打破沉默:我要告诉孩子他们的性虐待史吗?对父母向子女披露言语前性虐待行为的决策进行纵向分析:定性研究。

IF 3.4 2区 心理学 Q1 FAMILY STUDIES Child Abuse & Neglect Pub Date : 2024-10-24 DOI:10.1016/j.chiabu.2024.107072
Esther M. van Duin , Vionna M.W. Tsang , Eva Verlinden , Guy A.M. Widdershoven , Sonja N. Brilleslijper-Kater , Arnoud P. Verhoeff , Ramon J.L. Lindauer
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引用次数: 0

摘要

背景:阿姆斯特丹性虐待案例(ASAC)让父母在向孩子披露言语前性虐待行为时进退两难。由于对言语前儿童性虐待(CSA)后果的了解有限,而且儿童对自己的经历没有自觉意识的情况非常罕见,因此向家长提供建议具有挑战性。为了增强建议和知识,我们探讨了家长多年来的经验:这项独特的定性研究引入了 "父母披露",即非犯罪父母向其子女披露 CSA,并调查了 ASAC 发现十年后的决策过程:方法:通过年度访谈收集纵向定性数据:总共有 41 位家长参加了 47 个孩子的访谈。2015年对20名家长进行了额外的深度访谈:定量数据显示,10 年来,半数以上儿童的父母披露了言语前 CSA。我们的分析表明,家长在做出披露决定时会陷入两难境地,并且是一个渐进的过程。影响决策的因素包括对污名化的恐惧、儿童的情感准备、感知到的益处和风险、父母的信仰、价值观以及 CSA 的情况:本研究强调了父母披露信息的复杂性,并表明这是一个持续的过程,而不是一个单一的事件。父母的选择是根据不断变化的环境和新信息而演变的。研究结果丰富了人们对父母披露信息决策的理解,强调了为父母提供量身定制的支持服务的必要性,以帮助他们度过言语犯罪前的后遗症。父母的披露是高度个性化的,需要以证据为基础的干预措施和政策。
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Breaking the silence: Do I tell my child about their sexual abuse history? Longitudinal analysis of parental decision-making regarding disclosure of preverbal sexual abuse by parents to their child: A qualitative study

Background

The Amsterdam Sexual Abuse Case (ASAC) presented parents with a dilemma about disclosing preverbal sexual abuse to their child. Advising parents was challenging due to limited knowledge about the consequences of preverbal child sexual abuse (CSA) and the rarity of children having no conscious awareness of their experience. To enhance recommendations and knowledge, we explored parents' experiences over the years.

Objective

This unique qualitative study introduced “parental disclosure”, where non-offending parents disclose CSA to their child, and investigated the decision-making process spanning a decade after the ASAC discovery.

Methods

Longitudinal qualitative data were collected through yearly interviews.

Participants and setting

In total, 41 parents participated for 47 children. An additional in-depth interview was conducted with 20 parents in 2015.

Results

Quantitative data highlighted that over 10 years, parents of more than half of the children disclosed the preverbal CSA. Our analyses revealed that parental disclosure decisions entail dilemmas and unfold as a gradual process. Factors influencing decision-making included fear of stigma, child's emotional readiness, perceived benefits and risks, parental beliefs, values, and CSA circumstances.

Conclusion

This study underscores the complex nature of parental disclosure and shows that it is an ongoing process rather than a singular event. Parents' choices evolved based on changing circumstances and new information. Outcomes enrich the understanding of parental disclosure decision-making, highlighting the need for tailored support services to aid parents navigating the aftermath of preverbal CSA. Parental disclosure is highly individualized and calls for evidence-based interventions and policies.
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来源期刊
CiteScore
7.40
自引率
10.40%
发文量
397
期刊介绍: Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.
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