"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 emphasis 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 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 careers. 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. The book covers: the theory, skills and process of therapeutic work children's coping and defense mechanisms career involvement professional issues Child sexual abuse is an issue which crosses professional boundaries and requires an integrated, inter-professional approach. Therapeutic Work with Sexually Abused Children will therefore be of interest to those undertaking specialist work or training in this area including social workers, psychotherapists, counsellors, psychologists, and health and education professionals.
Chapter 9: Sexualized Behaviour, Substance Abuse, and Eating Disorders
Sexualized Behaviour, Substance Abuse, and Eating Disorders
It was as if:
I felt as if the words sexually abused
were branded across my forehead.
I deliberately kept those I cared for
away, and wouldn't let anyone get close to me.
As if I had a contagious disease that I had to protect
others from catching. The worst part was that I felt so
terribly alone. To this day, I have difficulty letting people get close to me,
but I am trying, and I get a little better every day.
As discussed in Chapter 8, sexual abuse of a child often causes a cluster of problems, including fear, pain, terror, anger, powerlessness and, in some cases, physical damage. In more severe cases another level of symptomology can be triggered. ...