University of East Anglia, Norwich, UK.
Trauma Violence Abuse. 2024 Dec;25(5):4090-4101. doi: 10.1177/15248380241268643. Epub 2024 Oct 9.
Intimate partner violence (IPV) is a global health problem enacted with varying degrees of severity, leading to mental and physical damage. Despite the acknowledgment that perpetration can be enacted in a subtle or covert way, there is a paucity of literature defining and describing such subtle abuse. Consequently, understanding about the behaviors and impacts of subtle abuse is limited, and there is a potential inability by therapists to recognize it in their clients. This scoping review sought to identify and synthesize the literature around subtle or covert abuse (SCA) in intimate adult relationships to clarify the concept, with the aim to aid professional recognition. PsychINFO (EBSCO), MEDLINE Complete (EBSCO), CINAHL (EBSCO), PsychArticles (EBSCO), Scopus, ProQuest Dissertations and Theses Global, and EThOS were searched using relevant search terms. In total, 19 studies met the inclusion criteria by containing a description or definition of abuse based on primary research with adults in intimate partner relationships. Findings were synthesized using descriptive content analysis under four headings: (a) Descriptions and groupings of SCA behaviors, (b) The impact of SCA on victims, (c) Underlying theories of SCA, and (d) Recognition by professionals. This review suggests that SCA may be the most damaging of all abuses.
亲密伴侣暴力（IPV）是一个全球健康问题，其严重程度不一，导致身心伤害。尽管人们承认施害者可能以微妙或隐蔽的方式实施暴力，但关于这种微妙虐待的定义和描述的文献却很少。因此，人们对微妙虐待的行为和影响了解有限，治疗师也有可能无法在客户身上识别出来。本范围综述旨在确定和综合有关亲密成人关系中微妙或隐蔽虐待（SCA）的文献，以澄清这一概念，旨在帮助专业人员识别。使用相关搜索词在 PsychINFO（EBSCO）、MEDLINE Complete（EBSCO）、CINAHL（EBSCO）、PsychArticles（EBSCO）、Scopus、ProQuest Dissertations and Theses Global 和 EThOS 上进行了搜索。共有 19 项研究符合纳入标准，这些研究包含了基于对亲密伴侣关系中的成年人进行的初步研究的虐待描述或定义。研究结果采用描述性内容分析，分为四个标题进行综合：（a）SCA 行为的描述和分组，（b）SCA 对受害者的影响，（c）SCA 的潜在理论，以及（d）专业人员的识别。这项综述表明，SCA 可能是所有虐待中最具破坏性的。
