivor input and engagement in health care research is profound. Using a community-based participatory research design, an in-person focus group with male survivors of sexual abuse and researchers was conducted. This paper describes the top ten research questions male sexual abuse survivors would like to have answered. Survivors were most interested in knowing how sexual abuse and assault impact men’s emotional and sexual functioning, what factors are involved in preventing and treating sexual assault-related emotional distress, and what can be done to prevent sexual abuse of boys and men. The fact that some of the questions survivors expressed an interest in knowing about have actually previously been investigated by researchers suggests a disconnect in translating evidence-based findings. Clinical and research implications include designing outreach interventions and gender-specific psychoeducation to increase engagement and access to care for men.

Understanding and Healing Male Survivors of Sexual Abuse

Gartner, Richard B., ed. 2018. Understanding the Sexual Betrayal of Boys and Men: The Trauma of Sexual Abuse. Oxon: Routledge. 368 pp. $44.95. ISBN 978-1-138- 94222-6 (paperback) Gartner, Richard B., ed. 2018. Healing Sexually Betrayed Men and Boys: Treatment for Sexual Abuse, Assault, and Trauma. Oxon: Routledge. 352 pp. $44.95. ISBN 978-1-138-94225-7 (paperback)

Psychotherapy with Male Survivors of Sexual Abuse: The Hidden Men by AlanCorbett. Published by Karnac, London, 2016; 208 pp; £24.99 paperback

Psychotherapy with Male Survivors of Sexual Abuse: The Hidden Men by AlanCorbett. Published by Karnac, London, 2016; 208 pp; £24.99 paperback

Male Survivors of Sexual Abuse: Becoming Gender-Sensitive and Trauma-Informed

While there is a wide body of literature examining the behavioral, emotional, and social consequences associated with being sexually abused, comparatively few studies have focused on males. Sexual abuse victimization among males remains largely under-reported, under-treated, and under-recognized by researchers, practitioners, and the public. Researchers trying to clarify why sexual abuse in males has been overlooked point to prevailing cultural norms, myths, assumptions, stigma, and biases about masculinity. Consequently, there is often an assumption that males are not negatively affected by sexual abuse. Drawing extensively from the literature, this article provides a critical review of: (1) the nature, experience and impact of sexual abuse victimization for males; and (2) the multidimensional processes that promote and inhibit resilient outcomes. It concludes with a discussion of trauma-informed and gender-responsive recommendations and future directions for social work practice, policy, and research. 

Listening to the Therapeutic Needs of Male Survivors of Childhood Sexual Abuse.

Childhood sexual abuse of males is not uncommon with estimated prevalence rates across countries and different studies indicating that 8% of boys experience sexual abuse before age 18. A number of adverse outcomes are recognized in terms of mental health, behavioral, and relational difficulties. However, research also indicates that there is potential for healing. The present study explores the barriers, benefits, and processes involved in engagement in formal therapy for adult survivors of CSA from the male survivor's point of view. Nine men spoke of their treatment experiences in response to semistructured interviews. Participants were all members of a group for male survivors of sexual abuse. Seven participants reported benefiting from treatment. Interpretative phenomenological analysis (IPA) of the interviews identified three superordinate themes: "motivation to engage in treatment," "developing a connection with treatment providers," and "changing thinking about the abuse." These themes reveal a number of obstacles that are encountered in seeking treatment including stigma, process barriers, and engagement of a skilled and empathic therapist. For the men who were able to take part in therapy despite these barriers, improved quality of life were noted through the two primary mechanisms of relationship and changed thinking. Key changes in thinking included developing an awareness that they were not responsible for the abuse, understanding the effects of abuse, and developing an identity distinct from the experience of abuse. These changes in thinking occurred within the context of a robust therapeutic relationship.

Gender-Sensitive Research in a Chinese Community

The aim of this article is to foster an awareness of the need for gender-sensitive research in the context of the methodological and ethical challenges posed by such research. We trace the development of gender sensitivity and masculinity in social work practice and research and connect this to an overview of the issues posed by research on sensitive topics. Reflecting on a research project involving Chinese male sexual abuse survivors, we draw conclusions illustrating and proposing a range of methodological practices and ethical safeguards. We underscore the importance of gender-sensitivity in performing research on sensitive topics with men in a Chinese community.

The Lens of Masculinity: Trauma in Men and the Landscapes of Sexual Abuse Survivors

The aim of this study was to identify the implications of masculinity for male sexual abuse survivors. To address the lack of research on male sexual abuse survivors, this study focuses on the trauma sustained by male survivors and the interplay of the cultural concept of masculinity. Given the sensitive nature of this topic and to protect the respondents, a three-phase methodological design was used. Initial observation of the participants in the treatment groups was followed by fieldwork involving focus groups and, eventually, in-depth individual interviews. This study’s implications for social workers helping male sexual abuse survivors are discussed through the lens of masculinity.

Self Psychology and Male Child Sexual Abuse: Healing Relational Betrayal

The prevalence of male child sexual abuse (MCSA) is higher than initially thought with up to 26 % of men in community samples reporting sexual abuse in childhood, and up to 36 % of men in clinical samples reporting childhood sexual abuse. Disclosure of MCSA is complex because of men’s difficulties in viewing themselves as victims, especially of sexual violence. This difficulty is exacerbated by societal attitudes that sexual abuse rarely occurs with boys, and is further complicated with the taboo of victimization by same sex perpetrators. Too often, the response to disclosure is disbelief and minimization. For these reasons disclosure is often delayed or withheld thus prolonging the abuse. The negative effects of child sexual abuse are well documented and far reaching with depression, anxiety, post-traumatic stress disorder, addictions, sexual dysfunction and impaired interpersonal relations as common presenting issues in therapy. Treatment is indicated for significant numbers of male survivors. This paper identifies aspects of interpersonal relational difficulties commonly experienced by male sexual abuse survivors, and describes self psychology as guiding a clinical approach to address these interpersonal difficulties. The application of self psychology with male sexual abuse survivors is traced and discussed through the use of a clinical case study with Adam.

The Relationship Between Sexual Abuse and Risky Sexual Behavior Among Adolescent Boys: A Meta-Analysis

Childhood and adolescent sexual abuse has been shown to lead to increased odds of sexual behaviors that lead to sexually transmitted infections and early pregnancy involvement. Research, meta-analyses, and interventions, however, have focused primarily on girls and young women who have experienced abuse, yet some adolescent boys are also sexually abused. We performed a meta-analysis of the existing studies to assess the magnitudes of the link between a history of sexual abuse and each of the three risky sexual behaviors among adolescent boys in North America. The three outcomes were (a) unprotected sexual intercourse, (b) multiple sexual partners, and (c) pregnancy involvement. Weighted mean effect sizes were computed from ten independent samples, from nine studies published between 1990 and 2011. Sexually abused boys were significantly more likely than nonabused boys to report all three risky sexual behaviors. Weighted mean odds ratios were 1.91 for unprotected intercourse, 2.91 for multiple sexual partners, and 4.81 for pregnancy involvement. Our results indicate that childhood and adolescent sexual abuse can substantially influence sexual behavior in adolescence among male survivors. To improve sexual health for all adolescents, even young men, we should strengthen sexual abuse prevention initiatives, raise awareness about male sexual abuse survivors' existence and sexual health issues, improve sexual health promotion for abused young men, and screen all people, regardless of gender, for a history of sexual abuse.

"I keep that hush-hush": Male survivors of sexual abuse and the challenges of disclosure.

Disclosure is a prominent variable in child sexual abuse research, but little research has examined male disclosure experiences. Sixteen male survivors of childhood sexual abuse were interviewed regarding experiences of disclosure. Analytic techniques included a grounded theory approach to coding and the use of conceptually clustered matrices. Participants described distinct personal (e.g., lack of cognitive awareness, intentional avoidance, emotional readiness, and shame), relational (e.g., fears about negative repercussions, isolation), and sociocultural (e.g., lack of acceptance for men to experience or acknowledge victimization) reasons for their struggles with disclosure. These results highlight that barriers to disclosure exist in multiple domains of experience and are encountered across the lifespan. Implications for future research and clinical interventions are discussed.

Running to Stand Still: The Story of a Victim, A Survivor, A Wounded Healer—A Narrative of Male Sexual Abuse from the Inside

This article provides a sociological introspection pertaining to male sexual abuse from a wounded healer's (Etherington, 2000) perspective. Inspired from postmodern narrative and ethnographic works (Ellis & Bochner, 1992; Richardson, 1997), the author layers this account (Rambo-Ronai, 1995) with therapeutic writing (Etherington, 2000) and poetry and prose (Richardson, 1997). This style provides the narrator with the flexibility to move between various temporal and spatial settings and report various internal and external monologues. Also addressed are common misconceptions often associated with male survivors of sexual abuse. The final section highlights the evolution of the author from a victim to a survivor and then to a wounded healer.

Gender Identity Construction and Sexual Orientation in Sexually Abused Males

Male survivors of sexual abuse must struggle with confused emotions, including depression and anger. They react in a different way than females, however, in that the sexual abuse forces men to face issues of gender-role identity and sexual orientation. These are questions at the level of “Who am I?” and “What is the meaning of my life?” Such questions have always been very complex for men but are especially poignant for male survivors of sexual abuse. The authors use their clinical experience and study of gender identity to address the topic, which psychotherapists sometimes find difficult to make part of their work with men. The topic is addressed at four levels: the construction of male gender role identity, sexuality in a setting of hegemonic masculinity, sexual orientation, and psychotherapy with male survivors of sexual abuse.