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Incest and physician responsibility.

This paper examines the epidemiologic, psychologic, and clinical aspects of incest, and emphasizes the need for action by physicians. The apparent increase in the incidence of this emotionally damaging experience makes it essential for the physician to understand the dynamics of incest, individually and in the family, so as to be prepared to meet the needs of the patient and the community. This paper stresses the responsibility of the physician in the intervention of the immediate trauma and in the prevention of its continuation or recurrence. Ways in which the physician, because of his close contact with the family, may fill this role are discussed.

Adult↗

Incest in Jung's work: the origins of the epistomophilic instinct.

In this paper the differences between Jung's and Freud's writings on incest are explored. Jung's view is that the purpose of the child's sexual interest, as expressed also in his incestuous longings, is not purely the satisfaction of the biological instinct but is more importantly seen to be the development of thinking. The importance of the incest taboo for analytic work and the dangers of enactment of the erotic transference-countertransference dynamics are highlighted.

Child, Preschool↗

Incest and mental handicap.

This is probably the first retrospective study of an adult mentally handicapped population of incestuous parentage. Eleven known incestuous unions were identified with 38 offspring, of whom 15 were admitted to the Stoke Park group of hospitals. Incest and its legal definition in different societies are considered. The effects of close inbreeding on mortality, morbidity, mental function and adoption are examined. The study also reaffirms that incest is one of the causes of mental handicap in a high percentage of offspring.

Abnormalities, Multiple↗

A systems theory conceptualization of incest.

In this paper, father-daughter incest is examined from the perspective of general systems theory. Three characteristics of an open system--information exchange with the environment, negentropy, and dynamic homeostasis--are described and examined with respect to the functioning of incestuous families. Two case studies of families with father-daughter incest illustrate the tendency of these families to be more characteristic of the "closed" end of the continuum. The role of the environment in the origin and maintenance of the incestuous symptom is also examined. Implications for treatment are presented within the context of this theoretical perspective.

Adolescent↗

Mis-taken love: conversations on the problem of incest in an Irish context.

An emotive consciousness of the issues surrounding incest frequently calls forth revulsion, outrage, fear, concern, and competition. Such responses often legitimate a range of actions that include the protection of children, the blaming of mothers, and the punishment of fathers. This article explores a "systemic" dis-position in conversations on father-daughter incest. The notion of a "Fifth Province" (from Celtic mythology) is invoked wherein all emotions, judgements, and descriptions can find acceptance, and whereby a language of control and competition, implicitly negating individuals and their relationships, is suspended as a rationale for action.

Child↗

Sibling incest: a descriptive study of family dynamics.

This study investigates the characteristics of families in which a member was identified as a victim of sibling incest. Four agencies in a southeastern city provided a convenience sample of 14 family case records from November 1986 through April 1988 for review. Sixteen children were identified as victims of sibling incest, including three boys and 13 girls between the ages of 2 and 10 years (mean = 6.75 years). Perpetrators included 1 girl and 14 boys between the ages of 13 and 17 years (mean = 15.06 years). The incestuous relationship had a major impact on families, especially the children. Many offenders and victims, in addition to experiencing emotional, school, and legal problems, were removed from their homes.

Adolescent↗

Incest: theoretical and clinical views.

This paper reviews the various theoretical approaches to incest and considers their relationship to the clinical literature. The dearth of treatment reports on incest is noted, and directions are suggested for research that will enhance our understanding of the phenomenon and guide practitioners in the appropriate therapeutic intervention with participants.

Adolescent↗

The adolescent incest victim and the judicial system.

The effect on the adolescent incest victim of contact with the judicial system is reviewed, and the victim's sense of insignificance, hopelessness, and guilt is noted. A conceptual framework is offered to aid clinicians in their work with incest victims, and suggestions are made for case management.

Adolescent↗

Maternal support following disclosure of incest.

The level of maternal support to incest victims following disclosure was found to be more closely related to perpetrator than to child characteristics. Lack of maternal support was significantly associated with foster placement and higher psychopathology scores in a clinical interview. Evidence is presented challenging the validity of maternal behavioral reports in assessments of incest victims.

Adolescent↗

Group work with men who experienced incest in childhood.

Behavioral, cognitive, and emotional issues presented by adult males who had been victims of incest in childhood are examined. Work with an ongoing therapy group is described, and long-term treatment is proposed as a means of providing support and clarifying distorted belief systems that cause many incest victims to behave dysfunctionally.

Adult↗

Post-adoption incest and phenotypic matching: experience, personal meanings and biosocial implications.

Recent changes in British law have enabled adults who were adopted when young to trace their biological relatives. The reported frequency of incestuous sentiments and relationships in these reunions, together with the individual experiences and the meanings which are attached to them, challenge fundamental assumptions of both Westermarck's and Freud's theories. Post-adoption incest is characterized experientially by a romantic search for attachment followed by a recognition of oneself in the other. The question of incest has been fundamental to biosocial theories of individual and cultural development. Some revisions are proposed, principally that adult sexual interests remain constrained both by early attachments and later phenotypic matching, reinforced by personal contingencies and cultural rules.

Adolescent↗

Incest: children at risk.

The typical family constellation in this study of 14 cases of incest was that of a chronically depressed mother, an alcoholic and violent father or stepfather, and an eldest daughter who was forced to assume many of her mother's responsibilities, with ensuing role confusion. The authors stress the need for physicians to be alert to the possibility of incest in such high-risk families.

Adolescent↗

Is there a relationship between sexual abuse or incest and eating disorders?

The significance of sexual conflicts in many patients with eating disorders has been well documented. However, even when these have been considered to have some degree of etiological importance, the occurrence of actual sexual trauma or incest in the early lives of these patients has been generally neglected in the literature. At one point in time, it was noted that five of six patients on an inpatient unit for eating disorders revealed an early history of sexual abuse or incest. These five cases are described. A parallel is drawn between the psychological problems experienced by victims of childhood sexual abuse and by patients with anorexia nervosa and/or bulimia. Our suspicion that these experiences may not be atypical led to the present article, which has implications for the investigation and management of eating-disordered patients.

Adult↗

Group intervention: the healing journey of incest.

Nurse-facilitated, long-term group intervention provides a healing environment for adult survivors of incest. In this article, the healing journey of the group process is discussed as two clinical specialist nurse facilitators share their experiences of facilitating long-term incest groups for the past 5 years at a nurse-managed center for practice in the college of nursing at a large midwestern university. The group intervention, which consists of 51 sessions 1 1/2 hours in length, is discussed in depth. The three phases of the group and the tasks of each are developed in detail in relation to the mind-body-spirit healing that occurs. Use of clinical vignettes elaborates the group experiences and the healing evolution of the group members.

Adult↗

Personality traits of female psychotherapy patients with a history of incest: a research note.

Rorschachs were administered to 17 female psychotherapy patients having a history of incest, as well as 17 matched control patients without such a history. Based on a review of the literature it was anticipated that the incest subjects would show evidence of difficulty in maintaining healthy interpersonal relationships, poor self-esteem, defective superego formation, sexual difficulties, and anger. Expectations receiving support included interpersonal problems, poor self-esteem, and anger.

Adult↗

Treating women incest survivors: a bridge between "cumulative trauma" and "post-traumatic stress".

While the concept of traumatic stress plays an intrinsic part in the diagnosis and treatment of adult incest survivors, the developmental framework within which the victimization has occurred may be overlooked. This paper presents a treatment model that integrates theories of post-traumatic stress and early environmental trauma. A profile of women incest survivors is given and an overview of treatment strategies utilizing the above theories is discussed.

Adult↗

Intergenerational transmission of sexual abuse? Motherhood in the shadow of incest.

The aim of the study was to understand why the dynamic of sexual abuse is perpetuated across successive generations. A qualitative analysis was conducted on therapy session transcripts and diaries written during the therapy of 24 mothers who were survivors of incest, and whose children were the victims of incest. Four types of mothers were defined: the Unaware mother, characterized by a complete lack of cognitive knowledge of the sexual abuse occurring in her home; the Unwitting Accomplice, characterized by latent cooperation with the sexual abuse perpetrated by her husband; the Enabler, characterized by overtly or covertly encouraging her spouse in the raping of her daughter; and the Common Fate mother, characterized by sharing a common fate with her daughters.

Child↗

Sibling incest: reports from forty-one survivors.

An exploratory study was conducted with a convenience sample of 41 adult survivors of sibling incest using a retrospective survey design. Participants were interviewed about their childhood sexual experiences with a sibling. Most participants reported vaginal or oral intercourse and coercive experiences. Half of the sample reported sexual experiences with family members, as well as other child abuse. Half of the participants showed evidence of distorted beliefs about child sexual abuse. Disclosure of the incest during childhood was rare. doi:10.1300/ J070v15n04_02.

Adult↗