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Journal of Humanistic Psychology
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Existential Psychotherapy with Adult Survivors of Sexual Abuse

Grace Fisher

3120 Telegraph Ave Ste. 7, Berkeley, CA 94705;gracef{at}pacbell.net

This article explores existential psychotherapy as an effective approach to working with survivors of childhood sexual abuse. Focused on being in the world, the existential approach addresses the very issue that torments many survivors: To be seen and exposed in the world invites not only danger but possible annihilation. The article touches on the broad range of symptoms or manifestations of childhood sexual abuse as they may surface in the adult’s life, specifically how it compromises one’s relations with oneself and others. It examines three critical elements that arise in the therapeutic relationship: trust and betrayal, protective internal structures, and dissociative patterns. The article then discusses existential therapy, emphasizing the unifying themes of presence, authenticity, and awareness, and referencing specific tools like awaring, focusing, and bracketing to explore how this approach helps clients engage in their processes and assists the therapist to skillfully manage transference and countertransference issues unique to this population.

Key Words: existential • resistance • sexual abuse • therapeutic alliance • transference • trauma

Journal of Humanistic Psychology, Vol. 45, No. 1, 10-40 (2005)
DOI: 10.1177/0022167804269042
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L. R. Decker
Combat Trauma: Treatment from a Mystical/Spiritual Perspective
Journal of Humanistic Psychology, January 1, 2007; 47(1): 30 - 53.
[Abstract] [PDF]