Sibling incest: a Hong Kong experience

OBJECTIVE: The one case study intends to gain a preliminary understanding of the long term impact of older brother-younger sister incest in Hong Kong RESULTS: The adult survivor's experience did cohere with Western studies to date on age of onset, symptomatology, and feelings such as shame and guilt. The symptoms and negative feelings might also be the results of inaccessible parents and negative parental response at disclosure. Specific contextual factors such as patriarchal power structure, strong moral codes, and secrecy of family shame in Chinese culture may have contributed to the victim's inability to protect herself from her older brother's sexual advances. CONCLUSION: This case study calls for a multi-dimensional, and interactive rather than a unidimensional and unidirectional view to explore into the individual, familial, and contextual factors that may contribute to sibling incest and a delay in disclosure. The brief analysis is also a plea for systematic research in the Hong Kong context and comparative studies that take into account cultural specificity.