"An integrative, systemic approach, which provides safety for the victim
and sheds new light in terms of the dynamics for treatment. Both current
family and family of origin issues are well handled. I would recommend
this to all mental health professionals...a very useful self-help book in
terms of insight and affect for incest survivors and family members dealing
with this area of human pain."
-Ralph H. Earle,
PhD, Scottsdale, Arizona
Table of Contents
Introduction
What is Incest?
What We Know about Sexual Abuse
What Causes Incest?
Family Pathology / Permissive Subculture/ Individual Psychopathology/ Alcohol and Alcoholism /Multiple Causation
Presentations of Incest in the Therapist's Office
Red Flags for the Clinician
Effects of Childhood Incest
A Continuum of Current Effects/ Some Female-Male Differences/Victimization and Ethical Issues
Exploring with the Survivor
It's Different from Treating Children
Working with the Survivor
Listening Carefully and Understandingly/ Clarifying the Client's Communications and Comprehension/ Dealing with the Client's Reactions / Going Through the Valley / Normalizing Experiences as Much as Possible / Reframing / Exploring the Client's Efforts to Deal with the Problem / Dealing with Feelings toward Betrayer and Failed Protector / Finding Trustworthy and Helpful Sources of Support / Helping the Client to Jettison Old Feelings / Helping the Client Fail and Succeed Simultaneously / Some Other Issues and Nonissues
Working with the Spouse
Married Clients and Their Spouses
Disclosure During Individual Session / Disclosure During Joint Session
Reestablishing Family Relationships
Survivors and Their Family of Origin
Ways of Dealing with the Family of Origin / The Apology Issue
Summary
Concluding Thoughts
References
About the Author
William C. Nichols, EdD, has spent nearly two decades in full-time
private practice as a psychologist and a marital and family therapist. In
addition, he has taught and supervised psychologists, marriage and family
therapists, social workers, psychiatrists, counselors, and therapists in
a variety of agency, educational, and private settings. Dr. Nichols
is a Diplomate in Clinical Psychology of the American Board of Professional
Psychology (ABPP) and a Fellow of both the American Association for Marriage
and Family Therapy and the American Psychological Association.
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