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INTERVENTIONS IN WORKING WITH LATINO CHILD SEXUAL ABUSE SURVIVORS Diana Garza Louis, LPC-S, LMFT-S, LSOTP-S, RPT Rio Grande Counseling Center

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Presentation on theme: "INTERVENTIONS IN WORKING WITH LATINO CHILD SEXUAL ABUSE SURVIVORS Diana Garza Louis, LPC-S, LMFT-S, LSOTP-S, RPT Rio Grande Counseling Center"— Presentation transcript:

1 INTERVENTIONS IN WORKING WITH LATINO CHILD SEXUAL ABUSE SURVIVORS Diana Garza Louis, LPC-S, LMFT-S, LSOTP-S, RPT Rio Grande Counseling Center

2 CSA and Latinos Latinos are less likely to seek mental health interventions. Non-Latinos tend to report that nothing happened when they disclosed abuse. Latinos report that child sexual abuse is more serious than non-latinos, possibly indicating that attitudes toward sexual abuse leads to more action taken by Latinos. Latinos report more abuse by extended family members. Clinical studies indicate that relatives are more likely to sexually abuse Latinos than White or Black children. The most likely family perpetrator was a brother. Other studies indicate that step fathers are the most likely to molest within the family. Carrasco & Garza Louis “Amor afiliativo”, “entenada“ (Rolando Diaz Loving)

3 Cultural Issues: Virginity –a woman who loses her virginity to rape, incest, or molestation is seen as a “promiscuous” woman. –If there was no penetration, then she’s alright, (nothing serious happened) –Guilt Respect for cultural norms, but educate regarding responsibility Fear of the legal system Family loyalty and privacy Warmth Psycho-education as a starting point

4 Is a structured, directive & active model of treatment Safety Education Activity Disclosure Externalization Trust and letting go TF-CBT

5 SAFETY –Physical –Emotional –Hyper-vigilance –Self care/calm –Need for medication –Risk of suicide

6 NCTSN National Child Traumatic Stress Network American Academy of Child and Adolescent Psychiatry US. Department of Health and Human Services EDUCATION

7 Activity  Free play  Puppets  Stories  Worksheets/exercises  Abuse prevention

8 RELAXATION  Breathing  Progressive relaxation  Reading: poetry, rhyme, guided imagery  Yoga, drumming, tapping  Music: Listening, singing, natural sounds, rhythym Gaskill & CTA, 2008

9 SELF REGULATION  Signs of stress  My body and stress  Stress management game  Problem scenarios Cri sci, Lay, Lowenstein, 1998

10 Sand tray, clay, play dough Ceramics, sculpture Songs, stories, music Painting and coloring Rituals, routines Connecting Closure Gaskill & CTA, 2008 SENSORY STIMULATION

11 Mi Historia Muñecos de papel Processing Information My Story Paper dolls Brave bears Crisci, Lay, Lowenstein, 1998

12 DISCLOSURE Identify triggers and reminders Drawing the abuse Puppets Narrative Role play Telling others My story Brave Little Bears Cri sci, Lay, Lowenstein, 1998

13 Stories And The Narrative Of The Traumatic Experience Teach us through archetypes Help us learn how the world works Help us understand good and bad through narrative Helps with Gestalt sequencing Builds a representation of reality Gaskill & CTA, 2008

14 Integration of traumatic experiences  Express discomfort in various situations  Define Limits  Eliminate secrets  Confront the perpetrator (when and if appropriate) EXTERNALIZING

15 TRUST AND LETTING GO Relational Re-connection –Mom and I –Who Can Help Me? –What Will They Say? –Kids Without Guilt Cri sci, Lay, Lowenstein, 1998

16 Memory Level of affect and tolerance Symptom management Grounded Safe Appropriate reality testing Improved self esteem Attachment Mutual non-exploitive relationships Meaning & interpretation RECOVERY

17 Arroyo, Judith A.; Simpson, Tracy L.; Aragon, Alfredo S. (1997) Childhood sexual abuse among Hispanic and non-Hispanic White college women Hispanic Journal of Behavioral Sciences, February. Bratton, S., Ray, D. & Rhine, T. (2005) The efficacy of play therapy with children: A meta-analytic review of treatment outcomes, Professional Psychology: Research and Practice, 36 (4) California Evidence-Based Clearinghouse Crisi, Lay, Lowenstein (1998) Paper dolls and paper airplanes Kids Rights JIST Publishing Indianapolis, IN.

18 Gaskill, R. (2008) Neuroscience and play therapy Association for Play Therapy Mining Report, July, Gil, E. (2006) Helping abused and traumatized children: Integrating directive and nondirective approaches, NY: Gilford Press. Kaduson, H. & Schaefer, C. (1997) 101 Favorite Play Therapy Techniques Jason Aaronson. Marvasti, J. A (1993) Please hurt me again: Posttraumatic play therapy with an abused child. In T. Kottman and C. Schaefer, Play therapy in action: A casebook for practitioners, pp Northvale, New Jersey, l Jason Aronson. National Child Traumatic Stress Network (2007) Preliminary Adaptations for Working with Traumatized Latino/Hispanic Children and their Families.

19 Rappahannock Council Against Sexual Assault Blog (2010) Friday Facts: Hispanics/Latinos Sexual Violence Awareness on September 24. Schaefer, C. E. (1994) Play therapy for psychic trauma in children, in K. J. O’Connor & C. E. Schaefer, Handbook of Play Therapy Vol. two, Advances and Innovations, New York, John Wiley. Shelby, J. and Felix, E. Posttraumatic Play Therapy (2005) The need for an integrated model of directive and nondirective approaches in Reddy, L., Files-Hall, T, and Schaefer, C. Empirically based play therapy interventions for children pp Washington, DC: American Psychological Association.


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