[On the relationship between incestuousness and destructivity: some reflection from an expert case.] / Sui rapporti tra incestuosità e distruttività: spunti di riflessione da un caso peritale.

INTRODUCTION: Incestuous behaviors are often placed in family constellations that are highly dysfunctional from the perspective of communication between members and also with regard to the roles and expectations held in the family. The expert case being presented reflects these characteristics. METHODS: Beginning with an expert case of particular interest with respect to incestuousness and destructibility, the authors report considerations from a clinical criminological and forensic psychological-psychiatric point of view on the link between the two item. CONCLUSIONS: A careful historical, anthropological, documentary reconstruction, the examination of the relational set-up of the various subjects involved, and not only the clinical and psychodiagnostic aspects, are the indispensable premises, in order to make overall sense of crimes in families of particular complexity, difficult to decipher, such as those exposed in the present scientific work.

"Silent screams": Family perceptions in the drawings of incest victim children.

PURPOSE: This study aimed to examine the family perceptions in the drawings of children exposed to incest. DESIGN AND METHODS: This qualitative research involved 25 child survivors of incest, all of whom were examined and subjected to forensic interviews at a facility in northern Türkiye specializing in cases of child sexual abuse. The data were collected using the "Child and Family Descriptive Information Form", the "Abuser Descriptive Information Form", the "Family Drawing Test", and the "Semi-structured Interview Form". RESULTS: The children's drawings were subjected to a projective analysis, leading to the identification of three key themes: the distress of confronting incest; unbalanced power and role allocation in the family; and dysfunctional family dynamics.". These themes were discerned by examining the connections and coherence between the categories. CONCLUSION: It is concluded in the study that who are exposed to incest perceived a trauma experience that affected the whole family, perceived unbalanced power and role allocation in the family with authoritarian-aggressive and submissive-oppressed roles, and had negative perceptions of family dynamics such as emotional ties, family integrity, and social interaction. IMPLICATIONS TO PRACTICE: This study emphasizes the need to restructure the issues of familial trauma, power and role imbalance, and unmet needs within the family while planning for trauma in nursing approaches to children who are victims of incest.

A Qualitative Investigation of Self-Compassion in Music Therapy Group Voicework With Women Coping With Incest.

Incest occurs worldwide in all socioeconomic classes. To the best of our knowledge, literature on music processes with incest survivors is scarce, and studies focusing on voicework as a main technique for incest survivors in group settings have not been found. The current study aimed to explore incest survivors' expectations regarding the use of their voice before participating in a vocal group therapy, and their lived experience of using their voice following the therapeutic process. Seventeen women living in an inpatient alternative center, coping with complex posttraumatic stress disorder due to incest, participated in a voicework group led by two music therapists. The women were divided into two groups of eight and nine women each and participated in eight sessions. Data were collected through focus groups before and after the therapeutic experience. Interpretative phenomenological analysis yielded themes indicating that before the therapeutic process, participants' expectations regarding the use of their voice reflected low self-esteem, self-criticism, loneliness, shame, fear of exposure, and avoidance of singing. Following the therapeutic process, participants experienced their voice in a way that enabled them to feel self-acceptance and courage to sing, togetherness, bonding, belonging, a strengthening of existing relationships and ability to establish new ones, and awareness of body and emotions in the "here and now." An overall examination of the findings indicates that participants progressed from experiencing lack of self-compassion before the therapeutic experience to enhanced self-compassion at its completion. The findings are interpreted via the self-compassion concept and implications are presented.

Sibling Sexual Abuse: A Review of Empirical Studies in the Field.

Although sibling sexual abuse (SSA) is one of the most common forms of sexual abuse, it has been particularly neglected in previous research. Hence, characteristics of this form of abuse and its longer term implications are not well understood. The aims of the current review were to precisely characterize the phenomenon of SSA and to condense the implications known to date of SSA on survivors. We included 15 studies with a total sample size of 14,680 individuals. Our results indicate that SSA has some unequivocal features such as an early onset, an extended duration and frequency, and a particularly high intensity (i.e., involvement of coercion, force, superiority, and manipulation). Our findings also revealed that SSA is linked to later depression, anxiety, impaired self-esteem, and sexual functioning. The findings of the current review suggest that (1) SSA is common, (2) SSA has various negative effects on survivors' mental health, and that (3) SSA and its implications have been and to date are marginalized in research and practice. Results are discussed with a special focus on clinical implications.

[Accompanying young girls who are victims of incest, a necessarily holistic approach]. / Accompagner les jeunes filles victimes d'inceste, une approche nécessairement holistique.

Accompanying child and adolescent victims of incest towards reconstruction requires professionals trained in the specificities of this intra-family sexual violence. The Jean-Bru shelter, which takes in young girl victims, has developed the expertise of a complementary multi-partner approach and offers socio-educational, medical-psychological and legal support, for the benefit of a personalized global project that also includes the family link.

Incestuous childhood sexual abuse between siblings resulting in pregnancy without sexual intercourse.

Victims of incest are usually women and children who are mostly girls. The abuse between siblings may remain hidden because of the family's fear of social stigma, though it may result in pregnancy. This article presents a case of incestuous childhood sexual abuse between siblings resulting in pregnancy without intercourse, an event rarely reported in the literature. An 11-year-old girl was brought to the hospital because of a stomachache and was detected pregnancy from examinations. Forensic medicine experts determined that the girl's hymen was still intact and non-elastic in the genital examination. Gynecology and Obstetrics Department confirmed the pregnant compatibility with 14 weeks, 4 days; after ultrasonographic monitoring. She was abused by her 14-year-old brother by rubbing for 1 year and this resulted in pregnancy. During the psychiatric examination, her attitude was negative and symptoms of post-traumatic stress disorder emerged. Medical abortion was applied after psychiatric and gynecological examinations. The girl's brother was confirmed as the biological father after the DNA paternity test was conducted on the fetus. Based on this case, this article aimed to examine the medical, social, and legal problems caused by incestuous childhood sexual abuse and contribute to the literature by emphasizing what forensic medicine and preventive medicine approaches should consider in such cases.

Questions Raised by the Controversy Over Recovered Memories of Incest.

The controversy in the mental health community over recovered memory has been heated. The devastation to families falsely accused of incest has been profound. A fortunate consequence, however, has been the vigorous pursuit of answers to a variety of mind-behavior questions raised by the controversy. In this article I raise some of the important questions and in reply I review and summarize some of the data. Some questions deal with the nature of memory and of unconscious processes, especially the role of implicit memory; the techniques of recovered memory therapy and the evolution of pseudo-memories and its relevance to clinical practice; the effects, real and alleged, of trauma; the place of dreams, flashbacks, and repetitive patterns of behavior in the understanding of memory and behavior; and finally, questions dealing with the definition of reality. All of these are important issues for the psychoanalyst.

Mother-daughter incest: A brief review of literature and case report.

Parent-child incest is a traumatic event that causes long-term psychological consequences for victims. Although paternal incest is the most common form, it is known that mothers can also sexually abuse their children. Mother-daughter incest is a type of abuse that is thought to be rare. This article discusses a case of a mother who abused one of her 4-year-old twin daughters for masturbation and used them in a sexual fantasy with her partner. She was sent to the forensic psychiatric observation unit by the court to determine her criminal responsibility. In the literature on mother-daughter incest, the abuser's childhood traumas, early marriage, low self-esteem, and sense of worthlessness are frequently seen. Our case, who did not have a history of psychiatric illness, was referred to us with suspicion of mental illness simply because she abused her daughters. Researchers have found out that in most cases, contrary to common expectations, mothers did not have a severe mental illness. A gender-based approach to incest cases may contribute to the cycle of the abuse continue, and it makes it difficult for victims to speak up and seek help. More studies focused on perpetrators will expand our perception of mother-daughter incest.

[Rivastigmine as treatment for flashbacks and REM sleep problems in an older patient]. / Rivastigmine tegen herbelevingen en remslaapstoornissen bij een oudere patiënte.

A 61-year-old woman with suspected schizophrenia has been attending an outpatient geriatrics service for some time, initially with memory complaints and panic attacks. During treatment, the diagnosis schizophrenia was rejected and psychopharmaceuticals were largely phased out, which improved cognitive functions. Eventually, flashbacks of incest experienced in childhood remained together with REM sleep pathology. The flashbacks, nightmares and the REM sleep pathology were responsive to rivastigmine. Rivastigmine use for the treatment of REM sleep pathology is known in the literature, but it has never been described previously that rivastigmine also impacts on flashbacks and nightmares..

Childhood Emotional Incest Scale (CEIS): Development, validation, cross-validation, and reliability.

Describing a maladaptive parent-child relationship wherein a parent turns to a child for the satisfaction of emotional and/or relational needs, emotional incest remains an underinvestigated phenomenon. This is partly due to a lack of an empirically based measure of childhood emotional incest, and as a result, a 2-factor, 12-item scale was created based on expert opinion and a preliminary study of 319 university students. Each consisting of 6 items, the factors were called "Surrogate Spouse" and "Unsatisfactory Childhood." A follow-up study conducted with a second sample of 415 participants supports the 2-factor structure as a good fit to the data as well as the invariance of the scale across genders. The Childhood Emotional Incest Scale (CEIS) demonstrates good convergent validity with childhood emotional neglect (r = .58) and emotional abuse (r = .52) as well as good divergent validity with early memories of warmth and safeness (r = -0.54). The CEIS has also been found to be a stronger predictor of decreased life satisfaction and increased anxiety than the Parent-Focused Parentification subscale. Based on the values of internal consistency, composite reliability, and test-retest reliability, both factor and total scores of the CEIS can also be considered reliable. Therefore, as a measure of childhood emotional experiences for the retrospective assessment of adults, the 12-item CEIS can be utilized in the research of counseling, psychology, and education, particularly with regard to expanding knowledge into the roots and consequences of emotional incest and promoting parenting practices and marital/relational dynamics that are more functional. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Voices of adolescent incest victims: A qualitative study on feelings about trauma and expectations of recovery.

BACKGROUND: Incest, is a serious social problem facing society and children/adolescents themselves. The purpose of this study is to explore the ways adolescents talk about and give meaning to their experiences of incest concerning cultural, ethnic factors relevant to southeastern of Turkey. METHOD: We focused on in-depth interviews of five incest victims (14-16 years girls, from low socioeconomic status in southeastern of Turkey). RESULTS: Four key themes were constructed from the qualitative analysis: 1. Unable to understand/Delayed meaning-making: Adolescents provided definitive information about the first abuse memory but they were also unable to understand what they had experienced so they delayed meaning making. 2. Dysfunctional coping style with the incest: Adolescents told that they threatened the perpetrators in various phases of incest. 3. Avoidance of eye contact by the perpetrator: We recognized that perpetrators avoided social contact with the victim. This theme evokes dehumanizing of women during incest. 4. The urge to destroy happy memories: This theme presents data on the adolescents' expectations about recovery. CONCLUSION: According to the themes, two fundamental therapeutic precepts could guide the treatment process for adolescent girl incest survivors: 1. Exploration of the delayed meaning making: Therapist could address dysfunctional family functioning and explain that it is normal for a child to be delayed in meaning making. 2. Recovery of the adolescent's lost self after semantic dehumanization in abuses: Therapist should help her to dispute irrational beliefs about worthlessness and to gain control of her body.

Incest from a Young Age Lasting a Lifetime.

This is a personal account of incest between the author and her grand-father. The events described occurred decades ago. The effect is long-lasting and is manifested by foggy thinking and physical sensations. The issues of knowing something and not knowing erupt now and again, even in the present. This is 2019, a time of social change. The #MeToo movement has reached a broad audience. It follows the acknowledgment of sexual abuse rampant within the Catholic Church. Coaches of sports acknowledge their sexual abuse of their trainees. Filmmakers and photographers, judges and teachers have been brought down by being exposed as sexual predators. Powerful men can have a misperception of being beyond social norms. Knowing that others have experienced sexual abuse can invite one to remember one's own experiences. In this piece, psychotherapy is a context for putting memories and sensations together to enable a feeling of freedom-to feel alive in the present.

Conceived Through Rape/Incest? Adoptive Parents' Experiences Managing Uncertainty and Disclosure Surrounding their Children's Origins.

Adoptive parents may be placed with children conceived under difficult circumstances, such as via rape or incest. At the same time, adoptive parents are generally encouraged to communicate openly with their children about their adoption stories and birth families. No research has examined the experiences of parents who adopt children who were conceived through rape or incest. This exploratory study examines how parents discuss their decision-making when adopting children conceived via rape or incest, how they manage varying levels of uncertainty about their children's origins, and whether and how they plan to disclose this information to children. The researchers used thematic analysis to examine the experiences of 11 couples (22 parents) interviewed at four time points after adopting children who were reportedly conceived via rape or incest. Findings revealed that even soon after adopting, parents discussed the need to eventually talk to their children about their conception circumstances. Parents generally struggled to determine how and when to disclose this information, particularly when they felt uncertain about the veracity of the conception stories they had been told. Some hoped to rely on professionals or birth mothers to guide them in these communications. Findings have implications for supporting adoptive families as they navigate the complexity of managing sensitive information and uncertainty when adopting children conceived through rape or incest. Practitioners should provide ongoing guidance to adoptive parents about how and when to disclose developmentally appropriate information to children about difficult conception circumstances.

Los padres adoptivos pueden recibir niños concebidos en circunstancias difíciles, por ejemplo, por violación o incesto. Al mismo tiempo, a los padres adoptivos generalmente se los anima a comunicarse abiertamente con sus hijos acerca de las historias sobre su adopción y sus familias biológicas. Ninguna investigación ha analizado las experiencias de los padres que adoptan a niños que fueron concebidos por violación o incesto. Este estudio exploratorio analiza cómo los padres debaten su toma de decisiones cuando adoptan a niños concebidos mediante violación o incesto, cómo manejan los diversos niveles de incertidumbre acerca de los orígenes de sus hijos, y si planean revelar esta información a los niños y cómo lo harán. Los investigadores utilizaron el análisis temático para analizar las experiencias de 11 parejas (22 padres) entrevistadas en cuatro momentos específicos después de adoptar a niños que supuestamente fueron concebidos por violación o incesto. Los resultados revelaron que incluso poco después de adoptar, los padres analizaron la necesidad de hablar finalmente con sus hijos acerca de las circunstancias de su concepción. A los padres generalmente les costó decidir cómo y cuándo revelar esta información, particularmente cuando se sentían inseguros acerca de la veracidad de las historias sobre la concepción que les habían contado. Algunos esperaban contar con profesionales o con las madres biológicas para que los guíen en estas comunicaciones. Los hallazgos tienen consecuencias para el apoyo a familias adoptivas que sortean la complejidad de manejar información sensible y la incertidumbre cuando adoptan a niños concebidos por violación o incesto. Los profesionales deberían proporcionar orientación constante a los padres adoptivos sobre cómo y cuándo revelar a sus hijos información adecuada para el desarrollo acerca de las circunstancias difíciles de su concepción.

Characterization of Adolescent Pregnancy and Legal Abortion in Situations Involving Incest or Sexual Violence by an Unknown Aggressor.

Background and Objectives: In pregnancies resulting from incest, the adolescent maintains close family and emotional relations with the aggressor, different from what occurs when pregnancy results from sexual violence by strangers. Evidence indicates that this type of relationship with the aggressor may interfere in the dynamics of such violence and the adolescent's access to health services. Materials and Methods: The objective of this research was to describe and correlate aspects associated with pregnancy when resulting from rape of adolescents in situations of incest; rape when perpetrated by an unknown aggressor and an abortion as allowed by law was sought. Method: A cross-sectional, epidemiological study of adolescents treated at the Pérola Byington Hospital, São Paulo, Brazil, bringing an allegation of pregnancy, resulting from sexual violence and a request for abortion as allowed by law. A total of 311 adolescents, being 134 in the "pregnancy from incest group", and 174 in the group "pregnancies resulting from rape by a stranger" were considered under the study variables; relationships were investigated using the chi-squared test and Poisson regression with robust variance. Results: The study included 137 cases (44.1%) of pregnancy resulting from incest, and 174 cases (55.9%) of pregnancy from rape by a stranger. In cases of incest, a declaration of religion (92.0%) was significantly more frequent, and the adolescents were approached in spaces considered safe or private (92.7%); the aggressor taking advantage of the adolescent's legal condition of vulnerability as a function of age (83.3%). Cases of incest presented a lower median adolescent age and greater gestational development, with gestations being ≥ 13 weeks prevailing. Conclusion: Cases of pregnancy by incest presented indicators suggesting both proximity and relationship with the aggressor, and pregnancy at a very early age, which postponed the adolescent's procurement of health service, and interfered negatively with abortion assistance as allowed by law.

An Examination of the Westermarck Hypothesis and the Role of Disgust in Incest Avoidance Among Fathers.

From an evolutionary perspective, incestuous behavior is puzzling. The goal of this study was to assess the tenability of the Westermarck hypothesis (1891, 1921)-that people who live in close physical proximity with one another during childhood will develop a sexual indifference or aversion toward one another-and the mediating role of disgust as an incest avoidance mechanism in father-daughter relationships. A sample of fathers with daughters ( N = 632) from Canada and the United States were recruited by Qualtrics-a survey platform and project management company-to complete an online survey. The results from this study did not support the viability of the Westermarck hypothesis as a mechanism that facilitates incest avoidance for fathers. Physical proximity was not associated with incest propensity or disgust toward incest. Less disgust toward incest, however, was found to be associated with more incest propensity. These results indicate that physical proximity may not be a reliable kinship cue used by fathers to inform incest avoidance, but that disgust toward incest may still be a proximate mechanism that facilitates incest avoidance among fathers using kinship cues other than physical proximity.

Betrayed and Broken: A Study of the Experiences of Victims of Child Sexual Abuse in the Ga Community in Accra, Ghana.

Child sexual abuse is increasingly becoming an issue of concern in most societies across the globe, including Ghana. This is a phenomenological study that sought to describe the lived experiences of victims of child sexual abuse in Ghana, using the Ga community as a case study. Purposive and snowball sampling techniques were used to identify 17 sexually abused children in the Ga Community. Using the interpretative phenomenological analysis (IPA), four main themes described the experiences of the victims: (a) forced sex (b) incest (c) joleying and (d) transactional sex. The findings illustrate the different circumstances in which children were sexually abused in the community studied. It also presents socio-cultural factors that normalizes the sexual abuse of children in the Ga Community. These findings underline the need for effective preventive programs and community interventions to protect children and support victims of child sexual abuse.

[Sexual violence against women in Tunisia]. / Violence sexuelle exercée sur les femmes en Tunisie.

BACKGROUND: Sexual violence exists everywhere in the world. It depends mainly on the cultural and religious norms conveyed in the various societies. This is a neglected area of research. Available data are insufficient, especially in Arab-Muslim context. METHODS: In this paper, we comprehensively review the scientific literature in order to clarify the cultural, religious and legal aspects of the concept of sexual violence against women in Tunisia, and ask the question of the urgent need to put in place strategies to counter this problem. RESULTS: The National Office for Family and Population published in 2011 the results of the national survey on violence against women in Tunisia, including data on sexual violence and its impact on women's health and well-being. According to this survey, 14.2% of women reported having been sexually abused by an intimate partner during their lifetime and 9.0% reported having experienced it during the last 12 months. One out of every six Tunisian women has been the victim of a sexual violence in a conjugal setting. More men than women legitimized violence against women in contexts where family control, especially conjugal control, is exercised over them. In a study examining the impact of culture and religion on experiences and sexual practice of women in Tunisian society, the majority of respondents thought that sexuality in women was a religious duty and that they do not have the right to refuse their husbands or to rebel. Thus, women would be doubly sanctioned having neither the right to express their desire nor not to respond to their husband's desire. A survey of a representative sample of Tunisian women found that 56.9% of the participants reported being victims of domestic violence, particularly sexual violence (10.7%) consisting mainly of rape and sodomy, at least once in their lifetime. This survey showed that those victims expressed dissatisfaction with overall quality of life. Moreover, contrary to Western literature, sexual violence was the least reported form of violence by teenage girls in Tunisian schools. Indeed, cultural values of modesty, virginity and honor are socially much more demanded for girls, in Arab countries in general, reinforcing staggering silence and inaction around violence experienced by school-aged adolescents. In Tunisian society, the cultural "solution" to rape wants the woman to marry her rapist which safeguards her family's integrity by legitimizing the union. CONCLUSION: Sexual violence has detrimental effects on female victims' physical and mental health. Even if the information on this form of violence is not easy to obtain in our environment, and that rates of subjects reporting sexual violence in their lifetimes are not important, the problem of sexual violence must be considered as a public health problem requiring urgent interventions and a greater institutional will.

Emotional Congruence with Children: Are Implicit and Explicit Child-Like Self-Concept and Attitude Toward Children Associated with Sexual Offending Against Children?

Some men convicted of sexual offences against children express an exaggerated affiliation with childhood, ascribe child-like characteristics to themselves, experience strong non-sexual liking of children, and hold positive views of children and childhood. These features are generally called emotional congruence with children. The present study examined child-like self-concept, which is an association of self with children and child-like characteristics, attitude toward children, and general emotional congruence with children as correlates of sexual offending against children and pedophilia. Male participants (18 sexual offenders against unrelated children; 7 incest offenders; 22 non-sexual offenders; 54 students) completed newly developed implicit and explicit measures of child-like self-concept and attitude toward children, as well as more established self-report measures of emotional congruence with children. Assessments of pedophilic interest and sexual recidivism risk were obtained from official file information. Sexual offenders against unrelated children reported higher levels of implicit child-like self-concept and self-reported emotional congruence with children when compared to the other three groups. Implicit child-like self-concept showed a small correlation with emotional congruence measures, whereas implicit attitude toward children was moderately correlated with the emotional congruence measures. Implicit child-like self-concept, implicit attitude toward children, and the emotional congruence measures were associated with greater pedophilic interest and sexual recidivism risk. The present findings provide a nuanced understanding of the emotional congruence with children construct and have implications for theory, research, and treatment of sexual offenders against children.

Testimony of an Ethiopian girl sexually assaulted by her stepfather: a case report.

BACKGROUND: The sensitiveness and stigma associated with sexual assault deter many victims from speaking about their experiences. This silence of victims worsens the problem, especially in patriarchal communities like Ethiopia where sex is taboo and girls are encouraged to remain behind curtains. CASE PRESENTATION: This is the personal testimony of a 25-year-old Amhara woman, a student at an Ethiopian public university, and it is presented in her own words. The data were collected during an in-depth interview on 19 April 2015. The interview was conducted in a private environment and her name was concealed to protect her anonymity. A digital voice recorder was used to audio-tape the interview which was later transcribed and translated verbatim from the local language, Amharic, to English. CONCLUSIONS: The trouble and pain our participant experienced is beyond description. Four themes emerged from her narrative: Incest assault, repeated assault, feelings of guilt and shame, and orphanhood. Incest is both more common and more severe in stepparent families but reported cases are only the very tip of the iceberg and thus may greatly under-represent actual population rates. Therefore, more effort is required to hold the perpetrators accountable and restore the life of the victims.

Família e instituições de acolhimento nos cuidados a adolescentes vítimas de incesto / Family and host institution in caring for incest victims / Familia y instituciones de acogida en los cuidados a adolescentes víctimas del incesto

Mesmo com as mudanças atuais em sua estrutura, papéis e funções, a família ainda mantém sua importante contribuição na formação subjetiva dos seus membros, embora vá perdendo sua centralidade. Quando nela apresenta relações conflituosas, admitindo a distorção de conceitos e valores entre o grupo, apresentam-se ainda mais dificuldades de convívio. Diante disto, como avaliar a experiência do incesto na representação deste grupo? Como ponderar a percepção e mudanças das rotinas quando as jovens, que sofreram com a violência sexual intrafamiliar, saem de suas residências para viver em uma instituição? E repercussões da triangulação (adolescente, família e instituição)? Buscou-se, portanto, aproximar esta realidade, comum às vítimas de violência, objetivando compreender o vínculo que se estabelece entre estas três representações. Observou-se que a situação de acolhimento institucional as tiram da história já constituída e as coloca em um outro lugar, para elas inseguro e incerto, onde são obrigadas a deixar suspensas a vida e relações anteriores, para conviver com pessoas não conhecidas até a solução do caso. Verificou-se dificuldades de manutenção das antigas e estabelecimento de novas relações, considerando fragilização dos laços desde a separação familiar, das dificuldades de identificação institucional e de estabelecimento de referências contínuas.(AU)

Even with the current changes in its structure, roles and functions, the family still maintains its important contribution in the subjective formation of its members, although it loses its centrality. When it presents conflicting relationships, admitting the distortion of concepts and values among the group, there are even more difficulties of conviviality. In view of this, how can we evaluate the experience of incest in the representation of this group? How can we ponder the perception and changes in routines when young women who have suffered from intrafamily sexual violence leave their homes to live in an institution? And repercussions of triangulation (teen, family and institution)? We sought, therefore, to bring this reality, common to victims of violence, in order to understand the bond established between these three representations. It was observed that the institutional reception situation removes them from the history already constituted and places them in another place, for them insecure and uncertain, where they are forced to leave suspended the life and previous relations, to live with people not known until the solution of the case. There were difficulties in maintaining the old ones and establishing new relationships, considering the weakening of ties since the family separation, the difficulties of institutional identification and the establishment of continuous references.(AU)

A pesar de los cambios actuales en su estructura, papeles y funciones, la familia todavía mantiene su importante contribución en la formación subjetiva de sus miembros, aunque va perdiendo su centralidad. Cuando en ella presenta relaciones conflictivas, admitiendo la distorsión de conceptos y valores entre el grupo, se presentan aún más dificultades de convivencia. Ante esto, ¿cómo evaluar la experiencia del incesto en la representación de este grupo? ¿Cómo ponderar la percepción y cambios de las rutinas cuando las jóvenes, que sufrieron con la violencia sexual intrafamiliar, salen de sus residencias para vivir en una institución? ¿Y repercusiones de la triangulación (adolescente, familia e institución)? Se buscó, pues, aproximar esta realidad, común a las víctimas de violencia, objetivando comprender el vínculo que se establece entre estas tres representaciones. Se observó que las situaciones de acogida institucional las sacan de la historia ya constituida y las coloca en otro lugar, para ellas inseguro e incierto, donde están obligadas a dejar suspendidas la vida y relaciones anteriores, para convivir con personas no conocidas hasta la solución del caso. Se constataron dificultades de mantenimiento de las antiguas y establecimiento de nuevas relaciones, considerando fragilización de los vínculos desde la separación familiar, de las dificultades de identificación institucional y de establecimiento de referencias continuas.(AU)