Skip to main content

Advertisement

Log in

Themes of Adult Sibling Sexual Abuse Survivors in Later Life: An Initial Exploration

  • Original Paper
  • Published:
Clinical Social Work Journal Aims and scope Submit manuscript

There is a fateful quality of perpetuity about sibling relationships—our brothers and sisters will always be our contemporaries; we can’t ever quite leave them. However, convenient it would be, we can’t pretend to consign them to irrelevancy.

Markowitz 1994 (p. 69).

Abstract

This paper examines the thematic treatment issues presented in a small, clinical practice setting by eight women aged 56 through 69 who were sexually abused by their brothers/stepbrothers during childhood and seeking therapy for issues dealing with a terminally ill and/or dying parent. The reemergence of traumatic issues and family dynamics with aging parents and end-of-life-issues, dealing with a previously abusive brother, and treatment recommendations on managing reactions, affect, and boundaries are presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Acierno, R., Lawyer, S., Rheingold, A., Kilpatrick, D., Resnick, H., & Saunders, B. (2007). Current psychopathology in previously assaulted older adults. Journal of Interpersonal Violence, 22(2), 250–257.

    Article  PubMed  Google Scholar 

  • Adler, A. (1938). Social interest: A challenge to mankind. London: Faber & Faber.

    Google Scholar 

  • Alpert, J. (1997). Sibling child sexual abuse: research review and clinical implications. Journal of Aggression, Maltreatment & Trauma, 1(1), 263–275.

    Article  Google Scholar 

  • Anderson, K., & Hiersteiner, C. (2008). Recovering from childhood sexual abuse: Is a “Storybook Ending” possible? The American Journal of Family Therapy, 36, 413–424.

    Article  Google Scholar 

  • Ansbacher, H. L., & Ansbacher, R. R. (Eds.). (1956). The individual psychology of Alfred Adler. New York: Basic Books.

    Google Scholar 

  • Bank, S., & Kahn, M. (1982). The sibling bond. New York: Basic Books.

    Google Scholar 

  • Barrett, M. J. (2003). Constructing the third reality. The Psychotherapy Networker, July/August, 45–61.

  • Bhuvaneswar, C., & Shafer, A. (2004). Survivor of that time, that place: Clinical uses of violence survivors’ narratives. Journal of Medical Humanities, 25(2), 109–127.

    Article  PubMed  Google Scholar 

  • Björklund, A., Eriksson, T., Jäntti, M., Raaum, O., & Österbacka, E. (2004). Family structure and labor market success: The influence of siblings and birth order on the earnings of young adults in Norway, Finland, and Sweden. In M. Croak (Ed.), Generational income mobility in North America and Europe (pp. 208–210). Cambridge, MA: Cambridge University Press.

    Google Scholar 

  • Black, S., Devereux, P., Salvanes, K. (2007). Older and wiser? Birth order and IQ of young men (p. 2). National Bureau of Economic Research, Working Paper 13237.

  • Briere, J., & Elliott, D. M. (2003). Prevalence and symptomatic sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women. Child Abuse and Neglect, 27, 1205–1222.

    Article  PubMed  Google Scholar 

  • Briere, J., & Scott, C. (2006). Principles of trauma therapy. Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Briere, J., Scott, C., & Weathers, F. (2005). Peritraumatic and persistent dissociation in the presumed etiology of PTSD. American Journal of Psychiatry, 162, 2295–2301.

    Article  PubMed  Google Scholar 

  • Brown, D. (2009). Assessment of attachment and abuse history, and adult attachment style. In C. A. Courtois & J. D. Ford (Eds.), Treating complex traumatic stress disorders, an evidence-based guide (pp. 124–126). New York: Guilford Press.

  • Browne, A., & Finkelhor, D. (1986). The impact of child sexual abuse: A review of the literature. Psychological Bulletin, 99(1), 66–77.

    Article  PubMed  Google Scholar 

  • Canavan, M., Meyer, W., & Higgs, D. (1992). The female experience of sibling incest. Journal of Marital and Family Therapy, 18, 129–142.

    Article  Google Scholar 

  • Cawson, P., Wattam, C., Brooker, S., & Kelley, G. (2000). Child maltreatment in the United Kingdom: A study of the prevalence of child abuse & neglect (pp. 18–21). London: National Society for the Prevention of Cruelty to Children (NSPCC).

    Google Scholar 

  • Cyr, M., Wright, J., McDuff, P., & Perron, A. (2002). Intrafamilial sexual abuse: Brother-sister incest does not differ from father-daughter and stepfather-stepdaughter incest. Child Abuse and Neglect, 26, 957–973.

    Article  PubMed  Google Scholar 

  • Daie, N., Witztum, E., & Elff, M. (1989). Long-term effects of sibling incest. Journal of Clinical Psychiatry, 50, 428–431.

    PubMed  Google Scholar 

  • Dunn, J., & Plomin, R. (1990). Separate lives, why siblings are so different. London: Basic Books.

    Google Scholar 

  • Filetti, V., Anda, R., Nordenberg, D., Williamson, Spitz., et al. (1998). The relationship of adult health status to childhood abuse and household dysfunction. American Journal of Preventive Medicine, 14, 245–258.

    Article  Google Scholar 

  • Finkelhor, D., Hoatling, G., Lewis, I. A., & Smith, C. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics, and risk factors. Child Abuse and Neglect, 14, 19–28.

    Article  PubMed  Google Scholar 

  • Gagnon, M., & Hersen, M. (2000). Unresolved childhood sexual abuse and older adults: Late-life vulnerabilities. Journal of Clinical Geropsychology, 6(3), 187–198.

    Article  Google Scholar 

  • Havig, K. (2008). The health care experiences of adult survivors of child sexual abuse: A Systematic review of the literature. Trauma, Violence, and Abuse, 9(1), 19–33.

    Article  PubMed  Google Scholar 

  • Heiman, M. L. (1988). Untangling incestuous bonds: The treatment of sibling incest. In M. Kahn & K. G. Lewis (Eds.), Siblings in therapy, life span and clinical issues (pp. 135–136). New York: W. W. Norton & Company.

    Google Scholar 

  • Hyer, L. A., & Sohnle, S. J. (2001). Trauma among older people, issues and treatment (pp. 5–12). Philadelphia, PA: Brunner-Routledge.

    Google Scholar 

  • Kahn, K., & Lewis, K. G. (Eds.). (1988). Siblings in therapy, life span and clinical issues. New York: W. W. Norton & Company.

    Google Scholar 

  • Kilpatrick, D., Ruggiero, K., Acierno, R., Saunders, B., Resnick, H., & Best, C. (2003). Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: Results from the national survey of adolescents. Journal of Consulting and Clinical Psychology, 71, 692–700.

    Article  PubMed  Google Scholar 

  • Kogan, S. M. (2004). Disclosing unwanted sexual experiences: Results from a national sample of adolescent women. Child Abuse and Neglect, 28, 147–165.

    Article  PubMed  Google Scholar 

  • Laviola, M. (1992). Effects of older brother-younger sister incest: A study of the dynamics of 17 cases. Child Abuse and Neglect, 16, 409–429.

    Article  PubMed  Google Scholar 

  • Leeners, B., Stiller, R., Block, E., Gorres, G., Imthurn, B., & Rath, W. (2009). Consequences of childhood sexual abuse experiences on dental care. Journal of Psychosomatic Research, 62(5), 581–588.

    Article  Google Scholar 

  • London, K., Bruck, M., Ceci, S., & Shuman, D. (2005). Disclosure of child sexual abuse: What does the research tell us about the ways that children tell? Psychology, Public Policy, and Law, 11, 194–226.

    Article  Google Scholar 

  • Maddock, J., & Larson, N. (1995). Incestuous families, an ecological approach to understanding and treatment. New York: W. W. Norton & Company.

    Google Scholar 

  • Markowitz, L. (1994). Shared passages. The Family Therapy Networker, January/February, 19–69.

  • Merrell, S. S. (1995). The accidental bond, the power of sibling relationships (pp. 3–5). New York: Random House.

    Google Scholar 

  • Miller, N. B., & Cantwell, D. (1976). Siblings as therapists: A behavioral approach. American Journal of Psychiatry, 133, 447–450.

    PubMed  Google Scholar 

  • Monahan, K. (1997). Crocodile talk: Attributions of incestuously abused and non-abused sisters. Child Abuse and Neglect, 21(1), 19–34.

    Article  PubMed  Google Scholar 

  • Monahan, K. (2003). Death of the abuser: Does the memory linger on? Death Studies, 27, 641–651.

    Article  PubMed  Google Scholar 

  • Monahan, K., & Forgash, C. (2000). Enhancing the health care experiences of adult female survivors of childhood sexual abuse. Women and Health, 30(4), 27–41.

    Article  Google Scholar 

  • Paine, M. L., & Hansen, D. J. (2002). Factors influencing children to self-disclose sexual abuse. Clinical Psychology Review, 22, 271–295.

    Article  PubMed  Google Scholar 

  • Priebe, G., & Svedin, C. (2008). Child sexual abuse is largely hidden from the adult society, an epidemiological study of adolescents’ disclosures. Child Abuse and Neglect, 32, 1095–1108.

    Article  PubMed  Google Scholar 

  • Putnam, F. W. (2003). Ten year research update review: Child sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 269–278.

    Article  PubMed  Google Scholar 

  • Rudd, J., & Herzberger, S. (1999). Brother-sister incest/father-daughter incest: A comparison of characteristics and consequences. Child Abuse and Neglect, 23, 915–928.

    Article  PubMed  Google Scholar 

  • Ruggiero, K., Smith, D., Hanson, R., Resnick, H., Saunders, B., Kilpatrick, D., et al. (2004). Is disclosure of childhood rape associated with mental health outcome? Results from the national women’s study. Child Maltreatment, 9, 62–77.

    Article  PubMed  Google Scholar 

  • Russell, D. (1986). The secret trauma: Incest in the lives of girls and women. New York: Basic Books.

    Google Scholar 

  • Sickel, A., Noll, J., Moore, P., Putnam, F., & Trickett, P. (2002). The long-term physical health and healthcare utilization of women who were sexually abused as children. Journal of Health Psychology, 7(5), 583–597.

    Article  Google Scholar 

  • Stalker, C., Russell, B., Teram, E., & Schachter, C. (2005). Providing dental care to survivors of childhood sexual abuse: treatment considerations for the practitioner. Journal of the American Dental Association, 136(9), 1277–1281.

    PubMed  Google Scholar 

  • Sulloway, F. (1996). Born to rebel. New York: Vantage.

    Google Scholar 

  • Toman, W. (1959). Family constellation as a character and marriage determinant. International Journal of Psychoanalysis, 40, 16–31.

    Google Scholar 

  • Toman, W. (1961). Family constellation. New York: Springer.

    Google Scholar 

  • Toman, W. (1989). Family constellations and friendship systems. Contemporary Family Therapy, 11(1), 3–20.

    Article  Google Scholar 

  • Trepper, T., & Barrett, M. J. (1989). Systemic treatment of incest: A therapeutic handbook. Routledge: Brunner.

    Google Scholar 

  • Wiehe, V. R. (1990). Sibling abuse, hidden physical, emotional, and sexual trauma. Lexington, MA: Lexington Books.

    Google Scholar 

  • Wiehe, V. R. (1991). Perilous rivalry, when siblings become abusive. Lexington, MA: Lexington Books.

    Google Scholar 

  • Worling, J. R. (1995). Adolescent sibling-incest offenders: Differences in family and individual functioning when compared to adolescent non-sibling sex offenders. Child Abuse and Neglect, 19(5), 633–643.

    Article  PubMed  Google Scholar 

  • Zajonc, R., & Mullally, P. (1997). Birth order: Reconciling conflicting effects. American Psychologist, 52(7), 685–699.

    Article  Google Scholar 

  • Zankman, S., & Bonomo, J. (2004). Working with parents to reduce juvenile sex offender recidivism. Journal of Child Sexual Abuse, 13(3–4), 139–156.

    PubMed  Google Scholar 

  • Zweigenhaft, R. (2002). Birth order effects and rebelliousness: Political activism and involvement with marijuana. Political Psychology, 23(2), 219–233.

    Article  Google Scholar 

  • Zweigenhaft, R., & Von Ammon, J. (2000). Birth order and civil disobedience: A test of Sulloway’s “Born to Rebel” hypothesis. The Journal of Social Psychology, 140(5), 624–627.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The author wishes to thank Joel Blau, Ph.D., Kimberly F. Daube, L.M.S.W., and Carol Forgash, L.C.S.W. for their invaluable input in reviewing this manuscript, and Angela Caggiano and Jessie Taylor who worked on this project as part of their Masters Project in the School of Social Welfare, and finally Arnie Eisman, L.C.S.W., who gets it.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kathleen Monahan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Monahan, K. Themes of Adult Sibling Sexual Abuse Survivors in Later Life: An Initial Exploration. Clin Soc Work J 38, 361–369 (2010). https://doi.org/10.1007/s10615-010-0286-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10615-010-0286-1

Keywords

Navigation