Psychotherapy with Adult Survivors of Child Sexual Abuse

Gardner, Fiona

doi:10.1111/j.1752-0118.1990.tb01288.x

Cited by 12 publications

(3 citation statements)

References 11 publications

(9 reference statements)

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“…A comprehensive summary of the after-effects of sexual abuse is an extremely complex task because of the variety of factors to be included: such as the age of the child, the life circumstances, the frequency of the abuse, and the degree of aggression and physical damage involved. There would appear to be a correlation between the depth of the trauma and the degree of powerlessness experienced by the child during the sexual acts (Gardner 1990).…”

Section: Inner Disorder and The After-effects Of Sexual Abusementioning

confidence: 99%

Creating Order Out of Abuse

Gardner

1993

Brit J Psychotherapy

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Section: Inner Disorder and The After-effects Of Sexual Abusementioning

confidence: 99%

Creating Order Out of Abuse

Gardner

1993

Brit J Psychotherapy

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“…She goes on to assert that`where there has been some form of abuse in early life, this will soon make its appearance in the consulting room', and refers to Winnicott's notion of the need for`robust mothering'. Gardner (1990), discussing psychotherapy with adult survivors of childhood sexual abuse, identifies a number of dilemmas facing the therapist when the therapeutic relationship acquires some of the specialness which characterized the original abusive relationship. She draws attention to issues of power and control, pointing out the danger of explicit abuse of power by therapists who literally seduce their patients, and more subtle abuses such as the use of over-penetrating questions or the imputation of complicity when this is unjustified.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic Aggression

Tillett¹

1998

Brit J Psychotherapy

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“…However, this is not to present an overly simplified, monolithic tale of disciplinary denial and failure; the ‘truth’ as always is more nuanced. In preparing this paper, we were heartened to see the work of Fiona Gardner, published over 30 years ago in this journal (Gardner, 1990, p. 290), that presages much of the current thinking around therapeutic work with non‐recent CSA survivors. Like us, Gardner takes account of the political and social context of therapeutic practice in this area and carefully navigates the boundaries of inner and outer lives, warning that, ‘ it may be easier to see only the fantasy than the reality ’ of CSA in therapeutic practice.…”

mentioning

confidence: 99%

Contemporary Developments in the Area of Non‐recent Child Sexual Abuse: Moving from What Is Wrong with You and What Happened to You, to What Are We Going To Do About It Now?

Stubley¹,

Taggart²

2023

Brit J Psychotherapy

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The knowledge of child sexual abuse (CSA)-the recognition of its prevalence and the reality of its impact-has been lost and found in repeated cycles within society and perhaps particularly within the field of mental health. A recent compendium published by the Office for National Statistics (ONS, 2019) provides an estimate of the prevalence of CSA. It found that one in 13 adults reported experiencing CSA, with 9% in total reporting contact CSA and 3% non-contact CSA. This represents a population level estimate of 3.1 million adults having experienced CSA in the UK.The long-term health and social impacts of CSA are significant. In adulthood, victims and survivors of CSA are at elevated risk of an interlocking, aggregated triad of psychological, physical and social injuries (Taggart et al., 2021). These include increased exposure to a range of mental health conditions; depression (Salokangas et al. 2020), anxiety disorders (Heim & Nemeroff, 2001), psychosis (Shevlin, Dorachy & Adamson, 2007), dissociative disorders (Chu & Dill, 1990), in addition to complex post-traumatic stress disorder (C-PTSD) and post-traumatic stress disorder (PTSD) (Cloitre & Ford, 2016). There is also increased risk of chronic physical health conditions, including respiratory conditions (Bellis et al., 2014), diabetes (Huffhines, Noser & Patton, 2016) and premature death (Happell et al., 2017). In addition to health outcomes, there are also significant social impairments caused by CSA, including difficulties engaging with public services (Mason, Taggart & Broadhurst, 2020) and betrayal trauma (Freyd, 1996). There are social and economic costs to wider society-a recent UK study estimated that efforts linked to prevention, lost economic output, the overall health and criminal justice costs amounted to £10.1 billion in the year 2018 -19 (Radakin et al., 2021.The Independent Inquiry into Child Sexual Abuse (IICSA) was established as a statutory Inquiry in England and Wales in 2015. It was commissioned by the then Home Secretary following several high-profile cases of CSA that involved failures in public institutions such as the police, NHS, religious institutions and parliament. IICSA is part of a wave of international Historical Institutional Abuse (HIA) Inquiries

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Psychotherapy with Adult Survivors of Child Sexual Abuse

Cited by 12 publications

References 11 publications

Creating Order Out of Abuse

Creating Order Out of Abuse

Therapeutic Aggression

Contemporary Developments in the Area of Non‐recent Child Sexual Abuse: Moving from What Is Wrong with You and What Happened to You, to What Are We Going To Do About It Now?

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