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.

Presents a model for the treatment of adult survivors of childhood sexual abuse that takes advantage of a relational approach and that integrates psychoanalytic thinking with the latest findings from the literature on psychological trauma and sexual abuse. Case examples illustrate the authors' treatment model. Annotation copyright by Book News, Inc., Portland, OR

“Anyone who had a troubled childhood ought to read this book.”—Anne H. Cohn, D.P.H., Executive Director, National Committee for Prevention of Child Abuse Do you have trouble finding friends, lovers, acquaintances? Once you find them, do they dump on you, take advantage of you, or leave? Are you in a relationship you know isn't good for you? Are you still trying to figure out what you want to do when you grow up? Are you drinking too much, eating too much or trying to numb your pain with drugs of any kind? These are just a few of the problems abused children experience when they become adults. You may not realize you were abused. You may think your parents didn't mean it, didn't know better, or that others had it much worse. You may not even have made the connection between the past and your current problems. Outgrowing the Pain is an important book for any adult who was abused or neglected in childhood. It's an important book for professionals who help others. It's a book of questions that can pinpoint and illuminate destructive patterns. The answers you discover can lead to a life filled with new insight, hope, and love. “The best book available to help survivors cope and understand.”—Dan Sexton, Director, Childhelp's National Abuse Hotline “An invaluable aid for adult survivors of child abuse.”—Suzanne M. Sgroi, M.D., Executive Director, New England Clinical Associates

The premise of this 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 book will also be useful for treating sex offenders. Salter also describes the steps of therapy for survivors and proposes that trauma can be transformed rather than just endured.

This book has been replaced by Treating Survivors of Childhood Abuse and Interpersonal Trauma, Second Edition, ISBN 978-1-4625-4328-1.

This book provides a framework for addressing the extended treatment needs of adult survivors of child sexual abuse. It is based on a therapeutic intervention model that provides flexibility for therapists to work according to their training and skills set while incorporating practical techniques structured around the needs of survivors. The book begins by providing therapists with crucial information about sex abuse survivors—such as ethical considerations, types of abuse, the stages of abuse, and the effects of the abuse on the child—as well as a method useful in the putting together of an abuse profile which ultimately assists in identifying treatment needs. The second part of the book provides client homework exercises for treatment and covers working with memories; denial; problematic emotions such as guilt, self-blame, and shame; depression and anxiety; sexuality; as well as parents, partners, and more. This accessible yet comprehensive guide will be of utmost use to mental health professionals who work with adult survivors of childhood sexual abuse.

In Adult Survivors of Childhood Emotional, Physical, and Sexual Abuse: Dynamics and Treatment, Francisco G. Cruz, M.D., and Laura Essen, L.C.S.W., two senior therapists with years of experience in treating this population, give the clinician the tools he or she needs to work with abused patients. In clear prose, the authors cover clinical assessment of adult survivors, a broad spectrum of multi-modality treatment strategies and techniques for clinical intervention (including dynamic and cognitive approaches), transference and countertransference issues, the therapeutic relationship, defense mechanisms, grief work, and special clinical problems in treatment with adult survivors. The book's eclectic approach makes it accessible to therapists across a wide spectrum of orientations.