Childhood sexual and physical abuse results in distinctive patterns of damage that continue into adult life. This article describes a therapeutic model, the primary goal of which is the integration of traumatic memories and their accompanying affect into a coherent sense of self. This model emphasizes the development of an “affective edge,” within sessions and over the course of treatment, to facilitate the integration of cognition and affect. A range of affective techniques, including options for nonintrusive, body-centered interventions, are discussed.
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References
1.
AlexanderF. M. (1974). The resurrection of the body. New York: Delta (Dell Publishing).
2.
BellingerL. (1974). The keep on truckin‘ manual. Watsonville, CA: Keep on Truckin’ Publications.
3.
BerneE. (1972). What do you say after you say hello?: The psychology of human destiny. New York: Grove Press.
4.
Blake-WhiteJ., & KlineC. M. (1985). Treating the dissociative process in adult victims of childhood incest. Social Casework: Journal of Contemporary Social Work, 66, 394–402.
5.
BoadellaD. (1987). Lifestreams: An introduction to biosynthesis. New York: Routledge & Kegan Paul.
6.
BowlbyJ. (1984). Violence in the family as a disorder of the attachment and caregiving systems. American Journal of Psychoanalysis, 44, 9–27.
7.
BriereJ. (1989). Therapy for adults molested as children: Beyond survival. New York: Springer.
8.
BrownD. P., & FrommE. (1986). Hypnotherapy and hypnoanalysis. Hillsdale, NJ: Lawrence Erlbaum Associates.
9.
BurgessA. W., HartmanC. R., & McCormackA. (1987). Abused to abuser: Antecedents of socially deviant behaviors. American Journal of Psychiatry, 144, 1431–1436.
10.
CassiusJ. (1975). Bodyscripts: Collected papers on physical aspects of transactional analysis. Memphis, TN: Author.
11.
CassiusJ. (1980). Bodyscript release: How to use bioenergetics and transactional analysis. Horizons in bioenergetics: New dimensions in mind/body psychotherapy (pp. 212–244). Memphis, TN: Promethean Publications.
12.
Childs-GowellE., & KinnamanP. (1978). Body-script blockbusting: A transactional approach to body awareness. San Francisco: Transactional Pubs.
13.
ColeC. (1985). A group design for adult survivors of childhood incest. Woman & Therapy, 4, 71–82.
14.
ColeC, & BarneyE. (1987). Safeguards and the therapeutic window: A group treatment strategy for adult incest survivors. American Journal of Orthopsychiatry, 57, 601–609.
15.
CornellW. (1975). Wake up “sleepy”: Reichian techniques and script intervention. Transactional Analysis Journal, 5, 144–147.
16.
CornellW. (1980). Structure and function in radix body education and script change. Horizons in bioenergetics: New dimensions in mind/body psychotherapy (pp. 88–100). Memphis, TN: Promethean Publications.
17.
CourtoisC. (1988). Healing the incest wound: Adult survivors in therapy. New York: Norton.
18.
EdelsteinM. G. (1981). Trauma, trance and transformation: A clinical guide to hypnotherapy. New York: Brunner/Mazel.
19.
ErskineR. G., & MoursundJ. (1988). Integrative psychotherapy in action. Newbury Park, CA: Sage.
20.
FariaG., & BelohlavekN. (1984). Treating female adult survivors of childhood incest. Social Casework: Journal of Contemporary Social Work, 65, 465–471.
21.
FeldenkraisM. (1950). Body and mature behavior: A study of anxiety, sex, gravitation and learning. New York: International Universities Press.
22.
FeldenkraisM. (1981). The elusive obvious. Cupertino, CA: Meta Publications.
23.
(1985). Trauma and its wake: Traumatic stress theory, research, and intervention. Vol 1. New York: Brunner/Mazel.
24.
GelbM. (1981). Body learning: An introduction to the Alexander technique. New York: Delilah Books.
25.
GelinasD. (1983). The persisting negative effects of incest. Psychiatry, 46, 312–332.
26.
GellesR., & StrausM. (1988). Intimate violence: The definitive study of the causes and consequences of abuse in the American family. New York: Simon & Schuster.
27.
GordonL. (1988). Heroes of their own lives: The politics and history of family violence. New York: Penguin.
28.
GowellE. C. (1975). Transactional analysis and the body: Sensory stimulation techniques. Transactional Analysis Journal, 5, 148–151.
29.
GrevenP. (1991). Spare the child: The religious roots of punishment and the psychological impact of physical abuse. New York: Knopf.
30.
HermanJ. L., & SchatzowE. (1987). Recovery and verification of memories of childhood sexual trauma. Psychoanalytic Psychology, 4, 1–14.
31.
HorowitzM. (1976). Stress response syndromes. New York: Jason Aronson.
32.
HunterR., & KilstromN. (1979). Breaking the cycle in abusive families. American Journal of Psychiatry, 136, 1320–1322.
33.
Issues in Radical Therapy Collective. (1973). Wilhelm Reich and body politics. Part I. Berkeley, CA: Author.
34.
Issues in Radical Therapy Collective. (1974). Wilhelm Reich and body politics. Part II. Berkeley, CA: Author.
35.
JohnsonL. (1980). Sexuality-vision-feeling. Horizons in bioenergetics: New dimensions in mind/body psychotherapy (pp. 162–178). Memphis, TN: Promethean Publications.
36.
KepnerJ. (1987). Body process: A Gestalt approach to working with the body in psychotherapy. New York: Gestalt Institute of Cleveland Press.
37.
KurtzR., &PresteraH. (1976). The body reveals: An illustrated guide to the psychology of the body. New York: Harper & Row.
38.
LaughlinH. (1987). The ego and its defenses. Northvale, NJ: Jason Aronson.
39.
LenhardtV. (1984). Bioscripts. TA the state of the art: A European contribution (pp. 89–106). Dordrecht, Holland: Foris Publications.
40.
LiftonR. J. (1979). The broken connection: On death and the continuity of life. New York: Basic Books.
41.
LiftonR. J., & OlsonE. (1976). The human meaning of total disaster. Psychiatry, 39, 1–18.
42.
LigabueS. (1991). The somatic component of the script in early development. Transactional Analysis Journal, 21, 21–30.
43.
LindbergF., & DistadL. (1985). Post-traumatic stress disorders in women who experienced childhood incest. Child Abuse and Neglect, 9, 329–334.
44.
ListerE. (1982). Forced silence: A neglected dimension of trauma. American Journal of Psychiatry, 139, 872–876.
LowenA., & LowenL. (1977). The way to vibrant health: A manual of bioenergetic exercises. New York: Harper & Row.
47.
McCarthyJ. B. (1990). Abusive families and character formation. American Journal of Psychoanalysis, 50, 181–186.
48.
McGrathE., KeitaG. P., StricklandB. R., & RussoN. F. (1990). Women and depression: Risk factors and treatment issues. Washington, DC: American Psychological Association.
49.
MillerA. (1983). For your own good: Hidden cruelty in child-rearing and the roots of violence. New York: Farrar, Straus & Giroux.
50.
MossL. (1985). Feminist body psychotherapy & WalkerL. G. (Eds.), The handbook of feminist therapy (pp. 80–90). New York: Springer Publishing.
OlioK. A. (1989). Memory retrieval in the treatment of adult survivors of sexual abuse. Transactional Analysis Journal, 19, 93–100.
53.
OlioK. A., & CornellW. F. (in press) The therapeutic relationship as the foundation for treatment with adult survivors of sexual abuse. Psychotherapy.
54.
ReichW. (1961). The function of the orgasm. New York: Farrar, Straus, & Giroux.
55.
RiekerP., & CarmenE. (1986). The victim-to-patient process: The disconflrmation and transformation of abuse. American Journal of Orthopsychiatry, 56, 360–370.
56.
RootM. P. P. (1992). Reconstructing the impact of trauma on personality & BallonM. (Eds.), Personality and psychopathology: Feminist reappraisals (pp. 229–265). New York: Guilford Press.
57.
RosenthalK. (1988). The inanimate self in adult victims of child abuse and neglect. Social Casework: Journal of Contemporary Social Work, 69, 505–510.
58.
SchlechterS. (1982). Women and male violence: The visions and struggles of the battered women's movement. Boston: South End Press.
59.
SchiffJ. L. (1977). One hundred children generate a lot of TA: History, development, and activities of the Schiff family. Transactional analysis after Eric Berne: Teachings and practices of three TA schools (pp. 53–76). New York: Harper's College Press.
60.
SchmittB., & KempeH. (1975). Neglect and abuse of children & McKayR. (Eds.), Nelson textbook on pediatrics (10th ed.) (pp. 107–111). Philadelphia: Saunders.
61.
SinclairM. (1988). Acceptance of touch. Massage Therapy Journal. Fall, 41–63.
62.
SmithE. W. L. (1985). The body in psychotherapy. Jefferson, NC: McFarland & Co.
63.
SmithS. (1990). Regressive work as a therapeutic treatment. Transactional Analysis Journal, 20, 253–262.
64.
SpiegelD. (1986). Dissociating damage. American Journal of Clinical Hypnosis, 29, 123–131.
65.
SteeleK., & ColrainJ. U. (1990). Abreactive work with sexual abuse survivors: Concepts and techniques. The sexually abused male: Application of treatment strategies. Vol. 2 (pp. 1–56). Lexington, MA: Lexington Books.
66.
SteinerC. M. (1974). Scripts people live: Transactional analysis of life scripts. New York: Grove Press.
67.
(1988). Abuse and victimization across the life span. Baltimore, MD: Johns Hopkins University Press.
68.
SwansonL., & BiaggioM. K. (1985). Therapeutic perspectives on father-daughter incest. American Journal of Psychiatry, 142, 667–674.
69.
TerrL. (1991). Childhood traumas: An outline and overview. American Journal of Psychiatry, 148, 10–20.
70.
TsaiM., & WagnerN. (1978). Therapy groups for woman sexually molested as children. Archives of Sexual Behavior, 7, 417–429.
71.
van der KolkB. A. (1987). Psychological trauma. Washington, DC: American Psychiatric Press.
72.
van der KolkB. A. (1989). The compulsion to repeat the trauma: Re-enactment, victimization, and masochism. Psychiatric Climes of North America, 12, 389–411.
73.
WilsonJ. (1989). Trauma, transformation and healing: An integrative approach to theory, research, and posttraumatic therapy. New York: Brunner/Mazel.
74.
WyckoffH. (1975). Permission. Readings in radical psychiatry (pp. 106–121). New York: Grove Press.