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Treating the Adult Survivor of Childhood Sexual Abuse : A Psychoanalytic Perspective
Davies, Jody Messler and Mary Gail Frawley
Basic Behavioral Sciences / Hardcover / 1994-04-01 / 046506633X
Sexual Abuse / Psychoanalysis
price: $70.00
272 pages
In Stock (Ships within one business day)

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.
-from the dust jacket

Table of Contents
Trauma and Childhood Sexual Abuse in Psychoanalysis
Long-Term Sequelae and Diagnosis of childhood Sexual Abuse
An Integrative Model of Childhood Sexual Abuse
Dissociation
Disclosure and the Recovery of Memories
Reality Testing and the Question of Validation
Exposure to Danger, the Erotization of Fear, and Compulsive Self-Abuse
The Impact of Trauma on Transference and Countertransference
Eight Transference-Countertransference Positions
Transference and Countertransference: A Case Example
Technical Considerations in Treatment
Concluding Thoughts: Theoretical Implications and Reconsiderations

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Davies, Jody Messler
Frawley-O'Dea, Mary Gail
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Adult Survivors of Childhood Sexual Abuse
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Psychoanalysis
Sexual Abuse