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;
- Chapter 1: What Do We Know about Sex Offenders and What Does it Mean?
- Compulsivity and Repetitiveness
- Sex Offenders: Specialists or Generalists?
- Nonsexual Offenses
- Incest Offenders: Are They Really Sex Offenders?
- Age of Onset
- Who are They?
- Chapter 2: The Deviant Cycle
- Sexual Assault: Accident or Plan?
- Sexual Offending as an Addiction
- Components of the Deviant Cycle
- Thinking Errors
- Discussion and Implications for Clinicians and Survivors
- Chapter 3: Sadistic versus Nonsadistic Offenders and Their Effects on Victims
- Sadistic Offenders
- Chapter 4: Apology and Forgiveness in the Context of the Cycles of Adult Male Sex Offenders Who Abuse Children
- What Constitutes an Apology and What is its Intended Effect?
- Hopes often Expressed by Adult Survivors and Child Survivors of Abuse
- Hopes often Expressed by Offenders
- Hopes often Expressed by Therapists
- Are Positive Outcomes Realistic in the Context of Offending Cycles?
- Belief Systems Producing Continuous or Inhibited Cycles
- The Senses Cycle and Affective Flashbacks
- Themes Commonly Found in Apology Statements That Feed into Thinking Errors Implanted by the Offender during the Abuse
- Should Apology Be Linked to Forgiveness?
- When is an Apology Real and What Can Be Done to Increase the Chances of a Positive Outcome for the Adult Survivor?
- Timing in the Context of the Offender's Change Process
- Suggestions for Apology Sessions
- Conclusions and Ground Rules
- Chapter 5: Footprints on the Heart: Effects of Child Sexual Abuse on Emotions
- Historical Perspective
- Revictimization and its Relationship to Depression and Anxiety
- Etiology of Anxiety and Depression in Adult Survivors of Child Sexual Abuse
- Posttraumatic Stress Disorder
- Chapter 6: Sex Offenders in the Head: Effects of Child Sexual Abuse on Victim Thinking
- A Trauma-Based Worldview: Meaning, Malevolence, and Mastery
- Cognitive Distortions
- Chapter 7: Managing Chronic Pain
- Avoidant Techniques
- Medicating Pain
- Chapter 8: Links between Offenders and Victims: Summing up
- Chapter 9: Crossing Open Ground: Trauma and Transformation
- What is Therapy and What is Not?
- Live Affect
- Safety and the Therapeutic Relationship
- Telling the Tale
- Hearing the Tale
- Reducing and Managing Chronic Pain