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Presents a model for the treatment of adult survivors of childhood sexual abuse that takes advantage of a relational approach and that integrates psychoanalytic thinking with the latest findings from the literature on psychological trauma and sexual abuse. Case examples illustrate the authors' treatment model. Annotation copyright by Book News, Inc., Portland, OR
First published in 1995. This is Volume five of a series that looks at the developmental stages in addressing the complex and social problem of child abuse. The articles in this volume address the treatment of child victims and adult survivors of childhood sexual, physical, and emotional abuse and neglect. Where physical abuse is concerned treatment of victims and survivors lagged far behind the treatment of sexual abuse victims and survivors. This may be due in part to the fact that in cases of physical abuse—with its physical manifestations that heal—more attention is paid to the immediate physical safety of children than to their short- and long-term emotional needs. Thereafter, the focus of treatment tended to be on parents—in hopes of preventing further abuse—rather than on the abused children.
Practitioners helping adult survivors of child sexual abuse need to be aware of the thought processes of offenders. The premise of Anna Salter's major book is that those who do not recognize an internalized perpetrator when they hear one will often be frustrated by the tenacity of the survivor's self blame. Primarily oriented towards treating adult survivors, this invaluable book will also be useful for treating sex offenders. It includes discussion of crucial issues such as: what clinicians who treat survivors need to know about sex offenders; the different ways sadistic and nonsadistic offenders think and the resulting different `footprints' they leave in the heads of survivors; how trauma affects survivors' world-views;
4.5 Therapeutic Session Structure for Working with the Initial Stages of the Therapeutic Intervention Model -- Worksheets on Initial Stages of the Therapeutic Intervention Model -- Chapter 5: Working with Memories and Denial -- 5.1 Introduction -- 5.2 Discussion on Memories -- 5.3 Memory Triggers -- 5.4 Reactions to Memory Triggers -- 5.5 Discussion on Denial -- 5.6 Therapeutic Session Structure for Working with Memories and Denial -- Worksheets on Memories and Denial -- Chapter 6: Working with Stages of Child Sexual Abuse -- 6.1 Introduction -- 6.2 Stages of Child Sexual Abuse -- 6.3 Therapeutic Session Structure for Working with Stages of Sexual Abuse -- Worksheets on Stages of Child Sexual Abuse -- Chapter 7: Working with Prominent Problematic Emotions -- 7.1 Introduction -- 7.2 Discussion of the Prominent Problematic Emotions -- 7.3 Therapeutic Session Structure for Working with Prominent Problematic Emotions -- Worksheets on Prominent Problematic Emotions -- Chapter 8: Working with Life Areas Affected -- 8.1 Introduction -- 8.2 Discussion of the Different Life Areas Affected -- 8.3 Therapeutic Session Structure for Working with Life Areas Affected -- Worksheets on Life Areas Affected -- Chapter 9: Working with Complicated Life Roles -- 9.1 Introduction -- 9.2 Discussion on Complicated Life Roles -- 9.3 The Significance of Attachment -- 9.4 Attachment and Complicated Life Roles -- 9.5 Therapeutic Session Structure for Working with Complicated Life Roles -- Worksheets on Complicated Life Roles -- Chapter 10: Working with Integration and Termination -- 10.1 Introduction -- 10.2 Integration -- 10.3 Termination -- 10.4 Therapeutic Session Structure for Working with Integration and Termination -- Worksheets on Integration and Termination -- Index
Grounded in 40 years of clinical practice and research, this book provides a systematic yet flexible evidence-informed framework for treating adult survivors of complex trauma, particularly those exposed to chronic emotional abuse or neglect. Component-based psychotherapy (CBP) addresses four primary treatment components that can be tailored to each client's unique needs--relationship, regulation, dissociative parts, and narrative. Vivid extended case examples illustrate CBP intervention strategies and bring to life both the client's and therapist's internal experiences. The appendix features a reproducible multipage clinician self-assessment tool that can be downloaded and printed in a convenient 8 1/2" x 11" size. See also Treating Traumatic Stress in Children and Adolescents, Second Edition, by Margaret E. Blaustein and Kristine M. Kinniburgh, which presents a complementary approach also developed at The Trauma Center at Justice Resource Institute.
This updated and expanded edition provides comprehensive coverage of the theory and practice of counselling survivors of child sexual abuse (CSA). In a reasoned and thoughtful approach, this book honestly addresses the complex issues in this important area of work, providing practical strategies valuable and new insights for counsellors.
This is a practical, down to earth guide for mental health professionals assisting adult survivors of childhood abuse. Short and long term effects of abuse are presented, (as well as clinical findings from 99 survivors), setting a foundation for the type of therapeutic response most helpful. Assessment of victims who characteristically do not self disclose is emphasized. Specific treatment "phases" are presented with clear goals in each phase. Special issues such as dissociative phenomena, trauma resolution, and group therapy are highlighted.
The long-term effects of child abuse are addressed holistically in this positive volume, which provides a tested treatment model that has been successful in assisting many adult survivors to neutralize or reverse the traumatic effects of early abuse. The authors provide case studies to demonstrate the cumulative, debilitating and long-term effects of the abuse experience, and the value of accessible group therapy in conjunction with an individual treatment programme. Webb and Leehan also discuss the advantages and complications of group treatment for this particular client population, suggest strategies for management and containment, and include an important chapter on therapist self-care.
How is an individual to lead a comfortable, productive existence when he or she was never taught the skills necessary for effective living? Adult survivors of child abuse often face this dilemma. Instead of being nurtured as children and taught life-skills by their caregivers, child abuse survivors were subjected to a daily regimen of coercive control, contempt, rejection and emotional unresponsiveness. It is not surprising, therefore, that many survivors encounter difficulty adjusting from this type of damaging childhood atmosphere to one in which they have autonomy. This book addresses the particular problems associated with treating adult survivors of child abuse. Until now, psychotherapy for child abuse survivors often centered on the trauma of their abuse experiences. However, survivors frequently reveal a history suggesting it was not abuse trauma alone that created their difficulties, but growing up essentially alone - without the consistent emotional support and guidance needed for development of effective functioning. This book presents an alternative to trauma-focused treatment that, though effective for treatment of other forms of trauma, can induce deteriorated rather than improved functioning in survivors of prolonged childhood maltreatment. The contextual therapy presented in Not Trauma Alone delineates a psychotherapeutic approach that emphasizes helping survivors develop the capacities for effective functioning that were never transmitted to them during their formative years. Detailed descriptions of the methods and interventions comprising contextual therapy are included in this critical book for all mental health professionals, clinicians, academics, and students in the field.
Describes the latest clinical methods and advances in the treatment of these victims. Individual chapters treat play therapy, time-limited group therapy for adolescents, stages of recovery, and sexual abuse avoidance training. Annotation copyrighted by Book News, Inc., Portland, OR