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, this book honestly addresses the complex issues in this important area of work, providing practical strategies valuable and new insights for counsellors.

This book presents the therapist with a reflective and robust framework for group treatment that promotes an end to the shame and secrecy so frequently experienced by survivors. Through a series of tools such as visualisations and art exercises, the practitioner is guided through the process of establishing and running a group in this modality. The synthesis of both an educational and a process-based model is imbued with a sense of warmth and a deep understanding of this client group. Themes such as self-soothing, strengthening boundaries, inner-child work, making meaning of endings, and ways forward drive this therapeutic approach. Taking group work as the optimum matrix for change for this client population, this model provides a convincing rationale for the establishment of said work as best practice in the institutions that provide for their care. Practicing therapists and mental health nurses will find this new model of therapy an instrumental resource in their approach to treatment for survivors of trauma and abuse.

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.

Practitioners helping adult survivors of child sexual abuse need to be aware of the thought processes of offenders. The premise of Anna Salter's major book is that those who do not recognize an internalized perpetrator when they hear one will often be frustrated by the tenacity of the survivor's self blame. Primarily oriented towards treating adult survivors, this invaluable book will also be useful for treating sex offenders. It includes discussion of crucial issues such as: what clinicians who treat survivors need to know about sex offenders; the different ways sadistic and nonsadistic offenders think and the resulting different `footprints' they leave in the heads of survivors; how trauma affects survivors' world-views;

This text provides insights into the experience of working with a client who is a survivor of child sexual abuse. It demonstrates the application of person-centred counselling theory in this context by using fictitious dialogue.

`This book is a practical and supportive guide for the professionals facing this traumatic subject. [It] is easily readable' - Journal of Child and Adolescent Mental Health `Therapeutic Work With Sexually Abused Children locates the practice experience of the authors within a rigorous theoretical framework and is a readable and useable guide to the complexities of helping children and adolescents who have suffered the trauma of sexual abuse' - Youth & Policy `It is refreshing to find child therapists ready to engage with sexually abused children by incorporating trauma theory and research, addressing child protection and seeing themselves as part of a team that includes the carers. The authors provide an overview of phases of treatment, theoretical considerations and essential skills. They emphasize the importance of relationship and explore its impact on the therapist. Their approach is creative and child-centered. Case vignettes, poems and exercises promote empathy with the child's perspective. There is a useful chapter on cultural issues and the needs of children in alternative care... this is an excellent primer for the child's helping network' - Community Care `This is an excellent book for workers seeking to respond more effectively to child victims of abuse' - David Pearson, Caring Magazine Therapeutic Work with Sexually Abused Children is a creative and practical guide for professionals working directly with those who have suffered sexual abuse and for their carers. The trauma of sexual abuse experienced in childhood can be severe and enduring. Therapeutic support is offered to help both the child and the family cope with psychological or emotional difficulties both currently and in later life. Therapists must be able to respond effectively to the child victim in a sensitive and timely way which prioritizes the needs of each child. Drawing on their experience as practitioners, the authors explore the reactions which children commonly experience following abuse and examine the tasks of the therapist in responding to them. This book explores the counselling of children who have been abused rather than adult survivors of child abuse. The book will benefit from the combined experiences of one US author and one UK author.

Presents first-hand accounts from two male survivors of childhood sexual abuse and from the counsellor who worked with them. The author describes the counsellor's perspective, and draws out the implications for counselling practice.