Enhanced descriptions from Syndetics:

This updated and expanded edition provides comprehensive coverage of the theory and practice of counselling survivors of child sexual abuse (CSA). In a reasoned and thoughtful approach, common stereotypes of abusers and their victims are replaced with current knowledge on the incidence of CSA and its long-term impacts on adult survivors.

Christiane Sanderson explores the therapeutic relationship from building trust and meeting the client's needs to establishing boundaries, addressing transference issues and avoiding secondary traumatic stress. She evaluates various treatment approaches and techniques, and discusses the advantages and disadvantages of group therapy. Stand-alone chapters provide in-depth coverage of:

* CSA's impact on survivors' sense of self and their relationships with others

* self-harming behaviour, including self-injury, substance abuse and eating disorders

* how memory is constructed and reconstructed, including the controversial issues surrounding recovered memories

* useful approaches to coping with fear and loss from working with other types of trauma

* normal sexual development and typical sexual difficulties for survivors

* working with shame and dissociation.

Counselling Adult Survivors of Child Sexual Abuse honestly addresses the complex issues in this important area of work. It provides practical strategies for those new to counselling in this field and valuable new insights for experienced counsellors.

Table of contents provided by Syndetics

• Preface to the Third Edition (p. 9)
• Chapter 1 Understanding Child Sexual Abuse (p. 15)
• Myths
• Defining CSA
• Historical perspective of CSA
• Cultural practices in CSA
• Spectrum of CSA acts
• Grooming of children and other adults
• Incidence of CSA
• Victims of CSA
• Perpetrators of CSA
• Dynamics associated with CSA
• Conclusion
• Chapter 2 The Impact and Long-term Effects of Child Sexual Abuse on Adult Survivors (p. 40)
• Impact of CSA on the child
• Factors associated with the impact of CSA
• Traumagenic dynamics of the impact of CSA
• Long-term effects of CSA
• Conclusion
• Chapter 3 Understanding Adult Survivors of Child Sexual Abuse (p. 66)
• Introduction
• Understanding the impact of CSA on the developing self
• Understanding family dynamics in CSA
• Understanding the fear of the cycle of abuse
• Understanding difficulties surrounding disclosure
• Understanding transference
• Understanding counter-transference
• Understanding the long-term effects of CSA
• Understanding relationships with partners
• Understanding power and control dynamics
• Understanding behavioural effects
• Understanding cognitive effects
• Understanding physical effects
• Understanding sexual effects
• Recurring themes in the therapeutic process
• Chapter 4 Working with Adult Survivors of Child Sexual Abuse (p. 101)
• Introduction
• Range of treatment modalities
• Duration of treatment
• Range of treatment approaches
• Aims of treatment
• Initial assessment of therapeutic needs
• Therapeutic stance
• Therapeutic setting
• Transference and counter-transference
• Phases of the therapeutic process
• Conclusion
• Chapter 5 Working with Child Sexual Abuse and Trauma (p. 150)
• Introduction
• Components of trauma
• The body's way of coping with fear
• Neurobiology and CSA
• Post-traumatic stress disorder
• Traumagenic dynamics of the impact of CSA
• Working with adult survivors of CSA and trauma
• Conclusion
• Chapter 6 Working with Child Sexual Abuse and Dissociation (p. 182)
• Introduction
• Relationship between trauma and dissociation
• Relationship between dissociation and PTSD
• Nature of dissociation
• Continuum of dissociation
• Diagnostic criteria for dissociative disorders
• Somatoform disorders and CSA
• Types of dissociation
• Relationship between dissociation, trauma and CSA
• Consequences of dissociation during and following CSA
• Working with survivors with dissociative features
• Aims of therapy
• The therapeutic relationship
• Grounding techniques
• Conclusion
• Chapter 7 Working with Child Sexual Abuse and Memory (p. 206)
• Introduction
• The dynamic nature of memory
• Factors implicated in forgetting
• Autobiographical memory
• The relationship between emotion and memory
• The nature of traumatic memories
• Working with memory and CSA
• Therapeutic interventions to facilitate memory recall
• Working with recovered memories
• Conclusion
• Chapter 8 Working with Child Sexual Abuse and Self-harm (p. 268)
• Introduction
• Range of self-harming behaviours
• Self-injury
• CSA and eating disorders
• CSA and substance abuse
• Conclusion
• Chapter 9 Working with the Shattered Self (p. 297)
• Introduction
• Development of the self
• Impact of CSA on the sense of self
• Working with the shattered self
• Conclusion
• Chapter 10 Working with Shame (p. 325)
• Introduction
• Definition of shame
• Function of shame
• Components of shame
• Childhood origins of shame
• Focus of shame
• Strategies to manage shame
• Working with shame
• Conclusion
• Chapter 11 Working with Sexuality (p. 351)
• Introduction
• Impact of CSA on sexuality
• Understanding sexual symptoms
• Working with sexuality
• The role of the counsellor when working with sexuality
• Conclusion
• Chapter 12 Professional Issues (p. 378)
• Counsellor's self-awareness
• Counsellor's knowledge of CSA
• Counsellor's sexual history
• Counsellor's childhood history
• The survivor as counsellor
• Working with difference
• Working with trauma
• Embodiment
• Impact of working with adult survivors of CSA
• Conclusion
• References (p. 411)
• Subject Index (p. 439)
• Author Index (p. 445)

Author notes provided by Syndetics