Paul R. Abramson - Sarah: A Sexual Biography

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title	:	Sarah, a Sexual Biography SUNY Series in Sexual Behavior
author	:	Abramson, Paul R.
publisher	:	State University of New York Press
isbn10 | asin	:	0873958632
print isbn13	:	9780873958639
ebook isbn13	:	9780585063386
language	:	English
subject	Incest victims--Case studies, Sexually abused children--Case studies.
publication date	:	1984
lcc	:	RC560.I53A27 1984eb
ddc	:	306.7/77/0926
subject	:	Incest victims--Case studies, Sexually abused children--Case studies.

Page i Sarah A Sexual Biography

Page ii SUNY Series in Sexual Behavior DONN BYRNE and KATHRYN KELLEY, Editors

Page iii Sarah A Sexual Biography By Paul R. Abramson State University of New York Press, Albany

Page iv Published by State University of New York Press, Albany 1984 Paul R. Abramson All rights reserved Printed in the United States of America No part of this book may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in critical articles and reviews. For information, address State University of New York Press, State University Plaza, Albany, N.Y., 12246 Library of Congress Cataloging in Publication Data Abramson, Paul R., 1949 Sarah, a sexual biography. (SUNY series in sexual behavior) Includes bibliographical references. 1. Incest victimsCase studies. 2. Sexually abused childrenCase studies. I. Title. II. Series. RC560.I53A27 1984 306.7770926 83-17983 ISBN 0-87395-862-4 ISBN 0-87395-863-2 (pbk.) 10 9 8 7 6

Page v To Sarah, a constant source of amazement; to Carnohan, for your support and enthusiasm; and to my brother Keith, who aptly advised, "You can drive off that bridge when you get to it."

Page vii Contents Prologue: "The Role of Case Histories in Psychosexology" by DonnByrne and Kathryn Kelley 1 Sarah 13 Introduction 15 Afterword 129 Epilogue 133 Index 141

Page 1 Prologue The Role of Case Histories in Psychosexology Donn Byrne and Kathryn Kelley State University of New York at Albany

Page 3 Accidental events frequently turn out better than well planned ones. We contacted Paul Abramson in January of 1983 about the possibility of writing a book or chapter dealing with the assessment of sexual arousal. He expressed interest but informed us that he had a quite different kind of manuscript already completed, the sexual biography of a female college student. It may be seen that we contacted him without knowing that he had this book in hand, and he wrote it without knowing that Dr. Susan Suarez would be asking us to serve as editors of a new publishing venture for a university press. So, none of us can claim responsibility for the way in which it developed, but it is particularly appropriate that a case history constitutes the initial volume in the SUNY Press series on Sexual Behavior. There is increasing reason to believe that psychosexology is finally coming of age as a science (see Byrne, 1977a, 1982; Davis, 1983), and we are justly proud of today's sophisticated research techniques, growing data base, and developing theoretical formulations. It should be remembered, however, that the enterprise began with descriptions and interpretations of the behavior of individuals such as "Sarah." What can be learned from the exposure of the intimate details of one person's life experiences? No two case histories are exactly alike, and the story of Sarah is unlike any other that we have read. Nevertheless, this approach to understanding human behavior can be placed in a general context that applies to all case

Page 4 histories. Such a context allows us to appreciate the general characteristics of the case history method, its limitations, and the unique contributions it can make. A Slice of Life: The First Steps Toward Understanding Sexual Behavior In the task of understanding and controlling physical illness, a familiar historical progression has been to identify and to describe minutely the detailed symptoms of a given ailment, to seek its causes, and to ascertain its future course with and without appropriate treatment. At the end of the nineteenth century, numerous medical specialists turned their attention from physical disabilities to emotional and behavioral problems. Not surprisingly, they adopted the prevailing medical approach and proceeded to describe behavioral anomalies, to speculate about their possible physiological and experiential antecedents, and to establish prognostic probabilities. Almost all of the succeeding accounts of individual human behavior, including the one of Sarah, tend to fit within such a patternwhether written by physicians, psychologists, or social workers. In the transition from physical to psychological concerns, it soon became obvious that the description of fever, skin eruptions, or the site of a severe pain was qualitatively different from describing the life experiences of a maladjusted individual. For one thing, it was necessary to borrow the techniques and even the style of novelists, biographers, historians, and anthropologists. Freud quickly recognized these aspects of his newly developing profession. In a letter to his fiance in 1884, he wrote that he was "becoming aware of literary stirrings when previously I could not have imagined anything further from my mind." He extended this theme in

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