This complex symptom picture, along with intrapsychic and interpersonal distress, often complicates therapy. Clinicians must do more to increase their awareness to effectively treat survivors. They must be knowledgeable about treatment needs, strategies and approaches, and the theoretical underpinnings of the therapy. They must also understand and be able to process transference and counter-transference issues and expect to be personally affected by stories of human selfishness and cruelty. Therapy with survivors is generally long work, requiring patience and perseverance on the part of the therapist.
Therapy involving sexual abuse issues is a challenge for adult survivors and therapists alike.
At times, it is harrowing and excruciating. References Armstrong, L. 1978. A speak-out on incest. Blume, E.S. 1990. John Wiley and Sons.