Childhood sexual abuse and HIV positive status among South African women : the role of revictimization

 

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dc.contributor.advisor Kaminer, Debbie en_ZA
dc.contributor.advisor Gobodo-Madikizela, Pumla en_ZA
dc.contributor.author George, Meg en_ZA
dc.date.accessioned 2014-12-30T06:49:26Z
dc.date.available 2014-12-30T06:49:26Z
dc.date.issued 2006 en_ZA
dc.identifier.citation George, M. 2006. Childhood sexual abuse and HIV positive status among South African women : the role of revictimization. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/10550
dc.description Includes bibliographical references en_ZA
dc.description.abstract South Africa has a very high rate of HIV infection, particularly among women. This exploratory study investigated the role of revictimization in the relationship between childhood sexual abuse and adult HIV positive status among women being treated at district clinics in Cape Town The present study utilized both psychological and feminist theories to understand internal psychological dynamics and contextual factors that impact on revictimization leading to increased HIV risk. A qualitative feminist methodology with a collective case study design utilizing five in-depth interviews was conducted with HIV positive women who had experienced child sexual abuse. The central findings of the study revealed psychological patterns of negative stigmatization, self-blame, mistrust and isolation which may fuel a dependent need for connection with intimate partners, thereby increasing risk for revictimization. Revictimization was pervasively present in adulthood, with HIV infection being a consequence of ongoing sexual and/or physical assault in long-term intimate relationship. Participants reported not using condoms consistently. For these participants, an incapacity to insist on condom use by partners was understood in the context of ongoing sexual and physical violence and threats by their partners, rather than unassertiveness as has been commonly noted. In essence, it was noted in this study that participants who experienced child sexual abuse were disempowered due to both psychological processes and broader social inequities which made them particularly vulnerable to contracting HIV. However, the findings are provisional due to the methodology utilized. Recommendations for future research and HIV prevention and policy are offered. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Clinical Psychology en_ZA
dc.title Childhood sexual abuse and HIV positive status among South African women : the role of revictimization en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Humanities en_ZA
dc.publisher.department Department of Psychology en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MSocSc en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation George, M. (2006). <i>Childhood sexual abuse and HIV positive status among South African women : the role of revictimization</i>. (Thesis). University of Cape Town ,Faculty of Humanities ,Department of Psychology. Retrieved from http://hdl.handle.net/11427/10550 en_ZA
dc.identifier.chicagocitation George, Meg. <i>"Childhood sexual abuse and HIV positive status among South African women : the role of revictimization."</i> Thesis., University of Cape Town ,Faculty of Humanities ,Department of Psychology, 2006. http://hdl.handle.net/11427/10550 en_ZA
dc.identifier.vancouvercitation George M. Childhood sexual abuse and HIV positive status among South African women : the role of revictimization. [Thesis]. University of Cape Town ,Faculty of Humanities ,Department of Psychology, 2006 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/10550 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - George, Meg AB - South Africa has a very high rate of HIV infection, particularly among women. This exploratory study investigated the role of revictimization in the relationship between childhood sexual abuse and adult HIV positive status among women being treated at district clinics in Cape Town The present study utilized both psychological and feminist theories to understand internal psychological dynamics and contextual factors that impact on revictimization leading to increased HIV risk. A qualitative feminist methodology with a collective case study design utilizing five in-depth interviews was conducted with HIV positive women who had experienced child sexual abuse. The central findings of the study revealed psychological patterns of negative stigmatization, self-blame, mistrust and isolation which may fuel a dependent need for connection with intimate partners, thereby increasing risk for revictimization. Revictimization was pervasively present in adulthood, with HIV infection being a consequence of ongoing sexual and/or physical assault in long-term intimate relationship. Participants reported not using condoms consistently. For these participants, an incapacity to insist on condom use by partners was understood in the context of ongoing sexual and physical violence and threats by their partners, rather than unassertiveness as has been commonly noted. In essence, it was noted in this study that participants who experienced child sexual abuse were disempowered due to both psychological processes and broader social inequities which made them particularly vulnerable to contracting HIV. However, the findings are provisional due to the methodology utilized. Recommendations for future research and HIV prevention and policy are offered. DA - 2006 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2006 T1 - Childhood sexual abuse and HIV positive status among South African women : the role of revictimization TI - Childhood sexual abuse and HIV positive status among South African women : the role of revictimization UR - http://hdl.handle.net/11427/10550 ER - en_ZA


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