Childhood Sexual Abuse (CSA) has been linked to adverse impacts within the biological, psychological, social, and spiritual (BPSS) domains of adult female survivors’ lives (Fergusson et al., 2013). The impact of CSA within each of these domains may contribute to long-term trauma symptoms that impact multiple areas of life including symptoms of Post-Traumatic Stress Disorder (PTSD) that underlie dysfunction within intrapersonal and interpersonal functioning. Programs that have been designed to holistically treat this population lack interventions that target each of the BPSS domains with a structured, cohesive approach that assess the survivor’s readiness based on level of current trauma symptoms. This project seeks to address this gap in treatment. This intensive outpatient intervention program is designed to meet the needs of the adverse impact of CSA within each of the BPSS domains through a phased approach partially guided by the survivor’s current level of functioning as measured by the Clinician Administered PTSD Scale (CAPS). During phase one, the survivor will begin the individual therapies of Eye Movement Desensitization and Reprocessing (EMDR), and Narrative Therapy. Within phase two, the survivor will continue the therapies from phase one, and begin Trauma Center Trauma Sensitive Yoga (TCTSY). During phase three, the survivor will continue the therapies in phases one and two, as well as begin Emotionally Focused Couple’s Therapy (EFT).

LLU Discipline

Marital and Family Therapy


Counseling and Family Sciences


School of Behavioral Health

First Advisor

Bryan Cafferky

Second Advisor

Mary Moline

Third Advisor

Darissa Brooks

Degree Name

Doctor of Marital and Family Therapy (DMFT)

Year Degree Awarded


Date (Title Page)




Library of Congress/MESH Subject Headings

Adult survivors of child abuse; Female


Doctoral Project

Page Count

xii, 145 p.

Digital Format


Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.


Loma Linda University Electronic Theses and Dissertations

Collection Website



Loma Linda University. Del E. Webb Memorial Library. University Archives