du Bois R, Röcker D
Abteilung für Kinder- und Jugendpsychiatrie, Olgahospital Stuttgart.
Prax Kinderpsychol Kinderpsychiatr. 1996 Nov;45(9):339-43.
A case of a mother confabulating an extended sexual abuse of her 13 and 15 year old children involving bizarre sadistic features is presented and discussed. The kinship to Munchhausen Syndrome by proxy, identity diffusion, Posttraumatic Stress Syndrome, folie à deux and other concepts is highlighted. It is suggested that sexual confabulations are generated within incestuous family structures as a means to stimulate and satisfy needs of personal closeness when losses and disruptive events have occurred. The disclosure or suspicion of sexual abuse may prove neither true nor false but may hint to an impending emotional breakdown of a parent and to ongoing subtle incestuous traumatisation of a child.
本文呈现并讨论了一个案例,一位母亲虚构了对她13岁和15岁孩子的长期性虐待,其中涉及怪异的施虐特征。文中强调了此案例与代理型孟乔森综合征、身份扩散、创伤后应激障碍、感应性精神病及其他概念的关联。研究表明,性虚构是在乱伦的家庭结构中产生的,当发生损失和破坏事件时,它是刺激和满足个人亲密需求的一种手段。性虐待的披露或怀疑可能既非真也非假,但可能暗示着父母即将出现的情绪崩溃以及孩子正在遭受的微妙的乱伦创伤。