Transforming Trauma: A Guide to Understanding and Treating Adult Survivors of Child Sexual Abuse

כריכה קדמית
SAGE, 31 במאי 1995 - 353 עמודים
Practitioners helping adult survivors of child sexual abuse need to be aware of the thought processes of offenders. The premise of Anna Salter's major book is that those who do not recognize an internalized perpetrator when they hear one will often be frustrated by the tenacity of the survivor's self blame.

Primarily oriented towards treating adult survivors, this invaluable book will also be useful for treating sex offenders. It includes discussion of crucial issues such as: what clinicians who treat survivors need to know about sex offenders; the different ways sadistic and nonsadistic offenders think and the resulting different `footprints' they leave in the heads of survivors; how trauma affects survivors' world-views;

 

תוכן

Introduction
1
Chapter 1 What do We Know about Sex Offenders and What Does It Mean?
5
Specialists or Generalists?
13
Nonsexual Offenses
19
Are They Really Sex Offenders?
23
Age of Onset
25
Who are They?
26
Conclusions
33
Effects of Child Sexual Abuse on Emotions
159
Historical Perspective
161
Depression
165
Anxiety
171
Revictimization and Its Relationship to Depression and Anxiety
175
Etiology of Anxiety and Depression in Adult Survivors of Child Sexual Abuse
177
Posttraumatic Stress Disorder
189
Summary
198

Chapter 2 The Deviant Cycle
36
Sexual Offending as an Addiction
40
Components of the Deviant Cycle
45
Thinking Errors
97
Discussion and Implications for Clinicians and Survivors
101
Chapter 3 Sadistic Versus Nonsadistic Offenders and Their Effects on Victims
104
Summary
128
Chapter 4 Apology and Forgiveness in the Context of the Cycles of Adult Male Sex Offenders Who abuse Children
131
What Constitutes an Apology and What is Its Intended Effect?
132
Hopes Often Expressed by Adult Survivors and Child Survivors of Abuse
133
Hopes Often Expressed by Offenders
134
Hopes Often Expressed by Therapists
135
Are Positive Outcomes Realistic in the Context of Offending Cycles?
136
Belief Systems Producing Continuous or Inhibited Cycles
137
The Senses Cycle and Affective Flashbacks
143
Themes Commonly Found in Apology Statements that Feed into Thinking Errors Implanted by the Offender During the Abuse
144
Should Apology be Linked to Forgiveness?
151
When is an Apology Real and What Can be done to Increase the Chances of a Positive Outcome for the Adult Survivor?
153
Timing in the Context of the Offenders Change Process
154
Suggestions for Apology Sessions
155
Conclusions and Ground Rules
158
Effects of Child Sexual Abuse on Victim Thinking
201
Cognitive Distortions
213
Conclusions
219
Chapter 7 Managing Chronic Pain
220
Avoidant Techniques
221
Medicating Pain
239
Summing Up
248
Trauma and Transformation
253
Live Affect
258
Safety and the Therapeutic Relationship
260
Telling the Tale
261
Hearing the Tale
262
MeaningMaking
264
Reducing and Managing Chronic Pain
282
Thoughts on Survivors and Safety
303
References
311
Index
339
About the Author
351
About the Contributors
353
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מידע על המחבר (1995)

Dr. Salter received her Ph.D. in Clinical Psychology and Public Practice from Harvard University and obtained a Masters Degree in Child Study from Tufts. She was a Teaching Fellow at both Universities. Dr. Salter has lived in Madison Wisconsin since 1996 and consults half time to the Wisconsin Department of Corrections. In addition, she lectures and consults on sex offenders and victims throughout the United States and abroad. She has keynoted conferences on sexual abuse in Australia, New Zealand, Scotland and England. In all, she has conducted trainings in 50 states and 10 countries. Dr. Salter also evaluates sex offenders for civil commitment proceedings and other purposes.

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