Treating The Adult Survivor Of Childhood Sexual Abuse: A Psychoanalytic Perspective (Google eBook)
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.
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CHAPTER 2 LongTerm Sequelae and Diagnosis of Childhood Sexual Abuse
CHAPTER 3 An Integrative Model of Childhood Sexual Abuse
CHAPTER 4 Dissociation
CHAPTER 5 Disclosure and the Recovery of Memories
CHAPTER 6 Reality Testing and the Question of Validation
CHAPTER 7 Exposure to Danger the Erotization of Fear and Compulsive Selfabuse
CHAPTER 8 The Impact of Trauma on Transference and Countertransference
abused child adult patient adult survivors affective analyst arousal aspects attempt aware become behavior Belinda body memories borderline borderline personality disorder capacity child persona childhood abuse childhood sexual abuse clini clinical clinician consciousness countertransferential defenses disclosure disorganization dissociated emergence emotional enactment ence encoded evoke experience experienced fantasy father fear feel flashbacks Freud functioning hyperarousal incest integration intense internal interpersonal interpersonal relationships interpretation introject intrusive Kolk ment mother object relationship object representations occur oedipal omnipotent opioid organization overstimulation pain parent particularly patient and therapist personality projective identification psychic psychoanalytic psychological psychological trauma PTSD rage reactions reenactment regression relational reliving riences sadistic sadomasochistic seduction theory self-abusive session sexual abuse survivors sexual trauma shift somatic specific split struggle survivors of childhood symbolic symptoms terrified terror thera therapy tient tion transference and countertransference transference-countertransference transferential traumatic events traumatic memories treatment ultimately unconscious unsymbolized verbal victim vivors
Page 12 - I therefore put forward the thesis that at the bottom of every case of hysteria there are one or more occurrences of premature sexual experience, occurrences which belong to the earliest years of childhood, but which can be reproduced through the work of psycho-analysis in spite of the intervening decades.
Page 12 - Whatever you may think about the conclusions I have come to. I must ask you not to regard them as the fruit of idle speculation. They are based on a laborious individual examination of patients which has in most cases taken up a hundred or more hours of work.
Page 15 - ... infantile sexual scenes. In the first place there is the uniformity which they exhibit in certain details, which is a necessary consequence if the preconditions of these experiences are always of the same kind, but which would otherwise lead us to believe that there were secret understandings between the various patients. In the second place, patients sometimes describe as harmless events whose significance they obviously do not understand, since they would be bound otherwise to be horrified...
Page 13 - While they are recalling these infantile experiences to consciousness, they suffer under the most violent sensations, of which they are ashamed and which they try to conceal; and, even after they have gone through them once more in such a convincing manner, they still attempt to withhold belief from them, by emphasizing the fact that, unlike what happens in the case of other forgotten material, they have no feeling of remembering the scenes.
Page 14 - Doubts about the genuineness of the infantile sexual scenes can, however, be deprived of their force here and now by more than one argument. In the first place, the behaviour of patients while they are reproducing these infantile experiences is in every respect incompatible with the assumption that the scenes are anything else than a reality which is being felt with distress and reproduced with the greatest reluctance.