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    A MODEL OF THE RETRAUMATIZATION PROCESS: A META-SYNTHESIS OF CHILDHOOD SEXUAL ABUSE SURVIVORS' EXPERIENCES IN HEALTHCARE

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    Issue Date
    2010-01-28
    Author
    Dallam, Stephanie J.
    Publisher
    University of Kansas
    Format
    231 pages
    Type
    Dissertation
    Degree Level
    Ph.D.
    Discipline
    Nursing
    Rights
    This item is protected by copyright and unless otherwise specified the copyright of this thesis/dissertation is held by the author.
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    Abstract
    Childhood sexual abuse survivors frequently report feeling retraumatized during routine healthcare encounters. The goal of this study was to develop a model to aid in understanding difficulties abuse survivors face when accessing healthcare. Meta-synthesis was used to combine data from 15 qualitative studies. The resultant Healthcare Retraumatization Model postulates that retraumatization is a cyclical process with four interrelated subprocesses: hypersensitivity to threats to safety, exposure to triggers, post-traumatic stress reactions, and avoidant coping. Hypersensitivity can cause abuse survivors to feel threatened in situations which require trust and evoke vulnerability, powerlessness, or loss of control. Triggers are situations that cause abuse survivors to feel threatened and elicit stress reactions. Survivors typically cope by employing avoidant coping strategies originally developed during childhood to survive their abuse. Without intervention, retraumatization can result in unhealthy outcomes due to the negative effects of stress on survivors' mental and physical health along with interruptions in healthcare.
    URI
    http://hdl.handle.net/1808/6373
    Collections
    • Dissertations [4475]
    • KU Med Center Dissertations and Theses [464]

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    785-864-8983
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    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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