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題名：家屬所知覺的性侵害事件對智能障礙受害者心理影響之初探研究
書刊名：亞洲家庭暴力與性侵害期刊
作者：劉文英
作者(外文)：Liu , Wen-ying
出版日期：2009
卷期：5:2
頁次：頁25-44
主題關鍵詞：性侵害；性侵害創傷動力模式；智能障礙；創傷後壓力症候群；Intellectual disability；Sexual abuse；PTSD；Four traumagenic dynamics of sexual abuse
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(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:55
  • 點閱點閱:163
本研究主要目的爲探討家屬所知覺的性侵害事件對智能障礙受害者的心理影響。研究方法採用個別訪談針對16位智能障礙受害者之家屬進行蒐集資料。 研究結果發現家屬知覺二位重度智能障礙者遭受性侵害後未出現任何負面心理影響。但是家屬知覺有些智能障礙受害者在生理上出現飲食異常與作惡夢的現象；在情緒上出現害怕反應、憂鬱情緒、分心恍神、被人觸摸時情緒激動、逃避與受害事件有關的話題及情緒暴躁易怒等六種症狀；在行爲上出現不合宜的性行爲、攻擊、自言自語、自責／自傷及退化行爲等五種症狀。 此外，也發現家屬所知覺的智能障礙受害者出現的上述負面心理影響類似PTSD的痛苦經驗再現、逃避與反應麻木、與過度警覺，以及Finkelhor(1987)所提的四種性侵害創傷動力模式中的創傷性行爲、自我污名化、背叛、無力感。
The purpose of this study was to explore the psychological impact of sexual abuse on victims with intellectual disabilities (ID). The data were collected from 16 family members of victims through individual interviews. The results showed some victims with ID did not show any negative impact on their psychological adjustment. However, other victims with ID did show negative psychological impact. Abnormal eating and nightmares were reported for the physiological symptoms. Fearfulness, depressive state, distraction or trancelike state, strong responses when being touched by others, avoidance of topics related to the abuse, and irritation were reported for the emotional symptoms. As for the behavioral symptoms, inappropriate sexual behavior, aggression, whining, self-blame/self-destruction, and regressive behavior were reported. Besides, the symptoms reported above were similar to the intrusive, avoidant, and arousal symptoms of PTSD and the traumatic sexualization, stigmatization, betrayal, and powerlessness of the Four Traumagenic Dynamics of Sexual Abuse as Finkelhor (1987) proposed. Finally, the suggestions toward practices were discussed in this paper.
期刊論文
1.陳慧女、廖鳳池(20060600)。家庭內性侵害受害者之性受害經驗、適應症狀與諮商介入情形之分析研究。諮商輔導學報，14，102-139。new window  延伸查詢new window
2.Mansell, S.、Sobsey, D.、Moskal, R.(1998)。Clinical Findings among Sexually Abused Children with and without Developmental Disabilities。Mental Retardation，36(1)，12-22。  new window
3.Kendall-Tackett, K. A.、Willams, L. M.、Finkelhor, D.(1993)。Impact of sexual abuse on children: A review and synthesis of recent empirical studies。Psychological Bulletin，113(1)，164-180。  new window
4.陳慧女、劉文英(20061200)。性侵害防治專業人員處遇心智障礙受害者之困境與需求研究。亞洲家庭暴力與性侵害期刊，2(2)，53-89。new window  延伸查詢new window
5.Sobsey, D.、Doe, T.(1991)。Patterns of sexual abuse and assault。Journal of Sexuality and Disability，9(3)，243-259。  new window
6.Tharinger, D.、Horton, C. B.、Millea, S.(1990)。Sexual abuse and exploitation of children and adults with mental retardation and other handicaps。Child Abuse and Neglect: The International Journal，14(3)，301-312。  new window
7.Finkelhor, D.(1987)。The trauma of child sexual abuse: Two models。Journal of Interpersonal Violence，2(4)，348-366。  new window
8.Sequeira, H.、Howlin, P.、Hollins, S.(2003)。Psychological disturbance associated with sexual abuse in people with learning disabilities。British Journal of Psychiatry，183(5)，451-456。  new window
9.Tyler, K. A.(2002)。Social and emotional outcomes of childhood sexual abuse: A review of recent research。Aggression and Violent Behavior，7，567-589。  new window
10.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
11.Finkelhor, D.、Browne, A.(1985)。The traumatic impact of child sexual abuse: A conceptualization。American Journal of Orthopsychiatry，55(4)，530-541。  new window
12.Nosek, Margaret A.、Foley, Catherine Clubb、Hughes, Rosemary B.、Howland, Carol A.(2001)。Vulnerabilities for abuse among women with disabilities。Sexuality and Disability，19(3)，177-189。  new window
13.Keilty, J.、Connelly, G.(2001)。Making a Statement: An Exploratory Study of Barriers Facing Women with an Intellectual Disability When Making a Statement about Sexual Assault to Police。Disability & Society，16，273-291。  new window
14.王麗蘭(20031000)。照顧一位性侵害被害人的護理經驗。護理雜誌，50:5，91-96。new window  延伸查詢new window
15.Baladerian, N.(1991)。Sexual abuse of people with developmental disabilities。Sexuality and Disability，9，323-335。  new window
16.Beitchman, J. H.、Zucker, K. J.、Hood, J. E.、da Costa, G. A.、Akman, D.(1991)。A review of the short-term effects of child sexual abuse。Child Abuse & Neglect，15，537-556。  new window
17.Gilson, S. F.、Cramer, E. P.、DePoy, E.(2001)。Redefining abuse of women with disabilities: A paradox of limitation and expansion。Affilia，16，220-235。  new window
18.Kristensen, E.、Lau, M.(2007)。Women with a history of childhood sexual abuse: Long-term social and psychiatric aspects。Nordic Journal of Psychiatry，61，115-120。  new window
19.McLean, L. M.(2004)。Childhood sexual abuse and adult psychiatric diagnosis。Current views and clinical implications，15，29-34。  new window
20.Putman, S. E.(2009)。The monsters in my head: Posttraumatic stress disorder and the child survivor of sexual abuse。Journal of Counseling & Development，87，80-89。  new window
21.Ross, G.、O’Carroll, P.(2004)。Cognitive behavioural psychotherapy intervention in childhood sexual abuse: Identifying new directions from the literature。Child Abuse Review，13，51-64。  new window
22.Sadowski, H.、Trowell, J.、Kolvin, I.、Weeramanthri, T.、Berelowitz, M.、Gilbert, L. H.(2003)。Sexually abused girls: Patterns of psychopathology and exploration of risk factors。European Child & Adolescent Psychiatry，12，221-230。  new window
23.Smolak, L.、Murnen, S. K.(2002)。A meta-analytic examination of the relationship between child sexual abuse and eating disorders。International Journal of Eating Disorders，31，136-150。  new window
24.Trippany, R. L.、Helm, H. M.、Simpson, L.(2006)。Trauma reenactment: Rethinking borderline personality disorder when diagnosing sexual abuse survivors。Journal of Mental Health Counseling，28，95-110。  new window
25.Valenti-Hein, D.、Schwartz, L.(1993)。Witness competency in people with mental retardation: Implications for prosecution of sexual abuse。Sexuality and Disability，11，287-294。  new window
會議論文
1.孫一信、林美薰(2001)。揭開神祕恩紗-智障者受性侵害之綜合分析與相關政策建議。台北。  延伸查詢new window
圖書
1.American Psychiatric Association(1994)。Diagnostic and Statistical Manual of Mental Disorder: DSM-IV。Washington, D.C.：American Psychiatric Association。  new window
其他
1.內政部(2009)。人口統計，台北。  延伸查詢new window
2.內政部(2009)。身心障礙者人口統計，台北。  延伸查詢new window
3.內政部(2009)。性侵害犯罪事件通報被害人數統計(障礙別)，台北。  延伸查詢new window
 
 
 
 
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