The Process of Coping with Sexual Trauma

  • Susan Roth
  • Elana Newman
Part of the The Springer Series on Stress and Coping book series (SSSO)


The work that has been done at Duke over the past several years has led to a very simple conclusion: In coping with sexual trauma, the survivor must come to understand the emotional impact of the trauma so that she is no longer preoccupied or driven by negative feelings, and must grapple with the meaning of the trauma until an adaptive resolution is achieved. This process can lead to a variety of adaptive or maladaptive schemata, and a strong fear of overwhelming affects. Psychotherapeutic intervention is often required for successful completion of the process. In this chapter we present a conceptual system that characterizes this process, along with clinical examples and preliminary reliability findings in measuring the process. We selected case examples from the course of a group psychotherapy for female survivors of sexual trauma to illustrate potential use of the system in describing the process of coping changes over time. As a background, data on sexual trauma and the theoretical material that has guided our work will be briefly presented.


Sexual Abuse Emotional Impact Borderline Personality Disorder Sexual Trauma Rape Victim 
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  1. Burnam, M. A., Stein, J. A., Golding, J. M., Sorenson, S. B., Forsythe, A. B., and Telles, C. A. (1988). Sexual assault and mental disorders in a community population. J. Consult. Clin. Psychol., 56, 843–851.PubMedCrossRefGoogle Scholar
  2. Cohen, J. A. (1960). A coefficient of agreement for nominal scales. Ed. Psychological Meas., 20, 37–46.CrossRefGoogle Scholar
  3. Dye, E., and Roth, S. (1991). Psychotherapy with Vietnam veterans and rape and incest survivors: An evaluation of the treatment literature and an examination of underlying assumptions about the coping process. Psychotherapy, 28 (1), 103–120.CrossRefGoogle Scholar
  4. Epstein, S. (1991). The self-concept, the traumatic neurosis, and the structure of personality. In D. Ozer, J. M. Healy, Jr., and R. A. J. Stewart (Eds.), Perspectives on personality (Vol. 3 ). Greenwich, CT: JAI.Google Scholar
  5. Greenberg, L. S., and Pinsof, W. M. (1986). The psychotherapeutic process: A research handbook. New York: Guilford.Google Scholar
  6. Herman, J. L., Perry, C., and van der Kolk, B. A. (1989). Childhood trauma in borderline personality disorder. Am. J. Psychiatry, 146, 490–494.PubMedGoogle Scholar
  7. Horowitz, M. (1986). Stress response syndromes. New York: Basic Books.Google Scholar
  8. Jacobson, A. (1989). Physical and sexual assault histories among psychiatric outpatients. Am. J. Psychiatry, 146, 755–758.PubMedGoogle Scholar
  9. Janoff-Bulman, R. (1985). The aftermath of victimization: Rebuilding shattered assumptions. In C. R. Figley (Ed.), Trauma and its wake (pp. 15–35 ). New York: Brunner/hazel.Google Scholar
  10. Koss, M. P. (1987). The women’s mental health research agenda: Violence against women. Paper presented at the National Institute of Mental Health National Coalition for Women’s Mental Health Meeting, Washington, DC.Google Scholar
  11. Koss, M. P. (1989). Rape incidence and prevalence: A review and assessment of the data. Unpublished manuscript.Google Scholar
  12. Landis, J. R., and Koch, C. C. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRefGoogle Scholar
  13. McCann, I. L., Sakheim, D. K., and Abrahamson, D. A. (1988). Trauma and victimization: A model of psychological adaptation. Counsel. Psychologist, 16, 531–594.CrossRefGoogle Scholar
  14. Roth, S., and Cohen, L. (1986). Approach, avoidance and coping with stress. Am. Psychologist, 41, 813–819.CrossRefGoogle Scholar
  15. Roth, S., and Lebowitz, L. (1988). The meaning of sexual trauma. J. Traum. Stress, 1 (1), 79–107.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Susan Roth
    • 1
  • Elana Newman
    • 2
  1. 1.Department of PsychologyDuke UniversityDurhamUSA
  2. 2.National Center for PTSDBoston Medical CenterBostonUSA

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