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Treatment Guideline's Effect
Abstract
Working with trauma survivors leads to intense countertransference reactions. These are counterproductive to the efficacious treatment environment of survivor empowerment. A theoretical orientation using medical analogies can further frustrate the survivor and clinician with the implicit assumptions of the clinician having a "cure" and the survivor having symptoms that should be treated and alleviated. Both of these assumptions lead to decreased survivor empowerment and a strain on the theraputic alliance with pressures for a quick cure and an assumption that generalized guidelines can be applied to specific relationships. The clinician may respond with a sense of being "deskilled" and rely more than usual upon outside sources including "expert" consultation and written guidelines based upon diagnosis. Unfortunately, experts have their own bias, based upon their own unresolved countertransferences and methodological orientation. These biases......

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Approximate Word Count: 8535
Approximate Pages: 35 (250 words per double-spaced page)

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