Relationships
Resources

 email page    print page

All Topic Reviews
"Intimate" Violence against Women3 NBS of Julian DrewA Little PregnantA Natural History of RapeA Parent's Guide to Asperger Syndrome and High-Functioning AutismA Stir of BonesAbout a BoyAdult Children of Emotionally Immature ParentsAlmost a PsychopathAlone TogetherAnatomy of LoveAngelsAnother CountryAnxious ParentsApples and OrangesBe Honest--You're Not That Into Him EitherBeing the Other OneBetrayed as BoysBeyond AddictionBipolar DisorderBoys Will Put You on a Pedestal (So They Can Look Up Your Skirt)Breaking ApartBrief Adolescent Therapy Homework PlannerBringing Up ParentsBut I Love HimCaring for a Child with AutismCaring in Remembered WaysCherishmentChildren of the Aging Self-AbsorbedChildren of the Self-AbsorbedChildren, Families, and Health Care Decision MakingClawsCloserCold HitCoping With Difficult PeopleCouple SkillsCruddyDancing in My NuddypantsDivorce PoisonDoing ItDone With The CryingEcstasyEmotional ClaustrophobiaEmotional Fitness for IntimacyEmotional Intelligence at WorkEntwined LivesErotic PassionsEssentials of Premarital CounselingEvery Pot Has a CoverFacts About ADHD ChildrenFamilies Like MineFamilyFamily BoundFamily FirstFear of IntimacyFinal JeopardyFind MeFlashpointFor Lesbian ParentsForgive Your Parents, Heal YourselfGandhi's WayGeorgia Under WaterGetting over Getting MadGetting the Love You WantGetting the Love You Want Audio CompanionGirl in the MirrorGirl StuffGoing Home without Going CrazyHandbook of AttachmentHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHappiness Sold SeparatelyHard to GetHe's Just Not That Into YouHealing ConversationsHollow KidsHot ButtonsHot Chocolate for the Mystical LoverHow Families Still MatterHow to Create Chemistry with AnyoneHow to Give Her Absolute PleasureHow to Handle a Hard-To-Handle KidHow to Keep Your Teenager Out of Trouble and What to Do If You Can'tI am Not Sick I Don't Need Help!I Don't Know How She Does ItI Hate You-Don't Leave MeI Only Say This Because I Love YouI'm OK, You're My ParentsIn the Mood, AgainInside the American CoupleIntrusive ParentingIt's Called a Breakup Because It's BrokenIt's Love We Don't UnderstandJakarta MissingKeeping Passion AliveKeeping Your Child in MindLet's Get This StraightLiberation's ChildrenLife's WorkLikely to DieLove JunkieLove SickLove Times ThreeLove Works Like ThisLoving Someone With Bipolar DisorderLoving Someone with Borderline Personality DisorderLust in TranslationMaking the RunMaking the RunManic DepressionMars and Venus - Starting Over.Mating in CaptivityMom, Dad, I'm Gay.MotherstylesMurder in the InnMysterious CreaturesNecessary NoiseOdd Girl OutOpenOpening to Love 365 Days a YearOphelia's MomOrgasmsOur Journey Through High Functioning Autism and Asperger SyndromeOut of the DustParenting and the Child's WorldParenting on the GoParenting Your Out-Of-Control TeenagerParents and Digital TechnologyParents Do Make a DifferencePassionate MarriagePlanet JanetPreventing Misbehavior in ChildrenProblem Child or Quirky Kid?Raising AmericaRaising ElijahRaising Kids in an Age of TerrorRaising Kids in the 21st CenturyRaising Resilient ChildrenRay's a LaughRelationship RescueRespect-Me RulesRomantic IntelligenceRoom For JSecrets of a Passionate MarriageSelf-NurtureSelfish, Shallow, and Self-AbsorbedSex Addiction: The Partner's PerspectiveShidduch CrisisSickenedSingleSlut!Socrates in LoveSomeone Like YouSong for EloiseSpecial SiblingsSpiritually Healing the Indigo Children (and Adult Indigos, Too!)Staying Connected to Your TeenagerStaying Sane When Your Family Comes to VisitStop Arguing with Your KidsStop SignsStop Walking on EggshellsStop Walking on EggshellsStrong, Smart, & BoldSummer of the SkunksSurviving a Borderline ParentTaking Charge of AngerTelling SecretsThank You for Being Such a PainThe Anti-Romantic ChildThe AwakeningThe Bastard on the Couch CDThe Birth of PleasureThe Brief Couples Therapy Homework Planner with DiskThe Bully Action GuideThe Burden of SympathyThe Commercialization of Intimate LifeThe CorrectionsThe Couples Psychotherapy Treatment PlannerThe DisappearanceThe Dream BearerThe Educated ParentThe Emotional RevolutionThe Employee Assistance Treatment PlannerThe EpidemicThe Ethics of ParenthoodThe Ethics of the FamilyThe Gay Baby BoomThe Good DivorceThe Guide for International Intercultural Couples and Families Intercultural MarriageThe Healing Journey for CouplesThe Hostile HospitalThe Husbands and Wives ClubThe Inside Story on Teen GirlsThe Introvert AdvantageThe Little FriendThe Love HexagonThe Moral Intelligence of ChildrenThe Neuroscience of Human RelationshipsThe New I DoThe Normal OneThe Nurture AssumptionThe OASIS Guide to Asperger SyndromeThe Other ParentThe Psychology of Parental ControlThe Real Rules for GirlsThe Reflective ParentThe Right to Be ParentsThe Secret Lives of WivesThe Spider and the BeeThe StepsThe Story of My FatherThe Velveteen FatherThe Virgin BlueThe Visitation HandbookThe Whole ChildTo Have and To Hurt:Two Is EnoughUnderstanding MarriageUnderstanding the Borderline MotherUnhitchedUp in FlamesWe've Got IssuesWhat about the KidsWhat Goes UpWhat Is Secular Humanism?What It Means to Love YouWhat Our Children Teach UsWhen a Parent is DepressedWhen Mars Women DateWhen Someone You Love Is BipolarWhen Someone You Love Is DepressedWhy Are You So Sad?Will You, Won't You?WomanWorking With Emotional IntelligenceWorried All the TimeYes, Your Teen Is Crazy!

Related Topics
Betrayed as BoysReview - Betrayed as Boys
Psychodynamic Treatment of Sexually Abused Men
by Richard B. Gartner
Guilford Press, 1999
Review by Su Hunter, <
Oct 31st 1999 (Volume 3, Issue 44)

Note: The author of Betrayed as Boys, Dr. Richard Gartner, disagrees with some of the claims in this review by Su Hunter. His response to the review follows immediately after.

The title of this book is a little misleading. "Betrayed as boys" may lead one to think that you would be reading case histories and the counseling and the healing that took place when the "now" men came into the office. This is not the case at all. Gartner starts out in the first chapter defining the terms sexual assault and sexual abuse. He goes into detail how to distinguish the difference between the two. While he makes a couple of references to case studies, he mostly refers to research studies. I got the feeling that he was writing to the lay community, yet he also uses clinical terminology that the average lay person would not understand.

In chapter two he continues in the same manner, now defining the difference between sexual abuse and sexual initiation. He has a very useful approach to understanding American society, using social acceptance theory. If a boy is abused by an older women, then it is deemed O.K., especially, for instance, when it is a 12-15 year old boy and an 18-25 year old female. Then the "boy" is suppose to feel like he has been initiated into the "Macho" club and he has performed a feat of conquering. However, this makes no sense when a boy is only 12 years old. Any time someone feels uncomfortable with what someone else is doing to his or her body sexually, it is sexual abuse. Gartner extends his analysis of how Americans accept sexual abuse/play for male children, but is "dirty" and "disastrous" for female children, and explains thoroughly how it is in fact wrong for both.

In the third chapter, he shifts into a slower gear and the book loses interest in the chapter on "Struggles with Masculinity". Nothing there. He states a lot of studies, and actually does an overkill in stating the studies. The following chapter defines the word gay, and goes into too much detail about how a man may decide to become gay or what may cause him to be homosexual or bisexual, and the struggle that he goes through. It is almost as if he would like to say that all gay men had been abused as a child and almost all boys, who have been abused by older men, will turn to be gay. This chapter read like a deeply troubled person -- very scattered, and not sure of a true direction to go. Chapter five begins to pick up a bit, but he still refers to research studies too much, with very little case study at all.

The next few chapters are the meat of the book. Gartner does a wonderful job when he begins actually tell to the stories of abused men. He spends more time in the case studies and less time defining material that, as clinicians, we should already know. His ten case studies will keep your interest well. Furthermore, Gartner tells about some of the treatment plans that he used on the cases, which is very useful. By Chapter 9, he puts his brakes on, and goes back to the tedium of defining and repeating many Psych 101 definitions. For example, he discusses the interaction of a female therapist interaction with abused males, concluding that there are not exceptionless guidelines and we must always be highly sensitive to context.

Overall, Betrayed as Boys was interesting, and the case studies were very helpful. If the "Before" and "After" chapters had been left out, it would have been a wonderful book. Although Gartner starts and ends slowly, the middle of the book is dynamic. I recommend skimming over the first few chapters, then reading the middle, and skimming over the last few chapters. If you need a book to recommend to clients who are men abused as boys, this book would be an excellent option. Indeed, clients will get more use out of the book then the therapist. It might be even better to have the client read the book and discuss it as he reads it through, using it more as a guide and planner for your sessions.

Richard B. Gartner, Ph.D., author of Betrayed as Boys, reponds to Su Hunter's review:

I invite Su Hunter to reread portions of my book. If she does so she will no doubt recognize that several of the assertions she makes about what I wrote in Betrayed as Boys are erroneous.

Hunter writes that in Chapter 1 of my book I define the terms "sexual assault" and "sexual abuse" and then detail how to distinguish the two. But actually I never use the term "sexual assault" or even consider the concept as a contrast to "sexual abuse." Similarly, in Chapter 2, Hunter says I make use of "social acceptance theory," a theory with which I am not familiar and never cite. And, while I am gratified when Hunter notes that my ten case studies will hold the interest of the reader, there are actually thirty-eight case studies in Betrayed as Boys. In addition, she talks about my "treatment plans" for these men, while, as I state in my Introduction, "I do not intend to dictate to clinicians about how men sexually abused as boys should be treated. To try to write such a book would do a deep disservice to the uniqueness, complexity, and ambiguities of each man’s life trajectory and individuality" (p. 9).

Most importantly, Hunter says I talk about how a man may "decide to become gay" and that I "would like to say that all gay men had been abused as a child and almost all boys, who have been abused by older men, will turn to be gay." These statements are diametrically opposite to what I actually wrote in my book. I do not see sexual orientation as a "decision." In addition, I fear that her comments may be damaging to some sexually abused men trying to come to terms with the cultural myth that sexual abuse by a man turns a boy gay. I discuss this myth at length in Betrayed as Boys, and I believe I make a strong case for it being false. As I say in the book, "most researchers believe predominant sexual orientation is established before latency, while most sexual abuse of boys occurs later" (p. 101). I also write that I agree with those who "conclude that there is no reason to believe that sexual abuse alone fundamentally changes or shapes sexual orientation" (p. 101), and "my clinical impression is that sexual orientation is nearly always determined for reasons other than premature sexual activity" (pp. 101-102).

Because there is so little written about male sexual victimization, I wrote Betrayed as Boys for a wide readership that would include trained clinicians of all theoretical backgrounds, rape counselors, clergy, andguidance counselors, in addition to sexually abused men and other lay readers. I therefore chose to make sure that all my terms were clearly defined, understanding and noting that many readers might already be familiar with some of the material and might therefore decide to skip portions of the book. My experience in addressing professional audiences, however, has shown me that many have thought very little about the issues involving masculine gender socialization and sexual orientation that differentiate sexually abused men from sexually abused women. (Nor do all professionals even believe sexual abuse of boys occurs with much frequency.) For these reasons, I focus on these themes before going on to discuss treatment. I do understand that Hunter is impatient with my citations of research and theory and would have preferred that I write only about what happens in the treatment room with this population. However, it has been my experience that many thoughtful clinicians are indeed interested in thinking about the theoretical underpinnings of our work and the research that supports our assumptions, particularly in an area as controversial and emotion-laden as the sexual abuse of men.

To discuss this book, the review, or Dr. Gartner's response, join the Metapsychology Discussion E-Mail Group by going to this URL: http://www.onelist.com/subscribe/metapsy-discussion


Share

Welcome to MHN's unique book review site Metapsychology. We feature over 7900 in-depth reviews of a wide range of books and DVDs written by our reviewers from many backgrounds and perspectives. We update our front page weekly and add more than thirty new reviews each month. Our editor is Christian Perring, PhD. To contact him, use one of the forms available here.

Can't remember our URL? Access our reviews directly via 'metapsychology.net'


Metapsychology Online reviewers normally receive gratis review copies of the items they review.
Metapsychology Online receives a commission from Amazon.com for purchases through this site, which helps us send review copies to reviewers. Please support us by making your Amazon.com purchases through our Amazon links. We thank you for your support!


Join our e-mail list!: Metapsychology New Review Announcements: Sent out monthly, these announcements list our recent reviews. To subscribe, click here.

Interested in becoming a book reviewer for Metapsychology? Currently, we especially need thoughtful reviewers for books in fiction, self-help and popular psychology. To apply, write to our editor.

Metapsychology Online Reviews

Promote your Page too

Metapsychology Online Reviews
ISSN 1931-5716