Breaking the Silence : Group Therapy for Childhood Sexual Abuse, A Practitioner's Manual book cover
1st Edition

Breaking the Silence
Group Therapy for Childhood Sexual Abuse, A Practitioner's Manual

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ISBN 9780789002006
Published January 18, 1999 by Routledge
174 Pages

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Book Description

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.

Table of Contents

Contents Preface

  • Acknowledgements
  • 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

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