Warne T, McAndrew S
Department of Health Care Studies, Manchester Metropolitan University, Manchester, UK.
J Psychiatr Ment Health Nurs. 2005 Dec;12(6):679-86. doi: 10.1111/j.1365-2850.2005.00893.x.
The shackles of abuse: unprepared to work at the edges of reason Childhood sexual abuse is an international public health problem. Research suggests similar prevalence rates in both Western and non-Western societies. The long-term consequences of child sexual abuse include wide ranging mental health problems in adult life. Psychiatric services and, in particular, counselling has been highlighted as being the most helpful to those who have experienced child sex abuse. This evidence base should be informing mental health nursing education and practice. However, we argue there is a divergence between the discourse of evidence-based theory and practice reality. The aim of this paper is to explore the preparedness of mental health nurses to work with adults who have experienced sexual abuse during their childhood. It is the first part of a three-part research project and reviews the literature relating to how (and if) mental health nurses are prepared to work with those who have sexual abuse histories. An important issue considered in this review is the impact upon patient/nurse relationships as a consequence of the nurse themselves being survivors of sexual abuse. We argue that a number of conflicting discourses need to be addressed, if mental health nurses are to be appropriately prepared to offer cogent, sensitive care to those in their care who are shackled to their past sexual abuse through the confines of their current mental illness.
未做好在理性边缘工作的准备 儿童期性虐待是一个国际公共卫生问题。研究表明，西方和非西方社会的患病率相似。儿童性虐待的长期后果包括成年后广泛的心理健康问题。精神科服务，尤其是心理咨询，被认为对那些遭受过儿童性虐待的人最有帮助。这一证据基础应为心理健康护理教育和实践提供依据。然而，我们认为，循证理论与实践现实之间存在差异。本文的目的是探讨心理健康护士为曾在童年期遭受性虐待的成年人提供护理的准备情况。这是一个三部分研究项目的第一部分，回顾了有关心理健康护士如何（以及是否）为有性虐待史的人提供护理的文献。本综述中考虑的一个重要问题是，护士自身是性虐待幸存者对患者/护士关系的影响。我们认为，如果心理健康护士要做好充分准备，为那些因当前精神疾病的限制而受过去性虐待束缚的患者提供有说服力、体贴入微的护理，就需要解决一些相互冲突的话语。
