Psychotherapy with Sex-Abuse Victims: True, False, and Hysterical

©1996 Creative Therapeutics, Inc., Cresskill, NJ

 

CHAPTERS HEADINGS:

Acknowledgments

Introduction

1. A THEORY ABOUT THE VARIETY OF HUMAN SEXUAL BEHAVIOR: p.1
   • INTRODUCTION: p.1
   • GENDER DIFFERENCES IN MATING PATTERNS: p.2
   • DAWKINS'S THEORY OF GENE SURVIVAL AND TRANSMISSION: p.7
   • THE APPLICATION OF DAWKINS THEORY TO HUMAN SEXUAL VARIETY: p.12
     • Introduction: p.12
     • The Paraphilias of DSM-IV: p. 17
     • Further Comments on the Paraphilias: p. 30
     • Sexual Dysfunctions: p. 31
   • SHOULD HOMOSEXUALITY BE LISTED AMONG THE PARAPHILIAS? p.31
   • THE CAUSES OF MALE PEDOPHILIA: p. 37
     • Social and Cultural Factors: p.37
     • The Imprinting Factor: p. 40
     • Identification with the Aggressor: p. 43
     • The Domination Factor: p. 44
     • Passivity and Impaired Self-Assertion: p. 44
     • Similarities Between Children and Females: p. 45
     • Compensation for Feelings of Emotional Deprivation: p. 46
     • Narcissism: p. 47
       • Masochistic Factors: p.49
       • Recent Social and Cultural Factors Operative in the United States: p. 49
       • Concluding Comments on Pedophilia: p.50
   • CONCLUDING COMMENTS: p.50
2. THE EMBEDMENT-IN-THE-BRAIN-CIRCUITRY PHENOMENON (EBCP) p.55
   • INTRODUCTION: p.55
   • IMPRINTING: p.57
     • Imprinting in Lower Animals: p.57
     • The Question of Imprinting in Human Beings: p.58
   • "PSYCHOPATHOLOGY OF EVERYDAY LIFE: p.60
   • THE POSTTRAUMATIC STRESS DISORDER: p.64
   • DISSOCIATION: p.65
   • OBSESSIVE-COMPULSIVE DISORDER: p. 67
   • SEXUAL FANTASIES AND PROCLIVITIES: p. 70
     • One's "First True Love: p.71
     • Homosexuality: p.72
     • Pedophilia: p. 73
     • Residua of Childhood Sexual Experiences in Adult Sexual Life: p.76
     • False Sex-Abuse Accusers: p.78
   • THERAPEUTIC IMPLICATIONS: p. 79
3. TREATMENT OF CHILDREN WHO HAVE ACTUALLY BEEN SEXUALLY ABUSED: p. 83
   • INTRODUCTION: p.83
   • SOME COMMENTS ABOUT THERAPISTS WHO TREAT SEXUALLY ABUSED CHILDREN: p.86
   • THE CLINICAL PICTURE OF THE SEXUALLY
   • ABUSED CHILD: p.90
     • Introduction: p. 90
     • The So-Called Child Sex-Abuse Syndrome: p. 90
     • The Sexual Abuse Accommodation Syndrome: p. 91
     • Some of the Symptoms Sometimes Seen in Sexually Abused Children: p. 92
     • Symptoms Unrelated to the Posttraumatic Stress Disorder: p. 94
   • PRELIMINARY CONSIDERATIONS REGARDING THE TREATMENT OF SEXUALLY ABUSED CHILDREN: p. 95
     • The Child May Not Need Treatment: p.95
     • Psychotherapeutic Work With the Whole Family: p.96
     • Meaningful Protection from Further Sexual Abuse: p.97
     • Group Therapeutic Experiences: p.98
     • The Effects of Litigation on the Child's Treatment: p.99
   • TECHNICAL ASPECTS OF THE TREATMENT OF SEXUALLY ABUSED CHILDREN: p.100
     • Introduction: p. 100
     • The Home Videocassette Recorder: p. 101
     • Desensitization Play: p. 101
   • PSYCHOTHERAPEUTIC APPROACHES TO SOME OF THE COMMON SYMPTOMS OF SEXUALLY ABUSED CHILDREN: p. 102
     • Hypersexualization: p.102
     • Regression: p.105
     • Guilt: p.106
     • Self-Esteem Problems: p.111
     • Loss of Trust: p.113
     • Anger Problems: p.114
     • Depression: p.117
     • Fears, Tension, Anxiety, and Derivative Symptoms: p.119
     • Confusion: p.122
     • School Problems: p.124
     • Pathological Compliance: p.126
     • Pseudomaturity: p.128
     • Problems in the Relationship with the Father: p.130
     • Problems in the Relationship with the Mother: p.132
     • Retraction (Recantation): p.133
   • TREATMENT OF THE MOTHER: p. 135
     • Dealing with the Mother's Hysteria: p. 135
     • Discouraging Litigation: p. 135
     • Group Therapy: p. 136
     • Improving the Mother-Child Relationship: p. 136
     • Dealing with Passivity and Inadequacy: p. 140
     • Dealing with Sexual Problems: p. 142
   • TREATMENT OF THE FATHER: p. 144
     • Introduction: p. 144
     • Group Therapy: p. 146
     • Improving the Father-Child Relationship: p. 147
     • Enhancing Self-Esteem: p. 149
     • Dealing with Guilt (or Lack of It): p. 151
     • Dealing with Isolation: p. 153
     • Dealing with the Exaggerated Need to Control and/or Dominate: p. 154
     • Dealing with the Excessively Moralistic Pedophile: p. 156
     • Dealing with Impulsivity: p. 157
     • Dealing with Homosexuality: p. 158
     • Dealing with Substance Abuse: p. 160
     • Counseling with the Mother and Father Together: p. 162
     • Progesterone Acetate: p. 163
   • CLINICAL EXAMPLES: p. 164
     • The Girl and the Bus Driver: p. 164
     • The Boy and the Pediatrician: p. 168
     • The Boy and the Virgins: p. 172
     • The Girl at the Wedding: p. 176
     • Sex Abuse and Parental Neglect: p. 192
4. PROGRAMMING NONABUSED CHILDREN TO BELIEVE THEY WERE SEXUALLY ABUSED: p.211
   • INTRODUCTION: p. 211
   • CHILDREN'S MEMORY AND SUGGESTIBILITY: p. 213
     • Introduction: p. 213
     • Studies on Children's Memory and Suggestibility: p. 214
   • PSYCHODYNAMIC FACTORS OPERATIVE IN CHILDREN'S FALSE ACCUSATIONS OF SEX ABUSE: p. 227
     • Introduction: p. 227
     • Ingratiation to Adult Authorities: p. 227
     • The Keeping-up-with-the-Joneses Phenomenon: p. 228
     • Enhanced Attention and Notoriety: p. 230
     • Release of Hostility: p. 231
     • Infectiousness of Emotions: p. 233
     • Reactions to Normal Childhood Sexuality: p. 233
     • Psychodynamic Factors Conducive to the Development of a Parental Alienation Syndrome: p. 238
     • Shame over Recanting: p. 243
     • Concluding Comments: p. 244
   • WHO ARE THESE PEOPLE? p.245
   • WHAT DO THEY DO? p.247
     • "Children Never Lie: p.247
     • The Blank-Screen Principle: p.248
     • Leading Stimuli, Leading Gestures, and Leading Questions: p. 248
     • Early Interview Maneuvers: p. 273
     • Ascertaining Whether the Child Can Differentiate Between the Truth and a Lie: p. 276
     • "The Truth" as Code-Term for Sex Abuse: p. 279
     • Repeating-the-Same-Question Technique: p. 280
     • Belief in the Preposterous: p. 281
     • Rationalizing as Credible the Incredible: p. 283
     • Selective Ignoring of the Impossible: p. 284
     • The Utilization of the Yes/No Question: p. 285
     • The So-called Indicators of Sex Abuse: p. 287
     • "The Sex-Abuse Syndrome": p. 295
     • The Child Sexual Abuse Accommodation Syndrome: p. 295
     • Conditioning Techniques: p. 302
     • The So-called Disclosure: p. 303
     • More Direct Coercive Techniques: p. 304
     • The "Inappropriate-Affect" Maneuver: p. 305
     • The "Dissociation" Maneuver: p. 307
     • Rehearsal: p. 311
     • The Use of In-Vogue Jargon: p. 312
     • Involvement with Parents, the Accused, and the Accuser: p. 313
   • WHY DO THESE PEOPLE FUNCTION IN THIS WAY? p.316
     • Impaired Educational Background: p. 316
     • The Education of Validators: p. 324
     • The "Holier-Than-Thou" Phenomenon: p. 326
     • The Erosion of Values: p. 328
     • Sex-Abuse Victims as Validators: p. 330
     • The Sexually Inhibited: p. 333
     • Sadists: p. 333
     • Paranoids: p. 334
     • Overzealous Feminists: p. 335
     • The Hypocrites: p. 335
     • The Young and/or Naive: p. 336
     • Monetary Gain: p. 337
     • Other Personality Factors: p. 338
   • CONCLUDING COMMENTS: p. 340
5. WHAT DOES A PROGRAMMED CHILD LOOK LIKE? p.343
   • INTRODUCTION: p. 343
   • OTHER FOLLOW-UP STUDIES: p. 346
   • LEGAL PROCESS/"THERAPY" TRAUMA: p. 347
   • FACTORS THAT COMMONLY CONTRIBUTE TO AND INTENSIFY LEGAL PROCESS/"THERAPY" TRAUMA: p. 349
     • Removal of the Child and/or Alleged Abuser: p. 349
     • The Systematic Erosion and Destruction of the Parent-Child Bond: p.350
     • "Empowering" Techniques: p. 350
     • Courtroom Interrogations: p. 351
   • COMMON SYMPTOMS CHARACTERISTICALLY SEEN IN PROGRAMMED CHILDREN: p.352
     • Impaired Reality Testing: p.353
     • Fears: p.355
     • Antisocial Behavior and Psychopathy: p.357
     • Interest in "Mysteries": p. 360
     • The Inculcation of Sexual Psychopathology: p. 361
     • The Creation of "Professional Victims": p. 362
6. TREATMENT WITH NONABUSED CHILDREN PROGRAMMED TO BELIEVE THEY WERE SEXUALLY ABUSED: p.365
   • BEFORE THE TREATMENT CAN BEGIN . . . p.365
   • REMOVAL OF THE CHILD FROM TREATMENT WITH AN OVERZEALOUS THERAPIST: p.365
   • CESSATION OF LITIGATION: p. 366
   • SERIOUS CONSIDERATION OF THE NO-TREATMENT OPTION: p. 368
   • THE CRUCIAL ROLE OF THERAPY WITH ALL FAMILY MEMBERS: p. 370
   • INDIVIDUAL WORK WITH THE CHILD: p. 370
     • The Importance of the Blank-Screen Approach: p. 370
     • Dealing with Cognitive Distortions: p. 371
     • Dealing with Emotional Problems: p. 376
   • DEALING WITH THE FALSELY ACCUSING MOTHER: p. 380
   • DEALING WITH THE FALSELY ACCUSED FATHER: p. 382
   • FAMILY WORK: p. 383
   • CLINICAL EXAMPLE: p. 384
7. CHILD SEX ABUSE AND HYSTERIA 1890s (AUSTRIA)/1990s (U.S.): p. 419
• HYSTERIA AS A HISTORICAL PHENOMENON: p. 421
  • Group and Mass Hysteria: p. 421
  • Individual Hysteria: p. 427
• MY CONCEPT OF HYSTERIA: p. 429
  • Introduction: p. 429
  • Manifestations and Psychodynamics: p. 430
  • Concluding Comments on My Concept of Hysteria: p. 438
8. TREATMENT OF CHILDREN WITH SEX-ABUSE HYSTERIA: p.439
   • INTRODUCTION: p. 439
   • HYSTERICAL REACTIONS TO ISOLATED, SUPERFICIAL SEXUAL OVERTURES: p. 440
   • HYSTERICAL REACTIONS TO NORMAL SEXUAL URGES: p. 454

Epilogue: where do we go from here? p.507

References

Author index

Subject index

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