Posttraumatic stress disorder in adult female survivors of childhood sexual abuse: a comparison study.

This study compared symptoms of posttraumatic stress disorder (PTSD) in a group of 45 adult women in outpatient treatment for childhood sexual abuse (CSA) and a group of 31 women who reported no CSA. The comparison group consisted of women in outpatient treatment for problems in their committed relationships with male living partners. This research also investigated the traumatic impact of dual abuse (both childhood sexual and physical abuse). Standardized assessment instruments were used to measure PTSD, CSA, and childhood physical abuse (CPA). Results indicated that 86.7% of the CSA group met criteria for current PTSD in accordance with the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., revised; American Psychiatric Association, 1987), compared with 19.4% of the relationship distress group, providing support for CSA as an etiological agent for PTSD. In addition, 89% of the CSA survivors reported CPA. Multivariate analysis revealed that both CSA and CPA exposure variables accounted for a significant portion of the variance in PTSD symptoms in the CSA group.

Relational ethics in the novels of Charles Williams.

In the novels of Charles Williams, characters are faced with the mundane but profound choice between "charity and selfishness," the City and Infamy. Williams' "way of exchange" and "doctrine of substitution" have direct parallels in contextual family therapy. In Descent Into Hell, he explores the long-term effects of legacy and the balancing of the relational ledger through the process of "substituted" love. In All Hallows' Eve, the focus is on forgiveness and the opportunity to correct relational mistakes while one is in a purgatorial state. Both novels include parallel processes of relational stagnation/disjunction and rejunction, illustrating the fact that our simple, everyday choices have ultimate significance.

The church's ministry to singles: A family model.

The authors provide a theoretical introduction for the church's ministry to singles by reviewing the family therapy literature as it pertains to familial disengagement or enmeshment and interpersonal mutuality or isolation. Belongingness based on consanguinity must eventually be replaced by belongingness rooted in consensuality or commitment. The single person must seek such commitment outside the institution of marriage. The church can offer belongingness through establishing parity, de-emphasizing segregation, promoting inclusion, and practicing community.