I’ve been reading the stories about the problem priests in the Catholic church. What are the long-term psychological problems associated with this type of abuse and are they treatable?

It is estimated that one in four girls, and one in six boys, will be sexually abused before they reach the age of 18. Children who have been sexually abused can experience a wide range of psychological and emotional problems. The negative effects of child sexual abuse can last for many years, and even into adulthood.

Adults who were sexually abused as children often experience chronic depression and anxiety, and are more likely to engage in self-destructive behaviors, such as drug and alcohol abuse. Sleep problems and sexual problems are also common. Many adults who were sexually abused as children have difficulties in their relationships with others due to a fear of betrayal. Finally, research has shown that victims of child sexual abuse are more likely to be the victims of rape or to be involved in physically abusive relationships as adults.

Psychotherapy can be very helpful in recovering from the effects of child sexual abuse. Research has also shown that spirituality can be helpful in recovery; in cases of clergy abuse, spiritual issues can be particularly confusing for the victim. A key element in recovery is relinquishing any guilt the victim might feel about the abuse. There are many different forms of therapy, but research has shown that cognitive-behavioral therapy is particularly effective in treating the effects of child sexual abuse, both in children and adults.

Leslie A. Kimball, Ph.D.
Children’s Advocacy Services of Greater St. Louis
University of Missouri-St. Louis
314-516-6798

As a survivor of sexual abuse by a priest and member of SNAP (Survivors Network of those Abused by Priests), I would say that most survivors of sexual abuse by priests suffer similar symptoms to those who have been diagnosed with PTSD (post-traumatic stress disorder). However, because of the super-superior nature of the priest-victim relationship, the psychological effects can be very dramatic and long term. Most survivors of sexual abuse by clergy have presented one or more of the following symptoms that are common to PTSD: Bouts with depression, hypersensitivity, reliving the experiences through nightmares and flashbacks. Additionally, survivors of abuse often have difficulty sleeping and feel detached and estranged from society. These symptoms can lead to physical self-destruction (alcohol/drug abuse), professional instability, difficulty with intimacy and marital or relationship troubles.

Typically, most survivors of sexual abuse by priests or nuns don’t recall the details of their abuse until the middle portion of their lives. It isn’t until then that survivors are able to explain and understand the string of symptoms, circumstances and experiences that have affected their lives for the years since the abuse. For most, the healing can’t begin until then. Most of the symptoms above are very manageable. But, to be "cured" the survivor will only find peace and resolution when their perpetrator has been removed from the possibility of hurting other children and prosecuted to the fullest extent of the law. To learn more about SNAP, its services and volunteer opportunities, call the number listed below.

Steve Pona
Director – St. Louis Region
SNAP
314-457-8157

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