Van Scoyk S, Gray J, Jones D P
C. Henry Kempe National Center for the Prevention and Treatment of Child Abuse and Neglect, University of Colorado Health Sciences Center, Denver 80220.
Fam Process. 1988 Mar;27(1):105-13. doi: 10.1111/j.1545-5300.1988.00105.x.
Thirty-seven families whose children were victims of sexual abuse by a nonfamily member were evaluated and treated during a nine-month period. The average age of the children was 5.36 years. The youngest children were boys, and all the adolescents were girls. A theoretical framework adapted from Ferreira's and Byng-Hall's work was developed to assess and treat child victims of sexual molestation and their families. The format consists of three concepts. First, the trauma from sexual abuse, being outside the realm of usual human experience, creates a breach in the family's adaptive and protective shield, including its shared values and beliefs. Second, the trauma has a "derailing" effect on the child's and family's predicted passage through their world. And third, issues that arise as a consequence of disclosure are intimately tied to preexisting family myths and beliefs. Evaluation, treatment, and short-term outcomes are discussed.
在九个月的时间里，对37个家庭进行了评估和治疗，这些家庭的孩子均遭受了非家庭成员的性虐待。孩子的平均年龄为5.36岁。年龄最小的孩子是男孩，所有青少年均为女孩。我们采用了改编自费雷拉（Ferreira）和宾 - 霍尔（Byng-Hall）研究成果的理论框架，对遭受性骚扰的儿童受害者及其家庭进行评估和治疗。该框架包含三个概念。首先，性虐待造成的创伤超出了人类正常经历的范畴，打破了家庭的适应和保护屏障，包括其共同的价值观和信仰。其次，这种创伤对孩子和家庭在其世界中的预期成长轨迹产生“脱轨”影响。第三，披露事件所引发的问题与家庭原有的神话和信仰紧密相关。本文还讨论了评估、治疗及短期结果。
