Institute for Clinical Psychology and Psychotherapy, Department of Psychology, Medical School Hamburg, Hamburg, Germany; Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Child Abuse Negl. 2023 Sep;143:106252. doi: 10.1016/j.chiabu.2023.106252. Epub 2023 Jun 7.
Female-perpetrated child sexual abuse (CSA) is taboo topic in society and an under-recognized issue in research and mental health care.
The aim of the present study was to examine perspectives of individuals surviving female-perpetrated CSA (in parts in addition with male-perpetrated CSA) on the question whether female-perpetrated CSA and its sequelae were considered different compared to male-perpetrated CSA.
The perspectives of 212 survivors of female-perpetrated CSA were captured in a cross-sectional online study.
Answers to the questions "How does female-perpetrated CSA differ from male-perpetrated CSA?" and "How do consequences of female-perpetrated CSA differ from those of male-perpetrated CSA?" were analyzed using qualitative content analysis.
The analyses reveal ten categories of differences, such as a more subtle approach, different levels of violence, and more psychological manipulation. Further, the analyses suggest ten categories of different personal consequences, such as less belief and support, more psychological sequelae, and disturbed relationships with women.
Approaches to raise awareness about gender stereotypes in the context of CSA are needed and special needs of survivors of female-perpetrated CSA in psychotherapeutic treatment can be derived from the results of this study.
女性施害的儿童性虐待（CSA）在社会中是一个禁忌话题，也是研究和心理健康护理中未被充分认识的问题。
本研究旨在探讨经历过女性施害的 CSA（部分同时经历过男性施害的 CSA）的个体对以下问题的看法：与男性施害的 CSA 相比，女性施害的 CSA 及其后果是否被认为有所不同。
在一项横断面在线研究中，收集了 212 名经历过女性施害 CSA 的幸存者的观点。
使用定性内容分析对回答“女性施害的 CSA 与男性施害的 CSA 有何不同？”和“女性施害 CSA 的后果与男性施害 CSA 的后果有何不同？”这两个问题的答案进行分析。
分析揭示了十个类别的差异，例如更微妙的方法、不同程度的暴力以及更多的心理操纵。此外，分析还表明了十个类别的不同个人后果，例如较少的信任和支持、更多的心理后果以及与女性的关系紊乱。
需要采取措施提高人们对 CSA 背景下性别刻板印象的认识，并且可以从本研究的结果中得出针对女性施害 CSA 幸存者在心理治疗中特殊需求的结论。
