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題名:照顧一位性侵害被害人的護理經驗
書刊名:護理雜誌
作者:王麗蘭
作者(外文):Wang, Li-lan
出版日期:2003
卷期:50:5
頁次:頁91-96
主題關鍵詞:性侵害被害人強暴創傷症候群Sexual offensesSexual assault victimRape trauma syndrome
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(8) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:8
  • 共同引用共同引用:46
  • 點閱點閱:218
     性侵害不僅是犯罪案件,更是一種嚴重侵害人權的行為,被害人大都受強暴創傷症候群的影響。本文探討一位年輕成年女性被陌生人性侵害之後,在生理上有雙手腕疼痛、作夢、失眠、消化系統與生殖系統等傷害;而心理上有憤怒、哭泣、自責、害怕、變沉默及怕獨處等情形;社會、人際關係上失去信心及缺乏安全感,有性功能失調、與異性獨處困難、人際互動障礙等;整體狀況以哭訴來表達。筆者以觀察法及會談法,收集個案從90年5月1日至90年8月10日的相關資料,寫成行為過程記錄。依個案的需要提供隱密、人性化診療環境,並優先處理,建立信任關係,鼓勵發洩、傾聽個案表達內心感受,適時給予個案肯定增強其自信心,提供醫療相關訊息及社福資源等。最後個案能順利完成蒐證、驗傷、治療的流程,並與筆者建立信任關係,向筆者傾訴被性侵害的心路歷程,並運用相關知識及資源,了解、接受自己被性侵害的事實,逐漸走出創傷,恢復自信心、重新找到生活的重心與人生目標。
     Sexual offenses are not only crimes but also serious violations of human rights. Most sexual assault victims suffer from rape trauma syndrome. This paper presents an example of the syndrome. A young adult female rape victim suffered physically from wrist pain, nightmare, insomnia, and gastrointestinal and genital dysfunction. She also had psychological problems, including anger, weeping, guilt, fear, silence and fear of being alone, as well as social problems, including loss of confidence, lack of security, sexual dysfunction, and difficulty in heterosexual relationships, etc. From May 1 to August 10, 2001, the author, through establishing a private and humane environment, encouraging abreaction, listening, reinforcing the self-confidence of the victim, and providing relevant medical information and welfare resources, successfully built up a trustful relationship with the victim, and assisted her in achieving recovery from the rape trauma syndrome. The present report is an account of the author's experience in helping this sexual assault victim through the syndrome.
期刊論文
1.王燦槐(2000)。性侵害受害者的心理歷程。厚生雜誌,9,9-10。  延伸查詢new window
2.Burgess, A. W.、Holmstrom, L. L.(1973)。Rape trauma syndrome。The American Journal of Psychiatry,131(9),981-986。  new window
3.Feldhaus, K. M.、Houry, D.、Kaminsky, R.(2000)。Lifetime sexal assault prevalence rate and reporting practices in an emergency department population。Annals of Emergency Medicine,36(1),23-27。  new window
4.Hampton, H. L.(1995)。Care of the woman who has been raped。The New England Journal of Medicine,332(4),234-237。  new window
5.Walch, A, G.、Broadhead, W. E.(1992)。Prevalence of lifetime sexual victimization among female patient。Journal of Family Practice,35,511-516。  new window
6.蔡田木(20001000)。性侵害犯罪被害特性及被害反應之研究。中央警察大學學報,37,331-349。new window  延伸查詢new window
7.陳永煌、侍臺平(19930700)。性攻擊--強暴之醫療諮詢及處理。國防醫學,17(1),36-39。  延伸查詢new window
8.阮祺文、梁鳳玲、伍福生、周志中(19990600)。急診室處理疑似性侵害事件現況之研究。中華民國家庭醫學雜誌,9(2),73-83。  延伸查詢new window
9.羅燦煐(19980100)。防治性侵害、建立自主權--性侵害的創傷理論與實例。兩性平等教育季刊,1,79-82。  延伸查詢new window
10.羅東明、何宗錦、楊隆輝(19940900)。強暴病例急診之我見。臺灣醫界,37(9),59-60。  延伸查詢new window
11.鄔佩麗(19990800)。讓性侵害受害人依靠。福利社會,73,17-25。  延伸查詢new window
12.黃富源(19990300)。強、輪姦被害人特質及其創傷理論之探討。中央警察大學學報,34,227-261。new window  延伸查詢new window
13.徐畢卿、謝素真、趙文杏(20010400)。認識性侵害。護理雜誌,48(2),18-26。new window  延伸查詢new window
14.林漢堂(19911200)。勿忽視被強暴之痛楚--論如何有效幫助強姦被害者。警學叢刊,22(2)=86,123-128。new window  延伸查詢new window
圖書
1.內政部性侵害防治委員會(1999)。性侵害防治工作人員服務手冊。台北:內政部性侵害防治委員會。  延伸查詢new window
2.徐璐(1998)。暗夜幸存者。台北:平安文化。  延伸查詢new window
3.Greenberg, M. S.、Ruback, R. B.(1992)。After the crimevictim decision making。New York:Plenum Press。  new window
4.Groth, A. N.、Birnbaum, H. J.(1979)。Men who rape: The psychology of the offender。Plenum Press。  new window
圖書論文
1.王如玄(1998)。現行性侵害案件法律規範。直轄市暨縣(市)政府性侵害防治中心工作人員專業訓練手冊。台北市:內政部。  延伸查詢new window
2.王燦槐(1998)。性侵害被害人創傷種類及輔導原則。直轄市暨縣(市)政府性侵害防治中心工作人員專業訓練手冊。台北市:內政部。  延伸查詢new window
3.Quina, K.(1990)。The victimization of women。Ivory power: Victimization of women in the academy。New York:Suny Press。  new window
4.Rabinowitz, V. C.(1990)。Coping with sexual harassment。Ivory power: Victimization of women in the academy。New York:Suny Press。  new window
 
 
 
 
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