ABSTRACT
This chapter works with those who perpetrate abuse to whom the victim is directly related or upon whom the victim is dependent for their care. In some cases the perpetrator may be the dependant themselves. In some cases the perpetrator may be the dependant themselves. Clearly, one of the most important factors in influencing therapeutic processes and outcomes relates to the nature of the therapeutic relationship. Broadly speaking, therapeutic interventions tend to fall into two main categories: those which are goal directed and those which are process centred. The emphasis of process-centred therapy (for example, dynamic psychotherapy) lies within the process of exploration, expression of feelings, reframing and challenging in helping the client resolve emotional conflicts and in developing a meaningful and fulfilling life. Finally, the most important psychological prerequisite if a client is to benefit from therapy is personal responsibility and accountability.
