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The Impact of Childhood Sexual Abuse on Adult Sexuality .pdf


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The Impact of Childhood Sexual Abuse on Adult Sexuality
By Cassandra Rustvold, LMSW, MEd, Trauma Therapist at Gentle Path at the Meadows
Childhood sexual abuse (CSA) has the potential to transform the trajectory of one’s life in a multitude
of ways. While the effects of childhood sexual abuse are largely individualized and can manifest at
different points throughout the lifespan, commonly reported symptoms and long-term effects include
dissociation, depression, anxiety, eating disorders, self-harm, relationship difficulties, and addictive or
compulsive patterns of behavior (Aaron, 2012).
The sexual functioning and sexual identity in adolescence and adulthood is a particularly vulnerable
factor in survivors. When a child suffers sexual abuse, sexual arousal becomes activated prematurely
and can largely impact the survivor’s sense of autonomy over their body and sexual sense of self
(Roller, Martsolf, Draucker & Ross, 2009).
It can also draw early connections in the neural networks of the child’s brain that associates sex with
power, fear, shame, confusion, secrecy and/or pain. It is not difficult to imagine why those whose
sexuality has been impacted are more vulnerable to struggles with intimate relationships and sexuality.
When attempting to reconcile one’s abuse, a particularly confusing component for survivors of CSA is
the experience of pleasurable physiological responses to their abuse, in conjunction with their
emotional and psychological distress. Children who have experienced these positive and pleasurable
feelings often report feelings of shame and responsibility tied to their abuse and sexuality, and may
experience an overall distrust of their bodily reactions (such as arousal) or physical dissociation
(Hunter, 1990 & Long, Burnett & Thomas, 2006).
This fusion of shame, secrecy and pleasure has the potential to predispose one to sexual aversion,
sexual anorexia, dysfunction, or compulsion; thereby deterring them from developing healthy sexual
scripts in adulthood.

The Link Between Sexual Abuse and Sex Addiction
Three commonly experienced symptoms of childhood sexual abuse are also cornerstones of sexual
addiction: compulsivity (the inability to control one’s behavior), shame, and despair.
In sex addiction, shame and despair act as a precursor to the beginning of future cycles, where the need
to keep emotional pain at bay leads to mental preoccupation as an escape. The result of this addictive
cycle often includes isolation, anxiety, alienation from loved ones, a breaking of one’s own value
system, and secrecy; all things that often increase feelings of despair and a yearning to escape and
repeat the cycle.
When an individual is struggling with intrusive thoughts of their sexual abuse or insidious negative
self-talk as a result of their abuse, the lure of escape through addictive patterns of behavior is not only

compelling but sometimes a means of psychological preservation.
In Dr. Patrick Carnes’ book The Betrayal Bond, eight trauma responses common among individuals
who meet the criteria for sexual addiction are identified: trauma reactions, trauma pleasure, trauma
blocking, trauma splitting, trauma abstinence, trauma shame, trauma repetition, and trauma bonding.
These patterns of behaviors are often unconscious attempts to reconcile, reframe, or repair the abuse
that happened in youth. Unfortunately, they do not always accomplish this task and can result in
perpetuated psychological and emotional damage.

The Role of Gender
Gender differences also appear to play a role in how these difficulties manifest in adulthood and
whether or not someone will seek out help.
Even in 2016, boys and men are still provided with narrow cultural and familial messages about what it
means to be a masculine. This narrative includes such things as devaluing emotional expression and
vulnerability, while prioritizing promiscuity and maintaining control.
Research has found that male survivors are less likely to report or discuss their trauma and more likely
to externalize their responses to childhood sexual abuse by engaging in compulsive sexual behaviors
(Aaron, 2012). For a male survivor of childhood sexual abuse, these expectations are in large conflict
with the need to shatter the secrecy of their trauma and/or obtain and maintain healthy sexual
relationships; both of which require an open and honest dialogue.
Healing from Childhood Sexual Abuse and Redefining Your Sexuality
For men struggling with childhood sexual abuse and sexual addiction, learning to abstain from
problematic sexual behaviors that reinforce abusive sexual scripts is just as important as learning how
to develop healthy intimate bonds and create a sexual identity that is affirming.
For someone attempting to face these complex issues the importance of having acceptance and
unconditional, non-judgmental support cannot be understated. It is the abusive and negative
interpersonal interactions that created the pain and it is the supportive and affirming ones that have the
power to lift it.
At Gentle Path at The Meadows, we specialize in creating this space while offering a host of traumabased services that are informed by the most current understanding of the nature of trauma and its
impact on the person as a whole. Additionally, the therapeutic focus at Gentle Path includes not only
learning to identify which components of one’s sexuality are subtracting from the quality of their life
but also identifying or creating ones to enrich it.
Give us a call today at 800-244-4949.
References

Aaron, M. (2012). The pathways of problematic sexual behavior: a literature review of factors affecting
adult sexual behavior in survivors of childhood sexual abuse. Sexual Addiction & Compulsivity, 19(3),

p. 199-218.
Carnes, P. (1997). The Betrayal Bond. Library of Congress Cataloging-in-Publication Data.
Hunter, M. (1990). Abused Boys: The Neglected Victims of Sexual Abuse. Library of Congress
Cataloging-in-Publication Data.
Long, L. L., Burnett, J. A., & Thomas, R. V. (2006). Sexuality counseling: An integrative approach.
Upper Saddle River, NJ: Pearson/Merrill Prentice Hall.
Roller, Martsolf, Draucker & Ross (2009). The sexuality of childhood sexual abuse survivors.
International Journal of Sexual Health, 21, p. 49-60.


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