Quadrio C
School of Psychiatry, University of New South Wales, Kensington.
Aust N Z J Psychiatry. 1996 Feb;30(1):124-31; discussion 131-3. doi: 10.3109/00048679609076080.
That sexual abuse in therapy occurs predominantly with male perpetrators and female patients is a phenomenon that requires analysis in terms of gender relations. Such an analysis is undertaken here from the perspective of feminist psychoanalytic and psychosocial theories.
Data informing the analysis are derived from assessments of 40 women who experienced sexual abuse in therapy. These women had mostly presented depression, 68% had a history of childhood abuse, and one half were themselves helping professionals.
The majority were seriously damaged by the abusive therapy. Offenders were chiefly male (90%) and most were senior, well-qualified therapists of high status: some were charismatic leaders or teachers. Such a group cannot be dismissed as marginal, deviant, or ill-informed; a more systemic analysis is necessary to understand how the professions spawn and sometimes protect offenders.
It is concluded that the professional culture mirrors fundamental problems of gender relations that inhere in the larger socio-cultural context where they are expressed in various forms of sexual abuse and violence. A cultural change requires better education on issues of power and sexual politics.
治疗过程中的性虐待主要发生在男性施虐者和女性患者之间，这一现象需要从性别关系的角度进行分析。本文从女性主义精神分析和社会心理理论的视角展开此类分析。
用于分析的数据来自对40名在治疗中遭受性虐待的女性的评估。这些女性大多表现出抑郁症状，68%有童年受虐史，其中一半本身就是助人专业人士。
大多数人因虐待性治疗而受到严重伤害。施虐者主要是男性（90%），且大多数是地位高、资质好的资深治疗师：有些是有魅力的领导者或教师。这样一个群体不能被视为边缘、异常或无知的；需要进行更系统的分析，以了解这些职业如何滋生并有时保护施虐者。
得出的结论是，专业文化反映了性别关系的根本问题，这些问题存在于更广泛的社会文化背景中，并以各种形式的性虐待和暴力表现出来。文化变革需要在权力和性政治问题上开展更好的教育。
