a Psychiatry and Behavioral Sciences , Stanford University School of Medicine , California , USA.
b Bob Shapell School of Social Work , Tel-Aviv University , Tel Aviv , Israel.
J Trauma Dissociation. 2019 Jul-Sep;20(4):378-391. doi: 10.1080/15299732.2019.1572046. Epub 2019 Feb 8.
Childhood sexual abuse (CSA) poses a risk for sexual revictimization. Additionally, according to theory CSA may lead to identification with the aggressor, expressed by adopting the perpetrator's experience concerning the abuse; identifying with the perpetrator's aggression; replacing one's agency with that of the perpetrator; and becoming hyper-sensitive to the perpetrator. Although clinical impressions suggest that identification with the aggressor underlies reenactment of trauma, this linkage between identification with the aggressor and sexual revictimization remains largely uninvestigated. This study assessed (a) the relationship between identification with the aggressor (total score and four subscales) and sexual revictimization; (b) the unique associations between identification with the aggressor (total score and four subscales) and sexual revictimization, above and beyond chronicity of abuse and PTSD symptoms. Participants were Israeli women students who reported a history of CSA (n = 174). Analyses indicated significant correlations between two subscales of identification with the aggressor - replacing one's agency with that of the perpetrator and becoming hyper-sensitive to the perpetrator - and sexual revictimization. These subscales of identification with the aggressor were associated with sexual revictimization, above and beyond the effects of chronicity of the abuse and PTSD symptoms. Nevertheless, these associations were in opposite directions - while replacing one's agency with that of the perpetrator was related with higher occurrence of sexual revictimization, becoming hyper-sensitive to the perpetrator was related with lower levels of revictimization. These results imply that identification with the aggressor may serve as a multifaceted phenomenon in the context of sexual revictimization, comprised of both adaptive and maladaptive aspects.
儿童期性虐待（CSA）会增加性再受害的风险。此外，根据理论，CSA 可能导致认同攻击者，表现为采用施害者对虐待的经验；认同施害者的攻击行为；用施害者的代理权代替自己的代理权；对施害者变得高度敏感。尽管临床印象表明，认同攻击者是创伤再体验的基础，但这种认同攻击者与性再受害之间的联系在很大程度上仍未得到研究。本研究评估了（a）认同攻击者（总分和四个分量表）与性再受害之间的关系；（b）认同攻击者（总分和四个分量表）与性再受害之间的独特关联，超越了虐待和 PTSD 症状的慢性。参与者是报告有 CSA 病史的以色列女学生（n=174）。分析表明，认同攻击者的两个分量表——用施害者的代理权代替自己的代理权和对施害者变得高度敏感——与性再受害之间存在显著相关性。这些认同攻击者的分量表与性再受害有关，超越了虐待的慢性和 PTSD 症状的影响。然而，这些关联的方向相反——用施害者的代理权代替自己的代理权与性再受害的发生率较高有关，而对施害者变得高度敏感与较低的再受害水平有关。这些结果表明，在性再受害的背景下，认同攻击者可能是一个多方面的现象，包括适应性和不适应性的方面。
