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‘Seal and Rearonship Therapy Vol 19, No, 3, Aust 2008 BrunnerRowtedget rts Broken hearts and mending bodies: the impact of trauma on intimacy BO MILLS & GORDON TURNBULL The Piny, Tochust Hows, Teast, Eas Suses, OR sasrnact Links hae aay bo forged bowen sexalzad roan and dif wth ninaey in cna price ‘This ace sc to exatine te inks moe cll by epi Both the pocholpcal and Bigie inpat of waar: ie cvs on intrapsychic and interpersonal Siar atin th progres fe within cule elon th ina of ran iy fn ah awe effet that ual abi can ene with inti) ae examined eal. Te ue saps high the elie exproced n sharing emotions and the ne or Prior ‘chad ofthe inp of trauma Bore att to eae are made. Finally, this ate ‘pis ieee the isi of cope heaps wo tackle he polos aad Byte ipo of ‘rou by inroacing hom on deepens deemed ate of ae js ‘eaewonDs: nea; itinagy ramps hops: nwa Introduction. ‘Many people find tha thei ability to relate to others has an altered quality folowing perfonal cxposure to trauma. The scientific literature strongly supports this ‘observation. Its quite clear thatthe development of blunted emotionality and also cognitive functioning is such a regular feature of posttraumatic tres rections that these phenomena are regarded as primary criteria for making the diagnosis of Post- “Traumatic Stree Disorder (PTSD). Italo follows that the ablity to relate 1 & uauma survivor will become different. The ‘re’ of normal human interaction, with all the complestes involved in sharing impressions of the woed, can become well tnd cruly ‘cra, "The impact is not focused exclusively om intimate edaonships, though that is where the changes are usually Flt most keenly, and the net spreads Widely to influence interactions with partners, fiends, family, co-woeksrs, and feverytody ce with whom the trauma Survivor comes inte contact (International Society of Traumatic Stess Studies [ISTSS] Fact Sheet 2003). This pple fs? leaves a flotsam of pieces of damaged relationships in its wake leading to dyadic splitting, separation, and unhappy isolation and itis imporcant wo see that his applies “cetapandense Dr Bo Mil The Piey Thurs Hane Tier, Wodhunt Suse "TNS HIG, UR Te 015202000, Fema snctavetptanicatnnscom ISSN 14681994 pS 1458-179 enti 4090265.25 {Beh Asin for Sel and Reoohp They Dot io ono 9soe00017 548 266. Mis & G. Turnbull to both sides ofthe relationships chat are compromised by the impact of the trauma. “The management of prcholagia! trauma has taken its natural lead from it orebear, plosical waiams, and as tended to focus on the most noticeable and most urgent reeds in the aftermath of uaumatc situation, the needs of the trauma-exposed Individual. Perhaps this has had to be the ease in what we must remember is a relatively new field of serious study of dhe human psyche, Dut this article seeks (0 {encourage further exploration beyond the boundaries of the individ to look atthe Impact of wauma on partners and ether family members who have expcienced the trauma directly or indirectly (D'Ardanne & Morrod, 2003). Literature review 1 is well established that a history of sexual trauma, inching childhood sexusl abuse, can lead to the development of significant sexual dificult in adult ie (De ‘Siva, 2001). An extensive literature has clearly demonstrated links between sexval bust in childhood and serious, negative consequences fora person's later sexual functioning and intimacy (Courtois, 1979; Jehu, 1988; Finkelhor, 1990). Iti also ‘well recognized that following rape and sexual torture, individuals sufer sexual ‘ysfunetion (Feldman-Summers etal, 1979, Becker e al, 1986). Females suffer avoidance of intimacy and problems with «rst and openness in eubsequent ‘elationships. This results in loss of interest in sex, sexual phobias, vaginismus, dificultes with sexual arousal and anorgasmia, Male vitims of rape or oer sex assault are reported to develop subsequent sexual dysfunction, common problems boeing lost of interest in sexual engagement, sexusl phobias, physical pala during intercourse and erectile dysfunction (Mezey & King, 1989;Vearnals & Campbel, 2001). Following female genital mutation, immigrant women i culate with diferent for ‘more liberal” attitudes towards ‘sexuality may face challenges or altered fexpectations a¢ a result of the new sexual culture, media or new peers. ‘The ircumelsed woman awate of differences in the appearance of her genitalia my fel

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