Table 2. The CSA Healing Model.
STAGES1 | ||||
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Grappling With The Meaning Of the CSA | Figuring Out The Meaning Of The CSA | Tackling The Effects Of The CSA | Laying Claim To One's Life | |
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ENABLING FACTORS2 | ||||
Affirming messages | On-going support | Critical life event | ||
Personal agency | Personal resolves | Commitment to transcend the CSA | ||
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DOMAINS3 | ||||
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Life patterns | Living a troubled life | Living a troubled life, with some positive experiences | Living a life of troubles and successes | Living an empowered life |
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Parenting | Passing on the abuse | Wishing to stop the abuse cycle | Attempting to stop the abuse cycle | Stopping the abuse cycle |
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Disclosure of CSA | Keeping the CSA a secret; Disclosing the CSA indirectly; Disclosing the CSA indiscriminately |
Discussing the CSA to make sense of it | Discussing the CSA to strengthen a new understanding; Discussing the abuse to pass on wisdom |
Disclosing the abuse to help others |
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Spirituality | Having no meaningful or comforting spiritual connection | Having some spiritual connections | Experiencing a spiritual journey | Experiencing a spiritual transformation |
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Altruism | Being aware of the suffering of others | Thinking about helping others | Being compassionate; planning altruistic activities |
Engaging in altruism |
The stages are dynamic phases of healing that represent change over time
The enabling factors facilitate movement from one stage to the next
The domains are areas of functioning, important to participants, in which healing areas