Goodwin J, Sahd D, Rada R T
Bull Am Acad Psychiatry Law. 1978;6(3):269-76.
Expertise in investigating incest accusations is essential for psychiatrists because the law requires the reporting of sexual abuse of children. In such cases persistent and methodical investigation tends to yield a consensually credible view of what really happened without resort to special forensic techniques of truth-finding. In order to make a diagnosis of incest hoax, the investigator must thoroughly understand the mechanics of the hoax and the psychodynamics of the perpetrator. Failure to recognizing a delusional hoax can delay treatment for the perpetrator of the hoax. Failure to recognize a child's fabrication can subject the family to unnecessary legal action and unwittingly support the use of a similar manipulative technique by other susceptible children. Failure to recognize the false retraction of an incest accusation may leave the victim in danger of further sexual abuse or of physical punishment for having revealed the secret.
对于精神科医生而言，具备调查乱伦指控的专业知识至关重要，因为法律要求报告对儿童的性虐待情况。在这类案件中，持续且有条不紊的调查往往能得出关于实际发生情况的共识性可信观点，而无需借助特殊的真相调查法医技术。为了诊断乱伦骗局，调查人员必须透彻了解骗局的机制以及实施者的心理动力学。未能识别妄想性骗局可能会延误对骗局实施者的治疗。未能识别儿童的编造可能会使家庭遭受不必要的法律诉讼，并在不知不觉中支持其他易受影响的儿童使用类似的操纵手段。未能识别乱伦指控的虚假撤回可能会使受害者面临进一步性虐待或因揭露秘密而遭受身体惩罚的危险。
