Partners of survivors of childhood sexual abuse may develop a "trauma contagion" marked by high levels of stress, doubts about to key personal values and assumptions about the world, and a tendency to be drawn into unconscious reenactments with the survivor of the abusive relationship. Various treatment interventions are discussed, especially conjoint work with the survivor.
Many men land reluctantly on the therapist's doorstep, arriving at the insistence of a wife, a parent, a probation officer, or an employer. These men, like many others who are selfreferred, experience therapy as foreign terrain. The currency of psychotherapy is communication, exposure, vulnerability, and intimate sharing, currency which men who have been socialized in this culture have limited experience with. Given this situation, we may rightly ask whether conventional therapeutic interventions, historically developed for use with women, make the most sense? If not what we do so routinely every day, then what new interventions do make sense? This article will address these questions focusing on new ways to develop the alliance, formulate patient dynamics based on current ideas about the psychology of men, and design creative interventions that speak to men in their own currency. "Okay, I'm Here, but I'm Not Talking!" Psychotherapy with the Reluctant Male Lauren Bacall: (Watching Humphrey Bogait taking off his shoes) Here, I can do that.
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