Citation

Chu JA. J. Psychother. Pract. Res. 1992; 1(4): 351-370.

Affiliation

Institute for the Study of Traumatic Stress, McLean Hospital, Belmont, Massachusetts, and the Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts.

Copyright

(Copyright © 1992, American Psychiatric Press)

DOI

unavailable

PMID

22700116

PMCID

PMC3330302

Abstract

Survivors of severe childhood abuse often encounter profound difficulties. In addition to posttraumatic and dissociative symptomatology, abuse survivors frequently have characterologic problems, particularly regarding self-care and maintaining relationships. Backgrounds of abuse, abandonment, and betrayal are often recapitulated and reenacted in therapy, making the therapeutic experience arduous and confusing for therapists and patients. Efforts must be directed at building an adequate psychotherapeutic foundation before undertaking exploration and abreaction of past traumatic experiences. This discussion sets out a model for treatment of childhood abuse survivors, describing stages of treatment and suggesting interventions. Common treatment dilemmas or "traps" are discussed, with recommendations for their resolution.

Language: en