Yates Peter
School of Nursing, Midwifery and Social Care, Edinburgh Napier University, Edinburgh, UK.
J Clin Nurs. 2017 Aug;26(15-16):2482-2494. doi: 10.1111/jocn.13531. Epub 2016 Nov 24.
To explore two hypotheses for explaining why there is little written about sibling sexual abuse and to raise awareness of the subject in order better to protect children and to facilitate sensitive patient care.
While there is no universal agreement over its definition, sibling sexual abuse is acknowledged internationally as a prevalent form of child sexual abuse but tends not to be recognised by health professionals. It is also under-represented within the literature in comparison with other forms of intrafamilial sexual abuse. Understanding why this is may help to illuminate the potential barriers to effective professional responses. Two explanations which emerge strongly are the existence of a sibling incest taboo and a prevailing belief that sibling sexual behaviour is largely harmless.
Discursive position paper.
The paper examines the two hypotheses through exploration of the extant literature on sibling incest and sibling sexual abuse.
Sibling sexual abuse accounts for a significant minority of child sexual abuse and has the potential to be as harmful as sexual abuse by a parent. An abhorrence at the thought of sibling sexual activity and a prevailing view of its harmlessness may hinder nurses' detection of and appropriate responses to sibling sexual abuse, but do not provide convincing explanations for the dearth of literature. Instead, a deeply held perspective of sibling relationships as non-abusive offers a more profound explanation.
A knowledge of sibling sexual abuse and its consequences are important both for the effective protection of children and the sensitive and appropriate treatment of patients who present with a variety of physical and mental health concerns. A perspective that sibling relationships are non-abusive provides a deeper level of understanding of the powerful obstacles to raising awareness of and responding appropriately to this form of abuse.
探讨两种关于为何鲜有关于同胞性虐待的文献记载的假设，并提高对该主题的认识，以便更好地保护儿童并促进对患者的敏感护理。
虽然对于同胞性虐待的定义尚无普遍共识，但它在国际上被公认为儿童性虐待的一种普遍形式，但往往未被卫生专业人员所认识。与其他形式的家庭内性虐待相比，它在文献中的记载也较少。理解其原因可能有助于阐明有效专业应对的潜在障碍。两种突出的解释是存在同胞乱伦禁忌以及普遍认为同胞性行为基本无害。
论述性立场文件。
本文通过对关于同胞乱伦和同胞性虐待的现有文献进行探讨来研究这两种假设。
同胞性虐待占儿童性虐待的相当一部分，其危害可能与父母的性虐待一样大。对同胞性行为的厌恶以及普遍认为其无害的观点可能会阻碍护士对同胞性虐待的察觉和适当应对，但并不能为文献匮乏提供令人信服的解释。相反，一种认为同胞关系不会存在虐待的根深蒂固的观点提供了更深刻的解释。
了解同胞性虐待及其后果对于有效保护儿童以及对出现各种身心健康问题的患者进行敏感和适当的治疗都很重要。认为同胞关系不会存在虐待的观点能更深入地理解在提高对这种虐待形式的认识并做出适当反应方面存在的巨大障碍。
