Impact of institutional betrayal and DARVO on the mental health of survivors of clergy-perpetrated sexual abuse

Clergy-perpetrated sexual abuse (CPSA) is a pervasive issue with profound psychological consequences for survivors. While existing research has documented the traumatic impact of CPSA, there is a significant gap in understanding how institutional responses to abuse disclosures affect survivors' mental health outcomes. This study aims to examine the relationships between experiences of DARVO (Deny, Attack, and Reverse Victim and Offender), institutional betrayal, and mental health outcomes among survivors of CPSA. The research employs a cross-sectional, correlational design with a sample of 116 adult survivors of CPSA in the United States. Participants were recruited through convenience and snowball sampling, utilizing existing support networks and social media. Data will be collected online using validated self-report measures: the DARVO-LF, IBQ-2, PCL-5, DES-II, and NPSS scales. These instruments assess the experiences of DARVO, institutional betrayal, post-traumatic stress symptoms, dissociation, and psychological safety, respectively. The study hypothesizes that higher scores on the DARVO and IBQ-2 scales will positively correlate with scores on the PCL-5 and DES-II and negatively correlate with scores on the NPSS. Where appropriate, data analysis will employ Pearson's r correlations or Spearman's rho. By quantifying the relationships between institutional betrayal, DARVO tactics, and mental health outcomes, this research aims to provide empirical evidence to support the development of more effective interventions, policies, and support services for CPSA survivors. The findings have the potential to bring up-to-date trauma-informed policies and practices within religious institutions, enhance clinical approaches for treating CPSA survivors, and contribute to broader efforts to prevent institutional betrayal and promote healing. This study addresses a critical gap in the literature on CPSA and institutional betrayal, offering insights that can drive meaningful change in how religious organizations and society at large respond to and support survivors of clergy abuse.