Lindon J, Nourse C A
Clinical Psychology Department, Tunbridge Wells Health Authority, UK.
Child Abuse Negl. 1994 Apr;18(4):341-8. doi: 10.1016/0145-2134(94)90036-1.
This paper describes a treatment approach for sexually abused adolescent girls using a group work model. The model incorporates three treatment modalities: a skills component, a psychotherapeutic component, and an educative component. The group ran for 16 sessions over a 6-month period and each girl was assessed prior to joining the group. The girls were again assessed at the end of treatment and a 6-months follow-up; all of them showed improvement on self-statements (outcome) and on behavioral measures assessed by others (follow-up). Girls who had been sexually abused demonstrated difficulties in many areas of their lives following abuse. These problems related to their feelings of guilt and helplessness in relation to both themselves and their abuser. Sexually abused children often have poor knowledge of sexual matters and demonstrate confusion over their own body image. Using a multidimensional model the problems following abuse can be addressed.
本文描述了一种使用团体工作模式对遭受性虐待的青春期女孩的治疗方法。该模式包含三种治疗方式:技能部分、心理治疗部分和教育部分。该团体在6个月的时间里进行了16次治疗,每个女孩在加入团体之前都接受了评估。在治疗结束时以及6个月的随访时再次对女孩们进行评估;她们在自我陈述(结果)以及他人评估的行为指标(随访)方面均有改善。遭受性虐待的女孩在受虐后的生活许多方面都表现出困难。这些问题与她们对自己和施虐者的内疚感和无助感有关。遭受性虐待的儿童通常对性方面知识匮乏,并对自己的身体形象感到困惑。使用多维模型可以解决受虐后的问题。