Abstract
D.Litt. et Phil.
The psychological impact of childhood sexual abuse has been widely researched. Despite the numerous negative effects cited in the literature, few studies have focused on the treatment of children within this population group. Furthermore, a minority of research has investigated the efficacy of group therapy and art therapy as a treatment approach with these children, and even fewer studies have focused on the combination of group art therapy. Evident is particularly the lack of control groups consisting of sexually abused children with which to compare results and utilise as an indicator of treatment effect. The most prevalent symptoms found among sexually abused children seem to include depression and anxiety. Although fewer studies have focused on variables such as sexual trauma and self-esteem, these symptoms also seem common. Children between the age of 7 and 13 years seem to experience the most negative consequences associated with sexual abuse, and seem to be particularly susceptible to the development of emotional, behavioural, cognitive, and social difficulties.
The purpose of the present study was to design a group art therapy intervention aimed at reducing depression, anxiety, sexual trauma, and low self-esteem, and to evaluate the success rate of the programme using the Solomon four-group design. The Trauma Symptom Checklist for Children and the Human Figure Drawing were used as measures for assessing symptom change both within and between the four groups. A sample of 25 sexually abused girls, aged 8 to 11 years was recruited using a purposive sampling technique. Criteria for selection further involved having the ability to speak English and living with a non-offending caretaker. For practical reasons groups were selected from children’s homes in the Gauteng area. The sample consisted of four groups, namely two experimental groups and two control groups, whereby the experimental groups received the treatment and the control groups did not. The first experimental group and the first control group were assessed prior to and after termination of the therapy. The purpose was to measure the degree of change as a result of the intervention. The control groups were provided with the therapy after the post-test had been administered. Results indicate that the experimental group improved significantly compared to the control groups with regard to anxiety, depression and sexual trauma. Furthermore, in the absence of the intervention the control group demonstrated deterioration between the pre- and post-test. The study indicates a high success rate using the group art therapy intervention. It is anticipated that the value of this study may further enhance the quality of future research on this topic.