Dawood Runa, Vosper Jane, Gibson Stuart, Irons Chris
Department of Clinical Psychology, Royal Holloway University of London, Egham, UK.
Infection and Immunity Psychology Service, Barts Health NHS Trust, London, UK.
Psychol Psychother. 2025 Jun;98(2):211-231. doi: 10.1111/papt.12571. Epub 2025 Jan 31.
This systematic review investigated the qualitative experiences of sexual abuse survivors in talking therapy treatments with respect to the helpful and hindering aspects of therapy.
Searches were conducted on five databases; PubMed, Web of Science, PyscInfo, PsycArticles and PsycExtra and through searching reference lists. Papers were included where they provided qualitative primary data of client experiences of therapy, did not involve specialist clinical populations and were written in English. Papers were included irrespective of whether study participants had experienced sexual abuse in childhood, adulthood or both. Studies were appraised using the Critical Appraisal Skills Programme (CASP) qualitative checklist. Meta-study was used to analyse the results.
Four themes were generated: (1) helpful therapy relies on choice, autonomy, and the freedom to choose when to speak and what to speak on, (2) engagement relies on considerations of the complexity of recovery from sexual abuse, (3) feeling cared for and connected with the therapist is important and (4) a sensitive and thoughtful end of therapy can bring positive holistic emotional and lifestyle changes.
This study provides clinical insights into the helpful aspects of therapy, facilitating a safe therapeutic engagement, and managing an effective and sensitive transition into recovery. These themes are considered in relation to understanding supportive factors in therapy.
本系统评价调查了性虐待幸存者在谈话治疗中关于治疗的有益和阻碍方面的定性体验。
在五个数据库（PubMed、科学网、心理学文摘数据库、心理学全文数据库和心理学外文献数据库）进行检索，并通过检索参考文献列表。纳入的论文需提供关于来访者治疗体验的定性原始数据，不涉及专业临床人群且为英文撰写。无论研究参与者是在童年、成年期还是两者都经历过性虐待，论文均被纳入。使用批判性评价技能计划（CASP）定性检查表对研究进行评估。采用元研究分析结果。
产生了四个主题：（1）有益的治疗依赖于选择、自主性以及选择何时发言和谈论内容的自由；（2）参与依赖于对性虐待恢复复杂性的考虑；（3）感到被治疗师关心并与之建立联系很重要；（4）治疗的敏感且周到的结束可以带来积极的整体情绪和生活方式改变。
本研究为治疗的有益方面提供了临床见解，有助于实现安全的治疗参与，并管理向康复的有效且敏感的过渡。这些主题与理解治疗中的支持因素相关。
