000			02431nam a2200349Ia 4500
001			111307
005			20250625151231.0
008			110331s2004 eng
040			_aWSS _dAFV
100			_aClarke, Loretta _9939
245			_aThe complexities of working with adult clients who have histories of severe childhood trauma : _ba systematic literature review with clinical illustrations _cClarke, Loretta
246			_bA dissertation submitted to Auckland University of Technology in partial fulfilment of the degree of Master of Health Science.
260			_c2004
300			_a70 p.
365			_a00 _b0
500			_aAvailable for loan from the University's Akoranga Theses Collection.
520			_aDissertation (MHSc) - Auckland University of Technology, 2004. This dissertation is a systematic literature review, illustrated with clinical vignettes, that investigates how to think about and work effectively with adult clients with a history of early, severe and continuous childhood abuse and neglect, using the lens of the trauma literature. The first section examines how symptoms develop when children are exposed to abuse and neglect. This includes how maltreatment affects the psychological development of children and their later adult functioning. The second section investigates the basic principles of treatment for the adult survivor of maltreatment, and argues for a stage-orientated approach to treatment with an initial focus on symptom control, self-care, and relationship issues. The third section reviews the therapeutic relationship. The transference/countertransference dynamics at the centre of this work are examined. The dissertation ends with a summary of symptom development, implications for treatment and transference/countertransference issues in the treatment of severe trauma. Recommendations for psychotherapy practice and future research are examined.--AUTHOR'S ABSTRACT
522			_anz
650	2	7	_aADVERSE CHILDHOOD EXPERIENCES _94089
650	2	7	_2FVC _aDOMESTIC VIOLENCE _9203
650	2	7	_2FVC _aINTERVENTION _9326
650	2	7	_2FVC _aLITERATURE REVIEWS _9350
650	2	7	_2FVC _aMENTAL HEALTH _9377
650	2	4	_aTRAUMA _9612
650	2	7	_2FVC _aTREATMENT _9613
650	2	7	_2FVC _aWOMEN _9645
650	2	7	_aTHESES _9606
650	2	7	_9431 _aINTIMATE PARTNER VIOLENCE _2FVC
650	2	7	_9458 _aPREVENTION _2FVC
650	2	7	_9103 _aCHILD ABUSE
942			_2ddc _cTHESIS
999			_c2895 _d2895