Stone M H
Middletown Psychiatric Center, New York, New York.
Psychiatr Clin North Am. 1989 Jun;12(2):237-55.
In treating victims of incest, therapists need to be aware of the gamut of symptoms, personality traits, interpersonal difficulties, and clinical syndromes that occur with special frequency in this population. A list of these features is provided. Vignettes with typical therapist-patient dialogue are offered, demonstrating techniques for handling the initial consultation and opening phase of treatment. During later phases of treatment the focus will usually shift to the discussion of the pertinent symptoms (such as suicidal feelings, substance abuse, dissociative phenomena, sexual disturbances, and distorted self-image). Further on, therapy will focus on abnormal personality traits and attitudes that the incest experience may have set in motion. Examples include mistrustfulness, jealousy, seductiveness, hostility, impulsivity, defiance and emotional volatility. Many incest victims develop borderline personality disorder. Highly polarized attitudes ("splitting") toward sexual partners are characteristic of this group. Therapy relies upon supportive, re-educative, and interpretive work designed to help the victim develop more realistic and integrated views of self and other.
在治疗乱伦受害者时，治疗师需要了解在这一群体中特别频繁出现的一系列症状、人格特质、人际困难和临床综合征。本文列出了这些特征，并提供了带有典型治疗师 - 患者对话的案例，展示了处理初始咨询和治疗开启阶段的技巧。在治疗的后期阶段，重点通常会转向讨论相关症状（如自杀念头、药物滥用、分离现象、性障碍和扭曲的自我形象）。此外，治疗将聚焦于乱伦经历可能引发的异常人格特质和态度。例如，不信任、嫉妒、勾引、敌意、冲动、违抗和情绪波动。许多乱伦受害者会发展为边缘型人格障碍。对性伴侣高度两极分化的态度（“分裂”）是这一群体的特征。治疗依赖于支持性、再教育性和解释性工作，旨在帮助受害者形成对自我和他人更现实、更整合的看法。
