Abstract
The authors respond to articles in the special issue on SRA published in the Journal of Psychology and Theology, 1992, 20(3), by R. E. Shaffer and L. J. Cozolino, by C. Gould and L. J. Cozolino, and by J. G. Friesen. The three articles reference theology or spirituality in relation to clinical approaches to ritualistic or satanic abuse. Important considerations for case management are indicated when patients surface issues of ritualistic, satanic, or cult abuse, especially by avoiding extreme positions and ignoring opposing ones. Transference and secondary gain are major concerns in working with such patients. The responders stress the importance of a faith in and understanding of the patient's reality and to treat that reality as it is verbalized in the clinical setting. It may not be important to classify abuse or torture in order to treat the patient effectively.
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