Although knowledge of the incidence, psychological outcome, and
treatment of childhood sexual abuse has burgeoned, information about
the consequences for therapists in treating survivors is limited. This
article highlights the conflicts, dilemmas, and demands that arise for
social workers who provide services to women who were sexually
abused as children. It offers suggestions for dealing with these prob lems and discusses the implications for professional education.
References
1.
Benward, J., & Densen-Gerber, J. (1975). Incest as a causative factor in antisocial behavior: An exploratory study. Contemporary Drug Problems, 4, 322-340.
2.
Blumenstein, H. (1988). Survival issues challenging family agencies. Social Casework, 69, 107-115.
3.
Braun, B.G., & Sachs, R.G. (1985). In R. P. Kluft (Ed.), Childhood antecedents of multiple personality (pp. 38-64). Washington, DC: American Psychiatric Association.
4.
Briere, J., & Runtz, M. (1987). Post sexual abuse trauma: Data and implications for clinical practice. Journal of Interpersonal Violence, 2, 367-379.
5.
Briere, J., & Runtz, M. (1988). Symptomatology associated with childhood sexual victimization in a nonclinical adult sample. Child Abuse and Neglect, 12, 51-59.
6.
Courtois, C.H. (1988). Healing the incest wound: Adult survivors in therapy . New York: Norton.
7.
Craine, L.S., Henson, C.E., Colliver, J.A., & MacLean, D.G. (1988). Prevalence of a history of sexual abuse among female psychiatric patients in a state hospital system. Hospital and Community Psychiatry, 39, 300-304.
8.
Dimock, P.T. (1988). Adult males sexually abused as children. Journal of Interpersonal Violence, 3, 203-221.
9.
Ellenson, G.S. (1986). Disturbances of perception in adult female incest survivors. Social Casework, 67,149-159.
10.
Finkelhor, D. (1984). Child sexual abuse: New theory and research. New York: Free Press.
11.
Gelinas, D.J. (1983). The persisting negative effects of incest. Psychiatry, 46, 312-332.
12.
Goldstein, E.G. (1984). Ego psychology and social work practice. New York: Free Press.
13.
Goldstein, J.M., & Horgan, C.M. (1988). Inpatient and outpatient psychiatric services: Substitutes or complements?Hospital and Community Psychiatry , 39, 632-636.
14.
Goleman, D. (1985, April 30). Social workers vault into leading role in psychotherapy. New York Times, pp. C1, C9.
15.
Hollis, F., & Woods, M.E. (1981). Casework: A psychosocial therapy. New York: Random House.
16.
Kluft, R.P. (1985). Childhood antecedents of multiple personality . Washington, DC: American Psychiatric Association.
17.
Lindberg, F.H., & Distad, L.J. (1985). Post-traumatic stress disorders in women who experienced childhood incest. Child Abuse & Neglect, 9, 329-334.
18.
Louisiana State Board of Board Certified Social Work Examiners. (1988). Louisiana Board Certified Social Work Practice Act: Rules, regulations, and procedures. Prairieville, LA: Author.
19.
Mosedale, L. (1989, June). Breaking the silence: Glamour readers talk about childhood sexual abuse and how it changed their lives. Glamour, pp. 246-249, 288.
20.
National Association of Social Workers. (1985 ). NASW Data Bank: Selected tables—May, 1985. Silver Spring, MD: Author.
21.
Perlman, H.H. (1979). Relationship: The heart of helping people. Chicago: University of Chicago Press.
22.
Racusin, R.J., & Felsman, J.D. (1985). Reporting child abuse: The ethical obligation to inform parents. Journal of the American Academy of Child Psychiatry, 25, 485-489.
23.
Ratliff, N. (1988). Stress and burnout in the helping professions . Social Casework, 69, 147-154.
24.
Rieker, P.P., & Carmen, E. (1986). The victim-to-patient process: The disconfirmation and transformation of abuse. American Journal of Orthopsychiatry , 56, 360-370.
25.
Russell, D.E.H. (1983). The incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children. Child Abuse and Neglect, 7, 133-146.
26.
Seltzer, D.A. (1988). Limitations on HMO services and the emerging redefinition of chronic mental illness. Hospital and Community Psychiatry , 39, 137-139.
27.
Spencer, J. (1978). Father-daughter incest. Child Welfare, 57, 581-589.
28.
Van Buren, A. (1989, June 8). Dear Abby. In View, Los Angeles Times, p. 2.
29.
Wheeler, B.R., & Walton, E. (1987). Personality disturbances of adult incest victims . Social Casework, 68, 597-602.
30.
Wyatt, G.E. (1985). The sexual abuse of Afro-American and white American women in childhood. Child Abuse and Neglect, 9, 507-519.