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Object relations and transference in the group treatment of incest offenders.

After reviewing the literature on sex offenders-a literature largely devoted to behavioral, cognitive-behavioral, and relapse-prevention approaches to treatment-the author proposes that an object-relational group psychotherapy treatment has a great deal to offer in the treatment of incest offenders. The author describes the parameters that distinguish group treatment of incest offenders from other object-relational group treatments. These parameters are largely related to the legally mandated nature of the treatment. The reality of enforced treatment and the very real influence treaters have on the lives of their patients supports a particular and salient transferential experience of the therapist as an authority figure who is generally also seen as harsh and arbitrary. Clinical case material clarifies how both overidentification with, and avoidance of, this authority figure role can derail treatment. The author concludes that there is potential for exploiting the reality-based treatment parameters with this population to help develop a treatment alliance that can be a powerful and effective treatment tool.

Child↗

The impact of incest on identity formation in women.

In conclusion, the purpose of this paper was to elucidate some of the long-term impacts of the incest trauma on women. This includes its impact on identity formation. The process of idealization and the creation of an idealized image as a defensive and adaptive strategy to cope with overwhelming trauma was highlighted. This initially successful coping mechanism later causes problems in limiting the individual's self-perception and restricting her relationships with others. This is frequently manifested in problems that the adult survivor presents in regard to interpersonal relationships, as well as revictimization and an inhibition in identifying and expressing certain aspects of herself. The goal of treatment is therefore twofold. I am in agreement with Alpert (1991), van der Kolk (1987), and others who stress the importance of the validation and integration of the trauma and related affects through the recovery and reliving of past memories. Additionally, an analysis of the character structure that the person developed to cope with overwhelming and damaging experiences is essential. The achievement of a more cohesive, integrated sense of self for an adult survivor of incest can only be accomplished through the working through of past traumas and the understanding of its effect on identity development and character structure. This aspect of the treatment process was best expressed by one of my patients, who said, "the first part of my analysis dealt with remembering and reliving what happened to me, the second part is dealing with who I had to become and not become as a result of it." She later added that she felt the second part is even more difficult and challenging.

Adolescent↗

The adult personality of childhood incest victims.

This is a further report on a group of 30 incest survivors we wrote about in 1994. Here, we report on measures of personality derived from the Apperceptive Personality Test, which contains many variables similar to those on the one we reported in 1994. On both measures, incest survivors can be characterized as having more negative perceptions and self-descriptions than the comparison group.

Adolescent↗

The loss of the sense of reality in incest and child sexual abuse: a psychoanalytic perspective.

This article takes a psychoanalytic perspective on incest and child sexual abuse. It concentrates on what could be called "the loss of the sense of reality" that is experienced by the victim of incest. The position in which a child of five is placed when she is sexually abused by her father is considered; this is followed by detailed material from the analysis of a woman who had an incestuous relationship with her brother. Transference and counter-transference difficulties that arise in work with abused patients are explored. A theoretical explanation of the damaging effects of an incestuous relationship is outlined.

Adolescent↗

Incest: the psychological problem and the biological contradiction.

We have yet to map an "inbreeding avoider" gene or design a psychological test that can accurately diagnose incest transgressors. Until those events occur, sociobiology, nursing, and psychology must explain phenomena, such as the incest taboo, with a theoretical language of supposition. It is in this light that the etiology of taboo is analyzed. This article proposes that a propensity for sexual selection originates in the gene system, and what becomes taboo is acquired through the learning that accompanies the experiences of the individual and culture when sexual selection occurs. Influences of the genetic system and psychological culture on the existence of a taboo are contrasted. The conclusion posits an eclectic taboo hypothesis, derived from the congruencies found in the literature, and suggests how this hypothesis can guide nursing interventions with incestual families.

Adult↗

Use of an interactional model with survivors of incest.

Psychiatric mental health nurses are increasingly recognizing the traumatic effects of childhood incest on adult survivors. This article discusses a long-term group therapy that specifically deals with unresolved familial issues as a treatment for adult women who are survivors of incest. An interactional family model is described, as well as its use by nurse specialists who act as facilitators and surrogate parents in a long-term group process. Specific focus is on the use of the model in working through dysfunctional communication patterns and boundary and survival issues.

Family↗

That was then: elderly survivors of incest.

1. Psychosocial ramifications of incest last a lifetime for some and may be of crucial importance in treating patients in the later developmental stages of life. 2. Nursing assessments that include current and past history of violence are important for understanding presenting symptomology and interpersonal dynamics, but they are often neglected. 3. There is a need for nursing research that looks at all facets of elderly incest survivors, including incidence, late life symptomology, and special treatment needs.

Adolescent↗

[Incest today].

The issue explored is incest against children. This paper summarizes the changes on knowledge on this topic since the years 1850 to nowadays. The main focus is placed on the specificity of incest and sexual aggression towards minors as criminal behaviours. Finally, the lake of research, which leaves many questions unanswered, is underlined.

Child↗

[Disclosure of incest as an emancipatory act--once again: "The Feast" by Thomas Vinterberg].

The author examines the Danish film "The Feast" referring to the dynamics of a typical incest family. The disclosure of the incest is the central point of the scenario of the film. It is understood as an expression of emancipatory strivings of the victim, the need to separate from denying collaboration and from identification with the role of the victim (identification with the aggressor). Closely connected with this emancipatory process is the development of the siblings out of their mutual relationships and those to their parents towards a self defined life.

Adult↗

Traumatic bonding: clinical implications in incest.

The concept of traumatic bonding, taken from the literatures on trauma, victimization, and exploitation, holds promise for explaining some of the more confusing dynamics of incest. This article offers a definition of traumatic bonding, demonstrates how it can be applied in cases of incest, and discusses the implications of this concept for therapeutic intervention.

Adaptation, Psychological↗

Incest perpetrators in group therapy: a psychodynamic perspective.

Patients who have been sexually abusive toward children in their family often have guarded prognoses. However, the legal system's promotion and support of treatment elicits cautious optimism; even limited progress can make a significant difference in the lives of these persons and their families. The authors report on their work with incest perpetrators in a psychoanalytically oriented psychotherapy group with 20 incest offenders (selected after evaluation of 50), describing major obstacles (i.e., patients' lack of motivation and countertransference) and frequent clinical issues (i.e., perversion, psychopathic tendencies, low self-esteem, and substance abuse).

Adult↗

The accountability of incest offenders.

Child victims of incest further victimization if offenders are not brought to justice. Cultural factors that inhibit the reporting of offenders are discussed. The work of Prescott House, Jefferson County, Alabama, an interview site for child victims of incest, is described. All those concerned with child abuse in a community should collaborate to find and prosecute offenders.

Alabama↗

Community-based treatment of the incest family.

A child who has been sexually abused by her father faces a life blighted by self-inflicted dissociative disorders. This prospect can be avoided through treatment of the child and family members aimed at reconstructing the family into a healthy unit. This objective can be realized by the community-based approach of the Child Sexual Abuse Treatment Program, which integrates the interventions of the legal-judicial and human services personnel responsible for incest cases and augments traditional in-office therapy sessions with the peer support services of Parents United. This article also gave a brief description of ICEF's training project, in which clients and therapists jointly train legal, judicial, and human services personnel to work collaboratively toward family reconstruction in their interventions with incest victims and their families. A treatment and training manual that provides a much more thorough presentation of the CSATP and the training project is available from ICEF.

Adolescent↗

Temperament, adjustment, and alcoholism in adult female incest victims.

Female adult incest victims differing in history of alcoholism were compared to an alcoholism-only and a no incest/no alcoholism group on dimensions of temperament, psychological adjustment, and self-esteem. Incest victims with histories of alcoholism were more alienated and withdrawn, less rhythmical in their daily behavior, and evidenced lower self-esteem, more negative mood, greater social nonconformity, and more emotional discomfort than women in the other three groups. Women in the no incest/no alcohol group showed the best self-esteem and psychological adjustment and were generally more positive in the expression of various temperamental characteristics. The findings also suggested an association between incestuous victimization and an alcoholic family of origin.

Adaptation, Psychological↗

Factors that affect a victim's self-disclosure in father-daughter incest.

Out of concern about the underreporting of father-daughter incest, the author has conducted a study in Virginia to test certain observations in the literature about the relatively small number of cases that come to light voluntarily. The findings point clearly to contributory case characteristics that can sensitize practitioners to the possibility of undisclosed incest.

Adolescent↗

Mother-child incest: characteristics of the offender.

Studies of the childhood, adulthood, and parenthood of women who sexually abuse their children are rarely found in the literature. The characteristics of 26 such mother-child incest offenders are explored by the author and compared to the characteristics found in other studies and in clinical experiences with incest offenders of either sex.

Adult↗

[Abuse in adolescence. Incest. Apropos of 21 cases].

While violent behavior and delinquency in youth have been extensively described, the different patterns of violence that adolescents are subjected to in their families are far less known. Physical abuse is probably as frequent as in childhood and offers some distinctive features because of its appearance or prolongation in adolescence. Moreover, sexual assaults become more important, especially in girls. From review of the literature and the experience of 21 cases of incest observed in the Adolescent Medicine Unit of Hospital Bicêtre, we discuss the circumstances, impact on adolescents and role of the professionals involved. The majority of these cases of incest occur in an impoverished atmosphere, both on psychological and social levels. Intervention strategy is often very delicate.

Adolescent↗

Fantasy and reality in patients reports of incest.

This paper explores some of the complex difficulties facing clinicians trying to assess whether a patient's report of incest is fantasy or reality. The role of sexualized family interactions, the age of the child, the nature of the act, and the quality of the reports are discussed as relevant variables. Cases are used to illustrate various points. In conclusion, we provide 8 questions the clinician should review before making any judgments about a report of incest being reality, especially when legal procedures are involved.

Adolescent↗