Victim's Response Cycle: A Model for Understanding the Incestuous Victim-Offender Relationship

ABSTRACT

The victim-response cycle is a theoretical and clinical model that can be utilized to assist victims in their healing from the trauma of sexual abuse. This model focuses on the specific aspects of the relationship that victims have with their offenders, particularly in incest cases, which contribute to the degree of trauma that victims experience. This relationship can also become the model for other relationships as the victim matures, and the victim-response cycle can be used to assist these adult survivors in understanding their difficulties with adult intimate relationships. This model addresses aspects of attachment and learned coping responses to assist clinicians in treating symptomatic behavior. While severe trauma is rarely treatable with a short-term approach, this model can assist in providing clients and clinicians with tools for symptomatic relief, which may be achievable in a short-term setting. This model has not been examined empirically, but it has been utilized in several outpatient practices in the Midwest with positive clinical results. A case example demonstrating the use of this model is also presented.     

Assessing the Long-Term Effects of EMDR: Results from an 18-Month Follow-Up Study with Adult Female Survivors of CSA

ABSTRACT

This 18-month follow-up study builds on the findings of a randomized experimental evaluation that found qualified support for the short-term effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in reducing trauma symptoms among adult female survivors of childhood sexual abuse (CSA). The current study provides preliminary evidence that the therapeutic benefits of EMDR for adult female survivors of CSA can be maintained over an 18-month period. Furthermore, there is some support for the suggestion that EMDR did so more efficiently and provided a greater sense of trauma resolution than did routine individual therapy.     

Current Practices in Residential Treatment for Adolescent Sex Offenders: A Survey

SUMMARY

A list of all treatment facilities for adolescent sex offenders that described themselves as inpatient or residential was requested from the Safer Society Foundation in Brandon, Vermont. A total of 203 such facilities were identified in this manner. Each was sent a questionnaire regarding their policies and practices. Of the 50 questionnaires that were returned, 49 were usable. Items on the questionnaire dealt with major phases of operating a residential program, including number of beds, average daily census, number of males and females in treatment, testing and assessment procedures, most frequent diagnoses, average IQ of patients, abuse history, therapeutic approaches used, number and types of individual/group treatment sessions per week, qualifications of therapists, average length of treatment, and follow-up research on treatment.     

What Is Valued in Gay and Lesbian Specific Alcohol and Other Drug Treatment?

Little is known about what gay and lesbian clients value about culturally specific alcohol and other drug treatment programs. This study involves a sample of clinical staff and former clients (N = 40) of four culturally specific alcohol and other drug treatment programs to clarify what is addressed and deemed valuable for the specific needs of gay and lesbian clients. Through the lens of the recovery capital conceptual framework, this qualitative research emphasizes resiliency and the supports necessary for long-term recovery. Results indicate three major themes that make this type of treatment valuable: (1) a separate treatment unit or facility, (2) a safe and supportive therapeutic milieu, and (3) specific tailored treatment approaches. Findings are discussed to include implications for ways to improve services for this all too often understudied population of potentially vulnerable individuals who can benefit from culturally sensitive care.     

When Adoption Is Not an Option: Counseling Implications Related to Surrogacy

Through the author's personal story, this article details a case in which traditional conception and adoption were not options available for starting a family. It gives the author's rational for choosing surrogacy and describes his experience with surrogacy. This article provides an overview of the surrogacy process and concludes with implications counselors may consider and apply to their clinical practice.     

Physical Activity as a Helpful Adjunct to Substance Abuse Treatment

ABSTRACT

While limited research exists on the topic of physical activity as an adjunct to substance abuse treatment, a review of relevant multidisciplinary literature indicates a logical rationale for its potential benefits to recovery from addiction. This article provides an overview of common variables that contribute to addictive disease and summarizes the relationship of regular physical activity to improvements on many of these variables. The stages of change from the Transtheoretical Model (TTM, Prochaska & DiClemente, 1982; Prochaska & Velicer, 1997) are described in the context of effectively matching clients in substance abuse therapy to interventions that may include physical activity. Finally, important practical suggestions for implementing physical activity as a useful adjunct to substance abuse treatment are provided.     

诗歌疗效:诗人心灵的自我救赎——以左思《咏史》八首为例

文学作品对人身心有治疗的功效,这表现在两个方面:一方面是治疗他人,即读者;另一方面,治疗作者本人。诗人作家们在人生不得志的情况下,总倾情于诗文,寄情于创作活动,将心中的所想所感抒发出来,把内心的牢骚喷发在纸笔上,以此寄托自己的情感,而在这一创作过程中,他们的心灵慢慢得到调解,不快之感缓缓得到释然,于是,最终达到了恬静淡然的心理状态,回归到静谧的心灵家园。左思和他的《咏史》八首,折射出他在创作中的心路历程,折射出古代诗人在文学创作活动中心灵的自我治疗功效。     

Evidence-based treatments for trauma among culturally diverse foster care youth: Treatment retention and outcomes

This study describes the implementation of three evidence-based treatments addressing traumatic stress symptoms within a wraparound foster care program in Illinois. Child–Parent Psychotherapy (CPP), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), and Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) were implemented with a racially diverse sample of youth ages 3–18 at six agencies. Culturally sensitive adaptations were made to treatment approaches to improve client retention and outcomes. Data analyses revealed no racial differences in retention in the program and no differences in outcomes between minority youth exposed to the intervention and other participants. All three evidence-based treatments were effective in reducing symptoms and improving functioning among minority youth. Implementation issues, including challenges and culturally competent accommodations, are discussed.     

Co-Occurring Substance Use and Personality Disorders: Current Thinking on Etiology,Diagnosis, and Treatment

ABSTRACT

Despite the high prevalence of personality disorders among substance abusing individuals, the literature on these co-occurring disorders is limited. This paper reviews the literature and provides the most current data on the demographics, the criteria for diagnosing both personality disorders and substance use disorders, and the effects of substance abuse and co-occurring personality disorders, particularly antisocial and borderline, on prognoses and treatment approaches. Recommendations for further research on these co-occurring disorders are provided.     

Psychotherapy with Alcoholic Patients

Abstract

This paper demonstrates how use of the empathic mode in outpatient psychotherapy helped an alcoholic patient reduce his denial of the severity of his illness. Both the general psychoanalytic literature and, in particular, the self psychology literature concerning treatment of alcoholics is reviewed and evaluated. This paper also examines in depth how the empathic mode functions to promote selfobject transferences, which facilitate internalization processes that may lead to a reduction in the alcoholic patient's need to rigidly maintain his denial of the illness. The complexity of the relationship between alcoholism self-help groups and the professional psychotherapy community is also explored.