Summary
Contents
Subject index
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;
Managing Chronic Pain
Managing Chronic Pain
Every form of refuge has its price.
“Lyin' Eyes,” by Don Henley and Glenn Frey1
Whether the episodic attack of the affective flashback or the seamless dysphoria of prolonged anxiety and depression, chronic pain—and ways to avoid it, manage it, minimize it, or medicate it—is often central for the adult survivor. For some, dealing with pain has become so habitual that they no longer know, if they ever did, what they are avoiding or even that they are. Survivors may interweave denial, distraction, dissociation, relationship addiction, drugs, alcohol, self-mutilation, and suicidality so artfully and automatically that they could not name any of these coping strategies, only the intolerable affective state that surfaces if the interweaving stops. Often misidentified as “the problem,” such ...
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