Copyrighted Material Selected Titles from GestaltPress ORGANIZATIONAL CONSULTING: A GESTALT APPROACH Edwin C. Nevis GESTALT RECONSIDERED: A NEW APPROACH TO CONTACT AND RESISTANCE Gordon Wheeler GESTALT THERAPY: PERSPECTIVES AND APPLICATIONS Edwin C. Nevis, editor THE COLLECTIVE SILENCE: GERMAN IDENTITY AND THE LEGACY OF SHAME Borbara Heimannsberg and Christopher J. Schmidt COMMUNITY AND CONFLUENCE:UNDOING THE CLINCH OF OPPRESSION Philip Lichtenberg ON INTIMATE GROUND: A GEST AL T APPROACH TO WORKING WITH COUPLES Gordon Wheeler and Stephanie Bac/onan BODY PROCESS: WORKING WITH THE BODY IN PSYCHOTHERAPY James I. Kepner HERE, NOW, NEXT: PAUL GOODMAN AND THE ORIGINS OF GESTALT THERAPY Taylor Stoehr CRAZY HOPE & FINITE EXPERIENCE Paul Goodman , edited byTaylor Stoehr IN SEARCH OF GOOD FORM: GEST AL T THERAPY WITH COUPLES AND FAMILIES Joseph C. Zinker THE VOICE OF SHAME: SILENCE AND CONNECTION IN PSYCHOTHERAPY Robert G. Lee and Gordon Wheeler ADOLESCENCE: PSYCHOTHERAPY AND THE EMERGENT SELF Mork McConville HEALING TASKS:PSYCHOTHERAPY WITH ADULT SURVIVORS OF CHILDHOOD ABUSE James I. Kepner GETTING BEYOND SOBRIETY: CLINICAL APPROACHES TO LONG- TERM RECOVERY Michael Craig Clemmens THE GENDERED FIELD Deborah Ullman and Gordon Wheeler, editors BACK TO THE BEANST ALK: ENCHANTMENT & REALITY FOR COUPLES .Judith R. Brown THE DREAMER AND THE DREAM: ESSAYS AND REFLECTIONS ON GESTALT THERAPY Rainene Eden Fants, edited by Arthur Roberts A WELL-LIVED LIFE: ESSAYS IN GESTALT THERAPY SylVia Fleming Crocker FROM THE RADICAL CENTER: THE HEART OF GEST AL T THERAPY Erving and Miriam Polster BEYOND INDIVIDUALISM: TOWARD A NEW UNDERSTANDING OF SELF, RELATIONSHIP, AND EXPERIENCE Gordon Wheeler SKETCHES: AN ANTHOLOGY OF ESSA YS, ART, AND POETRY Joseph C. Zinker THE HEART OF DEVELOPMENT: GESTALT APPROACHES TO WORKING WITH CHILDREN, ADOLESCENTS, AND THEIR WORLDS (2 Volumes) Mark McConville and Gordon Wheeler BODY OF AWARENESS: A SOMATIC & DEVELOPMENTAL APPROACH TO PSYCHOTHERAPY Ruella Frank ENCOUNTERING BIGOTRY: BEFRIENDING PROJECTING PERSONS IN EVERYDAY LIFE Philip Lichtenberg, Janneke van Beusekom, Dorothy Gibbons THE UNFOLDING SELF Jean-Morie Robine THE VALUES OF CONNECTION: ETHICS FROM A FIELD PERSPECTIVE Robert G. Lee, editor READING PAUL GOODMAN Gordon Wheeler, editor GESTALT THERAPY: LIVING CREATIVELY TODAY Gonzague Masque/ier Copyrighted Material Healing Tasks Copyrighted Material James I. Kepner Copyrighted Material Healing Tasks Psychotherapy with Adult Survivors of Childhood Abuse GestaltPress Copyrighted Material Copyright C 1996, 2003 GestaltPress 66 Orchard Street, Cambridge MA USA All rights reserved. No part of this publication may be repro duced, stored in a retrieval system. or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the prior written permission of GestaltPress. published and distributed by The Analytic Press 101 West Street Hillsdale NJ 07642 USA Library of Congress Cataloging-in-Publication Data Kepner, James I. Healing tasks: psychotherapy with adult survivors of child abuse includes bibliographical references and index ISBN 0-88163-402-6 I. Adult child abuse victims. 2. Gestalt therapy Copyrighted Material Advance praise for IIetIllng Tasks -- "I am very enthusiastic about this book, its treatment orientation, and its emphasis on healing tasks undertaken in a graduated sequence. It makes a substantial contribution to the clinical strategies currently available for the treatment of adult survivors of childhood abuse, and as such, is a resource for therapists struggling with treatment issues generated by the repressed memory/delayed memory controversy." -- Christine A. ColU1ois, PhD, psychologist and Director of Clinical Training, The CENTER: Post-traumatic and Dissociative Disorder Program, The Psychiatric Institute of Washington, D.C., and author of Healing the Incest Wound: Adult Survivors in Therapy and Adult Survivors of Child Sexual Abuse "Therapists, adult survivors, counselors, ministers, and all concerned with the long-tenn effects of childhood abuse should read this book. A fresh new approach that integrates recent developments in the field of post-traumatic stress disorder." -- John P. Wilson, PhD, Director, Center for Stress and Trauma, Cleveland State University,· past president, International Society for Traumatic Stress Studies; and author of Countertransference in the Treatment of Post-Traumatic Stress Disorder "What fine work this is! Kepner, a virtuoso Gestalt therapist, provides a poweIful, practical framework for survivors of abuse and their therapists that is thorough, thoughtful, clear, comprehensive, humane, and impeccably intelligent. A must for any clinician's libnuy, and empowering reading for survivors in need of a solid, intellectual grasp on their experience." -- Bell8ruth Napan.k, LlSW, author of Staying Well with Guided Imagery and creator of the Health Journeys audio series "Kepner provides a compassionate, knowledgeable, and careful analysis of how to take a Gestalt approach when working with survivors of child sexual abuse. I highly recommend his book." -- Catherine Classen, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine Copyrighted Material I gratefully dedicate this book to my family. Copyrighted Material Contents Preface xiii Acknowledgments xxi The Author xxiii Chapter One: Healing Tasks for Survivors of Abuse 1 Healing as Cure Versus Healing as Growth 1 Healing Tasks and the Phases of Healing 7 Chapter Two: Developing Support 15 Phenomenology of the Abusive Context 16 Establishing the Therapeutic Environment as Support 21 Discovering and Articulating the Truth Behind One's Symptoms 29 Managing Levels of Stimulation and Arousal: Essential Self Functions for the Support Phase 42 Systemic Social Support 50 Initial Reorganizing of the Sense of Reality and Self 53 Resolution of the Support Phase 55 Chapter Three: Developing Self Functions 59 Boundary Functions 65 Experiencing Functions 78 Self-Support Functions 83 Feeling Functions 84 Reality-Perception Functions 93 ix Copyrighted Material
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