性侵害犯的強制治療在1994年刑法修正復，規定非經強制診療，不得假釋。許多治療的方式紛紛應用在監獄的性侵害犯。在美加各國，認知行為治療之預防再犯模式，一直是大家認為有效降低性侵害犯再犯的治療模式之一。國軍北投醫院自1998年即開始監獄的性侵害治療，本研究在探討使用英翻中的預防再犯教材與進行九個月的團體治療後，被治療者自我評估的效果與滿意度的分析。在團體治療後使用102項題目含滿意度的六點問春調查，在團體治療後給予施測。有效樣本71位的分析，結果顯示，在平均為36.13±9.47歲、服刑8.77±3.74年、教育年齡8.74±2.78年（從4年到16年的受教年齡）。總共選出30題滿意度分析與性侵害犯的年齡、犯罪三類型、教育年限、刑期、及初累犯來當依變項，有顯著相關的有小於25歲年紀的滿意度比較高，呈現較多的改善人際(X^2=12.238, p=0.016)與幫助別人想法(X^2=13.696，p=0.008)。年齡愈大，對團體治療的個人意義愈不滿意(r=0.346, P=0.003)。受教育年較短的較易有壓力與困擾(X^2=26.632, P=0.032)。刑期短者，學到情緒表達之技巧滿意度較高(F=3.391, p=0.023)。初犯的滿意度有四題都高過累犯。整體對團體治療的滿意度是相當高的(5.50±0.69)。但是須排除性侵犯對治療師的討好與順應社會規範的預期效果。治療滿意度高低與治療效果或是性侵害犯再犯率的下降，應該無關。

Background: After the amendment of The Criminal Law in 1994, i.e., sex offenders will not be released on parole unless they have completed obligatory therapy; different treatment programs were applied to some facilities. In the relapse prevention program, the cognitive-behavior approach to sex offenders, is the most popular in U.S.A. and Canada. The forensic psychiatry team of Armed Forced Bei-Tou Hospital has been undergoing the same program since May 1998. This study tried to understand the user opinions and gratification of the materials used in the group psychotherapy for sex offenders at Taiwan Taipei Prison. Methods: After the educational phase of mandatory group psychotherapy, 71 male sex offenders were recruited into the treatment phase by their willingness and basic writing ability. The therapists designed questionnaires about the gratification and user opinions of the materials used in the group psychotherapy based on their experiences. A total of 102 items with six ranking scores were distributed to sex offenders after the nine months course of treatment. Factors such as age, type and frequency of sex offense, length of imprisonment, and years of receiving education were analyzed with the gratification scores. Program of SPSS was used for factor analysis of the results. Results: Average age is 36.13±9.47 years (from 20 to 69 year-old); length of sentence is 8.77±3.74 years (from 3 to 16 years) and years of education are 8.74±2.78 years (from 4 to 16 years). 30 items about the satisfaction of sex offenders and their opinions of the cognitive-behavior group psychotherapy were analyzed in total. Several significant correlations were found, such as age under 25 had more thoughts on building interpersonal relationship skills (X^2=12.238, p=0.016) and helping people (X^2=13.696, p=0.008), older offenders showed no personal interests in group therapy (r=0.346, p=0.003). Offenders with lower education levels showed stress and life difficulties (X^2=26.632, p=0.032). Offenders with less years of imprisonment learned more emotional expression skills (F=3.391, p=0.023). Satisfaction score on four items were higher in the first offending group than the relapse one. However, the trend of the higher satisfaction (average score 5.50±0.69) was obviously noted. Conclusion: Although most sex offenders showed a higher satisfaction score on the questionnaires, the factor of offenders trying to please the therapists shall not be neglected. The only way to show the efficiency of this first cognitive-behavior program at Taiwan Taipei Prison may be to observe the recidivism rate for sex offenders in the following years.