Department of Child and Adolescent Psychiatry, Gulhane Research and Training Hospital, Ankara, Turkey.
Department of Psychiatry, Ufuk University School of Medicine, Ankara, Turkey.
Arch Psychiatr Nurs. 2020 Apr;34(2):67-74. doi: 10.1016/j.apnu.2020.02.003. Epub 2020 Feb 10.
Incest, is a serious social problem facing society and children/adolescents themselves. The purpose of this study is to explore the ways adolescents talk about and give meaning to their experiences of incest concerning cultural, ethnic factors relevant to southeastern of Turkey.
We focused on in-depth interviews of five incest victims (14-16 years girls, from low socioeconomic status in southeastern of Turkey).
Four key themes were constructed from the qualitative analysis: 1. Unable to understand/Delayed meaning-making: Adolescents provided definitive information about the first abuse memory but they were also unable to understand what they had experienced so they delayed meaning making. 2. Dysfunctional coping style with the incest: Adolescents told that they threatened the perpetrators in various phases of incest. 3. Avoidance of eye contact by the perpetrator: We recognized that perpetrators avoided social contact with the victim. This theme evokes dehumanizing of women during incest. 4. The urge to destroy happy memories: This theme presents data on the adolescents' expectations about recovery.
According to the themes, two fundamental therapeutic precepts could guide the treatment process for adolescent girl incest survivors: 1. Exploration of the delayed meaning making: Therapist could address dysfunctional family functioning and explain that it is normal for a child to be delayed in meaning making. 2. Recovery of the adolescent's lost self after semantic dehumanization in abuses: Therapist should help her to dispute irrational beliefs about worthlessness and to gain control of her body.
乱伦是社会和儿童/青少年自身面临的严重社会问题。本研究旨在探讨与土耳其东南部的文化和民族因素相关的青少年谈论和赋予其乱伦经历意义的方式。
我们专注于对五名乱伦受害者（来自土耳其东南部社会经济地位较低的 14-16 岁女孩）进行深入访谈。
从定性分析中构建了四个主题：1. 无法理解/延迟意义构建：青少年提供了关于第一次虐待记忆的明确信息，但他们也无法理解自己的经历，因此他们延迟了意义构建。2. 对乱伦的功能失调应对方式：青少年表示，他们在乱伦的各个阶段都威胁过施害者。3. 施害者避免与受害者眼神接触：我们认识到施害者避免与受害者进行社会接触。这个主题唤起了在乱伦期间对女性的非人化。4. 破坏美好回忆的冲动：这个主题呈现了关于青少年对康复期望的数据。
根据这些主题，有两个基本的治疗原则可以指导少女乱伦幸存者的治疗过程：1. 探索延迟的意义构建：治疗师可以探讨功能失调的家庭功能，并解释孩子在意义构建方面延迟是正常的。2. 在虐待中语义去人性化后恢复青少年失去的自我：治疗师应该帮助她反驳关于无价值的非理性信念，并获得对自己身体的控制。
