ABSTRACT

Establishing trust is an important part of building the therapeutic relationships and achieving the goal of effective trauma treatment for individuals who have experienced childhood sexual abuse. The current study explored the associations between attachment style, therapeutic bond, distress, and interpersonal problems. This study investigated whether attachment style and therapeutic bond mediated the association between the level of early treatment emotional distress and later treatment interpersonal problems among two groups: clients reporting histories of childhood sexual abuse and clients not reporting histories of childhood sexual abuse. Research indicates that disruption of attachment security as well as the therapeutic relationship is common in survivors of childhood sexual abuse. We explored the mediating role of insecure attachment and the therapeutic bond on the predictive relationship between early treatment emotional distress and the interpersonal difficulties that one experiences in their daily life. For clients with histories of child sexual abuse, the model showed that anxious attachment and avoidant attachment mediated the associations between emotional distress and interpersonal relations. Therapeutic bond was not a significant mediator. For clients without histories of sexual abuse, results showed significant association between emotional distress and interpersonal relations, but insecure attachment or therapeutic bond did not mediate this relationship.

摘要

建立信任是建立治疗关系并实现对遭受童年性虐待的个人进行有效创伤治疗的目标的重要组成部分。当前的研究探讨了依恋方式，治疗纽带，困扰和人际关系之间的联系。这项研究调查了依恋方式和治疗纽带是否介导了两组之间的早期治疗情绪困扰水平和后期治疗人际问题之间的关联：报告儿童期性虐待史的客户和未报告儿童期性虐待史的客户。研究表明，对附着安全性的破坏以及治疗关系在儿童性虐待幸存者中很常见。我们探讨了不安全依恋和治疗纽带对早期治疗情绪困扰与他们日常生活中所遇到的人际关系之间的预测关系的中介作用。对于有儿童遭受性虐待历史的客户，该模型显示焦虑依恋和回避依恋介导了情绪困扰与人际关系之间的关联。治疗性纽带不是重要的介质。对于没有性虐待史的服务对象，结果显示情绪困扰与人际关系之间存在显着关联，但不安全的依恋感或治疗纽带并不能调解这种关系。