48 Case Studies 27: The Sexually Abused

Photo: ©Marjan_Apostolovic from Getty Images via Canva.com

Biffina, in her 30s, represents many lonely people who have faced the long-term effects of childhood sexual abuse. Biffina, also like so many others, has interpreted her childhood trauma through a lens of self-condemnation. As a result, she now struggles with identity, relationships, and viewing herself biblically.

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Despite her faith in Christ, Biffina often feels unworthy, believing lies about her value and her ability to be loved by anyone. Sometimes, these internal struggles lead to strong temptations for someone to love her, leading to compound her problems with bad decisions. It is a combination of Adamic fallenness, the sins of others, and personal moral failure that keeps her in a cycle of hopelessness.

Though she has a limited understanding of the biblical doctrines of sin, salvation, and sanctification, it has not helped. It perversely reinforces her sense of condemnation rather than leading her to the hope found in the gospel. She longs to experience the freedom that only Scripture can provide but feels trapped in a vice of shame and self-doubt.

Biffina’s relationships reflect these internal struggles. Fear of rejection and a sense of inadequacy have made it difficult to connect with others. Thus, she seeks counsel to understand her worth in Christ, confront the lies she has believed, and move toward a life that reflects her identity as a child of God.

Case Study Questions

1. How would you affirm Biffina’s worth in Christ and confront the lies she believes about herself?
2. How would you explain the doctrine of total depravity in a way that doesn’t add to her sense of condemnation?
3. What is Biffina’s real identity according to Scripture, and how would you guide her to embrace it?
4. What practical steps would you recommend to help Biffina walk in restoration and freedom?

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Rick Thomas

Rick launched the Life Over Coffee global training network in 2008 to bring hope and help for you and others by creating resources that spark conversations for transformation. His primary responsibilities are resource creation and leadership development, which he does through speaking, writing, podcasting, and educating.

In 1990 he earned a BA in Theology and, in 1991, a BS in Education. In 1993, he received his ordination into Christian ministry, and in 2000 he graduated with an MA in Counseling from The Master’s University. In 2006 he was recognized as a Fellow of the Association of Certified Biblical Counselors (ACBC).