1
|
Villeneuve É, Paradis A, Brassard A, Vaillancourt-Morel MP, Fernet M, Gewirtz-Meydan A, Godbout N. Dissociation and Sexual Concerns in Male Survivors of Childhood Sexual Abuse: The Role of Identity Cohesion. J Trauma Dissociation 2024; 25:500-515. [PMID: 38766998 DOI: 10.1080/15299732.2024.2356597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 04/09/2024] [Indexed: 05/22/2024]
Abstract
Research on male survivors of childhood sexual abuse is notably deficient when it comes to addressing their sexual concerns, such as experiences of sexual distress, negative thoughts, and feelings related to their sexuality. Dissociation, a known consequence of childhood sexual abuse, could be associated with higher sexual concerns through identity cohesion. Precisely, dissociation can potentially be related to lower identity cohesion (e.g., not knowing what you want or need). In return, lower identity cohesion may be related to higher sexual concerns by impeding the capacity to know and accept oneself, which tends to promote a positive and healthy sexuality. This study aimed to examine the role of identity cohesion in the link between dissociation and sexual concerns in 105 men consulting for their history of childhood sexual abuse. Men completed questionnaires assessing dissociation, sexual concerns, and identity cohesion at admission in a community setting. Results of a path analysis revealed an indirect association between dissociation and higher sexual concerns through lower identity cohesion. The model explained 27.6% of the variance in sexual concerns. This study highlights the relevance of interventions targeting dissociative symptoms to improve identity cohesion and sexual health in male survivors of childhood sexual abuse.
Collapse
Affiliation(s)
- Élise Villeneuve
- Department of Psychology, Université du Québec à Montréal, Montréal, Québec, Canada
| | - Alison Paradis
- Department of Psychology, Université du Québec à Montréal, Montréal, Québec, Canada
| | - Audrey Brassard
- Department of Psychology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | | | - Mylène Fernet
- Department of Sexology, Université du Québec à Montréal, Montréal, Québec, Canada
| | - Ateret Gewirtz-Meydan
- School of Social Work, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel
| | - Natacha Godbout
- Department of Sexology, Université du Québec à Montréal, Montréal, Québec, Canada
| |
Collapse
|
2
|
Horváth Z, Paksi B, Eisinger A, Felvinczi K, Demetrovics O, Demetrovics Z. Longitudinal joint trajectories of gambling disorder and hypomentalization: A latent class growth analysis among young adults. Compr Psychiatry 2023; 126:152409. [PMID: 37566950 DOI: 10.1016/j.comppsych.2023.152409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 07/01/2023] [Accepted: 07/26/2023] [Indexed: 08/13/2023] Open
Abstract
INTRODUCTION Only a few studies have investigated the relationship between risk for gambling disorder (GD) and mentalization difficulties. However, these results on positive correlations were all from cross-sectional studies; therefore, it would be important to investigate the longitudinal relationship between the constructs. AIMS It was aimed to identify subgroups of gamblers with different joint growth trajectories of risk for GD and hypomentalization (i.e., uncertainty of understanding own and others' mental states) and to compare the identified latent classes along impulsivity, sensation seeking and depression. METHODS Data from waves 1-3 of the Budapest Longitudinal Study were used. The final sample included 219 young adult gamblers who completed the study questionnaire and reported past-year gambling in all three waves (Females: N = 93 [42.29%]; Mean age: 28.36 years [SD = 4.29]). Standardized questionnaires were administered to measure the main constructs. RESULTS A four-class model was retained based on latent class growth analysis. Class 1 had consistently moderately high risk for GD and hypomentalization, and Class 4 presented consistently low risk for GD and hypomentalization. Classes 2-3 were characterized by low risk for GD and increasing hypomentalization. Class 1 had significantly higher sensation seeking and depression compared with the other subgroups in multiple cases. Class 4 showed significantly lower impulsivity and sensation seeking than the other classes. CONCLUSIONS Elevated hypomentalization was presented among individuals with risk for GD. However, there is little empirical evidence to support that the two constructs have convergently changing trajectories. A cautious interpretation of the results is recommended due to low symptom presence.
Collapse
Affiliation(s)
- Zsolt Horváth
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar.
| | - Borbála Paksi
- Institute of Education, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Andrea Eisinger
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Katalin Felvinczi
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | | | - Zsolt Demetrovics
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar
| |
Collapse
|
3
|
Girard A, Newstrom NP, Connor J, Arenella K, Vencill J, Robinson BB. Sexual Health and Integrative Pleasure (SHIP) Model: Using a clinical case example to guide assessment and treatment. JOURNAL OF MARITAL AND FAMILY THERAPY 2023; 49:333-350. [PMID: 36490320 DOI: 10.1111/jmft.12624] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 11/22/2022] [Accepted: 11/29/2022] [Indexed: 06/17/2023]
Abstract
This manuscript presents a conceptual model-the Sexual Health and Integrative Pleasure (SHIP) Model-for the clinical assessment and intervention of sexual health concerns. The model was developed by a group of couple/marital family therapy and psychologists who specialize in the treatment of sexual problems. The model consists of five philosophical foundations (systems framework, intersectionality, biopsychosocial model, lifespan approach, and empiricism) and five core therapeutic components (sexual literacy, sexual adaptation and resilience, relational intimacy, pleasure-oriented positive sexuality, and multidisciplinary care). We define each foundation and component, and compare and contrast the SHIP model with other existing sexual health models. Finally, we demonstrate how the SHIP model was used to provide individual and couple therapy with a cis/heterosexual couple in a university-based sexual health clinic and make recommendations for additional clinical applications of the model.
Collapse
Affiliation(s)
- Abby Girard
- Department of Family Medicine and Community Health, Institute for Sexual and Gender Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Nicholas P Newstrom
- Marriage and Family Therapy Program, St Cloud State University, St Cloud, Minnesota, USA
| | - Jennifer Connor
- Department of Family Medicine and Community Health, Institute for Sexual and Gender Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Katherine Arenella
- California School of Professional Psychology, Alliant International University-Los Angeles, Los Angeles, California, USA
| | - Jennifer Vencill
- Department of Psychiatry and Psychology, Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Beatrice Bean Robinson
- Department of Family Medicine and Community Health, Institute for Sexual and Gender Health, University of Minnesota, Minneapolis, Minnesota, USA
| |
Collapse
|
4
|
Nigro G, Matarazzo O, Ciccarelli M, D’Olimpio F, Cosenza M. To chase or not to chase: A study on the role of mentalization and alcohol consumption in chasing behavior. J Behav Addict 2019; 8:743-753. [PMID: 31891312 PMCID: PMC7044581 DOI: 10.1556/2006.8.2019.67] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND AND AIMS Chasing is a behavioral marker and a diagnostic criterion for gambling disorder. Although chasing has been recognized to play a central role in gambling disorder, research on this topic is relatively scarce. This study investigated the association between chasing, alcohol consumption, and mentalization among habitual gamblers. METHOD A total of 132 adults took part in the study. Participants were administered the South Oaks Gambling Screen, the Alcohol Use Disorders Identification Test, the Reflective Functioning Questionnaire, and a laboratory task assessing chasing behavior. Participants were randomly assigned to three experimental conditions (Control, Loss, and Win). To deeply investigate chasing behavior, participants were requested to indicate the reasons for stopping or continuing playing at the end of the experimental session. RESULTS Logistic regression analysis showed that the choice to stop or continue playing depended on experimental condition and alcohol use. Hierarchical linear regression indicated that chasing propensity was affected by experimental condition, alcohol consumption, and deficit in mentalization. The results of path analysis showed that hypermentalizing predicts chasing not only directly, but also indirectly via alcohol consumption. CONCLUSIONS Overall, these results for the first time showed that hypermentalization plays a key role in chasing behavior over and above gambling severity. Since these findings support the idea that chasers and non-chasers are different subtypes of gamblers, clinical interventions should consider the additive role of chasing in gambling disorder.
Collapse
Affiliation(s)
- Giovanna Nigro
- Department of Psychology, Università degli Studi della Campania “Luigi Vanvitelli”, Caserta, Italy,Corresponding author: Giovanna Nigro; Department of Psychology, Università degli Studi della Campania “Luigi Vanvitelli”, Viale Ellittico, 31, 81100, Caserta, Italy; Phone: +39 3392707662; Fax: +39 0823274759; E-mail:
| | - Olimpia Matarazzo
- Department of Psychology, Università degli Studi della Campania “Luigi Vanvitelli”, Caserta, Italy
| | - Maria Ciccarelli
- Department of Psychology, Università degli Studi della Campania “Luigi Vanvitelli”, Caserta, Italy
| | - Francesca D’Olimpio
- Department of Psychology, Università degli Studi della Campania “Luigi Vanvitelli”, Caserta, Italy
| | - Marina Cosenza
- Department of Psychology, Università degli Studi della Campania “Luigi Vanvitelli”, Caserta, Italy
| |
Collapse
|
5
|
Cosenza M, Ciccarelli M, Nigro G. The steamy mirror of adolescent gamblers: Mentalization, impulsivity, and time horizon. Addict Behav 2019; 89:156-162. [PMID: 30316141 DOI: 10.1016/j.addbeh.2018.10.002] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 09/06/2018] [Accepted: 10/01/2018] [Indexed: 10/28/2022]
Abstract
This study aimed to first investigate the role that general impairment in mentalization plays in gambling disorder and to analyze the interplay among mentalizing, impulsivity, and time perspective in adolescent gambling. Four hundred and ten late adolescents took part in the study. Participants were administered the South Oaks Gambling Screen Revised for Adolescents (SOGS-RA), the Reflective Functioning Questionnaire (RFQ-8), the Functional and Dysfunctional Impulsivity Scale (FDIS), and the 14-item Consideration of Future Consequences scale (CFC-14). The results showed that male adolescents are far more likely at-risk/problem gamblers than female adolescents. Furthermore, data indicated that the higher the gambling severity, the higher the dysfunctional impulsivity and the shorter the time horizon. Linear regression analysis showed that impairments in mentalizing represent a significant predictor of gambling severity. Finally, to clarify if dysfunctional impulsivity was on the path from uncertain mentalizing to gambling severity or if mentalizing was the mediator of the impact of functional impulsivity on gambling severity, data were submitted to path analysis. Results indicated that deficit in mentalizing has a direct effect on gambling severity and mediates the association between dysfunctional impulsivity and gambling involvement. The relation between gambling severity and RFQ-8 scores suggests that general impairment in mentalizing plays a key role in adolescent problematic gambling.
Collapse
|
6
|
Blais-Lecours S, Vaillancourt-Morel MP, Sabourin S, Godbout N. Cyberpornography: Time Use, Perceived Addiction, Sexual Functioning, and Sexual Satisfaction. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2017; 19:649-655. [PMID: 27831753 DOI: 10.1089/cyber.2016.0364] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Using pornography through the Internet is now a common activity even if associated sexual outcomes, including sexual satisfaction, are highly variable. The present study tested a two-step sequential mediation model whereby cyberpornography time use is related to sexual satisfaction through the association with, in a first step, perceived addiction to cyberpornography (i.e., perceived compulsivity, effort to access, and distress toward pornography) and with, in a second step, sexual functioning problems (i.e., sexual dysfunction, compulsion, and avoidance). These differential associations were also examined across gender using model invariance across men and women. A sample of 832 adults from the community completed self-report online questionnaires. Results indicated that 51 percent of women and 90 percent of men reported viewing pornography through the Internet. Path analyses showed indirect complex associations in which cyberpornography time use is associated with sexual dissatisfaction through perceived addiction and sexual functioning problems. These patterns of associations held for both men and women.
Collapse
Affiliation(s)
| | | | | | - Natacha Godbout
- 2 Département de Sexologie, Université du Québec à Montréal , Montréal, Canada
| |
Collapse
|
7
|
Garofalo C, Velotti P, Zavattini GC. Emotion dysregulation and hypersexuality: review and clinical implications. SEXUAL AND RELATIONSHIP THERAPY 2015. [DOI: 10.1080/14681994.2015.1062855] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|