Parry Sarah, Simpson Jane
a Department of Psychology , Manchester Metropolitan University , Manchester , UK.
b Division of Health Research , Lancaster University , Lancaster , UK.
J Child Sex Abus. 2016 Oct;25(7):793-812. doi: 10.1080/10538712.2016.1208704. Epub 2016 Sep 21.
This systematic review explored how adult survivors of child sexual abuse experienced nonspecific and trauma-focused talking therapies. Following extensive systematic searches of academic databases, 23 qualitative empirical studies were chosen for review. Using a line-by-line thematic synthesis, four analytical themes developed. These themes were: The Therapeutic Process as a Means for Forming Connections, which discusses therapeutic relationships; Developing a Sense of Self Through the Therapeutic Processes, which identifies stages of developmental recovery; Therapeutic Lights and Black Holes in the Shadows of child sexual abuse, which reflects on how a history of child sexual abuse influenced experiences of therapy; and Healing or Harrowing: Connecting With Others and First-time Experiences, which explores what was helpful, hindering, and new throughout the therapeutic journey. Findings related to participants developing new options for interpersonal relationships through the experience of authentic trust and the experiential learning of control and choice. Recommendations are discussed in relation to developing therapeutic practice and future research.
本系统评价探讨了儿童性虐待成年幸存者如何体验非特定性和以创伤为重点的谈话疗法。在对学术数据库进行广泛的系统检索之后，选择了23项定性实证研究进行综述。采用逐行主题综合法，形成了四个分析主题。这些主题分别是：作为建立联系手段的治疗过程，讨论治疗关系；通过治疗过程形成自我意识，确定发展恢复的阶段；儿童性虐待阴影中的治疗之光与黑洞，反思儿童性虐待史如何影响治疗体验；治愈还是痛苦：与他人建立联系及初次体验，探讨在整个治疗过程中哪些是有帮助的、有阻碍的以及全新的体验。研究结果涉及参与者通过真实信任的体验以及对控制和选择的体验式学习，为人际关系发展新的选择。文中还讨论了关于发展治疗实践和未来研究的建议。
