Steil Regina, Schneider Angelina, Schwartzkopff Laura
Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Goethe University, Frankfurt, Frankfurt, Germany.
Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University, Giessen, Germany.
J Child Adolesc Trauma. 2021 Nov 18;15(2):471-478. doi: 10.1007/s40653-021-00421-6. eCollection 2022 Jun.
Childhood and adolescent sexual abuse (CSA) is a traumatic experience associated with a variety of short- and long-term negative consequences. Theoretical models assume that an abuse related and learned distorted image of sexuality might lead CSA survivors to feel obligated to provide sex or engage in unwanted sexual practices in order to gain affection or prevent abandonment. Dialectical behavioral therapy for posttraumatic stress disorder (DBT-PTSD) is tailored to people with PTSD and comorbid emotion regulation deficits. This case study presents the results of an outpatient DBT-PTSD treatment of an adult patient with posttraumatic stress disorder following sexual and physical abuse. DBT-PTSD was used to treat the patient's complex psychopathological problems and to decrease her risky sexual behavior, which manifested itself in highly dangerous sexual practices with her partner. The treatment took place over a period of 18 months, with a total of 72 sessions. At the end of the treatment, the patient no longer met criteria for PTSD as indicated by large reductions in the assessments used. Furthermore, she managed to distance herself from risky sexual practices and to remain in a satisfying relationship.
儿童和青少年期性虐待（CSA）是一种与多种短期和长期负面后果相关的创伤性经历。理论模型认为，与性虐待相关且习得的扭曲性观念可能会导致CSA幸存者觉得有义务提供性服务或参与不想要的性行为，以获得关爱或防止被抛弃。创伤后应激障碍的辩证行为疗法（DBT - PTSD）是针对患有创伤后应激障碍及共病情绪调节缺陷的人群量身定制的。本案例研究呈现了一名成年患者在遭受性虐待和身体虐待后，接受门诊DBT - PTSD治疗的结果。DBT - PTSD被用于治疗该患者复杂的精神病理问题，并减少她的危险性性行为，这种行为表现为与伴侣进行高度危险的性行为。治疗持续了18个月，共进行了72次治疗。治疗结束时，如评估结果大幅下降所示，该患者不再符合创伤后应激障碍的标准。此外，她成功地远离了危险性性行为，并维持了一段令人满意的关系。
