The relevance of psychodynamic psychotherapy to understanding therapist-patient sexual abuse and treatment of survivors

Rivka Yahav, Sheri Oz

Research output: Contribution to journalReview articlepeer-review

Abstract

Regardless of the therapy modality, research continues to point to the therapeutic relationship as a major salient factor in clinical success or failure. When a patient is sexually abused by his or her therapist, this therapeutic relationship is cynically exploited in a way that does not properly serve the essential needs of the patient. When this patient then seeks reparative therapy, the subsequent therapist needs to pay close attention to issues of the relationship which were breached by the previous clinician. In this article, two case studies showing very different dynamics will be presented in order to demonstrate: (1) relevant factors related to transference, countertransference, projective identification, and the analytic third pertaining to the former, abusive therapy; and (2) needs versus wishes, and issues related to boundaries and self-disclosure in the corrective therapy.

Original languageEnglish
Pages (from-to)303-331
Number of pages29
JournalJournal of the American Academy of Psychoanalysis and Dynamic Psychiatry
Volume34
Issue number2
DOIs
StatePublished - 2006

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

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