The Haruv Institute, The Hebrew University, Mount Scopus, Jerusalem 9765418, Israel.
The Bob Shapell School of Social Work at Tel Aviv University, Tel Aviv 69978, Israel.
Child Abuse Negl. 2023 Dec;146:106435. doi: 10.1016/j.chiabu.2023.106435. Epub 2023 Sep 16.
Child sexual abuse (CSA) studies have significantly advanced the understanding of its prevalence and adverse consequences. Tremendous efforts worldwide have been devoted to CSA interventions. However, surprisingly, there is a lack of research dedicated to learning about experiences with therapy among adults who experienced CSA.
This study was designed to address this gap by exploring the perspectives and experiences with therapy among adults who experienced CSA.
Thirty-nine written testimonies comprised the current sample. All of the testimonies were provided to the Israeli Independent Public Inquiry into CSA by adults who experienced CSA and received therapy at one point in their lives. A qualitative inductive thematic analysis guided the exploration of the testimonies.
The testimonies provided an important glance into significant characteristics of therapy, such as the timing and reasons leading to therapy, and perceptions regarding what constitutes appropriate therapy. Although beneficial and rehabilitating therapy experiences were mentioned by some of the participants, the majority of the testimonies focused on experiences related to the obstacles and challenges to accessing and engaging in therapy faced by those who experienced CSA.
The testimonies not only addressed essential aspects of therapy, but also highlighted the importance of thoroughly comprehending the broad context of a person's life that leads them to seek therapy. The discussion points to grave social and policy lacunas that prevent people who experienced CSA from receiving therapy that is accessible, timely, subsidized, stigma-free and multifaceted.
儿童性虐待（CSA）研究极大地促进了对其普遍性和不良后果的理解。全球范围内做出了巨大努力来开展 CSA 干预措施。然而，令人惊讶的是，关于经历过 CSA 的成年人对治疗的体验的研究却很少。
本研究旨在通过探索经历过 CSA 的成年人对治疗的看法和体验来填补这一空白。
当前的样本由 39 份书面证词组成。所有的证词都是由经历过 CSA 并在他们生活中的某个时刻接受过治疗的成年人提交给以色列 CSA 独立公共调查的。一个定性的归纳主题分析指导了对证词的探索。
这些证词提供了对治疗的重要特征的重要一瞥，例如治疗的时间和原因，以及对什么构成适当治疗的看法。虽然一些参与者提到了有益和康复性的治疗体验，但大多数证词都集中在与经历过 CSA 的人在获得和参与治疗方面所面临的障碍和挑战有关的体验。
这些证词不仅涉及治疗的重要方面，而且还强调了彻底理解导致他们寻求治疗的人的广泛生活背景的重要性。讨论指出了严重的社会和政策差距，这些差距使经历过 CSA 的人无法获得可及、及时、补贴、无污名和多方面的治疗。
