Maltraitances sexuelles infantiles et répétition victimaire dans les relations conjugales à l’âge adulte

IF 0.6 4区 医学 Q4 PSYCHIATRY Evolution Psychiatrique Pub Date : 2023-09-01 DOI:10.1016/j.evopsy.2023.04.008
Justine Cesari (Psychologue clinicienne, Doctorante en Psychologie Clinique), Alicia Landbeck (Psychologue clinicienne, Chercheuse associée), Houari Maïdi (Psychologue clinicien, psychanalyste, Professeur de Psychologie clinique et psychopathologie), Rose-Angélique Belot (Psychologue clinicienne, Professeure de Psychologie clinique et psychopathologie)
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Abstract

Aims

In this article, we show the consequences of childhood sexual abuse on psychic development and its implication in victimary repetition in adulthood.

Method

The case study presented in this article is from a doctoral research project in psychology about the impact of early relationships on the experience of intimate partner violence in adulthood. This case appears emblematic of the rest of our population. The elements mentioned are anonymized and analyzed from a psychoanalytic perspective.

Results

The results show the conscious and unconscious consequences of childhood sexual abuse on the victims’ psychological development. Indeed, the psychic intrusion following early sexual abuse hinders the construction of the self and prevents the psychic instances from functioning properly. This intrusion also leads to repetition in violent intimate relationships. Oscillating between primary and secondary processes, the person can cut her/himself off from a part of her/his emotional life to avoid psychic and/or somatic disorganization.

Discussion

After experiencing early sexual trauma, even if the psychic apparatus is temporarily able to keep the traumatic elements far from the conscious mind, these elements still act in the unconscious. The work of shame and guilt, which are constitutive elements of moral masochism, lock the subject into a deadly repetition compulsion that can promote the experience of repetitive intimate partner violence (physical, psychological, sexual) in adulthood.

Conclusion

To prevent, detect, and care for women victims of childhood sexual abuse, it is necessary to consider their modalities of psychic functioning, the formation of their Self, and their ability to psychically transform the trauma they suffered.

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儿童性虐待和成年婚姻关系中的受害者重复
目的在这篇文章中,我们展示了儿童期性虐待对心理发展的影响,以及它在成年后受害者重复中的含义。方法本文的案例研究来自一个心理学博士研究项目,研究早期关系对成年后亲密伴侣暴力体验的影响。这个案例似乎是我们其他人的象征。所提到的元素是匿名的,并从精神分析的角度进行分析。结果儿童期性虐待对受害者心理发展有意识和无意识的影响。事实上,早期性虐待后的心理入侵阻碍了自我的构建,并阻止了心理实例的正常运作。这种侵扰也会导致暴力亲密关系的重复。在主要和次要过程之间摇摆不定,一个人可以将她/自己与情感生活的一部分隔绝,以避免心理和/或身体紊乱。讨论在经历了早期性创伤后,即使心理仪器暂时能够将创伤元素远离意识,这些元素仍然在无意识中发挥作用。羞耻感和内疚感是道德受虐狂的组成部分,它们将受试者锁定在一种致命的重复强迫中,这种强迫会促进成年后亲密伴侣重复暴力(身体、心理、性)的体验。结论为了预防、发现和照顾儿童期性虐待的女性受害者,有必要考虑她们的心理功能模式、自我的形成以及她们从心理上改变所遭受创伤的能力。
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来源期刊
CiteScore
0.70
自引率
50.00%
发文量
72
期刊介绍: Une revue de référence pour le praticien, le chercheur et le étudiant en sciences humaines Cahiers de psychologie clinique et de psychopathologie générale fondés en 1925, Évolution psychiatrique est restée fidèle à sa mission de ouverture de la psychiatrie à tous les courants de pensée scientifique et philosophique, la recherche clinique et les réflexions critiques dans son champ comme dans les domaines connexes. Attentive à histoire de la psychiatrie autant aux dernières avancées de la recherche en biologie, en psychanalyse et en sciences sociales, la revue constitue un outil de information et une source de référence pour les praticiens, les chercheurs et les étudiants.
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