Çocukluk Çagi Cinsel Travmasi Olan Iki Olguda Travma Belirtilerinin Ortaya Çikisinda Anne Olmalarinin Etkisi/The Influence of Motherhood on the Emergence of Trauma Symptoms in Two Cases with Childhood Sexual Trauma

ÖZET. Cinsel sorunla basvurularda travma geçmisi ender degildir. Travma cinsel bir sir olarak yasanir. Burada çocukluk çagi cinsel travmasi olan ve cinsel sorun ile basvuran iki olgu ele alinmistir. Olgularin ortak özelligi travma belirtilerinin ortaya çikisinda olgularin kendi çocuklari ile ilgili kaygilarinin rol oynamasidir. 1. Olgu 34 yasinda iki çocuk annesi. 12 yasinda iken erkek kardesinin cinsel istismari ni yasamis. Cinsel isteksiziligi ve uyarilma sorunlari oglu ile kizi arasinda benzer bir durum yasanabilecegi kaygisi ile basliyor. 2. Olgu 30 yasinda iki çocuk annesi. 5 yasindan ergenligine kadar ailece tanidiklari biri tarafindan cinsel istismara ugramis. Kizi 5 yasina gelince cinsel istek eksikligi ve igrenme yakinmalari basliyor. Olgularda cinsel travma ile ilgili travma sonrasi stres bozuklugu belirtileri mevcuttu. Bu yazinin amaci çocukluk çagi cinsel travmasi olanlarda travma belirtilerinin sonradan ortaya çikisinda anne olmanin etkilerini tartismak, cinsel sorunlarla basvurularda geçmis travma ve cinsel sirlarin aydinlatilmasi nin önemini vurgulamaktir. (Nöropsikiyatri Arsivi 2010; 47: 174-7). Anahtar kelimeler: Cinsel travma, cinsel sorun, travma sonrasi stres sozuklugu, annelik. ABSTRACT. Trauma history is not uncommon in patients with sexual problems. Trauma is experienced as a sexual secret. In this paper, two cases with sexual problems are presented, who are survivors of childhood sexual trauma. Similarity between these cases is that the worries about their children play an important role on the emergence of the symptoms of the childhood trauma. Case A was a 34-year-old mother of two children. She had been sexually abused by her brother when she was 12. She had sexual desire and arousal disorders, which started after her worries about a probable similar situation between her children. Case B was a 30-year-old mother of two children. She was sexually abused by a neighbor from 5 years of age until adolescence. Complaints of lack of sexual desire and aversion started when her daughter was 5. PTSD symptoms were related to their childhood sexual trauma in both cases. The aim of this report is to discuss the influence of motherhood on the appearance of trauma symptoms in women with childhood sexual trauma and to emphasize the presence of sexual trauma and sexual secrets. (Archives of Neuropsychiatry 2010; 47: 174-7). Key words: Sexual trauma, sexual problem, post traumatic stress disorder, motherhood.

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