Burgess A W
Am J Psychiatry. 1981 Oct;138(10):1335-42. doi: 10.1176/ajp.138.10.1335.
The author reports on 16 patient interviews involving a gynecologist who conducted internal examinations in a sexually abusive manner. The unusual features of the examination included length of time, misuse of the physician's hands, absence of a nurse, and excessive use of lubricant. The majority of patients did not stop the examination because they believed something was medically wrong, they trusted that the physician was conducting an ethical examination, or they felt powerless to interrupt him. Many of the patients developed an aversion to gynecological health care after the incident. The author suggests that mental health professionals who will treat the abused or the abuser identify areas for prevention of sexual exploitation and for early psychiatric intervention.
作者报告了16例患者访谈情况，这些患者曾接受一名妇科医生的检查，该医生存在性虐待行为。此次检查的异常特征包括检查时间过长、医生手部的不当使用、没有护士在场以及过多使用润滑剂。大多数患者没有中断检查，原因是他们认为身体存在医学问题，相信医生在进行合乎道德的检查，或者觉得无力打断他。许多患者在事件发生后对妇科保健产生了厌恶情绪。作者建议，治疗受虐者或施虐者的心理健康专业人员应确定预防性剥削及早期精神科干预的领域。
