The debate about delayed memories of child sexual abuse has generated strong emotions and has polarized many psychologists and members of the public. At times, individuals have adopted absolute positions without adequate knowledge of the complex issues involved. This article provides information about the current debate regarding the veracity of delayed memories of child sexual abuse, describes the historical context in which this controversy occurs, discusses the growth and development of psychotherapy for trauma survivors, and reviews the theoretical and empirical literature relevant to abuse memories. The article also outlines recommendations about foundations of knowledge and interventions that will help psychologists engage in competent and ethical practices with clients and generates an initial set of recommendations for future research, training, and social change.

The internal structure and psychometric properties of the Therapeutic Procedures Inventory — Revised (TPI-R) and the relationship between psychotherapeutic procedures and phase of treatment were investigated. Outpatient psychotherapists completed the TPI-R at various points in treatment, with regard to their latest session with a particular patient. A factor analysis of the TPI-R was conducted and three scales were constructed from the results: Directive/Behavioral, Psychodynamic/Past-Focused, and Affective. These scales were found to have good internal consistency. A positive linear relationship was found between Affective scale scores and phases of treatment. A curvilinear relationship was found between Psychodynamic/Past-focused scores and phase of treatment, with highest scores occurring at midtreatment. These findings of reported in-session behavior were compared with conceptions of ideal in-session behavior.

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In the prevalent clinical training model, experienced clinicians provide direct supervision for apprentice trainee/interns. The literature provides some indications of what and how evaluations of training could be conducted. This literature is reviewed, and guidelines are offered for developing an evaluation package to provide ongoing (a) performance evaluation of internship training and (b) data collection to support psychotherapy research within the training program.

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