Psychotraumacentrum Zuid-Nederland of Reinier van Arkel, Bethaniestraat 10, 5211 LJ 's Hertogenbosch, The Netherlands.
Behavioral Science Institute of Radboud University Nijmegen, Montessorilaan 3, 6525 HR Nijmegen, The Netherlands.
Int J Environ Res Public Health. 2019 Nov 29;16(23):4810. doi: 10.3390/ijerph16234810.
Research has shown that there is a negative relation between the experience of sexual violence of mothers and the well-being of their children. When a child is born out of sexual violence, the origin of the child is connected to the traumatic experience. Despite the difficult maternal task of navigating this relationship, research on interventions for mothers with a child born of sexual violence is absent. The current qualitative study was designed to gather expert knowledge of twelve clinicians on the dimensions of interventions for these mothers and their children as a first step in the development of good clinical practice for interventions. Using thematic analysis, the interviews were transcribed, coded and analyzed. Three building blocks for interventions for mothers and their children born of sexual violence were identified: building a secure attachment, reduction of trauma-related symptomatology, and addressing stigmatization. Clinicians describe many factors that need to be taken into account in treatment but emphasize the importance of the therapeutic relationship to be efficacious. The foundation of a strong therapeutic relationship together with the building blocks are the elements for good clinical practice on interventions for mothers with a child born of sexual violence.
研究表明，母亲遭受性暴力的经历与子女的福祉之间存在负相关关系。当孩子是由性暴力产生时，孩子的出身就与创伤经历联系在一起。尽管母亲在处理这种关系方面面临着艰巨的任务，但针对遭受性暴力的母亲及其子女的干预措施的研究却很少。本定性研究旨在收集 12 位临床医生的专业知识，了解这些母亲及其子女干预措施的各个方面，这是制定良好临床实践干预措施的第一步。研究人员采用主题分析，对访谈进行了转录、编码和分析。确定了针对遭受性暴力的母亲及其子女的干预措施的三个构建模块：建立安全依恋、减少与创伤相关的症状、以及解决污名化问题。临床医生描述了治疗中需要考虑的许多因素，但强调了治疗关系有效性的重要性。强大治疗关系的基础以及这些构建模块是针对遭受性暴力的母亲及其子女的干预措施的良好临床实践的要素。
