ABSTRACT

Group therapy is a widely utilized and empirically supported treatment for victims of child sexual abuse (CSA). An important aspect of trauma-focused groups for CSA is the composition and presentation of a trauma narrative as part of a gradual exposure process. One challenge in the creation of a trauma narrative in group is the contagious avoidance that may be present if group members are reluctant to engage in the development of a trauma narrative. Creative group therapeutic interventions can assist in mitigating avoidance, a hallmark of posttraumatic stress disorder (PTSD), by reducing resistance to constructing and processing the trauma narrative in CSA group treatment. Additionally, creative expressive arts interventions are a developmentally tailored approach to trauma narratives for young children with limited language as well as for traumatized youth who do not have words accessible to describe their CSA. This manuscript presents a wide array of creative therapeutic activities that can be utilized for creation and processing of the trauma narrative and facilitating cohesion and coping in group therapy for CSA. Using these expressive arts techniques can support youth in preparing for the trauma narrative and providing a space to process their CSA.

摘要

团体治疗是针对儿童性虐待 (CSA) 受害者的一种广泛使用和经验支持的治疗方法。CSA 的创伤焦点小组的一个重要方面是创伤叙述的组成和呈现，作为逐渐暴露过程的一部分。在团体中创建创伤叙述的一个挑战是，如果团体成员不愿意参与创伤叙述的发展，可能会出现传染性回避。创造性的团体治疗干预可以通过减少 CSA 团体治疗中构建和处理创伤叙述的阻力来帮助减轻回避，这是创伤后应激障碍 (PTSD) 的一个标志。此外，创造性的表达艺术干预是一种针对语言有限的幼儿以及无法用语言描述其 CSA 的受创伤青少年进行创伤叙述的发展性定制方法。这份手稿展示了广泛的创造性治疗活动，可用于创建和处理创伤叙述，并促进 CSA 团体治疗中的凝聚力和应对。使用这些表现艺术技巧可以支持青少年为创伤叙事做准备，并提供一个空间来处理他们的 CSA。