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家庭暴力加害人參與認知輔導團體後行為改變之探索性研究 Stages of change for batterers after joiningthe cognitive counseling program

  • 發布日期:
  • 最後更新日期:109-05-13
  • 資料點閱次數:247

● 中文摘要:

 

  本研究試圖透過深度訪談暸解家庭暴力加害人參與認知輔導團體後對於家暴事件的看法及行為的改變,並結合家庭暴力行為改變量表(URICA-DV量表)之評估,以暸解處遇方案對於家庭暴力加害人的影響,提供臨床人員參考。使用行為改變的觀念來評估家庭暴力加害者的成效是近幾年來新興的研究議題,行為改變模式最初是被應用在心理治療中,用以修正行為問題和不良習慣,而行為改變共有六個階段:1.前思考期、2.思考期、3.準備期、4.行動期、5.維持期、6.已定型期及常見的復發行為。
本研究針對高雄縣及嘉義縣5位參與認知輔導團體之加害者,受訪者之平均年齡為48.8歲,皆為男性,施暴對象以太太居多,教育程度以國中畢業為主。婚姻狀態除一位於認知輔導過程中離婚外,其餘皆已婚且仍與被害者同住。施暴過程中有四位受訪者伴有酒精使用的狀況。
研究結果:(一)對於家暴事件與保護令之看法:部分受訪者可承認自己的施暴行為,但仍會有淡化或認為自己當初的行為非嚴重之身體暴力,不算家暴行為之態度,而在認知輔導課程後,可暸解施暴是不對的行為、提高戒酒動機。對保護令的態度部份,受訪者多有生氣、不滿之情緒,另有受訪者認為太太是因他人教導而申請、希望太太撤銷保護令、或想反告太太,但也承認保護令確實有保護的效果、願接受與配合,且會避免再犯。(二)對於輔導課程的看法:受訪者對輔導課程的看法有1.可認識朋友、2.學習新知、3.情境相仿,易獲支持、4.當作度假、5.影響工作與收入。(三)行為改變部分,以想法、情緒、行為三部分來探討:在想法轉變部分,受訪者多以1.暫停一下思考方式、2.學習忍耐、3.學習控制自己的情緒、4.學習往好處想等來改變自己的想法。情緒轉變的部分,受訪者多表示願意1.學習控制自己的情緒,2.避免生氣、不要衝動。在行為上,為了避免再犯,受訪者表示會採用1.遠離現場、2.不回應、3.控制飲酒、避免情緒失控等方式來因應。此外,家庭暴力行為改變量表(URICA-DV量表)可以測量出受訪者間的差異,有兩位完成認知輔導課程後仍處於思考前期、兩位處於思考期,一位於行動低復發期。量表之使用可彌補訪談者之觀察與分析,因此對於家暴加害者之改變評估部分,可以考慮使用家庭暴力行為改變量表(URICA-DV量表),作為輔助評估工具,以提供臨床工作者一個客觀的評量參考工具。
在研究建議為:1.增加對家暴法的宣傳,2.有效整合縣市內之家暴防治機構,加強被害者與加害者之實務工作者的連結,3.增加相關配套措施,提供加害者更多元的協助;在輔導課程部分:1.增加夫妻共同之課程,2.依據個案的改變態度,設計不同的認知輔導課程。

 

● English Abstract: 

 

     This study aimed to use an in-depth interview to understand what the batterers think about their domestic violence and the stages of change after they joined the cognitive counseling program, also used The University of Rhode Island Change Assessment—Domestic Violence scale to assessment, try to understand the effect of cognitive counseling program, provide clinical worker to use. Using the Stages of Change Model to evaluate the effect of batterer treatment has been a new research topic in recent years. The Stages of Change Model was first used in psychotherapy to correct problematic behaviors and poor habits. There are six stages according to the Stages of Change Model: pre-contemplation, contemplation, preparation, action, maintenance, transformed and the common relapse.
In this study, all 5 subjects were from Kaohsiung County and Chiayi County. Their average age was 48.8. All were male batterers, and most of the victims were their wives. Most of subjects’ education was junior high school. As of their marital status, one was divorced during the cognitive counseling program, others were married and continued to live with their victims. Four batterers also had a history of alcohol use.
The findings of this study:(a)the subjects’ views of their domestic violence and protection order: some subjects could recognize but still varnished over their serious physical violence, and denied such as typical domestic violence. After attending the cognitive counseling program, all subjects could understand that violence was wrong, and their motivation to stop drinking also increased. As for protection order, most of the subjects felt angry and discontent when they first got the protection order. They also had various attitudes, for example, one subject believed that his wife was instigated by others, one hoped his wife could rescind the protection order, another wanted to recriminate his wife. All subjects acknowledged that protection orders had actual protecting efficacy, some were willing to receive, cooperate, and try to prevent relapse. (b) the subjects’ attitudes toward the cognitive counseling program varied: Here are some subjects’ viewpoints regarding the program: it increase chances: (1) to know new friends, (2) to learn new knowledge, (3 )to offer support for those who are in the same situations, (4) to take a break and regard it as an vacation, (5) to influence their work and income. (c) analyze the subjects’ stages of change in three parts(thoughts, emotion and behavior): in the thought changing part, their methods were: 1.stop and think, 2.learn to endure, 3.learn to control their own emotions, 4.learn to think positively. In the emotion changing part, they showed willingness to: 1.learn how to control their emotions, 2.avoid anger and not to lose control. In behavior changing part, to prevent relapse, the subjects managed: 1. to leave the scene, 2.not to response, 3. to control their alcohol drinking and avoid losing temper. Furthermore, the URICA-DV scale can measure the differentiation between subjects: two subjects were in the pre-contemplation phase, two were in the contemplation phase, and the other in the action low relapse phase. The use of scale can redeem the research’s observation and analysis, thus, to evaluation the batterer’s change, clinical workers can use URICA-DV scale as a objective tool.
The researcher suggest to:(1) increase the advertisement of Domestic Violence Law. (2) connect with the domestic prevention organizations, and to enhance the communication of the clinical workers of both the batterers and the victims. (3) promote relevance policies and provide multiple resources and assistance for the batterers. More suggestions for future counseling programs: (1) increase programs for couples, (2) design different counseling programs according to the batterer’s change.

 

● 文章連結:https://hdl.handle.net/11296/kqm29f

 

● 資料來源:臺灣博碩士論文知識加值系統

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