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The transferential expectations victims may bring to the therapeutic process, which include failure to protect, abandonment, indifference and even assault, can be intensified by the therapist's silence and passivity (Rose, 1991). A neutral stance, appropriate for some types of clients, is not effective and can even be harmful for adult survivors. As Spiegel (1986b) explains, "traditional analytic reserve is often perceived by the patient as a lack of concern or even a sadistic pleasure in the patient's suffering" (p. 72). Attitudes of "distance" or "therapeutic neutrality" are likely to remind abuse victims of their dysfunctional family's patterns of interaction and therefore reinforce the patterns of denial. A similar recreation of the abusing family's attitudes can also result from instances where the therapist manages the intense countertransference reactions to these client's painful experiences, by distancing from or minimizing the significance of the abuse.
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I've tried to persuade my T of this but she's not buying it.  But then I'm not a survivor of CSA.
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Mr Ambassador, alias Ancient Plax, alias Captain Therapy, alias Big Poppa, alias Secret Spy, etc.
Add that to your tattoo, Baby!
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