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by William C. Nichols
by William C. Nichols

Treating Adult Survivors of Childhood Sexual Abuse

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• 1992  70pp paperback   ISBN: 9780943158686
• A Practitioner's Resource Series Title

A concrete, how-to-do-it guide to recognizing, assessing, and treating adult survivors of childhood sexual abuse.  Includes descriptions of "red flags" (symptoms that should alert therapists to a possible history of childhood sexual abuse), important differences in treatment methods for adult survivors vs. child victims, current knowledge about sexual abuse, and numerous special resources.

"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
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
Concluding Thoughts

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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