Exploration of self and other directed aggression as a consequence of childhood sexual abuse: Analysis in terms of attachment theory, neurobiology, and psychodynamic models of affect regulation

Numerous theories have examined the relationship between childhood sexual abuse (CSA) and aggression. This dissertation reviews and then builds upon some of these theories to argue that aggression, in the forms of self-mutilation and verbal and physical aggression, following CSA emerges as a means to control and express affect. Attachment theory and psychodynamic models of affect regulation serve as the foundation for this evaluation and conclusion. The examination of neurobiology of attachment and trauma aid this argument by offering a biological perspective to one's psychological presentation. It is suggested through an interpersonal neurobiological treatment approach growth toward healthy adjustment following CSA can take place.