Dolan Mairead, Whitworth Helen
Monash University, Clifton Hill, Victoria, Australia.
J Child Sex Abus. 2013;22(2):191-208. doi: 10.1080/10538712.2013.751951.
There is little literature on childhood sexual abuse in women seen by forensic services. A cohort of 225 cases of women seen by forensic services in a medium secure unit in the UK were examined, and childhood sexual abuse and non-childhood sexual abuse cases were compared. Over half the sample had a history of childhood sexual abuse, and 5.6% of this group were victims of a subsequent sexual assault in adulthood. The perpetrators were all male. The majority of intrafamilial cases resulted in victims being raised in environments outside the family home. Childhood sexual abuse was associated with later relationship, educational, and occupational difficulties. Significant associations were also seen with personality disorder, self-harm, and substance misuse. Treating services need to recognize the potential importance of childhood sexual abuse in their models of care given the complexity of the association between childhood sexual abuse and psychosocial needs and its impact on successful rehabilitation.
关于法医服务机构所接待女性童年期性虐待的文献资料很少。对英国一个中等安全级别的单位中法医服务机构所接待的225例女性病例进行了研究,并对童年期性虐待病例和非童年期性虐待病例进行了比较。超过半数的样本有童年期性虐待史,该组中有5.6%的人在成年后遭受了后续性侵犯。犯罪者均为男性。大多数家庭内部案件导致受害者在家庭以外的环境中成长。童年期性虐待与后来的人际关系、教育和职业困难有关。在人格障碍、自我伤害和药物滥用方面也发现了显著关联。鉴于童年期性虐待与心理社会需求之间关联的复杂性及其对成功康复的影响,治疗服务机构需要在其护理模式中认识到童年期性虐待的潜在重要性。