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| Preface to the Third Edition | |
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| Understanding Child Sexual Abuse | |
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| Myths | |
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| Defining CSA | |
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| Historical perspective of CSA | |
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| Cultural practices in CSA | |
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| Spectrum of CSA acts | |
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| Grooming of children and other adults | |
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| Incidence of CSA | |
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| Victims of CSA | |
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| Perpetrators of CSA | |
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| Dynamics associated with CSA | |
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| Conclusion | |
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| The Impact and Long-term Effects of Child Sexual Abuse on Adult Survivors | |
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| Impact of CSA on the child | |
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| Factors associated with the impact of CSA | |
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| Traumagenic dynamics of the impact of CSA | |
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| Long-term effects of CSA | |
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| Conclusion | |
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| Understanding Adult Survivors of Child Sexual Abuse | |
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| Introduction | |
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| Understanding the impact of CSA on the developing self | |
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| Understanding family dynamics in CSA | |
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| Understanding the fear of the cycle of abuse | |
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| Understanding difficulties surrounding disclosure | |
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| Understanding transference | |
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| Understanding counter-transference | |
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| Understanding the long-term effects of CSA | |
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| Understanding relationships with partners | |
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| Understanding power and control dynamics | |
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| Understanding behavioural effects | |
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| Understanding cognitive effects | |
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| Understanding physical effects | |
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| Understanding sexual effects | |
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| Recurring themes in the therapeutic process | |
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| Working with Adult Survivors of Child Sexual Abuse | |
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| Introduction | |
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| Range of treatment modalities | |
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| Duration of treatment | |
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| Range of treatment approaches | |
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| Aims of treatment | |
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| Initial assessment of therapeutic needs | |
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| Therapeutic stance | |
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| Therapeutic setting | |
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| Transference and counter-transference | |
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| Phases of the therapeutic process | |
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| Conclusion | |
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| Working with Child Sexual Abuse and Trauma | |
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| Introduction | |
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| Components of trauma | |
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| The body's way of coping with fear | |
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| Neurobiology and CSA | |
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| Post-traumatic stress disorder | |
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| Traumagenic dynamics of the impact of CSA | |
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| Working with adult survivors of CSA and trauma | |
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| Conclusion | |
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| Working with Child Sexual Abuse and Dissociation | |
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| Introduction | |
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| Relationship between trauma and dissociation | |
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| Relationship between dissociation and PTSD | |
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| Nature of dissociation | |
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| Continuum of dissociation | |
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| Diagnostic criteria for dissociative disorders | |
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| Somatoform disorders and CSA | |
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| Types of dissociation | |
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| Relationship between dissociation, trauma and CSA | |
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| Consequences of dissociation during and following CSA | |
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| Working with survivors with dissociative features | |
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| Aims of therapy | |
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| The therapeutic relationship | |
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| Grounding techniques | |
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| Conclusion | |
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| Working with Child Sexual Abuse and Memory | |
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| Introduction | |
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| The dynamic nature of memory | |
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| Factors implicated in forgetting | |
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| Autobiographical memory | |
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| The relationship between emotion and memory | |
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| The nature of traumatic memories | |
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| Working with memory and CSA | |
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| Therapeutic interventions to facilitate memory recall | |
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| Working with recovered memories | |
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| Conclusion | |
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| Working with Child Sexual Abuse and Self-harm | |
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| Introduction | |
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| Range of self-harming behaviours | |
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| Self-injury | |
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| CSA and eating disorders | |
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| CSA and substance abuse | |
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| Conclusion | |
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| Working with the Shattered Self | |
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| Introduction | |
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| Development of the self | |
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| Impact of CSA on the sense of self | |
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| Working with the shattered self | |
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| Conclusion | |
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| Working with Shame | |
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| Introduction | |
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| Definition of shame | |
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| Function of shame | |
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| Components of shame | |
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| Childhood origins of shame | |
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| Focus of shame | |
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| Strategies to manage shame | |
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| Working with shame | |
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| Conclusion | |
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| Working with Sexuality | |
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| Introduction | |
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| Impact of CSA on sexuality | |
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| Understanding sexual symptoms | |
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| Working with sexuality | |
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| The role of the counsellor when working with sexuality | |
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| Conclusion | |
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| Professional Issues | |
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| Counsellor's self-awareness | |
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| Counsellor's knowledge of CSA | |
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| Counsellor's sexual history | |
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| Counsellor's childhood history | |
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| The survivor as counsellor | |
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| Working with difference | |
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| Working with trauma | |
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| Embodiment | |
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| Impact of working with adult survivors of CSA | |
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| Conclusion | |
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| References | |
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| Subject Index | |
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| Author Index | |