Exploring the process of meaning making in healing and growth after childhood sexual assault: A case study approach

Childhood sexual assault (CSA) is one of the most devastating of all traumatic experiences, with population studies documenting survivors experiencing higher levels of pathology than survivors of other traumatic experiences. Yet, recent research has demonstrated that far from being permanently crippled by their experiences, many adult survivors of CSA manage to heal and move forward in their lives to experience a rich and fulfilling existence. In this article, two case studies are presented to provide a detailed account of how people who have experienced CSA may find a pathway to healing. Our data demonstrate that meaning making, spiritual or otherwise, is a pivotal part of acceptance of CSA and ensuing growth. The case studies amplify the unique journeys of two women along with underlying similarities in their pathways to healing. Clinical implications of the research are discussed and specific strategies for encouraging healing and growth are outlined.