Voices of adolescent incest victims: A qualitative study on feelings about trauma and expectations of recovery.


Journal

Archives of psychiatric nursing
ISSN: 1532-8228
Titre abrégé: Arch Psychiatr Nurs
Pays: United States
ID NLM: 8708534

Informations de publication

Date de publication:
04 2020
Historique:
received: 21 11 2019
revised: 23 01 2020
accepted: 08 02 2020
entrez: 7 4 2020
pubmed: 7 4 2020
medline: 7 1 2021
Statut: ppublish

Résumé

Incest, is a serious social problem facing society and children/adolescents themselves. The purpose of this study is to explore the ways adolescents talk about and give meaning to their experiences of incest concerning cultural, ethnic factors relevant to southeastern of Turkey. We focused on in-depth interviews of five incest victims (14-16 years girls, from low socioeconomic status in southeastern of Turkey). Four key themes were constructed from the qualitative analysis: 1. Unable to understand/Delayed meaning-making: Adolescents provided definitive information about the first abuse memory but they were also unable to understand what they had experienced so they delayed meaning making. 2. Dysfunctional coping style with the incest: Adolescents told that they threatened the perpetrators in various phases of incest. 3. Avoidance of eye contact by the perpetrator: We recognized that perpetrators avoided social contact with the victim. This theme evokes dehumanizing of women during incest. 4. The urge to destroy happy memories: This theme presents data on the adolescents' expectations about recovery. According to the themes, two fundamental therapeutic precepts could guide the treatment process for adolescent girl incest survivors: 1. Exploration of the delayed meaning making: Therapist could address dysfunctional family functioning and explain that it is normal for a child to be delayed in meaning making. 2. Recovery of the adolescent's lost self after semantic dehumanization in abuses: Therapist should help her to dispute irrational beliefs about worthlessness and to gain control of her body.

Sections du résumé

BACKGROUND
Incest, is a serious social problem facing society and children/adolescents themselves. The purpose of this study is to explore the ways adolescents talk about and give meaning to their experiences of incest concerning cultural, ethnic factors relevant to southeastern of Turkey.
METHOD
We focused on in-depth interviews of five incest victims (14-16 years girls, from low socioeconomic status in southeastern of Turkey).
RESULTS
Four key themes were constructed from the qualitative analysis: 1. Unable to understand/Delayed meaning-making: Adolescents provided definitive information about the first abuse memory but they were also unable to understand what they had experienced so they delayed meaning making. 2. Dysfunctional coping style with the incest: Adolescents told that they threatened the perpetrators in various phases of incest. 3. Avoidance of eye contact by the perpetrator: We recognized that perpetrators avoided social contact with the victim. This theme evokes dehumanizing of women during incest. 4. The urge to destroy happy memories: This theme presents data on the adolescents' expectations about recovery.
CONCLUSION
According to the themes, two fundamental therapeutic precepts could guide the treatment process for adolescent girl incest survivors: 1. Exploration of the delayed meaning making: Therapist could address dysfunctional family functioning and explain that it is normal for a child to be delayed in meaning making. 2. Recovery of the adolescent's lost self after semantic dehumanization in abuses: Therapist should help her to dispute irrational beliefs about worthlessness and to gain control of her body.

Identifiants

pubmed: 32248936
pii: S0883-9417(19)30465-0
doi: 10.1016/j.apnu.2020.02.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

67-74

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest On behalf of all authors, the corresponding author states that there is no conflict of interest.

Auteurs

Hesna Gul (H)

Department of Child and Adolescent Psychiatry, Gulhane Research and Training Hospital, Ankara, Turkey. Electronic address: drhesnagul@gmail.com.

Ahmet Gul (A)

Department of Psychiatry, Ufuk University School of Medicine, Ankara, Turkey.

Esra Yurumez (E)

Ankara University School of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.

Bedriye Öncü (B)

Ankara University School of Medicine, Department of Psychiatry, Ankara, Turkey.

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