How is an individual to lead a comfortable, productive existence when one 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 are subjected to daily regiments 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. Standard trauma-focused treatment is dismissed as inappropriate for dealing with the lack of life skills from which so many adult survivors suffer. Accordingly, the text presents clinical practitioners with an alternative perspective for understanding and treating the life problems experienced by survivors. -- from the publisher
"....this book is a thought-provoking alternative way of approaching a difficult treatment population. It will lead many readers to question the "accepted wisdom" of their preferred approaches to PCA survivors, and it offers concrete treatment strategies that many will wish to try for themselves." -- Journal of Trauma & Dissociation, Volume 2, Number 4 2001
"Gold's sensitivity to the traumatized patient is everywhere in evidence throughout this volume... This represents a bold step forward. I wholeheartedly recommend this book as a worthwhile addition, not only to the trauma literature, but to our understanding of the human condition." --American Journal of Psychotherapy
"Dr. Gold has contributed a much-needed resource to assist clinicians in working with individuals reporting prolonged childhood abuse. This book represents a significant shift in treatment of child abuse survivors in that Gold purports that direct confrontation of the traumatic incidents may be one aspect of treatment for survivors, but should not be the primary focus for most survivors. The book is written so as to make it easy to put principles and guidelines into practice.." --Trauma, Violence & Abuse
"Not Trauma Alone brings forward in a practical and insightful manner the perception that traumatic resolution can occur outside of the abuse-focused therapy that many of us have been trained in.... Dr. Gold has masterfully provided many learners and clinicians an additional approach to treatment that is likely, in my opinion, to impact on not only how treatment happens, but also its very definition. HIGHLY RECOMMENDED!." -- National Council on Sexual Addiction and Compulsivity News
"Steven Gold offers therapeutic efforts and treatment techniques that serve to support client-therapist connection and renewed accountability to wellness, using a present-day focus that cultivates adaptive living skills....This is an essential and rewarding read that promises to enrich the texture of treatment for both clinicians treating adult survivors of child abuse as well as by traumatologists struggling to help any number of people throughout the world.." -- Sidran Institute
Table of Contents
Abuse in Context: The Conceptual Framework.
Abuse: The Trauma Model.
Family: Beyond the Trauma Model.
Alone: Growing Up in an Ineffective Family.
Unprepared: The Legacy of an Ineffective Family Background.
Impact: Intersecting Varieties of Abuse and Deficient Family Context. Society:Beyond Family Context.
Treatment in Context: Foundations of the Therapeutic Model.
Collaboration: Forming a Therapeutic Alliance.
Conceptualization: Constructing Order from Chaos.
Planning: Prioritizing Treatment Goals.
Skills-Based Intervention: Implementation of the Therapeutic Model.
Security: Managing and Modulating Distress.
Focus: Fostering Experiential Presence and Continuity.
Reasoning: Learning to Exercise Critical Thinking and Judgment.
Coping: Breaking and Replacing Maladaptive Patterns.
Liberation: Resolving the Trauma of Abuse.
Transformation: The Miracle of Living Well.
Epilogue: The Inextricable Tie. References.