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;



In the past decade, the field of child sexual abuse treatment has polarized into sex offender treatment and victim treatment specialties for good cause. Although some clinicians maintain that offenders and victims have the same dynamics, and others believe that they can be treated with the same techniques and even in the same groups (Giarretto, 1982), it is more common for offender and victim treatment specialists to take radically different perspectives on the theoretical underpinnings, methods of treatment, and even the nature of the therapeutic contract between therapist and client.

With sex offenders, aversive conditioning techniques are frequently used (Maletzky, 1991; Marshall, Laws, & Barbaree, 1990; Quinsey & Marshall, 1983), as are confrontational techniques, both applied individually and in groups (Abel et al., 1984; Salter, ...

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