Treating The Adult Survivor Of Childhood Sexual Abuse: A Psychoanalytic Perspective 1st Edition

by Jody Messler Davies (Author), Mary Gail Frawley (Author)

14 customer reviews

ISBN-13: 978-0465066339

ISBN-10: 046506633X

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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.

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Editorial Reviews

From the Back Cover

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.

About the Author

Jody Messler Davies, Ph.D., is a faculty member and clinical supervisor at the Derner Institute, Adelphi University, and at Columbia University's Teachers College. She is also a clinical supervisor at the Center for the Study of Abuse and Incest, Manhattan Institute of Psychoanalysis, and a faculty member at the National Institute for the Psychotherapies. Mary Gail Frawley, Ph.D., is adjunct clinical professor at the Derner Institute, Adelphi University, and at the Chicago School of Professional Psychology.

Product details

Hardcover: 272 pages
Publisher: Basic Books; 1 edition (March 21, 1994)
Language: English
ISBN-10: 046506633X
ISBN-13: 978-0465066339
Product Dimensions: 6.2 x 0.6 x 9.2 inches
Shipping Weight: 1.2 pounds (View shipping rates and policies)
Average Customer Review: 14 customer reviews
Amazon Best Sellers Rank: #209,213 in Books (See Top 100 in Books)
- #210 in Books > Health, Fitness & Dieting > Mental Health > Compulsive Behavior
- #391 in Books > Medical Books > Psychology > Mental Illness
- #415 in Books > Politics & Social Sciences > Politics & Government > Public Affairs & Policy > Social Services & Welfare

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Customer Reviews

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Great for Clinicians and Abuse Survivors

March 25, 2014

Format: HardcoverVerified Purchase

I would recommend any mental health care professional read this book. It is insightful and helpful with a plethora of examples. It does not matter whether or not you come from a psychoanalytic background or not; this book will provide insight and methods.

Abuse survivors tread carefully.
Some people find the book immensely helpful and read it like a person stuck in the desert being offered a glass of water.
Others find it too technical and not as helpful.
Some find it too triggering to read; the stories themselves, while helpful, are too graphic for some people.
Survivors use good judgement and read in small pieces.

7 people found this helpful

For clinicians but useful for survivors

December 16, 2016

Format: HardcoverVerified Purchase

Written for clinicians, this book still has a lot of good information for survivors. It states some similar things found in other abuse survivor self help books but in a more direct and succinct way. Also helpful for insight into the therapist's side of things in treatment. Although written in 1994, it has solid info re: dissociation and dissociative disorders. Found this book when it was quoted a lot in another book on trauma survival and treatment.

A must-read for professionals

August 12, 2013

Format: HardcoverVerified Purchase

This is an amazing resource for working with adult survivors. It is truly from a psychoanalytic perspective, which I greatly appreciate. Very in depth discussions on a variety of topics and concerns. It is not for a layperson though. The content could be very triggering for some people. The language and writing style are geared for mental health practitioners, specifically those with an interest in psychodynamic theories.

2 people found this helpful

but there are easier ways to express the same thing that non-therapist can understand better. But the content is interesting

December 3, 2016

Format: HardcoverVerified Purchase

The wording is very hard to comprehend at times. I am a therapist, and I know what they are saying, but there are easier ways to express the same thing that non-therapist can understand better. But the content is interesting.

Riveting; Right On

October 19, 2013

Format: HardcoverVerified Purchase

I would highly recommend this text for both students and survivors -- the discussion of the clinical subtleties of the emergence of the child in therapy was worth the price of the book. Nuanced, sensitive, and extraordinarily insightful, this is a must-have. Five stars PLUS.

3 people found this helpful

July 7, 2017

Format: HardcoverVerified Purchase

I would give it six stars if I could. A definitive guide to treating patients from a psychoanalytic perspective.

November 8, 2017

Format: HardcoverVerified Purchase

good condition

David Batchelor

A professional-level book, but I still found it helpful.

July 1, 2014

Format: HardcoverVerified Purchase

This book is intended for professionals treating patients rather than laypersons, but as an academic in a different field, I found it very helpful in relating to loved ones with histories of childhood abuse.

3 people found this helpful

Most recent customer reviews

Absolutely fascinating!

This book is absolutely essential for any therapist working with victims of childhood sexual abuse; it provides detailed insight into the complex internal struggles of these...Read more

Published on August 22, 2009

Practical, thought-provoking, deep

As a psychology intern from a psychodynamic background working with numerous childhood sexual abuse (CSA) survivors, I found this book extremely helpful and inspiring.Read more

Published on March 21, 2008

Very helpful for someone who is in therapy!

I am currently in therapy and this book has been a God send! It has made my experiences in therapy much more meaningful.Read more

Published on March 2, 2008

Roberto L. Arendar

you can't miss it

Excellent book.Every worker in mental health should read it.It offers a deep, wise and well informed psychoanalytic approach to the issue of abuse.Read more

Published on March 20, 2007

A customer

best book on subject

Although this book is written for therapists and analysts -- not their clients -- I found it invaluable.Read more

Published on February 2, 2004

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