Dental care - an emotional and physical challenge for the sexually abused.
dental fear
dissociation
psychological consequences of abuse
qualitative research
somaticized memory of trauma
Journal
European journal of oral sciences
ISSN: 1600-0722
Titre abrégé: Eur J Oral Sci
Pays: England
ID NLM: 9504563
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
revised:
20
05
2020
received:
29
02
2020
accepted:
18
06
2020
entrez:
15
4
2021
pubmed:
16
4
2021
medline:
27
4
2021
Statut:
ppublish
Résumé
The aim was to explicate persistent psychological and bodily memories of sexual abuse and how they are expressed during dental appointments. The participants comprised 13 sexually abused individuals (11 women), who recalled and expressed these experiences during a dental appointment. They were encouraged to describe, in detail, aspects of the appointment which triggered memories of the sexual abuse. The interviews were recorded, transcribed verbatim, and analyzed using Qualitative Content Analysis. The identified overall theme illustrating the latent content was 'An echo of sexual abuse transformed into (dys) functional reactions'. The first category covering the manifest content was 'The inner invisible struggle', with two subcategories: (i) mental inscriptions of the abuse experience; and (ii) consequences of the dental encounter. The second category was 'The discoverable manifestations', with two subcategories: (i) enigmatic communication; and (ii) expressions of bodily memories. The dental appointment arouses similar psychological stressful reactions as the episodes of abuse; both implicit and explicit expressions are recognizable. Dental staff can contribute to disclosure by improved understanding of the strain a dental appointment can cause in patients who have been subjected to sexual abuse and familiarity with the associated bodily expressions.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
317-324Informations de copyright
© 2020 The Authors. Eur J Oral Sci published by John Wiley & Sons Ltd.
Références
Krug E, Dahlberg L, Mercy J, Zwi A, Lozano R. World report on violence and health. Chapter 6. Geneva: World Health Organization, 2002. https://search.ebscohost.com/login.aspx?direct=true&db=cat05074a&AN=malmo.b1121975&lang=sv&site=eds‐live
Finkelhor D. The international epidemiology of child sexual abuse. Child Abuse Neglect 1994; 18: 409–417.
Stoltenborgh M, Van Ijzendoorn M, Euser EM, Bakermans‐Kranenbburg MJ. A global perspective on child sexual abuse: meta‐analysis of prevalence around the world. Child Maltreatment 2011; 16: 79–101.
Barth J, Bermetz L, Heim E, Trelle S, Tonia T. The current prevalence of child sexual abuse worldwide: a systematic review and meta‐analysis. Int J Public Health 2013; 58: 469–483.
Våld och hälsa: en befolkningsundersökning om kvinnors och mäns våldsutsatthet samt kopplingen till hälsa. NCK‐rapport 2014:1. Nationellt centrum för kvinnofrid (NCK), Uppsala universitet, 2014.
Samelius L, Wijma B, Wingren G, Wijma K. Somatization in abused women. J Womens Health 2007; 16: 909–918.
Priebe G, Svedin CG. Child sexual abuse is largely hidden from the adult society. An epidemiological study of adolescents’ disclosures. Child Abuse Negl 2008; 32: 1095–1108.
Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. Am J Prev Med 1998; 1: 245–258.
Kirkengen AL. Inscribed bodies. Health Impact of Childhood Sexual Abuse. London: Kluwer Academic Publishers, 2001.
Samelius L, Wijma B, Wingren G, Wijma K. Lifetime history of abuse, suffering and psychological health. Nord J Psychiatry 2010; 64: 227–232.
Caravaca Sánches F, Ignatyev Y, Mundt AP. Associations between childhood abuse, mental health problems, and suicide risk among male prison populations in Spain. Crim Behav Ment Health 2019; 29: 18–30.
Walker EA, Milgrom PM, Weinstein P, Getz T, Richardson R. Assessing abuse and neglect and dental fear in women. J Am Dent Assoc 1996; 127: 485–490.
Willumsen T. Dental fear in sexually abused women. Eur J Oral Sci 2001; 10(9): 291–296.
Willumsen T. The impact of childhood sexual abuse on dental fear. Community Dent Oral Epidemiol 2004; 32: 73–79.
Stalker CA, Russel BD, Teram E, Schachter CL. Providing dental care to survivors of childhood sexual abuse:treatment considerations for the practitioner. J Am Dent Assoc 2005; 136: 1277–1281.
Uziel N, Bronner G, Elran E, Eli I. Sexual correlates of gagging and dental anxiety. Community Dent Health 2012; 29: 243–247.
Leeners B, Stiller R, Block E, Görres G, Imthurn B, Rath W. Consequences of childhood sexual abuse experiences on dental care. J Psychosom Res 2007; 62: 581–588.
Hakeberg M, Berggren U, Gröndahl HG. A radiographic study of dental health in adult patients with dental anxiety. Community Dent Oral Epidemiol 1993; 21: 27–30.
Unell L, Söderfeldt B, Halling A, Birkhed D. Explanatory models for clinically determined and symptom‐reported caries indicators in an adult population. Acta Odontol Scand 1999; 57: 132–138.
Kundu H, Singla A, Kote S, Singh S, Jain S, Singh K, Vashishtha V. Domestic violence and its effect on oral health behaviour and oral health status. J Clin Diagn Res 2014; 8: ZC09–ZC12.
Williams LM. Recovered memories of abuse in women with documented child sexual victimization histories. J Trauma Stress 1995; 8: 649–673.
Graham‐Dickerson P. The role of disclosure in incest survival. Resurrection of the buried self. Ann Arbor: University of Michigan, 2001.
Svanberg M, Stålnacke BM, Enthoven P, Brodda‐Jansen G, Gerdle B, Boersma K. Impact of emotional distress and pain‐related fear on patients with chronic pain: subgroup analysis of patients referred to multimodal rehabilitation. J Rehabil Med 2017; 49: 354–361.
Jaffe AE, Dilillo D, Hoffman L, Haikalis M, Dykstra RE. Does it hurt to ask? A meta‐analysis of participant reactions to trauma research. Clin Psychol Rev 2015; 40: 40–56.
Simms EM, Stawarska B. Introduction: concepts and methods in interdisciplinary feminist phenomenology. Janus Head 2013; 13: 6–16.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004; 24: 105–112.
Kranstad V, Søftestad S, Fredriksen T, Willumsen T. Being considerate every step of the way: a qualitative study analysing trauma‐sensitive dental treatment for childhood sexual abuse survivors. Eur J Oral Sci 2019; 126: 539–546.
Nilsson D, Dahlström Ö, Priebe G, Svedin CG. Polytraumatization in an adult national sample and its association with psychological distress and self‐esteem. Brain Behavior 2015; 5: 62–74.
Finkelhor D, Ormrod R, Turner HA. Poly‐victimization: a neglected component in child victimization. Child Abuse Negl 2007; 31: 7–26.
Giorgi A. The descriptive phenomenological method in psychology. A modified Husserlian approach. Pittsburg, PA: Duquesne University Press, 2009.
De Beauvoir S. The second sex. London: Vintage, 2010.
Young IM. Throwing like a girl: a phenomenology of feminine body comportment, motility, and spatiality. Hum Stud 1980; 3: 137–156. Reprinted in Young M. Throwing Like a Girl and Other Essays. New York: Oxford University Press, 2005.
Merleau‐Ponty M. Phenomenology of perception. London: Routledge, 2002.
Leder D. A tale of two bodies: the Cartesian corpse and the lived body. In: Welton D, ed. Body and flesh: a philosophical reader. Oxford: Blackwell, 1998.
Bradway PA. Healing qualities of relationships: voices of women survivors of interpersonal trauma. Ann Arbor: University of Michigan, 2001.
van der Kolk BA, Fisler R. Dissociations and the fragmentary nature of traumatic memories: overview and explanatory study. J Trauma Stress 1995; 8: 505–525.
van der Kolk BA. The body keeps the score: memory and the evolving psychobiology of posttraumatic stress. Harvard Rev Psych 1994; 1: 253–265.
Chiodo GT, Tilden VP, Limandri BJ, Schmidt TA. Addressing family violence among dental patients: assessment and intervention. JADA 1994; 125: 69–75.
Love C, Gerbert B, Caspers N, Bronstone A, Perry D, Bird W. Dentists' attitudes and behaviours regarding domestic violence – the need for an effective response. JADA 2001; 132: 85–93.
Gutmann ME, Solomon ES. Family violence content in dental hygiene curricula: a national survey. J Dent Educ 2002; 66: 999–1005.
Driegard C, Nicolas E, Hansjacob A, Roger‐Leroi V. Educational needs in the field of detection of domestic violence and neglect: the opinion of a population of French dentists. Euro J Dent Educ 2012; 16: 156–65.
Harmer‐Beem M. The perceived likelihood of dental hygienists to report abuse before and after a training program. J Dent Hyg 2005; 79: 1–12.
Aved BM, Meyers L, Burmas EL. Challenging dentistry to recognize and respond to family violence. CDA J 2007; 35: 555–563.
Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: review. Aust Dent J 2013; 58: 390–407.
Harris M, Fallot RD. Envisioning a trauma‐informed service system: a vital paradigm shift. New Dir Ment Health Serv 2001; 89: 3–22.