遭父性侵女性成年后的家庭困局——一项基于系统视角和依恋理论的临床案例分析

The Family Impasse of Adult Survivors of Father-daughter Sexual Abuse:a Clinical Case Study with the Application of the Systemic Perspective and Attachment Theory

儿时遭受父亲性侵犯会对被侵犯者身体、心理和社交各方面都造成深切伤害和创伤,未疗愈的创伤往往会一直延续至成年。本文尝试以临床个案为例,以系统视角和依恋理论来探讨受父亲性侵犯的女童在成年后如何依然受困于此创伤,并在个人发展、婚姻关系和教养子女方面遇到重重困难,进而影响其家庭整体互动和氛围。本文亦以发展的视角探讨子女的发展迟缓和青春期如何加重童年曾遭受性侵犯的母亲的"侵犯代际重演"的焦虑以及在父女关系上的矛盾心理。最后,作者以优势视角为指引,探讨此类个案和家庭的抗逆力和所蕴含的资源,建议社会工作者或家庭治疗师在协助此类个案/家庭时以探索和肯定个案能力、疗愈伤痛和促进家庭内部相互支持为原则和方向。

Sexual abuse by father at childhood has negative influences on the victims physically,psychologically and socially. The trauma will last into the adulthood if not treated appropriately in time. From the systemic perspective and with the use of attachment theory, the study explored the various difficulties in self-development, marital relationship, parenting and family interaction on the whole encountered by the adult survivor of father-daughter sexual abuse.It also revealed how the adolescent daughter with intellectual disability activated and exacerbated the client's anxiety of'revictimization'of the daughter and thus resulted in her ambivalence about the relationship between her husband and the daughter. Equipped with the strength perspective, suggestions about exploring and consolidating the client's resilience,treating the trauma cautiously, and facilitating the intra-family care and support were outlined for social workers/family therapists.