By Philip H. Pollock
This ebook considers the aftermath of early life sexual abuse in the conceptual framework of Cognitive Analytic treatment, and offers a version for therapy.
Read Online or Download Cognitive Analytic Therapy for Adult Survivors of Childhood Abuse: Approaches to Treatment and Case Management PDF
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Additional info for Cognitive Analytic Therapy for Adult Survivors of Childhood Abuse: Approaches to Treatment and Case Management
Survivors manage feelings of vulnerability and pain in a diversity of ways. , 1988), worthlessness and poor self-image and hopelessness. The degree of self-loathing expressed by survivors of abuse is as startling as relative absence of anger and rage towards the perpetrator. When rage is acknowledged and validated by the therapist as appropriate and welcomed, survivors are prone to deny or deflect its significance. qxd 26 26/06/01 14:50 Page 26 CAT REFORMULATION OF TRAUMATIC EXPERIENCES suppressing or converting these feelings into self-disgust for participating in the abuse, self-blame for being sexually provocative or other misattributions.
Either role of the RRP can be enacted by the survivor and induced within the other person. A survivor may perceive others to be potentially abusing and controlling and behave in a manner which attempts to evoke his/her partner to be controlling etc. qxd 26/06/01 14:50 Page 17 THE LANGUAGE AND PRACTICE OF CAT 17 with the reciprocal role of the RRP enacted. Self–self management can be observed when a survivor enacts an internalised RRP towards him/herself. The most maladaptive and dramatic occurs when an RRP of controlling, neglecting-to-crushed, depleted is demonstrated through a survivor’s extreme over-control of food intake and neglectful starvation or sadistic torturing-tomasochistic martyr via self-injury with associated pleasure of relief.
Unique patterns of dilemmas, traps and snags can be interwoven into the File by the patient or therapist as they become apparent. A latter section of the File introduces unstable states of mind, mood variability and contrasting, conflicting and contradictory self-experiences. Again, the patient endorses the degree to which this occurs for him/her, and the Personality Structure Questionnaire (PSQ; see Chapter 12) can be used to probe these problems further. The Psychotherapy File is not a psychometric instrument, but does educate and focus the therapy process in CAT, advancing and explaining where problems may emerge for the patient.