A twenty-year-old adolescent victim of incest
Abstract
Author describes in this work the course of the psychotherapeutic treatment of a twenty-year-old adolescent who, at the age of 12, became a sexual abuse victim by her father. As she was growing up, she was exposed to other forms of violence and developed an insecure attachment. She became insecure, obedient, isolated, ashamed, with an enormous fear of her father. Trauma-focused cognitive-behaviouristic therapy (TFCBT) was implemented with an eclectic approach (genogram, drawing, associative cards, guided fantasies) and psychoeducation. For seven months, weekly one-hour long sessions took place. Client interrupted treatment due to changed life circumstances. Besides difficulties in psychotherapeutic work with young victims of incest, topics here are also contextual factors and consequences for the psychotherapeutic treatment.
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Autorica u radu opisuje tok psihoterapijskog tretmana dvadesetogodišnje adolescentkinje koja je u uzrastu od 12 godina počela bivati, žrtva seksualnog zlostavljanja od strane oca. Tokom odrastanja bila je izložena i drugim oblicima nasilja. Odrastajući u nasilju razvija nesigurni atachment. Postala je nesigurna, poslušna, izolovana, postiđena, sa ogromnim osjećajem straha od oca. U psihoterapijskom tretmanu primjenjena je Kognitivno bihevioralna terapija usmjerena na traumu (TFCBT), uz eklektički pristup (genogram, crtež, asocijativne karte, vođene fantazije), te psihoedukaciju. Psihoterapijski tretman se odvijao jedan put sedmično, sat vremena, u periodu od sedam mjeseci. Prekinut je željom klijentice zbog životnih okolnosti u kojima se našla. Osim poteškoća u psihoterapijskom radu s mladim žrtvama incesta, tematizirani su kontekstualni faktori i posljedice za psihoterapijski tretman.