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复杂创伤和依恋模式在亲密伴侣暴力中的作用。

The Role of Complex Trauma and Attachment Patterns in Intimate Partner Violence.

作者信息

Speranza Anna Maria, Farina Benedetto, Bossa Caterina, Fortunato Alexandro, Maggiora Vergano Carola, Palmiero Luigia, Quintigliano Maria, Liotti Marianna

机构信息

Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy.

Department of Human Sciences, European University of Rome, Rome, Italy.

出版信息

Front Psychol. 2022 Jan 25;12:769584. doi: 10.3389/fpsyg.2021.769584. eCollection 2021.

DOI:10.3389/fpsyg.2021.769584
PMID:35145451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8821899/
Abstract

OBJECTIVE

Even if the relationship between adverse childhood experiences and intimate partner violence (IPV) has already been established, there are no sufficient studies examining the relationships between these factors and attachment representations, specifically attachment disorganization. Thus, this study aimed to explore, in a sample of women who experienced IPV (a) the presence of interpersonal adversities during childhood, and (b) attachment representations, with a particular focus on disorganization.

METHODS

Women's representations of attachment experiences were investigated through the Adult Attachment Interview, while the presence of various forms of interpersonal adversities during childhood was assessed using the Complex Trauma Questionnaire. The results of the IPV group ( = 98) were compared with those of women with no history of IPV (control group, = 81).

RESULTS

Women in the IPV group showed higher values of multiple forms of adverse experiences within their caregiving system. They presented significantly higher rates of disorganized states of mind regarding attachment, indicative of a lack of resolution regarding traumatic experiences, and of disorganized working models resulting from complex trauma. Our results highlighted that, more than the presence of traumatic experiences, it is their irresolution - reflected in the disorganized states of mind regarding attachment at the Adult Attachment Interview - to be a significant predictor of IPV.

CONCLUSION

These results suggest underline the significance of offering a trauma- and attachment-informed therapy to those who experience IPV. Such results could help both clinicians and researchers in formulating clearer guidelines for IPV interventions.

摘要

目的

尽管童年不良经历与亲密伴侣暴力(IPV)之间的关系已得到确立,但尚无足够研究探讨这些因素与依恋表征,特别是依恋紊乱之间的关系。因此,本研究旨在对经历过IPV的女性样本进行探究:(a)童年期人际逆境的存在情况;(b)依恋表征,尤其关注紊乱情况。

方法

通过成人依恋访谈调查女性的依恋经历表征,同时使用复杂创伤问卷评估童年期各种形式人际逆境的存在情况。将IPV组(n = 98)的结果与无IPV病史的女性(对照组,n = 81)的结果进行比较。

结果

IPV组女性在其养育系统中表现出多种形式不良经历的更高值。她们在依恋方面呈现出明显更高比例的紊乱心理状态,这表明在创伤经历方面缺乏解决办法,以及复杂创伤导致的紊乱工作模式。我们的结果强调,相比于创伤经历的存在,在成人依恋访谈中反映在依恋紊乱心理状态里的创伤经历未解决情况,才是IPV的重要预测因素。

结论

这些结果表明,有必要为经历IPV的人提供创伤和依恋知情疗法。这样的结果有助于临床医生和研究人员制定更清晰的IPV干预指南。

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本文引用的文献

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Childhood trauma and dysregulation of multiple biological stress systems in adulthood: Results from the Netherlands Study of Depression and Anxiety (NESDA).儿童期创伤与成年后多种生物应激系统失调:来自荷兰抑郁和焦虑研究(NESDA)的结果。
Psychoneuroendocrinology. 2020 Nov;121:104835. doi: 10.1016/j.psyneuen.2020.104835. Epub 2020 Aug 20.
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The Association between Attachment Styles and Physical Intimate Partner Violence Perpetration and Victimization: A Meta-Analysis.依恋风格与身体亲密伴侣暴力的发生和受害之间的关系:一项荟萃分析。
Fam Process. 2021 Mar;60(1):270-284. doi: 10.1111/famp.12545. Epub 2020 May 22.
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The Mentalizing Approach to Psychopathology: State of the Art and Future Directions.心理病理的心理化方法:现状与未来方向。
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