Abstract：
Disclosures of sibling sexual behavior (SSB) usually affect all family members but there remains, however, a paucity in studies on therapeutical family interventions and how they can initiate changes in families. This study was designed to explore relational impacts of SSB disclosures, goals for therapy and interventions that helped a family initiate the recovery process after a SSB disclosure. A single case study design was used to analyze a family\'s long-term therapy process. Data on this N = 1 study comprised 18 interviews with involved therapists, five interviews with involved family members, therapy files, and notes on family sessions. Data was analyzed using a thematic approach. Relational traumas were experienced in broken relationships, relationships under pressure and damaged trust between family members. Therapy goals were to (1) recreate family\'s safety, (2) help the family process the SSB consequences and (3) restore trust and search for relationship healing. Appropriate interventions to target the goals included individual-centered psycho trauma treatment as well as interventions for the parents, the involved siblings, and the uninvolved siblings, followed by sessions between the involved siblings and with the whole family. Therapy outcomes were found in reduced individual trauma symptoms, a recreated sense of family safety, the start of relational trauma processing, and newfound forms of sibling/family relationships. This study provides a unique and comprehensive insight into a family\'s healing process after SSB disclosures from the perspectives of both professionals and family members. The effective interventions identified in this study may provide tools for therapists working with these families. This study may also offer greater insights into both the abusive and mutual types of SSB.
摘要：
披露兄弟姐妹性行为（SSB）通常会影响所有家庭成员，但仍然存在，然而,缺乏关于治疗性家庭干预措施以及它们如何引发家庭变化的研究。这项研究旨在探索SSB披露的关系影响，在SSB披露后，帮助家庭启动康复过程的治疗和干预目标。单病例研究设计用于分析一个家庭的长期治疗过程。这项N=1研究的数据包括对相关治疗师的18次访谈，对相关家庭成员的五次采访，治疗档案,和家庭会议笔记。使用专题方法分析数据。关系创伤是在破裂的关系中经历的，关系压力和家庭成员之间的信任受损。治疗目标是(1)重建家庭的安全，(2)帮助家庭进程的SSB后果和(3)恢复信任和寻求关系医治。针对目标的适当干预措施包括以个人为中心的心理创伤治疗以及对父母的干预，参与的兄弟姐妹，和不参与的兄弟姐妹，然后是涉及的兄弟姐妹和整个家庭之间的会议。治疗结果发现个体创伤症状减少，重新创造了家庭安全感，关系创伤处理的开始，和新发现的兄弟姐妹/家庭关系形式。这项研究从专业人士和家庭成员的角度提供了一个独特而全面的见解，在SSB披露后，家庭的康复过程。本研究中确定的有效干预措施可能为与这些家庭合作的治疗师提供工具。这项研究也可能为SSB的滥用和相互类型提供更多见解。
