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題名：接受強制團體治療社區性侵害人之改變動機研究
書刊名：中華心理衛生學刊
作者：楊大和／饒怡君／金樹人
作者(外文)：Yang, Ta-ho／Jao, Yi-chun／Jin, Shuh-ren
出版日期：2012
卷期：25:3
頁次：頁477-505
主題關鍵詞：改變動機；改變階段；性侵害加害人；強制團體治療；跨理論模式；Compulsory group psychotherapy；Motivation for change；Sexual offender；Stages of change；Trans-theoretical model
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(5) 博士論文(2) 專書(0) 專書論文(0)
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研究目的：探討接受社區強制治療的性侵害人，在參與團體治療過程中，其改變性侵害行為的內在動機與其變化，改變動機呈現於所屬的改變階段、改變動機相關態度與整體改變準備度中。研究方法：研究對象為30名接受每週一次治療的男性性侵害人，分別在團體開始前、接受團體治療12次、24次與36次之後等四個時間點，接受「改變階段量表—性侵害版」的施測。研究結果：所有研究對象在團體開始前對於改變性侵害行為至少已經進行了某些程度的思考，四成的人的改變動機階段處於沉思期，兩成的人處於準備期，行動期或維持期則有四成左右。在12次團體治療後可能退回較早的改變動機階段，但是之後即不會再進退。其次，和改變動機有關的四種態度以及整體改變準備度在四個施測點中沒有明顯的變化，但在各施測點中一致發現沉思期、行動期與維持期的改變態度強過於懵懂期，其中以沉思期最強，行動期次之，然後是維持期。改變動機的縱貫時間變化維持水平的直線趨向，未能支持改變階段理論的非直線變化假設。研究結論：改變準備度總分的變化趨向在性侵害人群體內部存在著多種型態。文末進一步從理論、實務與研究角度討論性侵害人的改變動機並提出建議。
Purpose: Explored internal motivation to change sexual offense problems through group psychotherapy in a group of community sexual offenders. Internal motivation was represented by the stage of change, attitudes towards change, and total change readiness. Methods: The participants were 30 male sexual offenders, aged 24 to 73, mean age 40, and had been attending weekly group psychotherapy between year 2004 and 2010. They were tested with the Stages of Change Scale-Sexual Offense Version at 4 time points, which were before joining the group, and after 12, 24, and 36 attendances. Results: First, analysis showed that all offenders at least contemplated their sexual offense problem, 40% of the offenders reached the contemplation stage, about 20% reached the preparation stage, and the remaining 40% reached the action or maintenance stage. Some offenders retreated to earlier stages after 12 attendances and then sustained that stage without further regression or progression. Second, their 4 motivational attitudes to change and total change readiness did not significantly alter over time. Across the 4 time points the latter 3 stages of change attitudes were significantly stronger than the pre-contemplation stage (i.e., the contemplation stage was the strongest, the action stage the second strongest, and then the maintenance stage). Third, the offenders' motivation for change had a horizontal linear tendency, failing to validate the non-linear change tendency proposition of the Stages of Change (SOC) theory. Conclusions: The change readiness score had various patterns within the whole group of sexual offenders. The sexual offenders' motivation to change is discussed and suggestions from theoretical, practical and research perspectives offered along with some augmentations to the original SOC theory.
期刊論文
1.陳筱萍、林耿樟(20080600)。性侵害加害人在團體治療中的抗拒行為。輔導季刊，44(2)，18-26。new window  延伸查詢new window
2.李光輝、王家駿、李文貴、謝思韻、黃雅琪、王作仁、馮煥光、張敏(20061200)。性侵害犯團體治療滿意度分析。亞洲家庭暴力與性侵害期刊，2(2)，35-52。new window  延伸查詢new window
3.湯元皓、蔡佩潔、陳明俊、王家駿(20070300)。接受強制診療之性侵害加害人否認型態。臺灣精神醫學，21(1)，17-25。new window  延伸查詢new window
4.Ryan, R. M.、Deci, E. L.(2000)。Self-determination theory and facilitation of intrinsic motivation, social development, and well-being。American psychologist，55(1)，68-78。  new window
5.黃奕清、高毓秀、陳秋蓉、徐儆暉(20030300)。運動計畫介入職場員工運動階段與身體活動之成效。勞工安全衛生研究季刊，11(1)，1-10。new window  延伸查詢new window
6.沈勝昂、林明傑(20071200)。變與不變：性侵害再犯「穩定動態危險因子」與「急性動態危險因子」的關係。犯罪學期刊，10(2)，1-11+13-31。new window  延伸查詢new window
7.王郁文、修慧蘭(20080300)。性侵害加害人否認行為之研究。中華輔導與諮商學報，23，177-211。new window  延伸查詢new window
8.McConnaughy, E. A.、Prochaska, J. O.、Velicer, W. F.(1983)。Stages of change in psychotherapy: Measurement and sample profiles。Psychotherapy: Theory, Research and Practice，20(3)，368-375。  new window
9.Prochaska, J. O.、Velicer, W. F.、Rossi, J. S.、Goldstein, M. G.、Marcus, B. H.、Rakowwski, W.、Fiore, C.、Harlow, L. L.、Redding, C. A.、Rosenbloom, D.、Rossi, S. R.(1994)。Stages of Change and Decisional Balance for 12 Problem Behaviors。Health Psychology，13(1)，39-46。  new window
10.Prochaska, James O.、DiClemente, Carlo C.(1982)。Transtheoretical therapy: Toward a more integrative model of change。Psychotherapy: Theory, Research and Practice，19(3)，276-288。  new window
11.Prochaska, James O.、Velicer, Wayne F.(1997)。The Transtheoretical Model of Health Behavior Change。American Journal of Health Promotion，12(1)，38-48。  new window
12.Prochaska, J. O.、DiClemente, C. C.、Norcross, J. C.(1992)。In search of how people change: Applications to addictive behaviors。American Psychologist，47(9)，1102-1114。  new window
13.邱惟真、邱思潔、李粵羚(20070600)。三個月的性侵害加害人社區輔導教育團體該做什麼：政策與實務之對話。輔導季刊，43(2)，1-11。new window  延伸查詢new window
14.Barrett, M.、Wilson, R. J.、Long, C.(2003)。Measuring motivation to change in sexual offenders from institutional intake to community treatment。Sexual Abuse: A Journal of Research and Treatment，75(4)，269-283。  new window
15.Birgden, A.(2004)。Therapeutic jurisprudence and responsivity: Finding the will and the way in offender rehabilitation。Psychology, Crime, & Law，10(3)，283-295。  new window
16.Birgden, A.(2004)。Therapeutic jurisprudence and sex offenders: A psycho-legal approach to protection。Sexual Abuse: A Journal of Research and Treatment，16(4)，351-364。  new window
17.Burrow, N.、Needs, A.(2009)。Time to contemplate change? A framework for assessing readiness to change with offenders。Aggression and Violent Behavior，14，39-49。  new window
18.Callaghan, R. C.、Hathaway, A.、Cunningham, J. A.、Vettese, L. C.、Wyatt, S.、Taylor. L.(2005)。Does stage-of-change predict dropout in a culturally diverse sample of adolescents admitted to inpatient substance-abuse treatment?。A test of the Transtheoretical Model. Addictive Behaviors，30，1834-1847。  new window
19.Callaghan, R. C.、Taylor, L.、Moore, B. A.、Jungerman, F. S.、De Biaze Vilela, F. A.、Budney, A. J.(2008)。Recovery and URICA stage-of-change scores in three marijuana treatment studies。Journal of Substance Abuse Treatment，35，419-426。  new window
20.Carey, K. B.、Purnine, D. M.、Maisto, S. A.、Carey, M. P.(1999)。Assessing readiness to change substance abuse: a critical review of instruments。Clinical Psychology: Science and practice，6(3)，245-266。  new window
21.Casey, S.、Day, A.、Howells, K.(2005)。The application of the Transtheorectical model to offender populations: Some critical issues。Legal and Criminological Psychology，10，157-171。  new window
22.Day, D.、Bryan, J.、Davey, L.、Casey, S.(2006)。The process of change in offender rehabilitation programmes。Psychology, Crime, & Law，12(5)，473-487。  new window
23.DiClemente, C. C.、Schlundt, D.、Gemmell, L.(2004)。Readiness and stages of change in addiction treatment。American Journal on Addictions，13，103-119。  new window
24.DiClemente, C. C.、Hughes, S. O.(1990)。Stages of change profiles in alcoholism treatment。Journal of Substance Abuse，2，217-235。  new window
25.Kear-Colwell, J.、Pollock, P.(1997)。Motivation of confrontation. Which approach to the child sex offender?。Criminal Justice and Behavior，24(1)，20-33。  new window
26.McConaauphy, E. A.、DiClement, C. C.、Prochaska, J. O.、Velicer, W. F.(1989)。Stages of change in psychotherapy: A follow-up report。Psychotherapy: Theory, Research and Practice，26(4)，494-503。  new window
27.Napper, L. E.、Wood, M. M.、Jaffe, A.、Fisher, D. G.、Reynolds, G. L.、Klahn, J. A.(2008)。Convergent and discriminant validity of three measures of stage of change。Psychology of Addictive Behaviors，22(3)，362-371。  new window
28.Pelissier, B.(2007)。Treatment retention in a prison-based residential sex offender treatment program。Sex Abuse，19，333-346。  new window
29.Prochaska, J. O.(1991)。Assessing how people change。Cancer，67(3)，805-807。  new window
30.Project MATCH Research Group.(1997)。Matching alcoholism treatments to client heterogeneity: Project MATCH posttreatment drinking outcomes。Journal of Studies on Alcohol，58，7-29。  new window
31.Tierney, D. W.、McCabe, M. P.(2001)。The validity of the trans-theoretical model of behaviour change to investigate motivation to change among child molesters。Clinical Psychology，8(3)，176-191。  new window
32.Tierney, D. W.、McCabe, M. P.(2002)。Motivation for behavior change among sex offenders. A review of the literature。Clinical Psychology Review，22，113-129。  new window
33.Tierney, D. W.、McCabe, M. P.(2004)。The assessment of motivation for behaviour change among sex offenders against children: An investigation of the utility of the Stages of Change Questionnaire。Journal of Sexual Aggression，10(2)，237-249。  new window
34.Tierney, D. W.、McCabe, M. P.(2005)。The Utility of the Trans-Theoretical Model of Behavior Change in the Treatment of Sex Offenders。Sexual Abuse: A Journal of Research and Treatment，17(2)，153-170。  new window
35.Williamson, P.、Day, A.、Howells, K.、Bubner, S.、Jauncey, S.(2003)。Assessing offender readiness to change problems with anger。Psychology, Crime, & Law，9(4)，295-307。  new window
會議論文
1.Yang, T.、Jao, Y.、Lin, H.、Ding, K.、Chang, F.(2010)。Apply Motivational Interviewing to the Group Treatment of Taiwanese Community Sexual Offenders。Taipei, Taiwan。  new window
研究報告
1.沈勝昂、翁景惠(2003)。建構本土化性侵害加害人社區監控模式之研究--以台北市及嘉義縣市為實驗之社區方案。台北：內政部。  延伸查詢new window
2.Beech, A.、Oliver, C.、Fisher, D.、Beckett, R.(2005)。SOTP 2005 Report. Step 4: The sex offender treatment programme in prison: addressing the offending behavior of rapist and murders。London, England。  new window
學位論文
1.曾姿雅(2003)。不同類型性罪犯在動態、靜態及病態人格特質差異研究(碩士論文)。國立中正大學。  延伸查詢new window
2.陳英明(2003)。性侵害加害人接受身心治療及輔導教育經驗之研究(碩士論文)。國立中正大學。  延伸查詢new window
3.Long, C. A.(2002)。The Impact of Motivation on Sexual Offenders Progress in Treatment。University of Toronto，Toronto, Canada。  new window
圖書
1.林耿樟、周煌智(2006)。性侵害加害人診治時常見的阻抗處理。性侵害犯罪防治學 \\ 周煌智 ; 文榮光 (編)。臺北。  延伸查詢new window
2.Ginsburg, J. I. D.、Mann, R. E.、Rotgers, F.、Weekes, J. R.(2002)。Motivational Interviewing with Criminal Justice Populations。Motivational interviewing: Preparing people for change [2nd Ed.] \\ Miller, W. R. ; Rollnick, S. (Eds.)。New York, NY。  new window
3.Mann, R. E.(2000)。Managing resistance and rebellion in relapse prevention。Remaking Relapse Prevention with Sex Offenders: A Source Book \\ Laws, D. R. ; Hudson, S. M.; Ward, T. (Eds.)。Thousand Oaks, CA。  new window
4.Marques, J. K.、Nelson, C.、AlarCon, J.-M.、Day, D. M.(2000)。Prevention relapse in sex offenders: What we learned from SOTEP’s experimental treatment program。Remaking Relapse Prevention with Sex Offenders \\ Laws, D. R. ; Hudson, S. M.; Ward, T. (Eds.)。Thousand Oaks, CA。  new window
5.Prochaska, J. O.、DiClemente, C. C.(1986)。Towards a comprehensive model of change。Treating Addictive Behaviors: Process of Change \\ Miller, R. W. ; Heather, H. N. (Eds.)。New York, NY。  new window
6.Prochaska, J. O.、Norcross, J. C.(2009)。Comparative conclusions: Towards a transtheoretical therapy。Systems of psychotherapy: a transtheoretical analysis [7th Ed.] \\ Prochaska, J. O. ; Norcross, J. C. (Eds.)。Pacific Grove, CA。  new window
7.Zweben, A.、Zuckoff, A.(2002)。Motivational interviewing and treatment adherence.。Motivational interviewing: preparing people for change [2nd Ed.] \\ Miller, W. R. ; Rollnick, S. (Eds.)。New York, NY。  new window
 
 
 
 
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