By Philip H. Pollock
This booklet considers the aftermath of adolescence sexual abuse in the conceptual framework of Cognitive Analytic remedy, and provides a version for therapy.
Read Online or Download Cognitive Analytic Therapy for Adult Survivors of Childhood Abuse: Approaches to Treatment and Case Management PDF
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Additional resources for Cognitive Analytic Therapy for Adult Survivors of Childhood Abuse: Approaches to Treatment and Case Management
The sequence enacted between parent or teacher and child is, in substance, a blueprint for the interaction sequence between therapist and client during CAT. 1 The elements of reformulation, recognition and revision (the three ‘R’s) observation’ of how the client presents him/herself, communicates, interacts and describes the narrative episodes of his/her life experiences. Recurring patterns, their sources and maintenance are the essential materials of reformulation. Recognition of these patterns and the harmful procedures which cause them is not always achieved quickly in some treatment cases.
3. The adult facilitates the child to reflect on the task (the therapist focuses attention on the process and work of therapy). 4. The adult prescriptively directs the child about what to do (the therapist scaffolds the process of therapy and directs the patient). 5. The child incorporates and masters the relational, dyadic sequence in dialogic structure from outside to inside (the patient internalises the new learning and the internal voice of the therapist as an introject). Emphasis is given, therefore, to the shared, collaborative, internalisation of learning, self-understanding and acquisition of language-based tools or skills.
Successful attribution of guilt can have its own complications whereby the survivor begins to report feelings of intense rage towards the perpetrator and homicidal thoughts. The fact that he/she has been mistreated and violated generates ideas of revenge and angry feelings, which require acknowledging and containment. Survivors may have demonstrated patterns of behaviour in which they have acted over-compliantly to appease and placate others because they fear that any expression of anger will be excessive and out of control, perhaps harming others (a CAT dilemma).