Byrne Jane, Smart Cordet, Watson Gilli
a Clinical Psychology Department , Plymouth University , Plymouth , United Kingdom.
b Clinical Psychology Department , Devon Partnership NHS Trust , Devon , United Kingdom.
J Child Sex Abus. 2017 May-Jun;26(4):465-486. doi: 10.1080/10538712.2017.1297880.
Sequelae following child sexual abuse pervade the lives of adult survivors, significantly impacting on pregnancy and childbirth. Symptoms of this distress are recognized, but meanings for women are less understood. This research aimed to examine the meaning for women themselves of the impact of child sexual abuse on experiences of pregnancy, childbirth, and the postnatal period. Taking a critical feminist perspective, three open-ended interviews with three survivors enabled women's narratives of pregnancy and childbirth to be heard, explored the structure of these narratives, including how experiences were connected, and identified key themes and how selves and others were positioned. Women themselves contributed to the analysis of their own narratives. The different struggles of each woman occurred within three domains of experience: identity, embodiment, and parenting. They were underpinned by a fluctuation between empowerment and disempowerment. These findings, although based on detailed analysis of the experiences of only three women, dovetail with, integrate, and extend the existent literature, offering a framework for understanding the complexity of meaning making for women. Further research might develop this. The framework may facilitate clinicians' understandings of what it is like for some women having children who have experienced child sexual abuse.
儿童性虐待的后遗症充斥着成年幸存者的生活，对怀孕和分娩产生重大影响。这种痛苦的症状是被认识到的，但对女性而言其意义却鲜为人知。本研究旨在探究儿童性虐待对女性怀孕、分娩及产后经历的影响对女性自身而言意味着什么。从批判女性主义视角出发，对三名幸存者进行了三次开放式访谈，从而得以聆听女性关于怀孕和分娩的叙述，探究这些叙述的结构，包括经历是如何关联的，并确定关键主题以及自我与他人的定位方式。女性自身参与了对她们自己叙述的分析。每位女性的不同挣扎发生在三个经验领域：身份认同、身体体验和育儿。这些挣扎的背后是赋权与失权之间的波动。这些发现尽管基于仅对三名女性经历的详细分析，但与现有文献相契合、整合并加以扩展，为理解女性意义建构的复杂性提供了一个框架。进一步的研究可以在此基础上展开。该框架可能有助于临床医生理解一些曾遭受儿童性虐待的女性生育时的情况。
