Recounting Graphic Sexual Abuse Memories in Therapy: The Impact on Women's Healing

This retrospective study investigates the impact on women's functioning of recounting during their therapy the graphic details of sexual abuse they had experienced in childhood. Fifty-nine participants residing in Southern Ontario were divided into two groups: those who spent more time (N=19) versus less time (N=40) in therapy recounting graphic abuse details. Results revealed that the group who had spent more time recounting abuse memories: (a) had mean functioning scores that were significantly lower before and during therapy, but that did not significantly differ after therapy; (b) recovered more memories of abuse during therapy, and (c) were more likely to have participated in hypnosis, and to report having been encouraged to remember details of abuse. Participants rated as most therapeutic those approaches that assisted them to increase their understanding of the abuse. Strategies related to acceptance, understanding, and making meaning were most important in promoting healing.