Distinguishes between treatment process and outcome research. Suggests research questions that might be addressed, describing areas within process and outcome research that would be applicable to studying adult survivors of sexual abuse. Identifies methodological issues in these process and outcome research areas to which researchers must be…

Discusses problems experienced by adult women seeking therapy who were sexually abused as children. Gives a rationale for group treatment and explains the screening, selection, and structure of the therapy group. Presents a three-stage model for group treatment with this population. (Author/NB)

For the adult survivor of incest, the evolution from victim to survivor occurs in complex and creative ways. Often journal writing can be a means of exposing and exploring past abuse. The process of journal writing is special in that it allows the adult survivor to break the silence and shame imposed by the perpetrator while remaining essentially…

Describes two memory-enhancing techniques, visualization and concrete reconstruction, that have been successful in counseling adult survivors of sexual abuse. Includes suggested implementations, case examples, and implications for incorporating memory techniques into counseling process. Describes various risk factors involved in using these…

Presents summary of common emotional and relational dynamics associated with adult survivors of childhood sexual assault within systemic framework. Offers five-step guided imagery model as effective therapy technique. Because successful therapy will impact on family-of-origin relationships and present relationships, cautions in using imagery model…

This paper describes a four-phase therapeutic approach that has proven useful to adult female and male survivors of child sexual abuse. The methods described are primarily used in individual therapy, although the context is within the family therapy realm and relies heavily upon Structural Family Systems Theory. The four phases which a victim…

It has been estimated that 85% of all women seeking therapy are adults molested as children (AMACs). Group counseling with AMACs is recommended, with groups having homogeneity in terms of presenting problems and heterogeneity in group members' ability to deal with their sexual abuse. Groups should be closed, meet once or twice a week for 2-hour…