Cover image for Betrayed as boys : psychodynamic treatment of sexually abused men
Betrayed as boys : psychodynamic treatment of sexually abused men
Gartner, Richard B.
Personal Author:
Publication Information:
New York : Guilford Press, [1999]

Physical Description:
xii, 356 pages ; 24 cm
Format :


Call Number
Material Type
Home Location
Item Holds
RC569.5.A28 G37 1999 Adult Non-Fiction Central Closed Stacks

On Order



In the growing professional literature on child sexual abuse, few books focus specifically on the experience of victimized boys and men. Interweaving vital elements of psychodynamic and trauma-oriented clinical practice, this much-needed volume examines how sexual betrayal affects boys, the ways they carry this hurt into adulthood, and how therapists can address the unique needs of men with sexual abuse histories. Exploring the impact of abuse on men's emotional development, gender and sexual identity, and relationships, the book provides in-depth consideration of individual and group treatment issues. Numerous case examples draw readers into the direct experience of these clients and the clinicians who work with them and illuminate their continually shifting relational world.

Author Notes

Richard B. Gartner, PhD, trained as both a family therapist and an interpersonal psychoanalyst. A graduate of the William Alanson White Institute in New York City, he is now Director of the Institute's Center for the Study of Psychological Trauma as well as founder and Director of the Sexual Abuse Program that operates under the Center's auspices. He has written and spoken extensively on the treatment of men sexually abused as boys. Dr. Gartner is a consultant and supervisor at the Center for Abuse and Incest at the Manhattan Institute for Psychoanalysis, is on the editorial boards of Contemporary Psychoanalysis and the American Journal of Psychoanalysis , and serves on the Board of Directors of the National Organization on Male Sexual Victimization. He practices in Manhattan and Brooklyn.

Reviews 1

Choice Review

A psychoanalyst and founder/director of the Sexual Abuse Program under the William Alanson White Institute's auspices, Gartner draws together the literature on men who were sexually abused as boys. After a chapter on definitions, the author explores the impact of abuse on men's emotional development, sexual identity, sexual orientation, and relationships. Although not a treatment manual, the book has extensive discussions of 38 of the patients Gartner has treated. Though it emphasizes transference and countertransference, a chapter on the patient-therapist dyad has a particularly perceptive section on the vicarious traumatization of therapists working with these patients. The author provides in-depth analysis of the effect of sexual abuse on boys/men and provides a sophisticated tying together of the cultural, developmental and, personality factors influencing the patients' adjustment. The 21 pages of references, although heavy on psychoanalytic literature, have enough material from other sources to lend credibility to the author's conclusion, even for those readers who are not psychoanalytically oriented. This book adds to the literature of an underexplored area: there are many books on sexually abused girls but few on boys. Upper-division undergraduates through professionals. W. P. Anderson University of Missouri--Columbia

Table of Contents

1 The Sexual Betrayal of Boys
2 Encoding Sexual Abuse as Sexual Initiation
3 Struggles about Masculinity
4 Same-Sex Abuse
5 The Familial and Cultural Context of Abuse
6 The Effect of Chronic Boundary Violations
7 Dissociation and Multiple Self-States
8 Intimate Relatedness
9 The Patient-Therapist Dyad
10 Gender and the Therapeutic RelationshipSue A. Shapiro
11 Group Therapy Afterword