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Out of the silence: towards grassroots and trauma-informed support for people who have experienced sexual violence and abuse

Sweeney, AC; Perôt, C; Callard, F; Adenden, V; Mantovani, N; Goldsmith, L (2019) Out of the silence: towards grassroots and trauma-informed support for people who have experienced sexual violence and abuse. Epidemiology and Psychiatric Sciences, 28 (6). pp. 598-602. ISSN 2045-7960
SGUL Authors: Sweeney, Angela Claire

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To experience sexual violence and abuse is to experience silence. This commentary explores some of the ways in which psychiatry reinforces the silencing of sexual violence survivors. We argue that current psychiatric responses to sexual violence typically constitute iatrogenic harm including through: a failure to provide services that meet survivors’ needs, a failure to believe or validate disclosures; experiences of medicalisation and diagnoses which can delegitimise people's own knowledge and meaning; ‘power over’ relational approaches which can prevent compassionate responses and result in staff having to develop their own coping strategies; and poorly addressed and reported experiences of sexual violence within psychiatric settings. We argue that these multiple forms of silencing have arisen in part because of biomedical dominance, a lack of support and training in sexual violence for staff, inconsistent access to structured, reflective supervision, and the difficulties of facing the horror of sexual violence and abuse. We then describe community-based and grassroots responses, and consider the potential of trauma-informed approaches. Whilst this paper has a UK focus, some aspects will resonate globally, particularly given that Western psychiatry is increasingly being exported around the globe.

Item Type: Article
Additional Information: This article has been published in a revised form in Epidemiology and Psychiatric Sciences []. This version is free to view and download for private research and study only. Not for re-distribution or re-use. © Cambridge University Press 2019
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Epidemiology and Psychiatric Sciences
ISSN: 2045-7960
December 2019Published
12 April 2019Published Online
19 February 2019Accepted
Publisher License: Publisher's own licence
Project IDFunderFunder ID
PDF-2013-06-045National Institute for Health Research
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