Miccio-Fonseca L C
Clinic for the Sexualities, San Diego, CA, USA.
J Child Sex Abus. 2023 Apr;32(3):379-396. doi: 10.1080/10538712.2023.2190735. Epub 2023 Mar 19.
This article contends that youth who engage in persistent coarse sexual improprieties and/or, sexually abusive behaviors are too often viewed primarily through a criminological lens, regardless of their age, gender, judicial status, and/or experiences of past trauma/victimization. Such a posture likely falsifies the clinical perception of the individual referred for "treatment." Assessment and interventions for these youth must be holistic and idiosyncratic, considering numerous multiplex developmental variables (i.e., overall human sexual development, gender identity, sexual identity, sexual orientation, erotic development, intimacy deficits, adverse childhood experiences/trauma), as well as sociological and anthropological fundamentals. The lens for assessing and intervening with youth must also include in its focus the constantly changing , that is, the spirit or the mood of the times. The proposed lens is applicable to youth, adjudicated and non-adjudicated. Specific considerations are discussed related to those youth with a history of significant child maltreatment who later engage in persistent coarse sexual improprieties and/or sexually abusive behaviors.
本文认为,那些持续存在粗俗性行为不当和/或性虐待行为的青少年,无论其年龄、性别、司法状况和/或过去的创伤/受害经历如何,往往主要是从犯罪学的角度来看待的。这种态度可能会歪曲被转介接受“治疗”的个体的临床认知。对这些青少年的评估和干预必须是全面且因人而异的,要考虑到众多复杂的发展变量(即整体人类性发育、性别认同、性认同、性取向、性发育、亲密关系缺陷、童年不良经历/创伤),以及社会学和人类学的基本要素。评估和干预青少年的视角还必须将不断变化的时代精神或情绪纳入其关注范围。所提议的视角适用于已被裁决和未被裁决的青少年。文中讨论了与那些有严重儿童虐待史、后来又持续存在粗俗性行为不当和/或性虐待行为的青少年相关的具体考量因素。