Research Output

Adult survivors' of childhood sexual abuse perspectives of services: A systematic review.

  Aims: This review summarises and evaluates evidence regarding psychotherapy/counselling services for childhood sexual abuse (CSA) from the survivors' perspective. Methods: Studies were identified from systematic literature searches of PubMed, PsycINFO, CINAHL, Psychology and Behavioural Sciences Collection. Selected studies were published in English after 1980. Results: Nine studies met the inclusion criteria for this review. Survivors identified a range of experiences of services. Positive experiences focused mainly on the therapeutic relationship, and the importance of awareness about issues specific to survivors. Negative experiences included taking a sexual interest in clients, dealing ineffectively with errors, being unresponsive, and prescription of heavy medications. Conclusions: There is a lack of research in this area, especially in the UK. Findings were limited due to selection bias, inconsistencies in recruitment and procedure, ill-described samples and analysis. Future research should obtain survivors' perspectives across genders, sexual orientation and ethnic background, and focus more on survivors' negative experiences.

  • Type:


  • Date:

    30 November 2011

  • Publication Status:


  • Publisher

    Taylor & Francis

  • DOI:


  • ISSN:


  • Library of Congress:

    RT Nursing

  • Dewey Decimal Classification:

    616 Diseases


Chouliara, Z., Karatzias, T., Scott-Brien, G., Macdonald, A., MacArthur, J. & Frazer, N. (2011). Adult survivors' of childhood sexual abuse perspectives of services: A systematic review. Counselling and Psychotherapy Research. 12, 146-161. doi:10.1080/14733145.2012.656136. ISSN 1473-3145



childhood sexual abuse; systematic review; experiences; adult survivors;

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