Integrating cognitive behavioral and humanistic approaches

This response to the case of Ryan integrates the basic elements of a humani stic approach with trauma-focused cognitive behavior therapy (CBT). Within a humanistic perspective, a trusting therapeutic relationship, a safe and s ecure therapeutic environment, and unconditional positive regard and respec t from the therapist are emphasized as important factors in contributing to a positive outcome for a child sexual abuse victim and his family. Additio nally, a number of CBT interventions are reviewed, including psychoeducatio n and behavioral contingencies related to inappropriate sexual behaviors, c ognitive reframing for both the child and parents to address self-blame for the abuse and other inappropriate attributions and distorted cognitions, g radual exposure for the child, and behavior management with parents. Family treatment is also described in terms of its importance in helping Ryan and his family recover from the sexual abuse trauma and other related events.