성폭력 피해 아동의 로샤 반응 특성:로샤 검사가 성폭력 피해의 증거를 제공해줄 수 있는가?
Rorschach indicators of sexually abused childrenCould the Rorschach test provide critical evidences of sexual abuse?
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
본 연구는 로샤의 구조적 변인이 성폭력 피해의 증거를 제공해 줄 수 있는지, 그리고 피해 아동의 인구통계학적 변인 및 성폭력 사건의 특성에 따라 심리적 고통의 정도와 종류에 있어 차이가 나타나는지 알아보고자 하였다. 성폭력 피해 아동 45명과 소아정신과 외래를 방문한 아동 33명의 로샤 프로토콜을 채점하였으며, 구조적 변인 중에서 6개의 특수 지표와 외상적 내용(MOR, Ag, An, Bl, Sx 및 traumatic content index; TC/R)을 분석하였다. 그 결과, 성폭력 피해 집단과 임상집단 간에는 의미 있는 차이가 나타나지 않았으며, 로샤의 지표를 이용한 집단의 적절한 판별에도 실패하였다. 성폭력 피해가 지속적으로 있었을수록 우울증과 부정적인 자기상 및 신체상의 손상이 의미 있게 심각하였으며, 가해자가 아는 사람일 때에 그러한 손상이 더욱 심각하였다. 한편, 두 집단 모두에서 Exner와 Weiner(1995)가 제시한 미국 아동의 규준 자료보다 특수지표가 의미있게 상승한(positive) 아동의 비율이 훨씬 높게 나타났다. 종합해볼 때, 로샤 검사의 특수 지표와 외상적 내용 변인들이 성폭력 피해에 의한 심리적 고통의 정도를 반영하는 중요한 증거를 제공하기는 하나, 이러한 결과만으로는 성폭력 피해 사실의 여부를 판단하는 것에는 한계가 있는 것으로 보인다. 본 연구의 함의와 제한점이 논의되었다.
Abstract
This study aims to assess the utility of Rorschach test in detecting of sexual abuse, and the differences of psychological aftereffects according to demographic datum and abuse characteristics. Participants were forty-five school-aged girls that identified for sexual abuse and thirty-three school-aged psychiatric outpatients without sexual abuse history. Their Rorschach responses were scored on Comprehensive System(Exner, 1993), and Special scores were obtained. In addition, the Trauma Content and Trauma Content Index(Mor, AG, An, Bl, Sx, TC/R)(Armstrong & Loewenstein, 1990) were used. In result, it could not discriminate sexually abused children from nonsexually abused psychiatric patients. Repeatedly abused children showed significantly more depression, negative self image, impairment of body image than episodic abused children and their nonabused counterparts. And, there were significant differences according to types of perpetrators. Strange perpetrator group was revealed more severe impairment than acquainted perpetrator group. Both abused group and clinical group were higher special score's positive rates than American normative data on Exner and Weiner(1995). In summary, Rorschach test provided important informations about psychological aftereffects due to sexual abuse, but it couldn't sufficiently/effectively discriminate between sexually abused group form nonabused psychiatric patients. The implication and limitation are discussed.
참고문헌 (33)
- "한국 성폭행 피해 아동의 정신병리", 45(2), pp.165~173 (2006)
- "Manifestati- ons of bodily concern in sexually abused girls", 64(4), pp.530~542 (2000)
- "Characteristics of patients with multiple personality and dissociative disorders on psychological testing", 178, pp.448~454 (1990)
- "Emotional functioning in children alleging sexual abuse in preschool Unpublished doctoral Nevada at Reno" (1989)
- "Impact of child sexual abuse A review of the research", pp.66~77 (1986)
- "Rorschach responses of sexu- ally abused children California School of Professional Psychology -Berkeley", Alameda, 19901990, ~
- "The history of the Rorschach Over- coming bias in multicultural projective assessment", 20, pp.148~171 (1995)
- "The effects of sexual abuse on children:A multidimensional view", 2, pp.380~390 (1988)
- "Cross-Cultural clinical psychological assessment of Hispanic Americans", 70, pp.71~86 (1998)
- "Cultural identity assessment of culturally diverse groups", 70, pp.1~16 (1998)
- "The diagnostic utility of sexual behavior prob- lems in diagnosing sexual abuse in a forensic child abuse evaluation clinic", 25, pp.489~503 (2001)
- "The Rorschach: A Comprehensive system: Asse- ssment of children and adolescents" (1995), Wiley
- "The response of Africal Americals to the Rorschach:A review of the literature", 59, pp.317~325 (1992)
- "Child sexual behavior Inventory: normative, psychiatric and sexual abuse comparisons", 6(1), pp.37~49 (2001)
- "Sexually abused girls and their Rorschach responses", 85, pp.355~362 (1997)
- "Dissociative and sexual behaviors in children and adolescents with sexual abuse and psychiatric histories", 12, pp.155~171 (1997)
- "Projective Techniques and the Detection of Child Sexual Abuse", 5(2), pp.161~168 (2000)
- "Interpre- tation of psychological tests in clinical and forensic evaluations", pp.141~178 (1998), American Psychological Association.
- "A Critique of Lilienfeld et al.'s (2000) "The Scientific Status of Projective Techniques"", 80(3), pp.260~271 (2003)
- "Rorschach correlates of sexual abuse: trauma content and aggression indexes.", 75(2), pp.212~224 (2000)
- "The Reliability and Validity of Kiddie-Schedule for Affective Disorders and Schizophrenia- Present and Lifetime Version- Korean Version (K-SADS-PL-K).", 45(1), pp.81~89 (2004)
- "Developments in the Rorschach technique" (1954)
- "Rorschach assessment of psychological functioning in sexually abused girls Journal of Personality Assessment", pp.14~28 (1991)
- "Characteristics of sexual abuse associated with greater psychological impairment among children", pp.401~408 (1993)
- "Rorschach comparison of borderline patients with and without a history of childhood sexual abuse" (1997)
- "A model of chronic trauma", pp.82~96 (1993)
- "Multimethod assessment of depression in sexually abused girls Journal of personality assessment", pp.234~248 (1990)
- "Psychological testing in evaluation of child sexual abuse", pp.145~159 (1993)
- "Principles of Rorschach Interpretation" (1998), Lawrence Erlbaum Associates
- "Meta-Analysis of studies assessing the efficacy of projective techn- iques in discriminating child sexual absue", 22(11), pp.1151~1166 (1998)
- "The Rorschach Assessment of sexually abused children in residential treatment:A research note", 12, pp.59~72 (1994)
- "Sexual abuse in early versus late childhood differing patterns of pathology as revealed on the Rorschach", pp.99~106 (1988)
- "Sexual abuse characteristics associated with survivor psychopathology", 24(7), pp.951~964 (2000)