PODS ran a survey in 2016 in association with One in Four (www.oneinfour.org.uk) with the aim of assessing the degree to which counsellors and psychotherapists have received training to work with survivors of child sexual abuse (CSA) and child sexual exploitation (CSE). We also wanted to see the extent to which the topics of trauma, dissociation and shame were included in that training.
Ancedotally, many therapists had said to us that they had not received any significant training in CSA, CSE, trauma or dissociation during their initial training.
The issue of boundaries had always been a non-issue for me: I saw my clients for 50 minutes; there was no contact between sessions (no need for contact between sessions, surely?); it was a purely professional relationship. No dramas, no big deal. And then I started work with my first really traumatised client, and everything was called into question
I came to be a therapist quite late in life after a successful but ultimately unrewarding career in business. I always felt that there should be something more to life than making money, and it struck me repeatedly how mental health difficulties disrupted the lives of so many of my staff.
… it has really struck me how many people with a history of complex and severe trauma cannot get any help whatsoever via the NHS. Many are passed from pillar to post, either being told that they do not meet the criteria to receive services (they are not quite suicidal/traumatised/distressed/non-functioning enough) or that they exceed the criteria (they are too complex/suicidal/traumatised). This leaves people feeling understandably ashamed, powerless and frustrated…