جستجوی مقالات مرتبط با کلیدواژه « آزار جنسی » در نشریات گروه « پزشکی »

Even though sexual assault is rarely considered a serious social problem; it can lead to severe mental-health consequences.

The aim of the current study was to assess the attrition rates and the effectiveness of a therapeutic program of art and mindfulness on Post-Traumatic Stress Disorder (PTSD) in female sexual assault survivors.

This study was a controlled clinical trial with a design of pre-test, post-test, and a two-month follow-up. The population included women with sexual assault experience that had sought professional help in the psychotherapy clinics of Hamedan in 2019. 16 individuals were first selected using purposive sampling and then were allocated randomly to control (N=8) and experimental groups (N=8). The utilized questionnaires included the Impact-of-Event-Scale (2007) and the Depression-Anxiety-Stress-Scale-21 (1995). The combined treatment of art and mindfulness was conducted for the experimental group through eight two-hour weekly sessions. The data were analyzed using descriptive and inferential statistics, one-way ANCOVA and SPSS software-version 22.

Findings indicated that the combined art and mindfulness therapeutic program reduced intrusion (F=20.34, P<0.001), arousal (F=20.43, P<0.001), avoidance (F=14.32, P<0.002), and stress scores (F=33.46, P<0.001) significantly in the experimental group.

The findings indicated that the combined art therapy and mindfulness method could play a significant role in the alleviation of PTSD symptoms in sexually traumatized individuals. It is suggested that the therapists consider this intervention for individuals that are severely afraid of their trauma-related memories.

According to the available evidences regarding the consequences of sexual harassment, it is necessary to provide appropriate and effective treatment measures for the victims.The purpose of this study was to evaluate and compare the effectiveness of emotion-focused and existential group therapy on the adjustment of victims of childhood sexual abuse in Isfahan.

This was a pre-test, post-test, and follow-up experimental research with a control group. The samples were 45 individuals with a history of being victimized by any kind of sexual abuse in childhood, referring to psychology centers in Isfahan city. They were selected based on purposeful sampling, and they were randomly allocated into three groups of 15 people (two experimental groups and one control group). One experimental group was intervented by emotion-focused therapy and the other was intervened by existential group therapy. All of them were compared with the control group after completing the intervention therapy procedure. Also, after three months, the groups were followed up.

According to the obtained results, it can be said that existential and emotion-focused therapy effectively increased home adjustment (p=0.037, p=0.021, f=3.480, eta=0.142) and health adjustment (p=0.023, p=0.050, f=3.230, eta=0.133) in victims of child sexual abuse in Isfahan. The results also showed that out of the two treatment methods, only the existential therapy could have a significant effect on the overall adjustment score of victims of child sexual abuse in Isfahan (p=0.048, f=3.620, eta=0.141).The emotion-focused therapy could not have such an effect.

Based on the findings, it is suggested that victims of sexual harassment undergo intervention to improve their adjustment with emotion-focused or existential therapy.

Sexual harassment, or in other words, the use of children and adolescents for sexual gratification, is one of the forms of harassment of children and adolescents that occurs at all ages from childhood to adolescence, and the adverse consequences and sometimes irreparable harm to health and well-being. Adults are large in size (2). In this regard, research has shown that child abuse, in addition to the destructive short-term consequences it has on the child, causes the child to feel insecure, anxious, distracted, afraid, depressed, inattentive, and post-traumatic stress disorder behaviors; It will also have long-term consequences (4).Given the above and the negative impact of sexual harassment in childhood on individual and social life and causing great material and spiritual damage to the individual and society, researchers and experts are constantly seeking to discover new ways to reduce these effects. And help the mental and physical condition of the victims, and in this regard, various medical and non-arbitrary methods have been used. However, among the methods that have been considered recently, emotion-oriented therapy can be modernist and experimental therapy (5), which points to the important role of emotions and emotional communication in organizing communication patterns and considers emotions as a factor of change. Takes (6).On the other hand, existential psychotherapy, by emphasizing important concepts such as responsibility, presence in existence, freedom, choice, search for meaning and especially constant self-awareness, has provided a unique way to treat existential anxiety (11). Existential therapy provides the therapist and client with the opportunity to understand how the client chooses how to express their "individuality." In the existential treatment of worldviews, values, beliefs, as well as the type of worldview of people and the events we face; It becomes clear (12).In general, the review of existing research shows that so far no comprehensive and similar research has been conducted that simultaneously examines the impact of both emotion-oriented and existential therapies on the psychological issues of victims of sexual harassment. Therefore, the aim of this study was to compare the effect of emotion-oriented and existential group therapy on the defense mechanisms of victims of child sexual abuse in Isfahan.

For the present quasi-experimental research, which was performed with a pre-test-post-test-follow-up plan and a control group, among those with a history of being victims of any sexual abuse in a child who had referred to psychology centers in Isfahan in 1398 and 1399, Eligibility criteria for the study were 45 people were selected as available and randomly divided into three groups of emotion-oriented therapy, existential and control. After completing the consent form, the subjects in the experimental groups received 8 sessions of interventions. It should be noted that before, after and 3-month follow-up period, research variables were measured. The research tool also included the following:Laserman Sexual Harassment Questionnaire (LSHQ) which includes 7 questions with yes and no answers. Scoring in this test indicates that the person is a victim of at least one type of sexual harassment. And the Defense Styles Questionnaire (DSQ-40), a new version of which was developed by Andrews et al.In the present study, the reliability of the internal consistency method using Cronbach's alpha coefficient for the three defense styles developed, immature and psychotic is equal to 0.68, 0.75 and 0.71, respectively, which are acceptable coefficients.

The results showed that there was a significant difference in the scores of developed and psychoactive defense mechanisms in the three stages of pre-test, post-test and follow-up measurement and the interactive effect of their measurement stages with the group (P <0.01). The results also showed that in the developed defense mechanism, a significant difference is observed in the measurement stages, while such a difference is not seen due to the interaction of time with the group (Table 3).As the results of Table 4 show, with the significance of time within the groups with F calculated for immature (28.86), mature (3.11) and psychotic (13.61); Confirms the existence of a significant difference between the three measurements of pre-test, post-test and follow-up at the level of P <0.01.The results also showed that the interactive effects of the two immature and psychotic styles with F calculated at 11.86 and 10.14 were significant, but with no significant source in the group between the control and experimental groups in all three styles; It can be said that there is no significant difference between the mean scores of the experimental groups, emotion therapy, existential therapy and the control group (P <0.05). No (Table 4).

The results showed that there was no significant difference between the mean scores of the experimental therapy, existential therapy and control groups. Regarding the findings of the present study, it should be noted that sexual harassment is a complex problem that has various physical, psychological and legal aspects. The use of coping strategies and defense mechanisms reduces vulnerability in stressful situations such as sexual harassment (18). But it should be noted that emotionally empowered people make it easier for them to face life's challenges and, as a result, have better mental health. These people are more successful in coping with negative experiences and show better adaptation to the environment and others (19).In emotion-oriented therapy, the therapist focuses on raising awareness of the mental content that has been denied or distorted by the therapist in order to create new meaning influenced by the client's physical experience (5). Approaching bitter mental and emotional experiences for victims of child sexual abuse is often a difficult and tedious process. In addition to building an effective relationship, the therapist's mission is to teach emotion regulation skills. Therefore, the therapist has based his treatment on the self-improvement and balance of the person and tries to self-regulate the person and his emotional system through positive self-concept, and in treatment sessions, he widely uses treatment methods to express new feelings. Slowly (12).An existential therapist helps individuals and victims of child sexual abuse find meaning in life in the face of anxiety and stress, and this is achieved through the use of thinking power, responsible action, and coping with negative thoughts and social pressures. According to what has been stated in the above explanation, it can be stated that since the existential components directly involve the victim with the existence and existential processes, the person looks at the process of change in a deep and conscious way. This process always requires the victim to allow a part of him or her that has been hidden or repressed to come to the realm of awareness and analysis so that the person has the opportunity to make a more informed choice and gain a deeper perspective on issues.

Child abuse is one of the common problems in different societies that has negative effects on the physical and mental health and functioning of the child and society. In the present study, the preventable causes of child abuse in ahwaz forensic medicine organization during 2011-2020 were evaluated.

In this epidemiological-analytical study, the forensic records of child abuse in the years 2011 to 2020 in the forensic medicine of Ahvaz were examined. File information including gender, age, level of education, area of residence, type of parents, causes of harassment and addiction. Data analysis was performed using descriptive and inferential statistics.

49.3% of child abuse cases were male and 50.7% were female, and the mean age of child abuse was 10.26±2.19 years. Also, 69.9% of child abuse cases were poor and 30.1% were moderate. 56.5% of child abuse cases had physical parents. 74.0% of child abuse cases had two parents. 72.2% of child abuse cases were illiterate, 24.7% had a diploma and 1/4% had a post-diploma. Among child abuse cases, 53.4% were physically abused and 46.6% were sexually abused. Of the child abuse cases, 47.9% were addicted to opium and cannabis.

The incidence of child abuse did not differ by gender, however low levels of well-being and economics, low levels of education, having a stepfather or stepmother, and parental addiction were risk factors for child abuse. Also, the high rate of physical and sexual abuse of children in this study is very worrying.

Victims of violence suffer from psychological problems such as depression, anxiety and inability to solve problems. The aim of this study was to compare the tendency to addiction and suicide in physically and sexually abused women referred to forensic medicine centers of Fars province with non-abused women.

In this cross-sectional descriptive study, 105 women who were referred to forensic medicine centers in Fars province from October 2017 to June 2018 with complaints of physical (60 people) and sexual abuse (45 people) were selected by purposive sampling method. Also 60 women were selected in various gathering centers such as sports clubs and cultural centers in Shiraz by convenience sampling method. Data were collected through the Nazari’s Addiction and Drug Attitude Questionnaire and the Orbach’s Multi-Attitude Suicide Tendency Scale for adolescents (MAST), and were analyzed by one-way analysis of variance, multivariate analysis of variance and univariate analysis of variance and Scheffe post hoc test.

The mean scores of addiction tendency in women of the physically abused group was significantly higher than women of the normal group. There was a significant difference between the physically and sexually abused groups and the normal group in terms of life attraction, non-acceptance of life and death attraction. Also there was a significant difference in the component of non-acceptance of death between the physically abused group and the normal group (p<0.05).

Physically and sexually abused women are more prone to suicide and addiction than non-abused women.

The first definition of sexual harassment which comes to mind is a behavior with force and violence. But is sexual harassment restricted to these behaviors? Apparently, sexual harassment comprises of a wide range; a range with rape on its one side (article 224 of the Criminal Code) and using offensive words (article 619 of the Ta’zirat part of the Criminal Code) containing sexual concept on the other. The conduct and talk which causes harm to someone just because of his/her sex. This concept is consistent with the spirit and purpose of the tort law which is for protection of victims. Moreover, this concept makes our legal system in line with other legal systems’ movement. However, Sexual harassment usually happens without the consent of the victim and by the use of force. But sometimes despite the consent of the victim, this consent is considered null and void since it is the result of duress, fraud, or pressure. Sexual harassment causes different types of damages such as physical or mental which have to be compensated in accordance with the “no harm” principle. In our legal system, blood money and the sum of money which is paid for the loss of virginity and the criminal relish are considered as different kinds of compensation. Also, mental and moral damage is awarded according to article 1 and 9 of the Iranian Civil Liability Code, and 14 of Iranian Criminal Procedure Code. Knowing legal aspects of this issue leads to respecting of moral aspects. Additionally, in this article, the sexual harassment as well as its related damages and compensations under Iranian law are investigated.