● 中文摘要：

　　目的：本研究的目的在於描繪影響婚姻暴力發生的因素、探索婚暴夫妻的權力歷程、以及提出婚暴夫妻的處遇模式。

　　研究方法：本研究訪談某一精神科專科醫院的三十對丈夫為施暴者的夫妻，其中來自病房的有18名、門診的8名、加害人團體的有4名。研究者採發現導向歷程研究的精神，從反覆閱讀個案資料（訪談逐字稿、病歷及筆記等）中，將個案依夫妻權力關係分成「夫權高」(n=7)、「妻權高」(n=18)及「平權」(n=5)等三組，基於生態系統模型的概念，以描述統計的方式來探詢暴力婚姻的社會、家族、婚姻及個人等四個層面的諸多因素與婚暴發生的關聯。再者，針對其中八對夫妻的長期權力歷程，包括進入精神醫療體系後的演變，進行深度訪談作質的與歷程性的分析，去釐清性別角色和工作壓力等因素在婚姻暴力階段中的影響。

　　主要發現：在人口統計學變項上三組個案未達統計差異，在「妻收入高」、「因婚姻問題來求診」、「暴力範圍」及「夫不擅言語」等變項達統計顯著差異，顯示妻權高組絕大多數都是妻收入較高；平權組有較高比率因婚姻問題而來求診；夫權高及平權組的暴力幾乎全是僅發生在家庭中，而妻權高組有一半個案會擴及家庭外的人；妻權高組有77.8%夫不擅言語。妻權高組的特徵為妻收入比夫高、不擅言語的先生有近八成、近八成因精神科的問題求治、一半以上先前看過精神科、物質成癮的比其他兩組高、有六成進入婚暴體系、一半以上會打孩子及親友。平權型妻之觀念傳統的僅佔20%，比其他兩組（都約為一半）低許多，此組夫妻婚姻關係差，每事吵、互不相讓或是僵持於要對方先給撫慰，故其衝突相當大，因此他們較多為婚姻問題求治，其他兩組則較多因精神科問題而來。夫權高組夫之年齡都比妻大，且相當少先前曾看過精神科也少有精神科診斷，85.7%是家內型，但85.7%都屬重度或極重度的暴力，嫉妒配偶或懷疑外人的佔一半以上。在8對夫妻的深度訪談的質性分析中，我們發現這些夫妻經歷「失衡危機」、「偏離失衡」、「重組平衡」與「解組危機」等四階段，這些階段有不同的暴力強度（第二及第四階段最強），同時也反映著家庭的壓力因應與結構變遷。個人能力、夫妻合作、價值信念及工作壓力等因素共同作用下形成了婚姻暴力。在整理了這些經驗之後預防及處遇之道就逐漸明朗。本研究提出「市療模式」。這模式以家庭整體利益著眼但同時顧及個人意願、善加利用精神醫療資源（一般及特別門診、封閉式及開放式病房住院）的處遇模式。

　　結論及建議事項：暴力家庭並不盡然特別病態。社會、家族、婚姻及個人等四個層面的因素都有可能叢集促成婚姻暴力。處遇之道為及早介入，而當介入時所考慮的層面必須夠廣，如此才能顧及各層面的致因而能符合個案家庭的需求。另外，對治療模式作進一步的成效研究以及更加強精神科從業人員婚暴相關知識是必須的，以提高醫療人員的敏感度，畢使來到醫療體系的婚暴夫妻得到及早、夠好且符合他們需求的幫忙。

● English Abstract:

     Goals: The aims of this study are to describe factors influence marital violence, to investigate processes of power between perpetrator and his wife, and to offer a treatment model for violent couples.

     Methods: Thirty couples with husband as perpetrator were recruited from a psychiatric center, 18 from acute ward, 8 from out patient department, and 4 from group therapy for perpetrator assigned by court. Researchers adopted the attitude of discover oriented process study, read case data (interview, chart and notes) repeatedly, and allocated cases according to their relative power relationship, into husband-dominant group (n=7), wife dominant group (n=18) and symmetrical group (n=5). And use eco-system model to describe and to investigate correlations among factors in four levels i.e. social, family, marital and personal level. Further more, eight of them were analyzed qualitatively on their long-term power process and the results after their encountering psychiatric system, in order to clarifying the roles of factors such as gender and occupational pressure play in the stages of marital violence.

     Results: There were no significant differences in socio-demographic characteristics, but did in variables of ???H?Hwife as bread-earner??, ???H?Hseek help for marital problems??, ???H?Hthe scope of violence??, and ???H?Hawkward in speech??. These revealed that most of wife in wife-dominant group bring more money home than her husband; the ratio of ???H?Hvisiting psychiatric OPD for marital conflicts?? was highest in symmetric group couples; most of the violence of husband-dominant and symmetric group confined in family only, and more then half cases of wife-dominant group whose scope of violence is not confined in family only and would spread out to relatives and friends; 77.8% husbands of wife-dominant group had characteristics of ???H?Hawkward in speech??. The characters of wife-dominant group are as followings: wife as bread-earner, 80% husband of this group with characteristics of ???H?Hawkward in speech??, 80% of husbands had psychiatric diagnosis, the ratio of husbands with substances abuse was the highest, half of them would hit other people other than wife, 60% of them enter the official system which in charge of marital violence. The characters of symmetric group are as followings: significantly lesser wives of this group bear traditional ideology than the other groups; couples of this group quarrel about almost everything, never give-in or give-up; most of cases in this group visit our hospital for marital problems and not for psychiatric problems like the other groups. The characters of husband-dominant group are as followings: husbands of this group are older than their spouse; very few of husbands of this group had psychiatric diagnosis; 85.7% cases whose violent limited in family, but their intensity of violence are severe to extreme; more than half of these husbands show jealous of his wife or had paranoid reactions toward other people. In qualitative analysis of eight couples we found that they experienced four stages of ??crisis??, ??deviation??, ??restructure?? and ??destructive??. Among these stages, ??deviation?? and ??destructive?? might have severer violence. These stages reflect the changing of their coping style and marital power relational structure. Personal abilities, spousal cooperation, value system and pressure of occupation all together contribute to the formation of marital violence. While we conceptualized these experiences of cases, ideas of prevention and intervention emerged. In this report, TCPC (Taipei City Psychiatric Center) model for managing violent couples was proposed. This model not only concerned interest of the whole family but also emphasized personal will. This model also use resources for m 

● 文章連結：

https://goo.gl/aNqJZn

● 資料來源：

政府研究資訊系統