一位曾受家庭暴力與性侵害個案之心理治療過程

Psychotherapy for a Sexual Victim Who Had Suffered from Domestic Violence

陳冠旭(Kuan-Hsu Chen) ； 周煌智(Frank Huang-Chih Chou)

《亞洲家庭暴力與性侵害期刊》 2卷2期 (2006/12) Pp. 19-33

https://doi.org/10.29804/AJDVSO.200612.0002

摘要

目的：本文藉由一位曾受家庭暴力及性侵害的創傷後壓力疾患的個案心理治療過程，深入探討受害個案的思考連結及人際互動結構，讓個案有機會了解自己的內心世界，重新學習新的思考及人際互動模式，進一步緩解情緒及人際互動的困擾。
個案於24歲時被一剛交往的男子性侵害得逞，但在一審時因從一而終的處女情結而原諒了他，並成為他的女友。在日後的相處上，會有互相暴力行為出現，當自己對男友有暴力的行為時，情緒會獲得緩解（加害者為強者情結）。在受到性侵害後，個案人格有顯著改變，經過心理治療的過程探討改變的因素，發現個案對創傷後壓力疾患的因應模式關係，有對暴力依戀（愛恨交加，既期待又怕受傷害）、與狼共舞（兩害相權取其輕）及以強度較弱的負面情緒（如厭惡、焦慮、憂鬱…）來取代強度較具威脅性的負面情緒（恐懼）。

關鍵字

家庭暴力 ； 性侵害 ； 創傷後壓力疾患

並列摘要

The purpose of this case report was to, through the psychotherapy process, present and explore in depth the thinking connection and interactive mode of human relationship of a sexual and domestic violence victim with PTSD. It allowed the subject to understand her own inside world, learn new thinking approach and interactive mode with outside world, and further relief emotional and interactive disturbance.
At the subject's age of 24, she was sexual assaulted by a male who just started dating with her. However, she forgave him in the first trial out of her virgin complex of sticking to man and became his girl friend. Afterward, they both had violence to each other. The subject found out each time when she had violent behavior to her boyfriend, she got emotion released (the abuser constitute strongman complex). After the sexual assaulted, the subject has significant personality changed.
Through the psychotherapy process, it showed the subject's factors of the adjustment of PTSD included of lingering to violence (mixture of love and hate, expecting abuse but still afraid of being hurt) and replacing threatening negative emotion of higher intensity (fear) to less intensive negative emotion (such as resent, anxiety, depression, etc)

並列關鍵字

domestic violence ； posttraumatic stress disorder PTSD ； sexually assault