Zusammenfassung
Sexueller Mißbrauch im Kindesalter wurde bisher vor allem im Kontext mit neurotischen Störungen und psychosomatischen Erkrankungen untersucht. Der Bedeutung sexueller Mißbrauchserfahrungen im Vorfeld einer Psychose wurde weniger Beachtung geschenkt, obwohl sich in der Literatur sehr hohe Prävalenzraten finden.
Die Psychodynamik der sexuellen Mißbrauchserfahrung und des damit verbundenen psychischen Traumas wird vor dem Hintergrund des Vulner-abilitätsmodells und der Posttraumatischen Belastungsstörung dargelegt, die Familienstruktur und deren Rolle in Interaktion mit anderen Entstehungsfaktoren für eine Psychose diskutiert.
Summary
Schizophrenia and sexual abuse. Up to now sexual abuse in childhood has been investigated in context with neurotic and psychosomatic disorders, above all. Less Attention has been paid to the significance of experiences of sexual abuse preceding a psychosis, although very high rates of prevalence are found in literature.
Psychodynamic aspects of experiences of sexual abuse in conjunction with traumatic events are demonstrated, taking into consideration the “vulnerability-stress model” and “post-traumatic stress disorder”. The familiy, its structure and influence on the origin of a psychosis — interacting with other causative factors — are discussed.
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Neumann, R., Lieder, F., Kinzl, J., Prokop, L., Rössler, H. (1993). Schizophrenie und sexueller Mißbrauch. In: Platz, T. (eds) Brennpunkte der Schizophrenie. Aktuelle Probleme der Schizophrenie, vol 4. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9285-6_34
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