Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Israel.
J Psychiatr Res. 2021 Dec;144:26-31. doi: 10.1016/j.jpsychires.2021.09.046. Epub 2021 Sep 24.
Intimate partner violence (IPV) is a global health problem that often results in a variety of mental health detriments, including trauma-related distress and depressive symptoms. According to the trauma literature, IPV victims may develop strong bonds with their perpetrators - a phenomenon known as identification with the aggressor (IWA) - in order to survive the abuse. Yet, this defensive reaction may endure after the abuse has ended, and may adversely affect victims' mental health. Nevertheless, research exploring these suppositions is lacking. Filling this void, this study investigated IWA in light of current versus past IPV as well as the relations between IWA, trauma-related distress, and depressive symptoms among a convenience sample of 297 women. Of them, 68 and 229 participants reported being subjected to IPV at present or in the past, respectively. Results indicated that whereas participants who reported current IPV had elevated trauma-related distress and depressive symptoms compared to participants who reported past IPV, no differences were found in IWA levels between the groups. Identification with the aggressor was related to trauma-related distress and depressive symptoms. Furthermore, IWA had a unique contribution in explaining trauma-related distress and depressive symptoms above and beyond background characteristics and IPV features. The findings of the current study suggest that IWA may mirror the unique relational dynamics that characterize IPV, which continue to exist even after the abuse ends, and may be implicated in IPV survivors' psychological distress.
亲密伴侣暴力(IPV)是一个全球性的健康问题,它常常导致各种心理健康损害,包括与创伤相关的痛苦和抑郁症状。根据创伤文献,IPV 受害者可能会与施害者建立强烈的联系——这种现象被称为对攻击者的认同(IWA)——以便在遭受虐待时生存下来。然而,这种防御反应可能会在虐待结束后持续存在,并可能对受害者的心理健康产生不利影响。然而,缺乏探索这些假设的研究。为了填补这一空白,本研究根据当前和过去的 IPV 来研究 IWA,以及在方便抽样的 297 名女性中,IWA、与创伤相关的痛苦和抑郁症状之间的关系。其中,68 名和 229 名参与者分别报告目前或过去遭受过 IPV。结果表明,与报告过去 IPV 的参与者相比,报告当前 IPV 的参与者的与创伤相关的痛苦和抑郁症状更高,但两组之间的 IWA 水平没有差异。对攻击者的认同与与创伤相关的痛苦和抑郁症状有关。此外,IWA 对解释与创伤相关的痛苦和抑郁症状的独特贡献超出了背景特征和 IPV 特征。本研究的结果表明,IWA 可能反映了 IPV 特有的关系动态,即使在虐待结束后,这种关系仍然存在,并且可能与 IPV 幸存者的心理困扰有关。