The Dilemma of Ritual Abuse: Cautions and Guides for Therapists

Front Cover
George A. Fraser
American Psychiatric Pub, Dec 31, 1996 - Medical - 250 pages

Since the mid-1980s, when stories of ritualized satanic or sadistic abuse drastically increased, ritual abuse has become entangled in the controversy surrounding false memory syndrome and recovered memory. Because this debate has not been conclusively resolved, therapists require methods and guidelines for treating patients who present a history that may involve abusive satanic or sadistic rituals.

In The Dilemma of Ritual Abuse, experts in the field offer balanced, carefully considered advice on approaches therapists can use when patients report they have experienced ritual abuse. These qualified clinicians explain and demonstrate their techniques and offer caveats against accepting a patient's recollections at face value. Additional chapters deal with psychological and pharmacological treatment programs that have helped patients whether the reports of abuse were accurate, symbolic, or false. Several illustrations vividly depict the types of abuse that therapists will hear from these patients. For further guidance, an appendix containing the American Psychiatric Association Board of Trustees' "Statement on Memories of Sexual Abuse" is also included.

 

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Contents

I
xi
II
1
III
3
V
17
VI
31
VII
65
VIII
117
IX
135
X
163
XI
165
XII
181
XIV
195
XVI
213
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Page 233 - The Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry.
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Page 136 - A brutal form of abuse of children consisting of physical, sexual, and psychological abuse, and involving the use of rituals. Ritual does not necessarily mean satanic. However, most survivors state that they were ritually abused as part of satanic worship for the purpose of indoctrinating them into satanic beliefs and practices. Ritual abuse rarely consists of a single episode. It usually involves repeated abuse over an extended period of time.13 As the definition states, ritualistic child abuse...
Page 232 - Similarly, clinicians should not exert pressure on patients to believe in events that may not have occurred, or to prematurely disrupt important relationships or make other important decisions based on these speculations. Clinicians who have not had the training necessary to evaluate and treat patients with a broad range of psychiatric disorders are at risk of causing harm by providing inadequate care for the patient's psychiatric problems and by increasing the patient's resistance to obtaining and...
Page 232 - Psychiatrists should maintain an empathic, nonjudgmental, neutral stance towards reported memories of sexual abuse. As in the treatment of all patients, care must be taken to avoid prejudging the cause of the patient's difficulties, or the veracity of the patient's reports. A strong prior belief by the psychiatrist that sexual abuse, or other factors, are or are not the cause of the patient's problems is likely to interfere with appropriate assessment and treatment.
Page 233 - This statement was approved by the Board of Trustees of the American Psychiatric Association on...
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Page viii - The authors are with the gender identity research clinic, department of psychiatry, University of California at Los Angeles School of Medicine, Los Angeles, Calif. 90024.

About the author (1996)

George A. Fraser, M.D., F.R.C.P.C., is Assistant Professor of Psychiatry, University of Ottawa Medical School, and Director of the Anxiety and Phobic Disorders Clinic, Royal Ottawa Hospital, Ottawa, Ontario.

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