C hoosing to Heal RT56145.indb 1 2/28/07 5:14:50 PM RT56145.indb 2 2/28/07 5:14:50 PM C hoosing to Heal Using Reality Therapy in the Treatment of Sexually Abused Children Laura Ellsworth New York London RT56145.indb 3 2/28/07 5:14:50 PM Routledge Routledge Taylor & Francis Group Taylor & Francis Group 270 Madison Avenue 2 Park Square New York, NY 10016 Milton Park, Abingdon Oxon OX14 4RN © 2007 by Taylor & Francis Group, LLC Routledge is an imprint of Taylor & Francis Group, an Informa business Printed in the United States of America on acid‑free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number‑10: 0‑415‑95614‑5 (Softcover) International Standard Book Number‑13: 978‑0‑415‑95614‑7 (Softcover) No part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the Routledge Web site at http://www.routledge.com RT56145.indb 4 2/28/07 5:14:51 PM To Jake and Jade, the two best choices I ever made. Love, Mommy RT56145.indb 5 2/28/07 5:14:51 PM RT56145.indb 6 2/28/07 5:14:51 PM Contents Foreword ix Acknowledgments xi About the Author xiii Introduction xv 1 An Introduction to Choice Theory and Reality Therapy 1 2 Sexual Abuse and Coping Mechanisms 21 3 Survival and Self-Preservation 41 4 Connecting and Caring 55 5 Personal Empowerment 73 6 Freedom of Choice 89 7 Fun, Curiosity, and Sexual Development 105 8 Reporting Abuse: Ethics and Cultural Competence 119 References 131 Appendix: Therapeutic Tools and Worksheets 137 Index 163 vii RT56145.indb 7 2/28/07 5:14:51 PM RT56145.indb 8 2/28/07 5:14:51 PM Foreword We seem more and more to be living in a “Well, it all depends” kind of world. This attitude hasn’t developed necessarily by edict or legal action, but is more likely to result from inaction on the part of people who rarely want to take a firm stand on important issues. For example, the vast major- ity of people usually decry the unbearable inhumanity of murder. When one person willingly takes the life of one or more people, most of us will- ingly agree to the imprisonment or even to taking the life of the convicted murderer. However, in the best “Well, it all depends” world we can imag- ine, during wartime many of these same good folks cheer the killer or kill- ers, and take great pride in applauding their efforts. The nation’s highest medal is often awarded to the most successful takers of life, because it all depends on the circumstances. One of the strongest defenses in a murder trial is when the defendant can prove that the killing was justified on the grounds of self-defense. Another popular “Well, it all depends” example is the taking of someone else’s property. In one circumstance, this action is referred to as stealing and is punishable by a fine or even imprisonment. In another circum- stance, it is found to be legally acceptable and recognized as “the right of public domain,” a kind of “What’s mine is mine and what’s yours is mine if I can prove that I will use it for the good of a greater group.” On the other side of this kind of thinking is a situation on which there is nearly total agreement, the universally despised sexual abuse of and assault on children. It is considered wrong in this society and all others. It is so ix RT56145.indb 9 2/28/07 5:14:51 PM
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