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中華團體心理治療

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篇名 “原來我的犯案是有跡可循的”——個性侵加害者治療團體的紀實
卷期 22:4
並列篇名 "I realize the crime I committed was connected to my life stories"— a case study of a sex-offender treatment group process.
作者 陳若璋
頁次 003-022
關鍵字 危險因子犯罪攻擊循環好生活模式Risk factorssexual assault cyclegood lifestyle approachTSCI
出刊日期 201612

中文摘要

鑑於目前許多從事性侵加害人團體治療之治療師,在學校中多未修習相關課程,卻 在獲得心理師證照後,因職場的要求則直接擔任領導者,多數不僅沒有完備訓練,甚至 連基礎的知識皆闕如;對性加害者的性質、類型、犯罪的病理無認識,處遇時也無架構 章法。基於上述現象,作者以近日帶領之性侵加害者社區治療團體為範本,敘說帶領此 性質團體時應有的焦點/架構、可能遭遇之困難、處理的技術手法等,提供後進一具體 的參考。 本文採質性研究法,主要描述領導者/團體成員自覺的經驗現象;此團體為2015年 進行的性侵加害者社區身心治療團體,研究者為此團體領導者,團體每周進行1次2小 時,共24次;成員為當地衛生局裁定需接受性侵加害者二階處遇之六位成員,皆為男 性。本文根據現場筆記與個人心得的記錄,對團體之重要事件進行描述。研究結果如下: 團體前若有簡短個別會談能協助預測成員未來可能之行為;團體初期的否認及張力可使 用矯正性情緒經驗來深化及處理;成員透過敘說生命故事及認知治療模式探索其危險因 子與犯罪攻擊循環,這些可協助他們意識到未來容易犯案的高危險情境;内隱減敏感法 則可協助成員控制在社區可能被誘惑之挑戰,而「好生活模式」則可協助成員在社區建 立較滿意的生活。

英文摘要

Objective: In many years, therapists who provide group therapies for sex offenders in Taiwan, very few of them in their school years have ever taken relative courses regarding to sexual abuse, or participated relevance training of treating sexual abusers; however, after they obtain the jobs, many of them still lack of basic knowledge of nature of the perpetrators, their pathologies, the process of their crimes, but these therapists continue to carry on their jobs. Thus phenomena result to the effectiveness of group therapy of sex offenders remains questionable. Given above situation, this author shared a single group process of treating perpetrators in community in order to illustrate how to manage the defense and denials of perpetrators in the group and how to formulate the group process for members.Method: Based on field notes and personal records of group leaders, this author using the hermeneutic-phenomenological qualitative research method to describe the process and important events of this group. This group contains six perpetrators as members and ran 2 hours every week, continue to six months. Results: Members through talking their life stories and using cognitive therapy model to explore their risk factors and the process of the crime cycles, in order to realize their potential high-risk situations which they might likely to commit crimes in the future; covert desensitization method had also been used to assist members to control their impulse of committing crimes and manage the challenges in the community; in addition, ugood lifestyle” approach has been demonstrated to assist members establishing more satisfactory life in the community, too.

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