Lanza Tiffini, Levand Mark A
Maverique Therapeutic Services, Collegeville, Pennsylvania, USA.
Center for Human Sexuality Studies, Widener University, Chester, Pennsylvania, USA.
J Child Sex Abus. 2023 Feb;32(2):164-183. doi: 10.1080/10538712.2023.2166886. Epub 2023 Jan 17.
Child sexual abuse (CSA) is a complex and often traumatic experience that can impact youth's emotional and psychological well-being. Many clinicians do not feel adequately prepared to work with youth around topics of sexuality. In this qualitative study, we examine how licensed therapists treat youth between ages 5 and 16 who have experienced CSA. We asked participants how they incorporate sexuality into trauma work with this population. Although all participants discussed themes commonly reported in clinical work with survivors (i.e., working on trust, self-image challenges, the brain-body connection, confusion around touch and boundaries) additional themes arose that could impede the provision of sexually-competent treatment for the survivor including: considerations for gender identity and sexual orientation, youth being sexually invisible until puberty, and an inaccurate/narrow use of the term "sexuality." We discuss the need for further training on youth sexual development and the ways youth experience the many topics within the concept of sexuality in their therapeutic treatment.
儿童性虐待（CSA）是一种复杂且往往具有创伤性的经历，会影响青少年的情绪和心理健康。许多临床医生觉得自己没有充分准备好与青少年探讨性相关话题。在这项定性研究中，我们考察有执照的治疗师如何治疗5至16岁经历过CSA的青少年。我们询问参与者他们如何在针对这一群体的创伤治疗中融入性相关内容。尽管所有参与者都讨论了与幸存者临床工作中常见的主题（即建立信任、自我形象挑战、脑-身联系、对触摸和边界的困惑），但也出现了一些可能妨碍为幸存者提供具备性知识的治疗的其他主题，包括：对性别认同和性取向的考量、青少年在青春期前在性方面被忽视、以及对“性”一词不准确/狭隘的使用。我们讨论了进一步开展青少年性发育培训的必要性，以及青少年在治疗过程中体验性概念中诸多话题的方式。
