Bradley R G, Follingstad D R
Department of Psychology, Southern Illinois University, Carbondale, IL 62901, USA.
Clin Psychol Rev. 2001 Feb;21(1):1-32. doi: 10.1016/s0272-7358(00)00077-5.
Although disclosure is a component of many therapeutic approaches to treating the long-term symptoms associated with child sexual abuse (CSA), the ameliorative mechanisms of this approach are still unclear. This review investigates the expected benefits of disclosure in therapy by looking at the theoretical and empirical support for its effectiveness in treating the specific psychopathological sequelae associated with a history of CSA. In order to accomplish this task, a core group of sequelae associated with sexual abuse are presented. The components of disclosure as a therapeutic process are divided into three processes: disclosure-through-description, disclosure-through-rethinking, and disclosure-in-relationship. The review describes the ways in which these elements of disclosure are used within different therapeutic approaches. The treatment outcome literature is then reviewed in terms of the elements of disclosure included in the treatment approaches and the symptoms improved by treatment. In conclusion, implications are presented concerning the appropriate uses of disclosure in psychotherapy directed at alleviating the long-term sequelae associated with a history of CSA.
尽管披露是治疗与儿童性虐待（CSA）相关的长期症状的许多治疗方法的一个组成部分，但这种方法的改善机制仍不清楚。本综述通过研究其在治疗与CSA病史相关的特定心理病理后遗症方面有效性的理论和实证支持，探讨了治疗中披露的预期益处。为了完成这项任务，列出了一组与性虐待相关的核心后遗症。作为一种治疗过程的披露组成部分分为三个过程：通过描述进行披露、通过重新思考进行披露以及在关系中进行披露。该综述描述了这些披露要素在不同治疗方法中的使用方式。然后根据治疗方法中包含的披露要素以及治疗改善的症状对治疗结果文献进行了综述。总之，针对在心理治疗中适当使用披露以减轻与CSA病史相关的长期后遗症提出了相关建议。
