Persistierender Täterkontakt bei einer Patientin mit dissoziativer Identitätsstörung

Zusammenfassung

Es wird der Fall einer jungen Frau vorgestellt, bei der ein Inzest sowie Zwangsprostitution bis ins Erwachsenenalter vorlag. Die Kriterien für eine dissoziative Identitätsstörung (DIS) waren erfüllt. Eine Eigengefährdung bestand durch persistierenden Täterkontakt mit wiederholter Reviktimisierung. Anhand des Modells der traumabedingten Dissoziation wird diskutiert, inwieweit sie zu einer selbstbestimmten Entscheidung fähig war und welche therapeutischen Konsequenzen sich hieraus ergaben.

Abstract

The case of a young woman with still ongoing incest and forced prostitution is presented. The criteria for a dissociative identity disorder (DID) were met. Due to persistent contact to the perpetrator she was repeatedly revictimized. Based on the model of trauma-related dissociation we discuss to what extent she was capable of self-determined decision making as well as therapeutic consequences resulting therefrom.

Schlüsselwörter

dissoziative Identitätsstörung - Selbstbestimmung - Täterkontakt - Inzest

Keywords

dissociative identity disorder - decision making - revictimization - incest

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