A program you can use for time limited clients suffering from sexual abuse! Breaking the Silence: Group Therapy for Childhood Sexual Abuse guides you through initial establishment and group formation to its termination. The step-by-step approach outlines themes and issues common to this population, raises pertinent questions, and highlights common pitfalls or problem areas in conducting therapy. You’ll discover innovative ways to work with survivors of childhood sexual abuse by addressing these key therapy issues: issues of trust, sexuality, and disclosure family dynamics emotional expression transference/countertransference male survivors group sessions the impact of abuse a concise fifteen-session, time-limited, psycho-educational group therapy program for adult survivors of sexual abuse The program planning approach described in Breaking the Silence allows you to adapt the program to meet your individual clients’needs. The concise fifteen-session, time-limited psycho-educational group therapy program for adult survivors of sexual abuse is designed to therapeutically address the long-term sequelae associated with a past history of child abuse. The literature review of childhood sexual abuse treatment, along with this program and the invaluable sections on male survivors, sexuality, and other areas dealing with the emotional repercussions of childhood sexual abuse, are invaluable sources of information for helping survivors develop and maintain healthy relationships and balanced lives. Reviews: “EXPERT ADVICE on working with survivors of childhood sexual abuse. . . . A practical, hands-on approach. Includes questionnaires and handouts that professionals working with this population will find useful.” The Children’s Rights of New York, Inc: Hotline “The author describes in a step-by-step format the short-term psycho-educational group-treatment program she developed through her clinic. . . . Most advisors and teachers who interact closely with students can benefit from an increased awareness of sexual abuse, which this book provides.” NACADA Journal “Margolin provides the reader with easily understood practical information. She cites the professional literature enough to show how her methods fit well within current thinking but does not get bogged down in details or controversies. . . . She keeps her promise of providing ‘a basic guide for those first beginning to run groups, so that they do not have to reinvent the wheel.’” Mic Hunter, PsyD, Licensed Psychologist and Marriage and Family Therapist, Internationally Certified Drug and Alcohol Counselor “A straightforward and detailed manual that includes the rationale, goals and objectives, materials needed, and structure for each group session, including verbatim leader instructions. In addition, the author considers the group’s potential to overwhelm, selection criteria for membership, organizational support, and the complex issue of memory and memory recall.” Marsha L. Heiman, PhD, Clinical Coordinator, Child Sexual Abuse Case Consultation Project, New Jersey Task Force on Child Abuse and Neglect Contents: Contents Preface Acknowledgements PART I: BACKGROUND Chapter 1. The Trauma of Childhood Sexual Abuse Definition of Sexual Abuse Prevalence Early and Long-Term Effects of Sexual Abuse Impact Male Survivors of Sexual Abuse Cognitive Effects Cognitive Processes, the Development of a Belief System, and Sexual Abuse Chapter 2. Treatment: Toward Integration Philosophy of Treatment Treatment Approaches Efficacy of Group Treatment Models of Group Treatment Group Organization and Structure Themes Males in Groups Summary Chapter 3. Assessing Prerequisites Identifying the Needs of the Community Pilot Program Context Assessment Relevant Context Summary Chapter 4. The Framework Intent Goals Evaluating the Alternatives The Fit Fine Points Structure Implementation The Evaluation Plan Chapter 5. The Screening Intake Rationale Goals and Objectives Materials Procedure Chapter 6. The Group Sessions Session I: Starting Out--The Introduction Session 2: Trust and Safety Session 3: Exploration of Emotions and Beliefs Session 4: Breaking the Silence--Disclosure Session 5: The Aftermath of the Abuse Session 6: Family Dynamics Session 7: Sexuality and Intimacy Sessions 8: Processing Memories Session 9–13: Exploring the Meaning--Unstructured Sessions Sessions 14–15: Toward Termination--Making Sense of It All Chapter 7. Special Topics Ethnicity and Sexual Abuse Confrontation Psychiatric Disorders, Chemical Dependency, and Sexual Abuse Transference and Countertransference Partners Summary Appendix A: Needs Assessment Surveys CSA Needs Assessment Survey: Professionals CSA Needs Assessment Survey: Clients Appendix B: Weekly Evaluation Questionnaire for Group Leaders Appendix C: Survivors of Childhood Sexual Abuse Program--Weekly Evaluation Questionnaire Appendix D: Survivors of Childhood Sexual Abuse Program--Evaluation Questionnaire Bibliography Index from the publisher's website
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