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Recollections of Sexual Abuse: Treatment Principles and Guidelines / Edition 1

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Overview

Provides clinicians with treatment guidelines for working with delayed/repressed memories of sexual abuse.
This book has a two-fold purpose: (1) to provide the practicing clinician with information about the controversy surrounding delayed/repressed memory of sexual abuse and (2) to provide treatment principles and guidelines for working with these issues.
Since the eruption of the recovered memory controversy in 1992, the treatment of adults who report abuse as children (whether their memory has been relatively continuous or has been recovered) has become a high-risk area, as numerous lawsuits have been filed alleging false memory of abuse due to suggestive therapeutic practices. In this climate, clinicians have become fearful, cautious, and confused about how to practice responsibly with this population.
Since a large percentage of those seeking psychotherapy have a history of sexual abuse, all clinicians need a clear articulation of the current evolving standard of care for clients reporting memories of abuse. Drawing together material from many sources, this book provides state-of-the-art principles and guidelines for treatment when memories of past abuse are at issue. It covers available empirical and clinical data on human memory processes for normal and traumatic events and on the treatment of posttraumatic conditions in general and child sexual abuse in particular; the critiques and concerns voiced by cognitive psychologists who investigate memory and suggestibility issues; the recommendations made by a number of professional task forces and advisory committees charged with studying the issues involved in the controversy and making recommendations for practice; and the recommendations of expert clinicians and clinical researchers. Especially useful is Courtois’s application of the treatment decision model to a range of clinical scenarios, from continuous, corroborated memory of abuse to suspicions of abuse based on symptomatology. Speaking with authority and empathy, Courtois shows clinicians how to practice responsibly and safely while doing memory work. Her guidance is invaluable.

Disc. trauma & memory, child sexual abuse & memory, evolving standards of practice, clin. guidelines & risk management.

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Editorial Reviews

Booknews
The author, a psychologist in private practice with an extensive track record in the field (she's affiliated with the Psychiatric Institute of Washington), provides clinicians with information about the controversy surrounding delayed/repressed memory of sexual abuse, and proposes treatment guidelines and principles for working with these issues. Since a large percentage of people seeking psychotherapy have a history of sexual abuse, the information is important for clinicians in many contexts. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9780393702811
  • Publisher: Norton, W. W. & Company, Inc.
  • Publication date: 1/28/1999
  • Edition number: 1
  • Pages: 436
  • Product dimensions: 6.50 (w) x 9.60 (h) x 1.60 (d)

Meet the Author

Christine A. Courtois, Ph.D., is a psychologist in private practice in Washington, DC. She is President-elect of APA Division 56, Trauma Psychology, and Associate Editor of Psychological Trauma: Research, Theory, Practice & Policy. Dr. Courtois conducts workshops nationally and internationally on the treatment of incest and other forms of sexual assault, and is the recipient of numerous awards for her work.

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Table of Contents

Acknowledgments
Introduction
1 Establishing the Context: The Recovered Memory/False Memory Controversy in Sociohistorical Perspective 1
2 The Present Context: An Overview of the Recovered Memory/False Memory Controversy 31
3 Trauma and Memory 72
4 Child Sexual Abuse and Memory 117
5 Evolving Standards of Practice and the Standard of Care: Philosophy and Principles of Practice 147
6 The Evolving Consensus Model of Posttrauma Treatment: Sequenced, Titrated, Focused on Symptom Relief and Functioning 176
7 Clinical Guidelines and Risk Management for Assessment and Diagnosis 219
8 Clinical Guidelines and Risk Management for Working with Memory Issues 258
9 Countertransference Issues and a Treatment Decision Model: Application to Ten Clinical Memory Scenarios 296
Afterword 341
App. A Professional Task Force Reports 353
App. B Summaries of Selected Reports of Professional Task Forces on Delayed/Recovered Memories 355
App. C Model Forms: Policies and Procedures and Informed Consent 369
References 377
Index 413
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