This paper proposes the development of a new model of treatment for survivors of sexual abuse suffering from Posttraumatic Stress Disorder (PTSD). Foa, Rothbaum, Riggs, and Murdock (1991) and Foa, Rothbaum, and Furr (2003) support Prolonged Exposure (PE) as a highly effective treatment for PTSD. However, PE can be intimidating to survivors, contributing to hesitancy to participate in the treatment. This paper posits that animal-assisted therapy (AAT) will decrease anxiety, lower physiological arousal, enhance the therapeutic alliance, and promote social lubrication. The paper also posits that AAT will enhance the value of PE by making it more accessible to survivors, increasing social interaction, and perhaps decreasing the number of sessions required for habituation to the traumatic memories.
The likelihood of dual relationships is greater in a university setting due to the institution's mission, size and the students' residency on campus. Dual relationships require a clinician to safely navigate the therapeutic relationship through potential dangers. Five guiding principles, rooted in good clinical judgment and common sense, are presented along with illustrating case studies.
Male and female clergy, primarily rabbis, scored similarly on a measure of attachment related anxiety and avoidance although men scored as significantly more compartmentalized than women on a boundary measure. Rabbis scored as significantly less comfortable depending on others and opening up to others than Gentile clergy. Finally, this study delineates four clergy approaches to dual relationships and the tendency of clergy boundaries to thicken with experience in the field.
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