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Yıl:2023; Cilt: 15; Sayı: 3>> Özet
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Psikiyatride Güncel Yaklaşımlar; 2023;15(3):534-547
Çocuk Cinsel İstismarını Ele Alırken Karşılaşılan Tedavi Konuları:Bir Derleme
H Odacı, T Türkkan
Karadeniz Technical University, Trabzon
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.
Treatment Issues While Addressing Child Sexual Abuse: A Review
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.

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