Ansie Fouché

A Strengths-Based Group Intervention for Women Who Experienced Child Sexual Abuse.

Purpose: This study evaluated the benefits of a “survivor to thriver” strengths-based group intervention program to facilitate posttraumatic growth in women survivors of child sexual abuse. Method: A quasi-experimental, one group, pretest, posttest, time-delay design was employed using qualitative methods to evaluate the benefits of the intervention with 10 purposively selected women with a history of child sexual abuse. Six group sessions were conducted as well as a delayed follow-up session. Qualitative data were collected using drawings, narratives, and transcriptions. Results: Qualitative thematic content data analysis portrayed enabling processes of PTG such as emotional awareness, decisive action, posttrauma identity, and a healing group context. Conclusion: These themes suggest growth outcomes. However, a longitudinal study is recommended to establish efficacy and to inform practice with replicable interventions.

Reflective Supervision: Guidelines For Promoting Resilience Amongst Designated Social Workers

The importance of child protection as well as the designated social workers (DSWs) assigned to them, and the jeopardy they face, is well recognised. Although there is a call to enhance DSW resilience, little is known about their resilience, and there are no guidelines to equip South African DSW supervisors to promote supervisee resilience. This article proposes resilience-enhancing guidelines for South African DSWs within reflective supervision. These suggested guidelines are based on empirical research findings pertaining to (a) a systematic meta-synthesis of DSW risk and resilience; (b) indicators of South African DSW resilience; and (c) the lived experiences of 15 resilient South African DSWs

Legal professionals’ views on pre-trial therapy in cases of child sexual abuse in South Africa

The aim of this study is to report on a preliminary qualitative inquiry into the views of legal professionals in South Africa regarding pre-trial therapy for victims of child sexual abuse (CSA). Applying purposive and snowball sampling, 15 experienced state prosecutors, presiding officers of criminal courts, and defence attorneys and advocates in the Gauteng Province were interviewed. Primary themes were identified in the data, namely: therapy is crucial, but the timing thereof is a contentious aspect, due to the ripple effect that contamination of the childs evidence could have and there are no directives regarding pre-trial therapy in South Africa. The results suggest conflict in the criminal justice system between the constitutional rights of the accused and that of the alleged victim of CSA. We recommend that ways should be explored to provide pre-trial therapy for victims of CSA that will not affect the integrity of the legal case.

No strangers to adversity: Resilience-promoting practices among South African women child protection social workers:

Globally the well-being of child protection social workers (CPSWs) is placed at risk by the taxing nature of their profession. In response, there have been international calls for the prioritization of CPSWs’ resilience. Despite the call to enhance the resilience of CPSWs, to date, only five research studies have explored resilience processes in CPSWs. In this article, we present findings that describe resilience-enhancing practices in the lives of 15 South African CPSWs who were considered resilient. They were recruited by means of snowball sampling and engaged in in-depth interviews. Findings reveal that the overall well-being and functioning of these 15 South African CPSWs are endangered by several occupational risk factors including work pressure, inadequate professional support, financial strain, challenges unique to CPSW such as removal of children and exposure to aggressive clients, and emotional exhaustion. Their resilience was informed by four differently weighted but interrelated resilience practices: practice- and purpose-informing creeds, support systems, constructive transactions, and accentuating the positive. These practices are potentially useful to contribute to the body of knowledge on CPSWs’ resilience as well as to the development of resilience-enhancing guidelines and subsequent intervention programmes with the purpose of protecting CPSWs globally and contributing to efficient service delivery. However, given the dynamic nature of resilience, continued explorations of CPSW resilience processes in different cultural contexts are needed.

Childhood sexual abuse trauma-causing dynamics experienced by women survivors: A scoping literature review

This scoping literature review reports on the major themes to emerge from 23 retrospective studies on the trauma-causing dynamics experienced by women survivors of a historical childhood sexual abuse (CSA) trauma. We identified the studies from searching the following data bases for the period 1983–2016: EbscoHost (Academic Search Premiere, Africa-Wide Information, E-Journals, ERIC, PsycARTICLES, PsycINFO, SocINDEX), SAePublications, Science Direct, CrossRef (APA PsycNET), Google scholar (ResearchGate), PubMed Central, and Cochrane Reviews. For the selection criteria, we included empirical studies on self-reported trauma-causing dynamics experienced by women survivors, without restriction on method of study. Results from the thematic analysis of findings suggest the women survivors appear to be living with historical traumatic sexualisation, betrayal of trust, social stigmatisation, powerlessness, developmental arrest, and revictimisation. Historical traumas should be considered in counselling support interventions with women self-reporting CSA.

Social workers’ views on pre-trial therapy in cases of child sexual abuse in South Africa

This study sought to explore anecdotal reports that social workers in South Africa are often advised to postpone therapy with child complainants of sexual abuse until after the childs testimony, based on concerns of legal professionals that therapeutic interventions could influence the childs testimony. Applying purposive sampling and a qualitative research study, individual and focus group interviews were conducted with 18 social workers and one psychologist that provide therapeutic services to child complainants of sexual abuse in the Gauteng province. Interviews were audio-recorded, transcribed and independently analyzed by both researchers, performing thematic analysis. Emerging themes include a lack of directives in terms of the provision of pre-trial therapy for child victims of sexual abuse, current practices and challenges in this regard. Recommendations for the way forward are presented. Limitations and future research will be discussed.

Delaying Pre-trial Therapy to Child Victims of Sexual Abuse: An Unfounded Prevailing Culture in South Africa?

Due to the statutory obligation to report child sexual abuse to the authorities, children in South Africa are increasingly called to testify in criminal proceedings. A recent qualitative study found that South African parents and social workers are often advised by legal professionals to postpone pre-trial therapy (therapy provided to child witnesses prior to testimony) until after the child’s testimony, based on concerns that therapy could contaminate the child’s version of events, and might ultimately lead to an acquittal of the accused. In this study, the authors analysed selected authoritative documents to explore whether or not any directives exist in respect of the provision of pre-trial therapy to child victims of sexual abuse in South Africa. Our findings suggest that none of the authoritative documents included in our document review specifically mention the rendering of pre-trial therapy to child victims of sexual abuse. Recommendations for policy reform and research are made.

Pre-trial therapy for child witnesses in cases of sexual abuse: A scoping literature review

Globally, child complainants of sexual abuse are expected to testify in criminal proceedings and in some countries therapy is delayed until after the child testifies as not to contaminate the child’s version of events. We carried out a scoping review of the literature on the provision of pre-trial therapy to child witnesses in cases of sexual abuse, to identity pertinent practice issues. We searched the following data bases: Academic FileOne, CINAHL, Cochrane Library, eBook (EBSCOHost); HeinOnline, OAPEN Library, PscyhARTICLS, PscyhINFO; SocINDEX, ScienceDirect, Google Scholar, and Scopus. We identified white and grey literature for the period spanning 1980 to 2016. Inclusion criteria included studies published in English, experimental studies, literature reviews, and policy documents relating to the provision of pre-trial therapy for child witnesses in criminal cases of sexual abuse. We discovered that an internationally accepted clear definition of pre-trial therapy is needed to ensure a common understanding thereof amongst all role players. A dearth of empirical studies exists and consequently the possible impact of different forms of therapeutic approaches on the child witness’ testimony is yet to be conclusively determined. In the interim, therapists and other role players should be acutely aware of the impact of different forms of therapy on the child witness’s testimony.

A group intervention programme for adult survivors of childhood sexual abuse

This study reports on the core components of the Survivor to Thriver strengths-based group intervention programme for women who experienced childhood sexual abuse. It advocates a balanced approach and draws on an eclectic mix of theories, and has been field tested with two groups of women. An exposition of the philosophical and theoretical underpinnings, a description of the context, the role of the expert companion, outcomes and activities of the programme, evaluation methods and standard of care is provided. Finally, critical reflections on the intervention are discussed as well as limitations and the way forward.