عنوان انگلیسی مقاله:
Evaluation of a therapeutic device for girls victims of sexual violence in South Kivu
ترجمه فارسی عنوان مقاله:
ارزیابی یک وسیله درمانی برای دختران قربانی خشونت جنسی در Kivu جنوبی
Sciencedirect - Elsevier - Neuropsychiatrie de lenfance et de ladolescence, 68 (2020) 76-82. doi:10.1016/j.neurenf.2019.12.001
V. De Keysera,b, C. de Kerchoveb, C. Amisic, S. Ntamwengeb,c, A. Blaviera,b,∗
Objective. – This article evaluates a psychological care program for girls who were victims of sexualviolence in three different villages around Bukavu (DRC).Participants. – Fifty-seven girls under 10 years of age who have suffered sexual violence in three differentvillages around Bukavu and followed by the EPA association (“Enfants de Panzi et d’Ailleurs”) and thePanzi Foundation.Method. – The three samples of children corresponding to the three villages were tested to ensure thatthey were comparable through different variables such as the father’s presence, the age of the victimsand the children’ stigmatization. A series of data about the girls was collected and transformed into 13variables in order to test their influence on the child’s development. Finally, an overall functioning indexwas used to measure the effectiveness of play therapy. This global functioning index concerned five fields:feeling of security, health, cognitive development, family integration and community integration.Results. – The three samples of children were very similar and therefore comparable. No variables werepredictive of the child’s development, once those related to the site and the presence of the father wereexcluded. However, a high-risk group of children in the three regions emerged from the analysis. Play therapy was only totally positive for one site, the most secure of the three. Moreover, a group of high-risk children from all regions of origin was identified in the study and presented some very worryingcharacteristics.Discussion. – The denial of young raped children allows criminals to go unpunished. Travelling in DCR isdifficult for victims because of distance, cost and road insecurity; moreover, the number of victims is high,and it is thus difficult to create individual therapy. Moreover, as the community is an essential symbol, theuse of group therapy, and in particular play therapy, is really appropriate instead of individual therapy.The mother-child relationship should be further investigated and could be an important variable for thehigh-risk group.Conclusion. – There was a context factor related to the particularities of the site as well as an individualor intra-family factor that influences the child’s development. Even if play therapy did not have a directlysignificant effect on children, it helped to combat the stigmatization of these girls. Moreover, play therapymay have an effect on variables other than those considered in this study or may be masked by mediatingvariables. Finally, a group of high-risk children that has been identified in the study presented worryingclinical data and particular features that are of great concern and will require special attention and care.
Keywords:Trauma | Children | Humanitarian | Play therapy program