CBT- and EMDR-based Trauma-Focused Therapy for Treating Trauma in Elderly Women Victims of Sexual Violence in Ledokombo, Jember

Abstract

The unique aspect of this study lies in the integration of CBT and EMDR, which are usually used separately in trauma therapy, resulting in a more comprehensive approach to trauma healing. This study also focuses on victims of sexual violence  in the rural area of Ledokombo, Jember, who are rarely the subject of research, thus presenting a contextual, innovative, and culturally sensitive therapy model. The research approach used is qualitative with a case study. Data were collected through in-depth interviews, observations, and documentation, and analyzed using thematic analysis techniques. The results of the study indicate that the combination of CBT and EMDR is effective in helping to reduce trauma symptoms such as excessive anxiety, nightmares, flashbacks, and deep feelings of guilt and shame. CBT helps clients identify and modify maladaptive thought patterns that trigger distress, whereas EMDR facilitates the reprocessing of traumatic memories, thereby alleviating emotional burdens. The therapeutic process is conducted gradually and tailored to the physical and psychological condition of the elderly, creating a sense of safety and trust during the intervention. In conclusion, the integration of Trauma-Focused Therapy based on CBT and EMDR has a significant positive impact on the psychological recovery of elderly women who are victims of sexual violence, and can serve as a relevant intervention model applicable in rural communities with a culturally sensitive approach. This study provides practical contributions for counselors in implementing culturally sensitive integrated therapy, and has implications for rural communities in raising awareness and support for survivors of sexual violence.