By Philip H. Pollock
This e-book considers the aftermath of youth sexual abuse in the conceptual framework of Cognitive Analytic remedy, and offers a version for therapy.
Read or Download Cognitive Analytic Therapy for Adult Survivors of Childhood Abuse: Approaches to Treatment and Case Management PDF
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Extra resources for Cognitive Analytic Therapy for Adult Survivors of Childhood Abuse: Approaches to Treatment and Case Management
Example text
This was the first occasion she had contemplated that the ‘little girl’ was herself. She had always found it easier to disavow that she and the little girl were one and the same. Her depressive episodes over many years had been experienced as ‘out of the blue’ yet appeared to follow periods of intensive involvement as a volunteer caring for mistreated animals, a pursuit she felt passionate about. The risk of suicide increased markedly at this point in therapy for this woman. Helping her to understand how the cauldron of emotional pain had moulded her patterns of behaving throughout adulthood allowed her to assign responsibility and blame upon her parents and to think about integrating the adult part of herself with the ‘hurt, lost, confused little girl’.
Any ruptures to the alliance must be conceptualised and impasses or stagnation in progress addressed. The therapist is required to undertake a task of internal observation regarding his/her own thinking, emotional reactions and perceptions of the client. Collusion with a client’s self-perpetuating patterns of RRPs, dilemmas, traps and snags leads to stagnation and ‘drop-out’ from therapy and reinforces the client’s unhelpful ways of thinking, acting, feeling and relating. Projective identification is an important process (Ogden, 1983, Sandler, 1976) which underpins transference and countertransference responses during therapy and its conceptualisation within the CAT model is an important facet of clinical practice.
She described the ‘absences’ to be a form of ‘opting out until he’s finished’, hurting herself being an enactment of the abuse she anticipated towards herself and expression of her self-hatred and submission to the perpetrator in a symbolic manner. The core state or emotional pain created by childhood abuse or adversity is a pivotal starting point to assess when constructing the diagram. Survivors manage feelings of vulnerability and pain in a diversity of ways. , 1988), worthlessness and poor self-image and hopelessness.
