Ganzarain R, Buchele B J
Medical School of Emory University.
Bull Menninger Clin. 1990 Summer;54(3):295-310.
Patients who have been sexually abusive toward children in their family often have guarded prognoses. However, the legal system's promotion and support of treatment elicits cautious optimism; even limited progress can make a significant difference in the lives of these persons and their families. The authors report on their work with incest perpetrators in a psychoanalytically oriented psychotherapy group with 20 incest offenders (selected after evaluation of 50), describing major obstacles (i.e., patients' lack of motivation and countertransference) and frequent clinical issues (i.e., perversion, psychopathic tendencies, low self-esteem, and substance abuse).
在家庭中对儿童实施性虐待的患者往往预后不佳。然而，法律制度对治疗的推动和支持引发了谨慎的乐观情绪；即使是有限的进展也能对这些人和他们家庭的生活产生重大影响。作者报告了他们在一个以精神分析为导向的心理治疗小组中与乱伦犯罪者的工作情况，该小组有20名乱伦罪犯（从50名经过评估的人中挑选出来），描述了主要障碍（即患者缺乏动机和反移情）以及常见的临床问题（即性变态、精神病态倾向、自卑和药物滥用）。
