Breaking the Silence
Group Therapy for Childhood Sexual Abuse : a Practitioner's Manual

The literature review of childhood sexual abuse treatment, along with this program and the invaluable sections on male survivors, sexuality, and other areas dealing with the emotional repercussions of childhood sexual abuse, are invaluable sources of information for helping survivors develop and maintain healthy relationships and balanced lives.

Contents Preface
Acknowledgements
PART I: BACKGROUND
Chapter 1. The Trauma of Childhood Sexual Abuse
Definition of Sexual Abuse
Prevalence
Early and Long-Term Effects of Sexual Abuse
Impact
Male Survivors of Sexual Abuse
Cognitive Effects
Cognitive Processes, the Development of a Belief System, and Sexual Abuse
Chapter 2. Treatment: Toward Integration
Philosophy of Treatment
Treatment Approaches
Efficacy of Group Treatment
Models of Group Treatment
Group Organization and Structure
Themes
Males in Groups
Summary
Chapter 3. Assessing Prerequisites
Identifying the Needs of the Community
Pilot Program
Context Assessment
Relevant Context
Summary
Chapter 4. The Framework
Intent
Goals
Evaluating the Alternatives
The Fit
Fine Points
Structure
Implementation
The Evaluation Plan
Chapter 5. The Screening Intake
Rationale
Goals and Objectives
Materials
Procedure
Chapter 6. The Group Sessions
Session I: Starting Out--The Introduction
Session 2: Trust and Safety
Session 3: Exploration of Emotions and Beliefs
Session 4: Breaking the Silence--Disclosure
Session 5: The Aftermath of the Abuse
Session 6: Family Dynamics
Session 7: Sexuality and Intimacy
Sessions 8: Processing Memories
Session 9--13: Exploring the Meaning--Unstructured Sessions
Sessions 14--15: Toward Termination--Making Sense of It All
Chapter 7. Special Topics
Ethnicity and Sexual Abuse
Confrontation
Psychiatric Disorders, Chemical Dependency, and Sexual Abuse
Transference and Countertransference
Partners
Summary
Appendix A: Needs Assessment Surveys
CSA Needs Assessment Survey: Professionals
CSA Needs Assessment Survey: Clients
Appendix B: Weekly Evaluation Questionnaire for Group Leaders
Appendix C: Survivors of Childhood Sexual Abuse Program--Weekly Evaluation Questionnaire
Appendix D: Survivors of Childhood Sexual Abuse Program--Evaluation Questionnaire
Bibliography
Index