Derleme
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Çocuk Cinsel İstismarını Ele Alırken Karşılaşılan Tedavi Konuları: Bir Derleme

Yıl 2023, Cilt: 15 Sayı: 3, 534 - 547, 30.09.2023
https://doi.org/10.18863/pgy.1181095

Öz

Çocuk cinsel istismarı birçok toplumda görülen sosyal, psikolojik, politik ve kültürel boyutları olan travmatik bir yaşam olayıdır. Cinsel istismara uğrayan çocuklar yaşamları boyunca davranışsal, duygusal, bilişsel ve fiziksel sağlık sorunları geliştirme riski altındadır ve mevcut durumları yoksulluk gibi diğer risk faktörleriyle birleştiğinde özellikle savunmasızdırlar. İlgili literatürde, bu çocukların psikolojik sorun yaşama riskinin daha yüksek olduğu ve mağdurların tedaviye ihtiyaç duyduğu bildirilmektedir. Psikoterapötik tedavilerin, mağdurların fiziksel ve duygusal güvenliğini sağlamak, travma semptomlarını hafifletmeye yardımcı olmak, yaşam kalitesini ve işleyişini iyileştirmek ve istismarın tekrarını önlemek de dahil olmak üzere yararlı etkileri olduğuna dair kanıtlar vardır. Bu derlemede, cinsel istismara uğrayan çocuklar için en yaygın tedavi konularından bazıları sunulmuştur. Ele alınan tedavi konularının uygunluğu her mağdur için farklılık gösterebilir. Bu tedavi konuları ve önerilen müdahaleler sadece meydana gelebilecek zararları gidermek için değil, aynı zamanda çocuk istismarı deneyimlerinin olumsuz sonuçlarını en aza indirmek ve gelecekte kötü muamelenin tekrarlanmasını önlemek için tasarlanmıştır.

Kaynakça

  • Adli Destek ve Mağdur Hizmetleri Dairesi Başkanlığı (2021) Mağdura Yaklaşım Kılavuzu. Ankara, Adli Destek ve Mağdur Hizmetleri Dairesi Başkanlığı.
  • Afifi TO, MacMillan HL, Boyle M, Taillieu T, Cheung K, Sareen J (2014) Child abuse and mental disorders in Canada. Can Med Assoc J, 186:E324–E332.
  • Alix S, Cossette L, Cyr M, Frappier JY, Caron PO, Hébert M (2020) Self-blame, shame, avoidance, and suicidal ideation in sexually abused adolescent girls: A longitudinal study. J Child Sex Abus, 29:432–447.
  • Allen B, Berliner L (2015) Evidence-informed, individual treatment of a child with sexual behavior problems: A case study. Arch Sex Behav, 44:2323-2331.
  • Alley D, Chae Y, Cordon I, Kalomiris A, Goodman GS (2015) Child maltreatment and autobiographical memory development: Emotion regulation and trauma-related psychopathology. In Clinical Perspectives On Autobiographical Memory (Eds LA Watson, D Bernsten):85–106). New York, NY, Cambridge University Press.
  • Altan-Aytun Ö (2019) Kendine zarar verme davranışı: Özellikleri, işlevleri ve travmatik yaşantılar, çocukluk örselenmeleri, kişilik özellikleri ve baş etme tutumlarının rolü. Doktora tezi. İstanbul Üniversitesi, Cerrahpaşa Adli Tıp Enstitüsü, İstanbul.
  • Anda R, Tietjen G, Schulman E, Felittei V, Croft J (2010) Adverse childhood experiences and frequent headaches in adults. Headache, 50:1473–1481.
  • APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th edition. Arlington, VA, American Psychiatric Association.
  • Aytan-Erdoğan Ş (2010) Travma yaşantısı olan üniversite öğrencilerinin baş etme becerilerini geliştirmede psikodramanın etkisi (Yüksek lisans tezi). İstanbul, Marmara Üniversitesi.
  • Barlow DH, Raffa SD, Cohen EM (2002). Psychosocial treatments for panic disorders, phobias, and generalized anxiety disorder. In A Guide To Treatments That Work (Eds PE Nathan, JM Gorman):301–335. New York, Oxford University Press.
  • Barut B (2021) Cinsel istismar mağdurlarına yaklaşım ve terapötik süreç. Uluslararası Sosyal Araştırmalar Dergisi, 14:602-615.
  • Bernier MJ, Hebert M, Collin-Vezina D (2013) Dissociative symptoms over a year in a sample of sexually abused children. J Trauma Dissociation, 14:455–472.
  • Bowlby J (1982) Attchment and loss: Retrospect and prospect, Am J Orthopsychiatry, 52:578-751.
  • Brand BL, Lanius R, Vermetten E, Loewenstein RJ, Spiegel D (2012) Where are we going? An update on assessment, treatment, and neurobiological research in dissociative disorders as we move toward the DSM-5. J Trauma Dissociation, 13:9–31.
  • Brett EA, Ostroff R (1985) Imagery and post-traumatic stress disorder: An overview. Am J Psychiatry, 142:417-424.
  • Bülbül K, Çakıcı AB, Türkkan T (2019) Sınıf öğretmenlerinin çocuk istismarı ve ihmaline yönelik bilgi ve risk tanıma düzeylerinin incelenmesi . Türkiye Eğitim Dergisi, 4:127-144 .
  • Bulut S, Karaman HB (2018) Engelli bireylerin cinsel, fiziksel ve duygusal istismarı. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 19:277-301.
  • Butler AC (2013) Child sexual assault: Risk factors for girls. Child Abuse Negl, 37:643– 652.
  • Capella C, Lama X, Rodríguez L, Águila D, Beiza G, Dussert D et al. (2016) Winning a race: Narratives of healing and psychotherapy in children and adolescents who have been sexually abused. J Child Sex Abus, 25:73–92.
  • Cardena E, Carlson E (2011) Acute stress disorder revisited. Annu Rev Clin Psychol, 7:245–267.
  • Carr A (2018) Family therapy and systemic interventions for child-focused problems: The current evidence base. J Fam Ther, 41:153-213.
  • Champion KM (2022) Coercion in families and child resistance to contact with a parent after family separation. J Fam Trauma Child Custody Child Dev, 19:230-243.
  • Chang C, Kaczkurkin AN, McLean CP, Foa EB (2018). Emotion regulation is associated with PTSD and depression among female adolescent survivors of childhood sexual abuse. Psychol Trauma, 10:319–326.
  • Coles J, Lee A, Taft A, Mazza D, Loxton D (2015) Childhood sexual abuse and its association with adult physical and mental health. J Interpers Violence, 30:1929–1944.
  • Collin-Vézina D, Daigneault I, Hébert M (2013) Lessons learned from child sexual abuse research: prevalence, outcomes, and preventive strategies. Child Adolesc Psychiatry Ment Health, 7:22.
  • Committee on the Rights of the Child (2011) General comment No. 13 on the right of the child to freedom from all forms of violence. http://www.ohchr.org/EN/ HRBodies/CRC/Pages/CRCIndex.aspx (Accessed 12.01.2023).
  • Cowan A, Ashai A, Gentile JP (2020) Psychotherapy with survivors of sexual abuse and assault. Innov Clin Neurosci, 17:22-26.
  • Cry C, Euser EM, Bakermans-Kranenburg MJ, Van Ijzendoorn MH (2010) Attachment security and disorganization in maltreating and high-risk families: A series of metaanalyses. Dev Psychopathol, 22:87-108.
  • Dillard R, Maguire-Jack K, Showalter K, Wolf KG, Letson MM (2019). Abuse disclosures of youth with problem sexualized behaviors and trauma symptomology. Child Abuse Negl, 88:201–211.
  • Dönmez YE, Soylu N, Özcan ÖÖ, Yüksel T, Demir AÇ, Bayhan PÇ, Miniksar DY (2014) Cinsel istismar mağduru çocuk ve ergen olgularımızın sosyodemografik ve klinik özellikleri. Turgut Özal Tıp Merkezi Dergisi, 21:44-48.
  • Easton SD, Kong J, Gregas M, Shen C, Shafer K (2018) Child sexual abuse and depressive symptoms in late life for men: A population-based, longitudinal analysis. J Gerontol B Psychol Sci Soc Sci, 74:842–852.
  • Erben Keçici S (2018) Okullarda saldırganlık ve yıkıcı davranışları önleme önerisi: Yüzleştirme eğitimi. Milli Eğitim Dergisi, 47:77-90.
  • Fergusson DM, McLeod GF, Horwood LJ (2013) Childhood sexual abuse and adult developmental outcomes: Findings from a 30-year longitudinal study in New Zealand. Child Abuse Negl, 37:664–674.
  • Finkelhor D, Korbin J (1988) Child abuse as an international issue. Child Abuse Negl, 12:3-23.
  • Fitzgerald MM, Cohen A (2012) Trauma-focused cognitive behavior therapy for school psychologists. J Appl Sch Psychol, 28:294-315.
  • Fortier MA, DiLillo D, Messman-Moore TL, Peugh J, DeNardi KA, Gafey KJ (2009) Severity of child sexual abuse and revictimization: The mediating role of coping and trauma symptoms. Psychol Women Q, 33:308–320.
  • Foster JM, Hagedorn WB (2014). A qualitative exploration of fear and safety with child victims of sexual abuse. J Ment Health Couns, 36:243–262.
  • Furniss T (2013) The Multiprofessional Handbook of Child Sexual Abuse: Integrated Management, Therapy, and Legal Intervention. London, Routledge.
  • Gerber J (2008) Treatment of sexually compulsive adolescents. Psychiatr Clin North Am, 31:657–669.
  • Giovannoni J, Becerra R (1979) Defining Child Abuse. New York, NY, Free Press
  • Gómez JM, Lewis JK, Noll LK, Smidt AM, Birrell PJ (2016) Shifting the focus: Nonpathologizing approaches to healing from betrayal trauma through an emphasis on relational care. J Trauma Dissociation, 17:165–185.
  • Green AH (1993) Child sexual abuse: Immediate and long-term effects and intervention. J Am Acad Child Adolesc Psychiatry, 32:890-902.
  • Hailes HP, Yu R, Danese A, Fazel S (2019) Long-term outcomes of childhood sexual abuse: An umbrella review. Lancet Psychiatry, 6:830-839.
  • Haley J (1976) Problem-Solving Therapy. New York, Harper.
  • Hall M, Hall J (2011) The long-term effects of childhood sexual abuse: Counselling implications. Vistas Online, 19.
  • Hébert M, Langevin R, Oussaïd E (2018). Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims. J Affect Disord, 225:306–312.
  • Heim C, Mayberg HS, Mletzko T, Nemeroff CB, Pruessner GC (2013) Decreased cortical representation of genital somatosensory field after childhood sexual abuse. Am J Psychiatry, 170:616–623.
  • Herman JL (2015) Trauma and Recovery: The Aftermath of Violence--From Domestic Abuse To Political Terror. New York, NY, Basic Books.
  • Hillis S, Mercy J, Amobi A, Kress H (2016) Global prevalence of past-year violence against children: A systematic review and minimum estimates. Pediatrics, 137:e20154079.
  • İşeri E (2009) Çocuk psikiyatrisi uygulamalarında istismar olgularının tanınması. Çocuk İstismarını ve İhmalini Önleme Kongresi, 27-30 Eylül 2009, Ankara.
  • Jackson AM, Deye K (2015) Aspects of abuse: Consequences of childhood victimization. current problems in pediatric and adolescent. Health Care, 45:86–93.
  • Jones DPH (1986) Individual psychotherapy for the sexually abused child. Child Abuse Negl, 10:377–385.
  • Kenny MC, Wurtele SK (2012) Preventing childhood sexual abuse: An ecological approach. J Child Sex Abus, 21:361–367.
  • Kesebir S, Kavzoğlu SÖ, Üstündağ MF (2011) Bağlanma ve psikopatoloji. Psikiyatride Güncel Yaklaşımlar, 3:321-342.
  • Keskin G, Çam O (2007) Bağlanma süreci: Ruh sağlığı açısından literatürün gözden geçirilmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 23:145-158.
  • Kluft RP (1984) Multiple personality in childhood. Psychiatr Clin North Am, 7:121–134.
  • Lahav Y, Bellin E, Solomon, Z (2016) Posttraumatic growth and shattered world assumptions among ex-POWs: The role of dissociation. Psychiatry, 79:418–432.
  • Lev-Wiesel R (2008) Child sexual abuse: A critical review of intervention and treatment modalities. Child Youth Serv Rev, 30:665–673.
  • Lucier-Greer M, Nichols LR, Peterson C, Burke B, Quichocho D, O’Neal CW (2018) Problematic Sexual Behavior Among Children and Youth: Considerations for Reporting, Assessment, and Treatment. Auburn, AL, Military REACH.
  • Mallants C, Casteels K (2008) Practical approach to childhood masturbation-A review. Eur J Paediatr, 167:1111–1117.
  • Maniglio R (2010) Child sexual abuse in the etiology of depression: A systematic review of reviews. J Depress Anxiety, 27:631–642.
  • Marquez YI, Deblinger E, Dovi AT (2020) The value of trauma-focused cognitive behavioral therapy (TF-CBT) in addressing the therapeutic needs of trafficked youth: A case study. Cogn Behav Pract, 27:253-269.
  • Martins CM, Von Werne Baes C, Tofoli SM, Juruena MF (2014) Emotional abuse in childhood is a differential factor for the development of depression in adults. J Nerv Ment Dis, 202:774–782.
  • Mathews B, Collin-Vézina D. (2019) Child sexual abuse: Toward a conceptual model and definition. Trauma Violence Abuse, 20:131–148.
  • McTeague LM, Lang PJ, Laplante MC, Cuthbert BN, Shumen JR, Bradley MM (2010) Aversive ımagery in posttraumatic stress disorder: Trauma recurrence, comorbidity, and physiological reactivity. Biol Psychiatry, 67:346–356.
  • MNCASA (2017) Children with sexual behavior problems: Improving Minnesota’s ability to provide early identification and intervention services through policy and practice recommendations. Minnesota, Minnesota Coalition Against Sexual Assault (MNCASA).
  • Morrill M (2014) Sibling sexual abuse: An exploratory study of long-term consequences for self-esteem and counseling considerations. J Fam Violence, 29:205–213.
  • Nasıroğlu S (2014) Çocuk istismarında rehabilitasyon ve tedavi merkezleri. Psikiyatride Güncel Yaklaşımlar, 6:67-78.
  • Negriff S, Schneiderman J, Smith C, Schreyer J, Trickett P (2014) Characterizing the sexual abuse experiences of young adolescents. Child Abuse Negl, 38:261–270.
  • Odacı H, Bülbül K, Türkkan T (2021) The mediating role of cognitive flexibility in the relationship between traumatic experiences in the childhood period and substance abuse proclivity. J Ration Emot Cogn Behav Ther, 39:538–554.
  • Odhayani AA, Watson WJ, Watson L (2013) Behavioural consequences of child abuse. Can Fam Physician, 59:831-836.
  • Özbey S (2010) Okul öncesi çocuklarda uyum ve davranış problemleriyle başa çıkmada ailenin rolü. Aile ve Toplum Dergisi, 21:9-18.
  • Özen Y (2017) Psikolojik travmanın insanlık kadar eski tarihi. The Journal of Social Science, 1:104-117.
  • Öztürk M, Uzel-Tanrıverdi B, Yalın-Sapmaz Ş (2017) Cinsel istismara uğrayan çocuk ve ergenlerin sosyodemografik ve klinik özelliklerinin değerlendirilmesi, psikopatoloji ve ilişkili risk etkenleri. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 24:155-163.
  • Paslı F (2019) Çocuğa yönelik cinsel istismar deneyiminin mikro ve mezzo sistemler açısından incelenmesi. Toplum ve Sosyal Hizmet, 30:463-492.
  • Patterson GR, Reid JB, Dishion TJ (1998) Antisocial boys. In Human Emotions: A Reader (Eds JM Jenkins, K Oatley, NL Stein): 330–336. Malden, MA, Blackwell Publishing..
  • Plummer M, Cossins A (2018) The cycle of abuse: When victims become offenders. Trauma Violence Abuse, 19:286–304.
  • Porter FS, Blick LC, Sgroi SM (1982) Treatment of the sexually abused child. In Handbook of Clinical Intervention In Child Sexual Abuse (Ed SM Sgroi): 109-145. Lexington, MA, DC. Heath.
  • Pulverman CS, Kilimnik CD, Meston CM (2018) The impact of childhood sexual abuse on women’s sexual health: a comprehensive review. Sex Med Rev, 6:188-200.
  • Rasmussen LA (2012) Victim and victimizer: The role of traumatic experiences as risk factors for sexually abusive behavior. Isr J Psychiatry Relat Sci, 49:270–279.
  • Rudolph J, Zimmer-Gembeck MJ (2018) Parents as protectors: A qualitative study of parents’ views on child sexual abuse prevention. Child Abuse Negl, 85:28-38.
  • Sachs-Ericsson N, Cromer K, Hernandez A, Kendall-Tackett K (2009) A review of childhood abuse, health, and pain-related problems: The role of psychiatric disorders and current life stress. J Trauma Dissociation, 10:170–188.
  • SAMHSA (2014). Understanding the impact of trauma. In Trauma-Informed Care in Behavioral Health (pp. 59–90). Rockville, MD, Substance Abuse and Mental HealthServices Administration.
  • Scoglio AA, Kraus SW, Saczynski J, Jooma S, Molnar BE (2021) Systematic review of risk and protective factors for revictimization after child sexual abuse. Trauma Violence Abuse, 22:41-53.
  • Senn TE, Braksmajer A, Urban MA, Coury-Doniger P, Carey MP (2017) Pilot test of an integrated sexual risk reduction intervention for women with a history of childhood sexual abuse. AIDS Behav, 21:3247–3259.
  • Senn TE, Carey MP, Coury-Doniger P (2012) Mediators of the relation between childhood sexual abuse and women’s sexual risk behavior: A comparison of two theoretical frameworks. Arch Sex Behav, 41:1363–1377.
  • Senn, TE, Carey MP (2010) Child maltreatment and women’s adult sexual risk behavior: Childhood sexual abuse as a unique risk factor. Child Maltreat, 15:324–335.
  • Shavega T (2020) Intervention strategies of excessive masturbation for a 19-years youth: Experience of counseling ıntervention. Open Journal of Therapy and Rehabilitation, 8:98-109.
  • Shonkoff JP, Garner AS, Siegel BS, Dobbins MI, Earls MF, Garner AS (2011) The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129:e232–e246.
  • Silovsky JF, Niec L, Bard D, Hecht DB (2007) Treatment for preschool children with ınterpersonal sexual behavior problems: A pilot study. J Clin Child Adolesc Psychol, 36:378-391.
  • Şimşek Ş, Fettahoğlu E, Özatalay E (2011). Cinsel istismara yönelik travmalar ve travma sonrası stres bozukluğu. Dicle Tıp Dergisi, 38:318-324.
  • Sousa C, Mason WA, Herrenkohl TI, Prince D, Herrenkohl RC, Russo MJ (2018) Direct and indirect effects of child abuse and environmental stress: A lifecourse perspective on adversity and depressive symptoms. Am J Orthopsychiatry, 88:180-188.
  • Stead R, Shanahan MJ, Neufeld RWJ (2010) I’ll go to therapy, eventually: Procrastination, stress and mental health. Pers Individ Dif, 49:175–180.
  • Swenson CC, Schaeffer CMA (2018) Multisystemic approach to the prevention and treatment of child abuse and neglect. Int J Child Maltreat, 1:97-120.
  • Thomas TA, Fremouw W (2009) Moderating variables of the sexual “victim to offender cycle” in males. Aggress Violent Behav, 14:382–387.
  • Thornberry TP, Henry KL, Ireland TO, Smith CA (2010) The causal impact of childhood-limited maltreatment and adolescent maltreatment on early adult adjustment. J Adolesc Health, 46:359-365.
  • Trickett PK, Noll JG, Putnam FW (2011) The impact of sexual abuse on female development: Lessons from a multigenerational longitudinal research study. Dev Psychopathol, 23:453–476.
  • Türkkan T, Odacı H (2022) Söylemek mi gizlemek mi? Çocuk mağdurların cinsel istismarı açıklamalarını etkileyen faktörler. Toplum ve Sosyal Hizmet, 33:991-1008.
  • Urquiza AJ, Winn C (1992) Treatment for Abused and Neglected Children: Infancy to Age 18. Washington DC, United States Department of Health and Human Services Administration for Children and Families.
  • Van der Kolk BA (2017) Developmental trauma disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatr Ann, 35:401–408.
  • Walker HE, Freud JS, Ellis RA, Fraine SM, Wilson LC (2017) The prevalence of sexual revictimization. Trauma Violence Abuse, 20:67-80.
  • Walker HE, Freud JS, Ellis RA, Fraine SM, Wilson LC (2019) The prevalence of sexual revictimization: A meta-analytic review. Trauma Violence Abuse, 20:67–80.
  • Walker M (2011) What’s a feminist therapist to do? Engaging the relational paradox in a post-feminist culture. Women Ther, 34:38–58.
  • Weihmann R (2022) Symptomatology of reconstitution of trauma in adults with a history of childhood sexual abuse. An approach from the perspective of S-ONapp application. International Journal of Advanced Studies in Sexology., 4:31-40.
  • WHO (1999) Report of the Consultation On Child Abuse Prevention. Geneva, World Health Organization.
  • WHO (2016) Child maltreatment. http://www.who.int/mediacentre /factsheets/fs150/en/ (Accessed 06.11.2022)
  • Widom CS, Czaja SJ, Kozakowski SS, Chauhan P (2018) Does adult attachment style mediate the relationship between childhood maltreatment and mental and physical health outcomes? Child Abuse Negl, 76:533–545.
  • Wilson HW, Widom CS (2008) An examination of risky sexual behavior and HIV in victims of child abuse and neglect: A 30-year follow-up. Health Psychol, 27:149–158.
  • Wolf MR, Nochaiski TH (2013) Child sexual abuse survivors with dissociative amnesia: What’s the difference. J Child Sex Abus, 22:462–480.
  • Yıldızhan E (2016) Bağlanma kuramı ve bağlanma bozukluklarına bir bakış. Anadolu Kliniği Tıp Bilimleri Dergisi, 22:66-72.
  • Zeanah CH, Egger HL, Smyke AT (2009) Institutional rearing and psychiatric disorders in Romanian preschool children. Am J Psychiatry, 166:777–785.

Treatment Issues While Addressing Child Sexual Abuse: A Review

Yıl 2023, Cilt: 15 Sayı: 3, 534 - 547, 30.09.2023
https://doi.org/10.18863/pgy.1181095

Öz

Child sexual abuse is a traumatic life event that has social, psychological, political and cultural dimensions which is observed in many societies. Sexual abused children are at risk of developing behavioral, emotional, cognitive and physical health problems throughout their lives, and are especially vulnerable when their current condition is combined with other risk factors, such as poverty. In the relevant literature, it is reported that these children have a greater risk of having psychological problems and require treatment. There is evidence that psychotherapeutic treatments have beneficial effects, including ensuring the physical and emotional safety of victims, helping to relieve trauma symptoms, improving quality and functioning of life, and preventing recurrence of abuse. In this review, some of the most common treatment issues for sexual abused children are presented. The appropriateness of the treatment issues and proposed interventions addressed may vary for each victim. These treatment issues and interventions are designed not only to remedy any harm that may have occurred, but also to minimize the negative consequences of experiences of child abuse and prevent future recurrence of maltreatment.

Kaynakça

  • Adli Destek ve Mağdur Hizmetleri Dairesi Başkanlığı (2021) Mağdura Yaklaşım Kılavuzu. Ankara, Adli Destek ve Mağdur Hizmetleri Dairesi Başkanlığı.
  • Afifi TO, MacMillan HL, Boyle M, Taillieu T, Cheung K, Sareen J (2014) Child abuse and mental disorders in Canada. Can Med Assoc J, 186:E324–E332.
  • Alix S, Cossette L, Cyr M, Frappier JY, Caron PO, Hébert M (2020) Self-blame, shame, avoidance, and suicidal ideation in sexually abused adolescent girls: A longitudinal study. J Child Sex Abus, 29:432–447.
  • Allen B, Berliner L (2015) Evidence-informed, individual treatment of a child with sexual behavior problems: A case study. Arch Sex Behav, 44:2323-2331.
  • Alley D, Chae Y, Cordon I, Kalomiris A, Goodman GS (2015) Child maltreatment and autobiographical memory development: Emotion regulation and trauma-related psychopathology. In Clinical Perspectives On Autobiographical Memory (Eds LA Watson, D Bernsten):85–106). New York, NY, Cambridge University Press.
  • Altan-Aytun Ö (2019) Kendine zarar verme davranışı: Özellikleri, işlevleri ve travmatik yaşantılar, çocukluk örselenmeleri, kişilik özellikleri ve baş etme tutumlarının rolü. Doktora tezi. İstanbul Üniversitesi, Cerrahpaşa Adli Tıp Enstitüsü, İstanbul.
  • Anda R, Tietjen G, Schulman E, Felittei V, Croft J (2010) Adverse childhood experiences and frequent headaches in adults. Headache, 50:1473–1481.
  • APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th edition. Arlington, VA, American Psychiatric Association.
  • Aytan-Erdoğan Ş (2010) Travma yaşantısı olan üniversite öğrencilerinin baş etme becerilerini geliştirmede psikodramanın etkisi (Yüksek lisans tezi). İstanbul, Marmara Üniversitesi.
  • Barlow DH, Raffa SD, Cohen EM (2002). Psychosocial treatments for panic disorders, phobias, and generalized anxiety disorder. In A Guide To Treatments That Work (Eds PE Nathan, JM Gorman):301–335. New York, Oxford University Press.
  • Barut B (2021) Cinsel istismar mağdurlarına yaklaşım ve terapötik süreç. Uluslararası Sosyal Araştırmalar Dergisi, 14:602-615.
  • Bernier MJ, Hebert M, Collin-Vezina D (2013) Dissociative symptoms over a year in a sample of sexually abused children. J Trauma Dissociation, 14:455–472.
  • Bowlby J (1982) Attchment and loss: Retrospect and prospect, Am J Orthopsychiatry, 52:578-751.
  • Brand BL, Lanius R, Vermetten E, Loewenstein RJ, Spiegel D (2012) Where are we going? An update on assessment, treatment, and neurobiological research in dissociative disorders as we move toward the DSM-5. J Trauma Dissociation, 13:9–31.
  • Brett EA, Ostroff R (1985) Imagery and post-traumatic stress disorder: An overview. Am J Psychiatry, 142:417-424.
  • Bülbül K, Çakıcı AB, Türkkan T (2019) Sınıf öğretmenlerinin çocuk istismarı ve ihmaline yönelik bilgi ve risk tanıma düzeylerinin incelenmesi . Türkiye Eğitim Dergisi, 4:127-144 .
  • Bulut S, Karaman HB (2018) Engelli bireylerin cinsel, fiziksel ve duygusal istismarı. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 19:277-301.
  • Butler AC (2013) Child sexual assault: Risk factors for girls. Child Abuse Negl, 37:643– 652.
  • Capella C, Lama X, Rodríguez L, Águila D, Beiza G, Dussert D et al. (2016) Winning a race: Narratives of healing and psychotherapy in children and adolescents who have been sexually abused. J Child Sex Abus, 25:73–92.
  • Cardena E, Carlson E (2011) Acute stress disorder revisited. Annu Rev Clin Psychol, 7:245–267.
  • Carr A (2018) Family therapy and systemic interventions for child-focused problems: The current evidence base. J Fam Ther, 41:153-213.
  • Champion KM (2022) Coercion in families and child resistance to contact with a parent after family separation. J Fam Trauma Child Custody Child Dev, 19:230-243.
  • Chang C, Kaczkurkin AN, McLean CP, Foa EB (2018). Emotion regulation is associated with PTSD and depression among female adolescent survivors of childhood sexual abuse. Psychol Trauma, 10:319–326.
  • Coles J, Lee A, Taft A, Mazza D, Loxton D (2015) Childhood sexual abuse and its association with adult physical and mental health. J Interpers Violence, 30:1929–1944.
  • Collin-Vézina D, Daigneault I, Hébert M (2013) Lessons learned from child sexual abuse research: prevalence, outcomes, and preventive strategies. Child Adolesc Psychiatry Ment Health, 7:22.
  • Committee on the Rights of the Child (2011) General comment No. 13 on the right of the child to freedom from all forms of violence. http://www.ohchr.org/EN/ HRBodies/CRC/Pages/CRCIndex.aspx (Accessed 12.01.2023).
  • Cowan A, Ashai A, Gentile JP (2020) Psychotherapy with survivors of sexual abuse and assault. Innov Clin Neurosci, 17:22-26.
  • Cry C, Euser EM, Bakermans-Kranenburg MJ, Van Ijzendoorn MH (2010) Attachment security and disorganization in maltreating and high-risk families: A series of metaanalyses. Dev Psychopathol, 22:87-108.
  • Dillard R, Maguire-Jack K, Showalter K, Wolf KG, Letson MM (2019). Abuse disclosures of youth with problem sexualized behaviors and trauma symptomology. Child Abuse Negl, 88:201–211.
  • Dönmez YE, Soylu N, Özcan ÖÖ, Yüksel T, Demir AÇ, Bayhan PÇ, Miniksar DY (2014) Cinsel istismar mağduru çocuk ve ergen olgularımızın sosyodemografik ve klinik özellikleri. Turgut Özal Tıp Merkezi Dergisi, 21:44-48.
  • Easton SD, Kong J, Gregas M, Shen C, Shafer K (2018) Child sexual abuse and depressive symptoms in late life for men: A population-based, longitudinal analysis. J Gerontol B Psychol Sci Soc Sci, 74:842–852.
  • Erben Keçici S (2018) Okullarda saldırganlık ve yıkıcı davranışları önleme önerisi: Yüzleştirme eğitimi. Milli Eğitim Dergisi, 47:77-90.
  • Fergusson DM, McLeod GF, Horwood LJ (2013) Childhood sexual abuse and adult developmental outcomes: Findings from a 30-year longitudinal study in New Zealand. Child Abuse Negl, 37:664–674.
  • Finkelhor D, Korbin J (1988) Child abuse as an international issue. Child Abuse Negl, 12:3-23.
  • Fitzgerald MM, Cohen A (2012) Trauma-focused cognitive behavior therapy for school psychologists. J Appl Sch Psychol, 28:294-315.
  • Fortier MA, DiLillo D, Messman-Moore TL, Peugh J, DeNardi KA, Gafey KJ (2009) Severity of child sexual abuse and revictimization: The mediating role of coping and trauma symptoms. Psychol Women Q, 33:308–320.
  • Foster JM, Hagedorn WB (2014). A qualitative exploration of fear and safety with child victims of sexual abuse. J Ment Health Couns, 36:243–262.
  • Furniss T (2013) The Multiprofessional Handbook of Child Sexual Abuse: Integrated Management, Therapy, and Legal Intervention. London, Routledge.
  • Gerber J (2008) Treatment of sexually compulsive adolescents. Psychiatr Clin North Am, 31:657–669.
  • Giovannoni J, Becerra R (1979) Defining Child Abuse. New York, NY, Free Press
  • Gómez JM, Lewis JK, Noll LK, Smidt AM, Birrell PJ (2016) Shifting the focus: Nonpathologizing approaches to healing from betrayal trauma through an emphasis on relational care. J Trauma Dissociation, 17:165–185.
  • Green AH (1993) Child sexual abuse: Immediate and long-term effects and intervention. J Am Acad Child Adolesc Psychiatry, 32:890-902.
  • Hailes HP, Yu R, Danese A, Fazel S (2019) Long-term outcomes of childhood sexual abuse: An umbrella review. Lancet Psychiatry, 6:830-839.
  • Haley J (1976) Problem-Solving Therapy. New York, Harper.
  • Hall M, Hall J (2011) The long-term effects of childhood sexual abuse: Counselling implications. Vistas Online, 19.
  • Hébert M, Langevin R, Oussaïd E (2018). Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims. J Affect Disord, 225:306–312.
  • Heim C, Mayberg HS, Mletzko T, Nemeroff CB, Pruessner GC (2013) Decreased cortical representation of genital somatosensory field after childhood sexual abuse. Am J Psychiatry, 170:616–623.
  • Herman JL (2015) Trauma and Recovery: The Aftermath of Violence--From Domestic Abuse To Political Terror. New York, NY, Basic Books.
  • Hillis S, Mercy J, Amobi A, Kress H (2016) Global prevalence of past-year violence against children: A systematic review and minimum estimates. Pediatrics, 137:e20154079.
  • İşeri E (2009) Çocuk psikiyatrisi uygulamalarında istismar olgularının tanınması. Çocuk İstismarını ve İhmalini Önleme Kongresi, 27-30 Eylül 2009, Ankara.
  • Jackson AM, Deye K (2015) Aspects of abuse: Consequences of childhood victimization. current problems in pediatric and adolescent. Health Care, 45:86–93.
  • Jones DPH (1986) Individual psychotherapy for the sexually abused child. Child Abuse Negl, 10:377–385.
  • Kenny MC, Wurtele SK (2012) Preventing childhood sexual abuse: An ecological approach. J Child Sex Abus, 21:361–367.
  • Kesebir S, Kavzoğlu SÖ, Üstündağ MF (2011) Bağlanma ve psikopatoloji. Psikiyatride Güncel Yaklaşımlar, 3:321-342.
  • Keskin G, Çam O (2007) Bağlanma süreci: Ruh sağlığı açısından literatürün gözden geçirilmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 23:145-158.
  • Kluft RP (1984) Multiple personality in childhood. Psychiatr Clin North Am, 7:121–134.
  • Lahav Y, Bellin E, Solomon, Z (2016) Posttraumatic growth and shattered world assumptions among ex-POWs: The role of dissociation. Psychiatry, 79:418–432.
  • Lev-Wiesel R (2008) Child sexual abuse: A critical review of intervention and treatment modalities. Child Youth Serv Rev, 30:665–673.
  • Lucier-Greer M, Nichols LR, Peterson C, Burke B, Quichocho D, O’Neal CW (2018) Problematic Sexual Behavior Among Children and Youth: Considerations for Reporting, Assessment, and Treatment. Auburn, AL, Military REACH.
  • Mallants C, Casteels K (2008) Practical approach to childhood masturbation-A review. Eur J Paediatr, 167:1111–1117.
  • Maniglio R (2010) Child sexual abuse in the etiology of depression: A systematic review of reviews. J Depress Anxiety, 27:631–642.
  • Marquez YI, Deblinger E, Dovi AT (2020) The value of trauma-focused cognitive behavioral therapy (TF-CBT) in addressing the therapeutic needs of trafficked youth: A case study. Cogn Behav Pract, 27:253-269.
  • Martins CM, Von Werne Baes C, Tofoli SM, Juruena MF (2014) Emotional abuse in childhood is a differential factor for the development of depression in adults. J Nerv Ment Dis, 202:774–782.
  • Mathews B, Collin-Vézina D. (2019) Child sexual abuse: Toward a conceptual model and definition. Trauma Violence Abuse, 20:131–148.
  • McTeague LM, Lang PJ, Laplante MC, Cuthbert BN, Shumen JR, Bradley MM (2010) Aversive ımagery in posttraumatic stress disorder: Trauma recurrence, comorbidity, and physiological reactivity. Biol Psychiatry, 67:346–356.
  • MNCASA (2017) Children with sexual behavior problems: Improving Minnesota’s ability to provide early identification and intervention services through policy and practice recommendations. Minnesota, Minnesota Coalition Against Sexual Assault (MNCASA).
  • Morrill M (2014) Sibling sexual abuse: An exploratory study of long-term consequences for self-esteem and counseling considerations. J Fam Violence, 29:205–213.
  • Nasıroğlu S (2014) Çocuk istismarında rehabilitasyon ve tedavi merkezleri. Psikiyatride Güncel Yaklaşımlar, 6:67-78.
  • Negriff S, Schneiderman J, Smith C, Schreyer J, Trickett P (2014) Characterizing the sexual abuse experiences of young adolescents. Child Abuse Negl, 38:261–270.
  • Odacı H, Bülbül K, Türkkan T (2021) The mediating role of cognitive flexibility in the relationship between traumatic experiences in the childhood period and substance abuse proclivity. J Ration Emot Cogn Behav Ther, 39:538–554.
  • Odhayani AA, Watson WJ, Watson L (2013) Behavioural consequences of child abuse. Can Fam Physician, 59:831-836.
  • Özbey S (2010) Okul öncesi çocuklarda uyum ve davranış problemleriyle başa çıkmada ailenin rolü. Aile ve Toplum Dergisi, 21:9-18.
  • Özen Y (2017) Psikolojik travmanın insanlık kadar eski tarihi. The Journal of Social Science, 1:104-117.
  • Öztürk M, Uzel-Tanrıverdi B, Yalın-Sapmaz Ş (2017) Cinsel istismara uğrayan çocuk ve ergenlerin sosyodemografik ve klinik özelliklerinin değerlendirilmesi, psikopatoloji ve ilişkili risk etkenleri. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 24:155-163.
  • Paslı F (2019) Çocuğa yönelik cinsel istismar deneyiminin mikro ve mezzo sistemler açısından incelenmesi. Toplum ve Sosyal Hizmet, 30:463-492.
  • Patterson GR, Reid JB, Dishion TJ (1998) Antisocial boys. In Human Emotions: A Reader (Eds JM Jenkins, K Oatley, NL Stein): 330–336. Malden, MA, Blackwell Publishing..
  • Plummer M, Cossins A (2018) The cycle of abuse: When victims become offenders. Trauma Violence Abuse, 19:286–304.
  • Porter FS, Blick LC, Sgroi SM (1982) Treatment of the sexually abused child. In Handbook of Clinical Intervention In Child Sexual Abuse (Ed SM Sgroi): 109-145. Lexington, MA, DC. Heath.
  • Pulverman CS, Kilimnik CD, Meston CM (2018) The impact of childhood sexual abuse on women’s sexual health: a comprehensive review. Sex Med Rev, 6:188-200.
  • Rasmussen LA (2012) Victim and victimizer: The role of traumatic experiences as risk factors for sexually abusive behavior. Isr J Psychiatry Relat Sci, 49:270–279.
  • Rudolph J, Zimmer-Gembeck MJ (2018) Parents as protectors: A qualitative study of parents’ views on child sexual abuse prevention. Child Abuse Negl, 85:28-38.
  • Sachs-Ericsson N, Cromer K, Hernandez A, Kendall-Tackett K (2009) A review of childhood abuse, health, and pain-related problems: The role of psychiatric disorders and current life stress. J Trauma Dissociation, 10:170–188.
  • SAMHSA (2014). Understanding the impact of trauma. In Trauma-Informed Care in Behavioral Health (pp. 59–90). Rockville, MD, Substance Abuse and Mental HealthServices Administration.
  • Scoglio AA, Kraus SW, Saczynski J, Jooma S, Molnar BE (2021) Systematic review of risk and protective factors for revictimization after child sexual abuse. Trauma Violence Abuse, 22:41-53.
  • Senn TE, Braksmajer A, Urban MA, Coury-Doniger P, Carey MP (2017) Pilot test of an integrated sexual risk reduction intervention for women with a history of childhood sexual abuse. AIDS Behav, 21:3247–3259.
  • Senn TE, Carey MP, Coury-Doniger P (2012) Mediators of the relation between childhood sexual abuse and women’s sexual risk behavior: A comparison of two theoretical frameworks. Arch Sex Behav, 41:1363–1377.
  • Senn, TE, Carey MP (2010) Child maltreatment and women’s adult sexual risk behavior: Childhood sexual abuse as a unique risk factor. Child Maltreat, 15:324–335.
  • Shavega T (2020) Intervention strategies of excessive masturbation for a 19-years youth: Experience of counseling ıntervention. Open Journal of Therapy and Rehabilitation, 8:98-109.
  • Shonkoff JP, Garner AS, Siegel BS, Dobbins MI, Earls MF, Garner AS (2011) The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129:e232–e246.
  • Silovsky JF, Niec L, Bard D, Hecht DB (2007) Treatment for preschool children with ınterpersonal sexual behavior problems: A pilot study. J Clin Child Adolesc Psychol, 36:378-391.
  • Şimşek Ş, Fettahoğlu E, Özatalay E (2011). Cinsel istismara yönelik travmalar ve travma sonrası stres bozukluğu. Dicle Tıp Dergisi, 38:318-324.
  • Sousa C, Mason WA, Herrenkohl TI, Prince D, Herrenkohl RC, Russo MJ (2018) Direct and indirect effects of child abuse and environmental stress: A lifecourse perspective on adversity and depressive symptoms. Am J Orthopsychiatry, 88:180-188.
  • Stead R, Shanahan MJ, Neufeld RWJ (2010) I’ll go to therapy, eventually: Procrastination, stress and mental health. Pers Individ Dif, 49:175–180.
  • Swenson CC, Schaeffer CMA (2018) Multisystemic approach to the prevention and treatment of child abuse and neglect. Int J Child Maltreat, 1:97-120.
  • Thomas TA, Fremouw W (2009) Moderating variables of the sexual “victim to offender cycle” in males. Aggress Violent Behav, 14:382–387.
  • Thornberry TP, Henry KL, Ireland TO, Smith CA (2010) The causal impact of childhood-limited maltreatment and adolescent maltreatment on early adult adjustment. J Adolesc Health, 46:359-365.
  • Trickett PK, Noll JG, Putnam FW (2011) The impact of sexual abuse on female development: Lessons from a multigenerational longitudinal research study. Dev Psychopathol, 23:453–476.
  • Türkkan T, Odacı H (2022) Söylemek mi gizlemek mi? Çocuk mağdurların cinsel istismarı açıklamalarını etkileyen faktörler. Toplum ve Sosyal Hizmet, 33:991-1008.
  • Urquiza AJ, Winn C (1992) Treatment for Abused and Neglected Children: Infancy to Age 18. Washington DC, United States Department of Health and Human Services Administration for Children and Families.
  • Van der Kolk BA (2017) Developmental trauma disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatr Ann, 35:401–408.
  • Walker HE, Freud JS, Ellis RA, Fraine SM, Wilson LC (2017) The prevalence of sexual revictimization. Trauma Violence Abuse, 20:67-80.
  • Walker HE, Freud JS, Ellis RA, Fraine SM, Wilson LC (2019) The prevalence of sexual revictimization: A meta-analytic review. Trauma Violence Abuse, 20:67–80.
  • Walker M (2011) What’s a feminist therapist to do? Engaging the relational paradox in a post-feminist culture. Women Ther, 34:38–58.
  • Weihmann R (2022) Symptomatology of reconstitution of trauma in adults with a history of childhood sexual abuse. An approach from the perspective of S-ONapp application. International Journal of Advanced Studies in Sexology., 4:31-40.
  • WHO (1999) Report of the Consultation On Child Abuse Prevention. Geneva, World Health Organization.
  • WHO (2016) Child maltreatment. http://www.who.int/mediacentre /factsheets/fs150/en/ (Accessed 06.11.2022)
  • Widom CS, Czaja SJ, Kozakowski SS, Chauhan P (2018) Does adult attachment style mediate the relationship between childhood maltreatment and mental and physical health outcomes? Child Abuse Negl, 76:533–545.
  • Wilson HW, Widom CS (2008) An examination of risky sexual behavior and HIV in victims of child abuse and neglect: A 30-year follow-up. Health Psychol, 27:149–158.
  • Wolf MR, Nochaiski TH (2013) Child sexual abuse survivors with dissociative amnesia: What’s the difference. J Child Sex Abus, 22:462–480.
  • Yıldızhan E (2016) Bağlanma kuramı ve bağlanma bozukluklarına bir bakış. Anadolu Kliniği Tıp Bilimleri Dergisi, 22:66-72.
  • Zeanah CH, Egger HL, Smyke AT (2009) Institutional rearing and psychiatric disorders in Romanian preschool children. Am J Psychiatry, 166:777–785.
Toplam 111 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikoloji
Bölüm Derleme
Yazarlar

Hatice Odacı 0000-0002-2080-6269

Tuğba Türkkan 0000-0002-3955-6597

Yayımlanma Tarihi 30 Eylül 2023
Kabul Tarihi 13 Ocak 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 15 Sayı: 3

Kaynak Göster

AMA Odacı H, Türkkan T. Treatment Issues While Addressing Child Sexual Abuse: A Review. Psikiyatride Güncel Yaklaşımlar. Eylül 2023;15(3):534-547. doi:10.18863/pgy.1181095

Cited By

Family Therapy for Anorexia Nervosa
Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi
https://doi.org/10.56061/fbujohs.1371956

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