COVER -- Counselling Adult Survivors of Child Sexual Abuse -- CONTENTS -- PREFACE TO THE THIRD EDITION -- Chapter 1 Understanding Child Sexual Abuse -- Myths -- Defining CSA -- Historical perspective of CSA -- Cultural practices in CSA -- Spectrum of CSA acts -- Grooming of children and other adults -- Incidence of CSA -- Victims of CSA -- Perpetrators of CSA -- Dynamics associated with CSA -- Conclusion -- Chapter 2 The Impact and Long-term Effects of Child Sexual Abuse on Adult Survivors -- Impact of CSA on the child -- Factors associated with the impact of CSA -- Long-term effects of CSA -- Conclusion -- Chapter 3 Understanding Adult Survivors of Child Sexual Abuse -- Introduction -- Understanding the impact of CSA on the developing self -- Understanding family dynamics in CSA -- Understanding the fear of the cycle of abuse -- Understanding difficulties surrounding disclosure -- Understanding transference -- Understanding counter-transference -- Understanding the long-term effects of CSA -- Understanding relationships with partners -- Understanding power and control dynamics -- Understanding behavioural effects -- Understanding cognitive effects -- Understanding physical effects -- Understanding sexual effects -- Recurring themes in the therapeutic process -- Chapter 4 Working with Adult Survivors of Child Sexual Abuse -- Introduction -- Range of treatment modalities -- Duration of treatment -- Range of treatment approaches -- Aims of treatment -- Initial assessment of therapeutic needs -- Therapeutic stance -- Therapeutic setting -- Transference and counter-transference -- Phases of the therapeutic process -- Conclusion -- Chapter 5 Working with Child Sexual Abuse and Trauma -- Introduction -- Components of trauma -- The body's way of coping with fear -- Neurobiology and CSA -- Post-traumatic stress disorder.

Traumagenic dynamics of the impact of CSA -- Working with adult survivors of CSA and trauma -- Conclusion -- Chapter 6 Working with Child Sexual Abuse and Dissociation -- Introduction -- Relationship between trauma and dissociation -- Relationship between dissociation and PTSD -- Nature of dissociation -- Continuum of dissociation -- Diagnostic criteria for dissociative disorders -- Somatoform disorders and CSA -- Types of dissociation -- Relationship between dissociation, trauma and CSA -- Consequences of dissociation during and following CSA -- Working with survivors with dissociative features -- Aims of therapy -- The therapeutic relationship -- Grounding techniques -- Conclusion -- Chapter 7 Working with Child Sexual Abuse and Memory -- Introduction -- The dynamic nature of memory -- Factors implicated in forgetting -- Autobiographical memory -- The relationship between emotion and memory -- The nature of traumatic memories -- Working with memory and CSA -- Therapeutic interventions to facilitate memory recall -- Working with recovered memories -- Conclusion -- Chapter 8 Working with Child Sexual Abuse and Self-harm -- Introduction -- Range of self-harming behaviours -- Self-injury -- CSA and eating disorders -- CSA and substance abuse -- Conclusion -- Chapter 9 Working with the Shattered Self -- Introduction -- Development of the self -- Impact of CSA on the sense of self -- Working with the shattered self -- Conclusion -- Chapter 10 Working with Shame -- Introduction -- Definition of shame -- Function of shame -- Components of shame -- Childhood origins of shame -- Focus of shame -- Strategies to manage shame -- Working with shame -- Conclusion -- Chapter 11 Working with Sexuality -- Introduction -- Impact of CSA on sexuality -- Understanding sexual symptoms -- Working with sexuality -- The role of the counsellor when working with sexuality.

Conclusion -- Chapter 12 Professional Issues -- Counsellor's self-awareness -- Counsellor's knowledge of CSA -- Counsellor's sexual history -- Counsellor's childhood history -- The survivor as counsellor -- Working with difference -- Working with trauma -- Embodiment -- Impact of working with adult survivors of CSA -- Conclusion -- REFERENCES -- SUBJECT INDEX -- AUTHOR INDEX.