A Case Illustration of Combined Treatment Using a Psychodynamic Group for Women Sexual Abuse Survivors to Address and Modify Self-Punitive Superego Trends

Adults with childhood sexual abuse histories tend to experience severe states of guilt and shame related to their abuse, especially when the parent or caretaker had failed to intervene. In the absence of protective and loving interventions aimed at helping the child understand what happened, the adult survivor may feel inordinately culpable for the traumas rendered, as well as for resulting sequelae which may include revictimizations and victimizations of others. Homogeneous psychodynamic groups can address and modify primitive and punitive aspects of superego functioning and reduce feelings of shame and guilt. These groups also facilitate the development of benign superego functioning, thereby helping the patients become empathic toward their pasts and responsible for their current lives. While this article focuses on women, the author believes similar principles may also be applied in treatment with men.