童年期性虐待和家庭困境的遗留影响。
The legacy of childhood sexual abuse and family adversity.
作者信息
Martsolf Donna S, Draucker Claire Burke
机构信息
College of Nursing, Kent State University, Kent, OH 44242-0001, USA.
出版信息
J Nurs Scholarsh. 2008;40(4):333-40. doi: 10.1111/j.1547-5069.2008.00247.x.
PURPOSE
To describe the process by which childhood adversity influences the life course of survivors of childhood sexual abuse.
DESIGN
A community-based, qualitative, grounded-theory design.
METHODS
In this grounded theory study, data were drawn from open-ended interviews conducted as part of a larger study of women's and men's responses to sexual violence. The current study indicates the experiences of 48 female and 40 male survivors of childhood sexual abuse and family adversity. Data were analyzed using the constant comparison method.
FINDINGS
Participants described a sense of inheriting a life of abuse and adversity. The process by which childhood adversity influences the life course of adult survivors of childhood sexual abuse is labeled Living the Family Legacy. The theory representing the process of Living the Family Legacy includes three major life patterns: (a) being stuck in the family legacy, (b) being plagued by the family legacy, and (c) rejecting the family legacy/creating a new one. Associated with these life patterns are three processes by which participants passed on a legacy to others, often their children: (a) passing on the family legacy, (b) taking a stab at passing on a new legacy, and (c) passing on a new legacy.
CONCLUSIONS
The legacy of abuse and adversity has a profound effect on the lives of survivors of childhood sexual abuse. There are several trajectories by which the influence of childhood adversity unfolds in the lives of adult survivors and by which the legacy is passed on to others.
CLINICAL RELEVANCE
The model representing the theoretical process of Living the Family Legacy can be used by clinicians who work with survivors of childhood sexual abuse and childhood adversity, especially those who have parenting concerns.
目的
描述童年逆境影响童年性虐待幸存者人生历程的过程。
设计
基于社区的质性扎根理论设计。
方法
在这项扎根理论研究中，数据取自作为关于女性和男性对性暴力反应的更大规模研究一部分而进行的开放式访谈。当前研究表明了48名童年性虐待女性幸存者和40名男性幸存者以及家庭逆境的经历。数据采用持续比较法进行分析。
结果
参与者描述了一种继承虐待与逆境生活的感觉。童年逆境影响童年性虐待成年幸存者人生历程的过程被称为“延续家族遗风”。代表“延续家族遗风”过程的理论包括三种主要生活模式：（a）困于家族遗风，（b）受家族遗风困扰，以及（c）拒绝家族遗风/创造新的遗风。与这些生活模式相关的是参与者将一种遗风传递给他人（通常是他们的孩子）的三个过程：（a）传递家族遗风，（b）尝试传递新的遗风，以及（c）传递新的遗风。
结论
虐待与逆境的遗风对童年性虐待幸存者的生活有着深远影响。童年逆境的影响在成年幸存者生活中展现以及遗风传递给他人有几种轨迹。
临床意义
与童年性虐待和童年逆境幸存者打交道的临床医生，尤其是那些有育儿问题的医生，可以使用代表“延续家族遗风”理论过程的模型。
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