ABSTRACT

Child sexual abuse committed by a parent (incest) is related to particularly severe physical and psychological symptoms across the life span. Incest is associated with low self-esteem, self-loathing, feelings of contamination, worthlessness, and helplessness, as well as somatization and low self-efficacy. A child’s negative constructions often are attempts to derive some meaning that justifies the incest, such as, “it is because of my badness that it happens to me.” Survival often involves voluntary or involuntary disconnection from self, others, and the environment, or compartmentalization of the traumatic experiences. Dissociation with survivors of child abuse, especially when the perpetrators are from within the child’s caregiver system, can be accounted for by the concept of betrayal trauma. However, with few exceptions, little appears in the literature integrating dissociation, betrayal trauma, complex trauma, and incest for the purpose of treatment. Our purpose of this review to examine the relationship between trauma-related dissociation, betrayal trauma, and complex trauma, and how understanding these concepts and their relationship can inform the treatment of incest.

摘要

父母（近亲）对儿童的性虐待与一生中特别严重的生理和心理症状有关。乱伦与低自尊，自我厌恶，受污染的感觉，一文不值和无助，躯体化和自我效能低有关。孩子的消极构想经常是试图得出某种理由以证明乱伦是合理的，例如，“由于我的不幸，它发生在我身上。” 生存通常涉及与自我，他人和环境的自愿或非自愿断开连接，或对创伤经历的隔离。与背叛儿童的幸存者分离，特别是当肇事者来自儿童看护者系统内部时，可以通过背叛创伤的概念来解释。但是，除了少数例外，在以治疗为目的的结合解离，背叛性创伤，复杂性创伤和乱伦的文献中几乎没有出现。我们这篇综述的目的是检查与创伤有关的分离，背叛性创伤和复杂性创伤之间的关系，以及如何理解这些概念及其关系可以为乱伦的治疗提供依据。