Hertzanu-Lati M, Miller S, Shiber A
Psychiatry Dept., Soroka Medical Center, Beer Sheba.
Harefuah. 1995 Dec 1;129(11):460-3, 535.
Sexual and psychological abuse of children has drawn increasing attention from both the media and therapeutic institutions in recent years. This phenomenon has been amply determined to be widespread. 62% of children are victims of broadly defined psychological, physical and sexual abuse. Using stricter criteria, child abuse occurs in 6%. Most abusers are male relatives. The psychological model of the abuser cannot be determined, although risk factors in families in which abuse occurs can be identified. Children in distress due to sexual abuse do not usually report it, but the distress can be recognized because of hints and changes in the child's behavior. When children are identified as victims of sexual abuse, the welfare clerk or social worker should be informed immediately and the need for treatment determined. The purpose of this paper is to increase awareness of physicians, and particularly family physicians, of this phenomenon and of its frequency, as well as of the necessity for their interaction with treating factors.
近年来，儿童遭受的性虐待和心理虐待越来越受到媒体和治疗机构的关注。这种现象已被充分认定为普遍存在。62%的儿童是广义上心理、身体和性虐待的受害者。采用更严格的标准，儿童虐待发生率为6%。大多数施虐者是男性亲属。虽然可以确定发生虐待行为的家庭中的风险因素，但无法确定施虐者的心理模式。遭受性虐待而陷入困境的儿童通常不会报告此事，但可以通过孩子行为中的暗示和变化识别出这种困境。当儿童被确定为性虐待受害者时，应立即通知福利办事员或社会工作者，并确定是否需要治疗。本文的目的是提高医生，尤其是家庭医生对这一现象及其发生率的认识，以及他们与治疗因素互动的必要性。
