Bentovim Arnon
Great Ormond Street Hospital Children's Hospital, Tavistock Clinic, Institute of Child Health London Child & Family Consultation Service, London, England, UK.
Child Abuse Negl. 2002 Jun;26(6-7):661-78. doi: 10.1016/s0145-2134(02)00340-x.
This study was designed to determine whether it is possible to prevent those sexually abused boys who are at risk of abusing other children from doing so, and to assess whether factors associated with an experience of sexual abuse in young people who are offending can be dealt with as a key aspect of therapeutic work alongside treatment of offending behavior.
The author examined cross-sectional and longitudinal research which demonstrates the impact on sexually abused children of living in a climate of violence, suffering physical abuse, exposure to abuse of maternal figures, and suffering disruption and poor quality of care and supervision. These factors are confirmed in prospective research.
The application of these findings to therapeutic programs for boys who are sexually abused is described, including the assessment of care needs as well as the specific therapeutic work with the young person, and work to modify the family context. The specific treatment of victimization experiences in young people who have committed sexual offenses is also examined, with recommendations for modification of treatment approaches suggested.
It is vital in therapeutic work with boy victims of sexual abuse that the issue of their abusive potential be considered, even if a relatively small proportion of such boys will go on to abuse others. Given that boys who do sexually abuse are likely to have grown up in a climate of violence and poor care, methods of dealing with such victimization experiences need to be developed alongside offending focused treatments.
本研究旨在确定是否有可能防止那些有虐待其他儿童风险的受性虐待男孩实施此类行为，并评估在对有犯罪行为的年轻人进行治疗时，能否将与性虐待经历相关的因素作为治疗工作的一个关键方面，与对犯罪行为的治疗一并处理。
作者研究了横断面和纵向研究，这些研究表明生活在暴力环境、遭受身体虐待、目睹母亲受虐以及经历照料和监管中断及质量差等情况对受性虐待儿童的影响。这些因素在前瞻性研究中得到了证实。
描述了如何将这些研究结果应用于针对受性虐待男孩的治疗项目，包括对照料需求的评估以及与年轻人的具体治疗工作，还有改善家庭环境的工作。还研究了对实施性犯罪的年轻人的受害经历的具体治疗，并提出了修改治疗方法的建议。
在对受性虐待的男孩进行治疗工作时，至关重要的是要考虑到他们具有虐待他人的可能性，即使这类男孩中只有相对较小比例的人会继续虐待他人。鉴于实施性虐待的男孩很可能在暴力和照料不善环境中长大，需要在专注于处理犯罪行为的治疗的同时，开发应对此类受害经历的方法。
