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9 J. Child Sexual Abuse 1 (2000-2001)

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                    INTERVENTIONS







        Quality of Life in Adult Survivors

             of  Childhood Sexual Abuse

          Who Have Undergone Therapy

                        Rachel  Lev-Wiesel




     ABSTRACT. This study examined perceptions   of past sexual abuse
     experiences and quality of life among adult survivors of childhood
     sexual abuse. Fifty-two adult survivors (15 men, 37 women) of child-
     hood paternal sexual abuse who had completed  therapy were inter-
     viewed about their past and current life. A qualitative analysis of the
     interviews revealed three types of explanations for the offenders' abu-
     sive behavior (fathers and/or mothers in terms of compliance): charac-
     teristics of the offender-parent (incestuous father), the victim's charac-
     teristics, and circumstantial conditions. The results indicated that a
     higher percentage of survivors who attributed the abuse to the offend-
     er's characteristics managed to keep their self-esteem fairly intact and
     had a higher quality of life, in contrast to survivors who took full blame
     on themselves or blamed  situational factors. The results further re-

   Rachel Lev-Wiesel, PhD, is Lecturer in the Department of Social Work, Ben-Gu-
rion University of the Negev, Beer Sheva, Israel (E-mail: rachellv@bgumail.bgu.
ac.il).
   Correspondence should be addressed to: Rachel Lev-Wiesel, Ben-Gurion Univer-
sity of the Negev, P.O.B. 653, Beer Sheva 94105, Israel.
   Submitted: 12-10-98; first revision: 6-14-99; second revision: 11-11-99; accepted:
11-12-99.
               Journal of Child Sexual Abuse, Vol. 9(1) 2000
               2000 by The Haworth Press, Inc. All rights reserved. 1