Treating the Adult Survivor of Childhood Sexual Abuse: A Psychoanalytic Perspective / Edition 1

Treating the Adult Survivor of Childhood Sexual Abuse: A Psychoanalytic Perspective / Edition 1

by Jody Messler Davies, Mary Gail Frawley, Mary G. Frawley
     
 

ISBN-10: 046506633X

ISBN-13: 9780465066339

Pub. Date: 02/28/1994

Publisher: Basic Books


Entering the tumultuous, dissociated world of the adult survivor of childhood sexual abuse presents an intimidating challenge for clinicians. But as the authors of this innovative book argue, therapists must be willing and able to work within the powerful and rapidly shifting relational paradigms of transference and countertransference commonly found in treatment…  See more details below

Overview


Entering the tumultuous, dissociated world of the adult survivor of childhood sexual abuse presents an intimidating challenge for clinicians. But as the authors of this innovative book argue, therapists must be willing and able to work within the powerful and rapidly shifting relational paradigms of transference and countertransference commonly found in treatment of these patients. Such dual roles enacted in treatment include the unseeing, uninvolved parent and the unseen, neglected child; the sadistic abuser and the helpless, enraged victim; the idealized rescuer and the entitled child; and the seducer and the seduced.This is the first model for 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. Diverging from a more classical perspective, the authors view dissociation as the means by which a person adapts to and expresses traumatogenic material and by which such patients defend against traumatic memories, affects, and fantasy elaborations emerging into consciousness. The authors also detail how dissociation helps organize the patient's personality and presentation of self.Richly illustrated case examples bring to life the authors’ treatment model and show how clinicians can work through the relational paradigms between patient and therapist and, ultimately, reach the core of the patient’s deeply buried experiences of self and other.

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Product Details

ISBN-13:
9780465066339
Publisher:
Basic Books
Publication date:
02/28/1994
Edition description:
New Edition
Pages:
259
Sales rank:
635,432
Product dimensions:
6.26(w) x 9.08(h) x 0.79(d)
Lexile:
1450L (what's this?)

Table of Contents

Acknowledgments
Introduction1
1Trauma and Childhood Sexual Abuse in Psychoanalysis11
2Long-Term Sequelae and Diagnosis of Childhood Sexual Abuse26
3An Integrative Model of Childhood Sexual Abuse43
4Dissociation62
5Disclosure and the Recovery of Memories86
6Reality Testing and the Question of Validation103
7Exposure to Danger, the Erotization of Fear, and Compulsive Self-abuse129
8The Impact of Trauma on Transference and Countertransference149
9Eight Transference-Countertransference Positions167
10Transference and Countertransference: A Case Example186
11Technical Considerations in Treatment198
12Concluding Thoughts: Theoretical Implications and Reconsiderations216
References237
Index249

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