At some point there has to be peace and quiet!: Institutional struggle to working through the past of sexual violence and abuse of power at an institute for analytical child and adolescent psychotherapy

Description

The book provides - for the first time in the German-speaking world - a comprehensive scientific contribution to the reappraisal of sexualized violence in a psychotherapy institute. The qualitative case study takes a look at decades of abuse of power and sexualized violence by the director of an analytical institute for children and young people. It shows that the psychotherapists involved in this system do not live up to central ideas and concepts of their profession: Silence, denial, rationalization, rejection of responsibility, and ignorance of those affected have for a long time prevented the uncovering of the acts and sustainable forms of coming to terms with them. The life of the institute is characterized by a dialectical tension between the necessity of processing and the desire for undisturbed functioning. This dynamic also proves to be analogous to the problem-solving patterns of psychotherapeutic patients. The case points to fundamental problems in the field of psychotherapy, which are primarily related to a structural power imbalance and pronounced dependency relationships both in the context of training and in the treatment setting. The findings of this empirical study are used to derive professional and organizational ethical considerations and - based on these - to formulate concrete recommendations for the prevention of sexualized violence in psychotherapy institutes.  Foreword References Preliminary Note Contents 1: The Context 1.1 The AKJP-Heidelberg 1.2 Who Was H. M.? 2: The Study 2.1 How the Commissioning Came About 2.2 Advisory Structure 3: Methodology 3.1 Access to the Research Field, Data Collection 3.2 Interleaving of Data Collection and Data Analysis 3.2.1 Theoretical Research Framework 3.2.2 Qualitative Interviews 3.2.3 Hermeneutic Approach 3.2.4 Validation of Interview Data: The Narrative Approach 4: Descriptive Findings as a Frame of Reference 4.1 Assaults, Boundary Violations, Sexual Violence: Findings on the Crimes of H. M 4.2 Potentials for Disclosure and Attempts of Inquiry 4.3 Potential for Disclosure: Initiatives and Omissions in Relation to Possible Disclosures 4.4 Attempts of Inquiry 5: Conceptual Framework for the Classification of Events 5.1 Normality 5.1.1 Morally Based Normality 5.1.2 Criminal Normality 5.1.3 Health-Related Normality 5.1.4 Statistical Normality 5.2 Professional Ethics: Organizational Ethics 5.3 Abstinence 5.3.1 Narcissistic Love 5.3.2 The Line Between Fantasy and Realization 5.3.3 The Ego Limits of Female Patients 5.4 Sexual Violence 6: (Sexual) Boundary Violations in Psychotherapeutic Relationships: An Inventory 7: System Dynamics 7.1 History and Structural Integration of the Institute 7.2 The AKJP Institute Heidelberg as an Economically, Scientifically and Therapeutically Oriented System 7.3 Professional Identity/Organizational Identity 7.4 Power, Dependencies 7.5 Contexts of Abuse of Power 7.6 Nature of the Exercise of Power 7.7 Organizational Power 7.8 Victimizations 7.9 Forms of Defence 7.9.1 Defence of Responsibility 7.9.2 Forgetting, Denying, Repressing, Not Knowing, Silence 7.10 Groups and Conflicts 7.11 Exemplary Case Reconstructions 8: Theoretical Models: Individual and Institutional Victimization of Sexual Violence 8.1 Abuse System – Disclosure System – Help System 8.2 Latent Processes and Manifest Index Events 8.3 Knowledge Base in Different Systems 8.4 Traumatized Institutions 9: Background and Functioning of Structural Prevention 10: Recommendations 10.1 Internal Procedures and Structures 10.2 Qualification 10.3 External Cooperation References