Betrayed as Boys: Psychodynamic Treatment of Sexually Abused Men

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Author: Richard B. Gartner

ISBN-10: 1572306440

ISBN-13: 9781572306448

Category: Clinical Psychology

More than one in six boys in the United States are sexually victimized by the age of sixteen. This much-needed volume examines how sexual betrayal affects boys and the ways they carry this hurt into adulthood. Blending psychoanalytic understanding with insights from trauma-oriented theory and practice. Richard B. Gartner presents effective strategies for meeting the unique therapeutic needs of men with sexual abuse histories. Filled with evocative clinical material, the book draws readers...

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In the growing professional literature on child sexual abuse, few books focus specifically on the experience of victimized boys and men. Interweaving vital elements of psychodynamic and trauma-oriented clinical practice, this much-needed volume examines how sexual betrayal affects boys, the ways they carry this hurt into adulthood, and how therapists can address the unique needs of men with sexual abuse histories. Exploring the impact of abuse on men's emotional development, gender and sexual identity, and relationships, the book provides in-depth consideration of individual and group treatment issues. Numerous case examples draw readers into the direct experience of these clients and the clinicians who work with them and illuminate their continually shifting relational world. Booknews Examines how sexual abuse affects boys and the ways in which they carry this hurt into adulthood. Blends psychoanalytic understanding with insights from trauma-oriented theory and practice to present effective strategies for meeting the unique therapeutic needs of men with sexual abuse histories. Evocative clinical material draws readers into the direct experience of these clients, the therapists who work with them, and the constantly shifting relational world they inhabit. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Introduction1Ch. 1The Sexual Betrayal of Boys11Ch. 2Encoding Sexual Abuse as Sexual Initiation42Ch. 3Struggles about Masculinity59Ch. 4Same-Sex Abuse90Ch. 5The Familial and Cultural Context of Abuse113Ch. 6The Effect of Chronic Boundary Violations139Ch. 7Dissociation and Multiple Self-States153Ch. 8Intimate Relatedness187Ch. 9The Patient-Therapist Dyad232Ch. 10Gender and the Therapeutic Relationship266Ch. 11Group Therapy295Afterword322AppCross-References to Personal Histories325References327Index350

\ From the Publisher"Betrayed as Boys is a thoughtful and perceptive contribution. Dr. Gartner's voluminous and sensitive clinical material illuminates the difficulties, dilemmas, and rewards of working with sexually traumatized men. Here are insights and useful observations in abundance. This book belongs in the library of all clinicians who treat the victims of childhood sexual abuse." --Richard P. Kluft, MD Clinical Professor of Psychiatry, Temple University School of Medicine, Co-editor, Clinical Perspectives on Multiple Personality Disorder\ "This book helps to bring psychodynamic psychotherapy back to its roots, and to lift the veil that has too long obscured the childhood sexual abuse of males. It would be a useful text in a graduate course dealing with the treatment issues of males." --Mic Hunter, PsyD, author of Abused Boys, editor of The Sexually Abused Male\ "This much-needed contribution to the trauma literature informs clinicians, researchers, and scholars about the tragic consequences for men who were sexually traumatized as boys. Gartner's presentation of extensive clinical vignettes bespeaks an author who is theoretically sophisticated and clinically experienced, and who has the courage to present his work forthrightly. The book is scholarly, beautifully written, and infused with an affectively gripping immediacy. It is an important and long-overdue resource for anyone interested in a more thorough understanding of the sexual abuse of boys and its sequelae." --Mary Gail Frawley-O'Dea, PhD, Clinical Psychologist and Psychoanalyst, Nyack, NY, Treating the Adult Survivor of Childhood Sexual Abuse\ \ \ \ \ \ \ Journal of Trauma and Dissociation"I was moved and inspired by Betrayed as Boys....Although published in 1999, the theories remain not only contemporary but cutting edge in the field of boyhood sexual victimization....This work distinguishes itself alongside the literature on female sexual abuse. It remains fresh and is an indispensable text in the field of male sexual victimization. Dr. Gartner, a preeminent psychoanalyst, provides the reader with an interior view of the rugged, complex, and frequently ambiguous terrain of how it feels, what it is like, and what clinicians need to understand to treat this most challenging population."--Journal of Trauma and Dissociation\ \ \ American Journal of Psychotherapy"[A] comprehensive, insightful book....Should be of great interest to all therapists working in this burgeoning area of clinical practice."--American Journal of Psychotherapy\ \ \ \ \ Psychiatric Times"Relevant and rewarding to clinicians of all theoretical orientations. The book is especially valuable in building bridges between psychoanalytic concepts and newer conceptualizations of trauma and its treatment. Gartner's treatment of masculine gender identity and intimacy issues for both heterosexual and homosexual males is especially sensitive and compelling."--Psychiatric Times\ \ \ \ \ The Psychoanalytic Quarterly"This book is recommended reading whether abuse is the focus of treatment or not. Gartner presents effective strategies for dealing with such difficult childhoods by blending insights from trauma work with his interpersonal psychoanalytic perspective. In this much-needed volume, Gartner presents new information and new enlightenment that help unravel the tangled cultural, developmental, and dynamic issues that shape men's reactions to early sexual abuse."--The Psychoanalytic Quarterly\ \ \ \ \ Digest of Neurology and Psychiatry"This volume provides important tools not only for clinicians working with individuals, families and groups, but also for educators and others interested in psychodynamic perspectives on trauma, gender, and sexuality."--Digest of Neurology and Psychiatry\ \ \ \ \ Readings"Gartner offers a scholarly and clinically astute contribution to an increasingly rich body of literature on the traumatic aftermath faced by men who were sexually abused as boys. He discredits some harmful myths....Abundant and perceptive clinical vignettes evoke deep and often disquieting responses....This is important reading for everyone working with sexually abused men; for psychodynamic psychotherapists and students, it is required."--Readings\ \ \ \ \ BooknewsExamines how sexual abuse affects boys and the ways in which they carry this hurt into adulthood. Blends psychoanalytic understanding with insights from trauma-oriented theory and practice to present effective strategies for meeting the unique therapeutic needs of men with sexual abuse histories. Evocative clinical material draws readers into the direct experience of these clients, the therapists who work with them, and the constantly shifting relational world they inhabit. Annotation c. Book News, Inc., Portland, OR (booknews.com)\ \