ABSTRACT

This book addresses the issue of non-recent child sex abuse and its long-term impact on adult survivors from a broadly psychodynamic perspective.

Non-recent CSA is not a subject that can or should be confined to the clinical arena. It has legal, welfare and profound social implications, with its impact broadening out from the survivor to the family to the community and into wider society. The politics of power and oppression are intertwined with the experience and may be unconsciously repeated into adult experiences, often worsened by the interplay of intersectionality and the withdrawal of public services and support for people with complex mental health problems. This book has been developed to support survivors, families, practitioners and the wider public break the social taboo around the topic of child sexual abuse. It unites a broad range of voices to encourage better community support and improve social services to support those impacted.

With an ethical commitment to the field, this book will appeal to clinicians working in mental health but will also hold interest to those in other fields such as the social sciences, as well as the interested public, and CSA survivors in particular.

chapter |6 pages

Introduction

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part Section I|70 pages

Scene setting

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chapter 2|14 pages

What is meant by disclosure

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chapter 3|18 pages

“To think about what we are doing”

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Childhood sexual abuse and disciplinary trustworthiness
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chapter 4|17 pages

Disclosure and recovery

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part Section II|62 pages

Intersectionality

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chapter 5|17 pages

Disclosure and difference

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Barriers based in minority experience
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chapter 6|24 pages

“I didn't think I had rights that protected me as a human being”

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Exploring the lived experiences of child sexual abuse in ethnic minority communities
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chapter 7|19 pages

Shooting the messenger and the curse of Cassandra

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The impact of childhood and adult rape and torture on adults who report mind control, abuse by psychotherapists, homophobic and transgender abuse
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part Section III|36 pages

Words and silence

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chapter 9|15 pages

Silent, silenced, and silencing

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Understanding society's silences, how survivors are silenced, and why some survivors remain silent through memoirs of child sexual abuse
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part Section IV|36 pages

Clinical perspectives

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chapter 10|12 pages

Shame and neglect

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part Section V|34 pages

The professionals

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chapter 13|22 pages

Communications from the edge of disclosure

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Responses in art from psychotherapists working in a NHS specialist service for adult survivors of child sexual abuse
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part Section VI|49 pages

Systemic and social perspectives

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chapter 16|19 pages

Interrupting silence

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Tuning in to the movements calling out for change
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chapter 17|11 pages

Contagions of shame, dignity and connection

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Working in the field of childhood sexual abuse
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