Draucker Claire Burke, Martsolf Donna S
College of Nursing, Kent State University, Kent, Ohio, USA.
Qual Health Res. 2008 Aug;18(8):1034-48. doi: 10.1177/1049732308319925.
A theoretical framework that explains how survivors of childhood sexual abuse tell others about their abuse experiences is presented. Data are drawn from open-ended interviews conducted with 74 individuals who experienced ongoing childhood sexual abuse by a family member or close acquaintance. Grounded theory methods were used to develop the framework. The psychosocial problem shared by the participants is that childhood sexual abuse both demands and defies explanation. The core psychosocial process used in response to this problem is storying childhood sexual abuse. The framework includes five processes, and the stories associated with each process vary in their nature and function. The processes and associated stories are (a) starting the story: the story-not-yet-told, (b) coming out with the story: the story-first-told, (c) shielding the story: the story-as-secret, (d) revising the story: the story-as-account, and (e) sharing the story: the story-as-message. Clinical applications of the framework are discussed.
本文提出了一个理论框架,用以解释童年期性虐待幸存者如何向他人讲述自己的受虐经历。数据来源于对74名曾遭受家庭成员或亲密熟人持续性童年期性虐待的个体进行的开放式访谈。采用扎根理论方法构建该框架。参与者共同面临的心理社会问题是,童年期性虐待既需要解释,又难以解释。针对这一问题所采用的核心心理社会过程是讲述童年期性虐待的经历。该框架包括五个过程,与每个过程相关的故事在性质和功能上各不相同。这些过程及相关故事分别是:(a) 开启故事:尚未讲述的故事;(b) 说出故事:首次讲述的故事;(c) 隐瞒故事:作为秘密的故事;(d) 修改故事:作为叙述的故事;(e) 分享故事:作为信息的故事。文中还讨论了该框架的临床应用。