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;

Footprints on the Heart: Effects of Child Sexual Abuse on Emotions

Footprints on the heart: Effects of child sexual abuse on emotions

What does sexual abuse do to people? Far from an academic concern, this is a burning issue for clinicians concerned about what to do on Monday morning. We cannot treat what we cannot see, and all too often, we cannot see what we do not know to look for. Unfortunately, clients do not necessarily report or even know how child sexual abuse has affected them. The connection between the insult and the sequelae is obscured by the distance in time between the two, and the chronic nature of the abuse and the sequelae may mean that the client may never remember having felt differently. ...

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