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Alyssa Landwehr Anna Roers Danielle Lee Katie Lucas.

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Presentation on theme: "Alyssa Landwehr Anna Roers Danielle Lee Katie Lucas."— Presentation transcript:

1 Alyssa Landwehr Anna Roers Danielle Lee Katie Lucas

2  Sexual problems in children do not represent a medical/psychological syndrome or a specific diagnosable disorder, but rather a set of behaviors that fall well outside acceptable societal limits.  Behaviors involving sexual body parts (i.e., genitals, anus, buttocks, or breasts), sexual thoughts, sexual innuendos, and sexual behaviors that are developmentally inappropriate or potentially harmful to themselves or others.

3  Positive correlation between frequency of child physical abuse and unrestricted sexual behavior and variety of sexual fantasies.  Positive correlation between frequency of child emotional abuse and variety of sexual fantasies, unrestricted sexual attitudes, and negative sexual satisfaction and body image  Negative correlation between child neglect and sexual satisfaction.

4  Negative correlation between child sexual abuse and sexual drive.  Positive correlation between child sexual abuse in females and experience with intercourse, variety of sexual experience, range of sexual fantasies, liberal sexual attitudes, frequency of intercourse and masturbation, and likelihood of engaging in unrestricted sexual behaviors.  No relation found between child sexual abuse in males and sexuality variables.

5  Can affect people of any age, gender, or culture.  Strong links between early sexual abuse and sexual problems later in life in females.  Links between early emotional or physical abuse and neglect with later sexual problems in both males and females.

6  Varies depending on:  Sexual problem person suffers from – if any  Gender  Age  When and if a person receives treatment  Some sexual problems seen in adults related to early abuse could be sexual aversion, anxiety or avoidance, decrease in sexual desire or sexual self-esteem, inhibited sexual arousal or orgasm, vaginismus, and negative attitudes toward sexual relationships in general.

7  Normal childhood sexual play and exploration VS  Child abuse related sexual problems

8  Sexual thoughts and images that are disturbing  Unusual interest in or avoidance of all things of a sexual nature  Seductiveness  Statements that their bodies are dirty or damaged, or fear that there is something wrong with them in the genital area  Inappropriate sexual behaviors or sexual compulsivity  Describes or imitates sexual behavior  ‘Flirts’ with strangers  Forces or pressures children into sexual acts  Kisses with open mouth

9  Sexual behavior not appropriate for age  Shows sex parts to children (other than siblings)  Starts “rude” conversations, tells jokes about sex  Touches or puts mouth on other persons’ sex parts  Tries to involve others in sexual behavior  Masturbates at home, school or in public in view of others  Inserts object into anus or vagina  Shows sex parts to adults other than caregivers  Touches or puts mouth on animal’s sex parts

10  Being mindful of cultural views of children’s behavior

11  The main treatments for sexual problems are:  Sex Therapy(PLLISIT Model)  Psychotherapy  Group Therapy  Surgery

12  This is a common model used in sex therapy.  PLISSIT Model was developed in 1974 by Jack Annon.  There are four phases of therapy, each getting more intense as you progress.

13 P ermission L imited I nformation S pecific S uggestions I ntensive T herapy

14  This is the first phase of treatment.  The topic of sexuality is brought up making it ok for the client to talk about sex  Most clients need permission to talk about their sexual concerns because they are embarrassed or ashamed about what has happened to them.

15  This is the second level of treatment, which most clients will benefit from.  You address specific sexual concerns with your client and attempt to correct any misinformation they might have.  At this level the therapists main goal is to educate their client in whatever areas they are having difficulties.

16  This is the third level of treatment, and fewer clients require this level of treatment, and fewer therapists are qualified to provide it.  In this stage of treatment the therapist will make a profile of the clients sexual history.  They must 1)define the problem then 2) develop a treatment plan.  You focus on the reasons for the problem and specific ways to overcome them.

17  This is the fourth and final level of treatment. This has the least amount of clients, and requires special training as a sex therapist.  This step is used when the previous 3 have failed to resolve the sexual problem.  The therapist completes a full history of the client, and then provides specialized treatment for them.

18  Psychotherapy can help woman identify problems in their life that may be expressed as sexual problems.  The therapist usually focuses on resetting the woman’s attitude towards sex.  The main goal is to get rid of old negative attitudes about sex, and establish new attitudes that increase sexual responses.

19  This is similar to a support group, where people can come and talk about their problems together.  Many gain good insight from others about their problems, and practical solutions they can try.  Many clients can gain confidence from knowing they are not the only one.  Some therapists may suggest couples therapy for their clients as well.

20  Surgery is only used in specific cases where internal physical problems may impede sex.  Some of these problems may include cysts, tumors, or growths.

21  Recognition  Assessment  Intervention  Referral

22  When child abuse is suspected it should be immediately reported to a social worker or the police.  Professionals and concerned citizens can call statewide hotlines, local child protective services, or law enforcement agencies to share their concerns.  Many States identify specific professionals as mandated reporters; these often include social workers, medical and mental health professionals, teachers, and childcare providers.

23  Healthcare Professional: A doctor or nurse would be able to see the physical signs of abuse in the child and note unusual genital appearance associated with sexual abuse (tearing, bruising, etc).  Educator: A teacher would see the changes in behavior of a sexually abused child. The child may be acting inappropriate with peers, start to keep to themselves, or suddenly start to perform poorly in school. The teacher would look at all of these things to assess what could be going on with the child.  Social Worker: A social worker would look at the child’s behaviors and interactions with others. They would interview the child and assess the information given to them.

24  An adult with sexual problems as a result from sexual abuse may be assessed by a therapist or a doctor. The person would have to disclose the problems they are having physically or emotionally with that professional in order to help them get a better understanding of their situation.

25  A professional who recognizes signs of abuse or sexual problems with a child with concerns of abuse should contact a social worker or the police.  Social Worker: A social worker would interview the child to obtain as much information about the child and the suspected abuse as the child is willing and able to disclose with that person.

26  An adult with sexual problems may be ordered medications to help with their problem to aid in sexual activities or to help with anxiety associated with sexual activities.

27  The child may be referred to therapy  An adult may be referred to counseling to help them discuss their feelings on the situation

28  Joey, was sexually abused starting when he was four years old up until he was eight years old. His uncle would take him into a room and make him undress, molest him, masturbate while looking at Joey naked, and force Joey to kiss his genitals. Joey has been seeing a therapist for the past year. Joey has been showing his genitals to strangers and classmates, masturbating in public (in school and at home in front of company), and has been pressuring his male friends to undress and touch his genitals.

29  Kim is a twenty-five year old waitress at Perkins. She has scheduled an appointment with a therapist. She states that she has had an “inhibited ability to experience sexual arousal,” and she “dissociates during intercourse” and feels very “anxious” during intercourse ever since she became sexually active at age twenty-three. The therapist suspects that Kim was abused at a child, and after several more sessions Kim discloses that her father sexually abused her from age six to age twelve. He would sneak into her room at night and force her to perform oral sex and intercourse. Kim also shared that ever since she was abused she has felt “dirty” and “damaged.”

30  Meston, C., Heiman, J., & Trapnell, P. (1999, November). The Relation Between Early Abuse and Adult Sexuality [Electronic version]. Journal of Sex Research, 36 (4), 385-395.  http://arhp.power-point- del.pdf http://arhp.power-point- del.pdf  ual_problems/page7_em.htm ual_problems/page7_em.htm 

31  Ayaz, S., & Kubilay, G. (2009, January). Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma. Journal of Clinical Nursing, 18(1), 89-98. Retrieved February 4, 2009, doi:10.1111/j.1365- 2702.2008.02282.x  Sweeney, M.T. (2008). Predictors of problematic sexual behavior among children with complex maltreatment histories. CHILDMALTREATMENT, 13 (2), 182-198. Retrieved January 22, 2009, from Cambridge Science Abstracts database.  Simon, V.A., Fering, C. (2008). Sexual anxiety and eroticism predict the development of sexual problems in youth with a history of sexual abuse. CHILD MALTREATMENT, 13 (2), 167-181. Retrieved January 22, 2009, from Cambridge Science Abstracts database.

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