Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
Violence Vict. 2020 Feb 1;35(1):126-140. doi: 10.1891/0886-6708.VV-D-18-00148.
Although sexual assault is associated with significant negative psychological health outcomes, few survivors seek support from formal providers. This study explored the barriers to accessing and benefitting from services for sexual assault, as disclosed in narrative posts on social media, using qualitative methodology. Of the 1,179 narratives posted to the subreddit'r/rapecounseling' that were reviewed, 81 data extracts from 52 women were included in this study based on predefined inclusion/exclusion criteria. Six themes were identified that prevented survivors from accessing or benefitting from help. Internal barriers included feeling overwhelmed and avoidance-based coping. External barriers included availability of services, suitability of services, and therapist-caused harms. Stigma was the only barrier that was experienced both internally and externally. These findings suggest a need for more supportive mental health services.
尽管性侵犯会导致严重的心理健康问题，但很少有幸存者会寻求正规机构的支持。本研究使用定性方法，通过对社交媒体上的叙事帖子进行分析，探讨了性侵犯幸存者在寻求和受益于服务方面所面临的障碍。在对“r/rapecounseling”子版块上的 1179 篇叙事进行审查后，根据预先设定的纳入/排除标准，本研究纳入了 52 名女性的 81 个数据提取内容。研究发现了六个阻止幸存者获得帮助或从中受益的主题。内部障碍包括不知所措和基于回避的应对方式。外部障碍包括服务的可及性、服务的适宜性以及治疗师造成的伤害。耻辱感是唯一一种同时存在于内部和外部的障碍。这些发现表明需要提供更具支持性的心理健康服务。
