Dergi Ara >>
Yıl:1994; Cilt: 2; Sayı: 4>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1994;2(4):361-365
Cinsel İstismar Öyküsü Olan Bir Grup Ergende Tedavi Deneyimi
Ş Yüksel, M Enderer, I Baral, Ö Öktem
İ.Ü. Tıp Fakültesi Psikiyatri ABD, İstanbul
Son 6 yıl içinde çocukluk çağında travmatik cinsel deneyimi olan 14-22 yaş arasında 15 ergen/genç kadın Psikonevroz ve Psikoterapi Biriminde tedavi edilmiştir. Çeşitli ruh sağlığı ve/yaşam sorunları ile başvuran bu kadınların en az bir yıl süren, yineleyen cinsel istismar deneyimleri vardı. Olgulara tanı ve belirtilerinin özelliklerine göre bireysel, grup psikoterapisi, ilaç tedavileri veya bunların birleşimi önerildi. Tedavilerinde ayrıca, travmatik yaşantının ve cinselliğin algılanması, anne-kız yabancılaşmasının çözümlenmesi, ev içi ve toplumsal sorunlarla başa çıkma yolları kazandırılmaya çalışıldı. Tedavi sürecinde, gerektiğinde bir kadın danışma merkezi ile iş birliği içinde çalışılması önemli bir avantajdı. Tedaviyi erken kesenler %40'ı oluşturmakla birlikte, kısmi bir yararlanma ile tedaviden ilk 4 ay içinde ayrıldığı görüldü. İlaç tedavisi seyrek (6) ve tek ilaç seçilerek yapıldı. Grup tedavisine katılımın kişinin travmatik yaşantılarını yeniden değerlendirilmesinde ve sosyal yalıtımı bozmadaki yeri dikkati çekti.


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