不同依附型態性侵害加害人在團體處遇前後的改變研究

The Study for the Change of Different Attachment Style Sexual Offenders before and after Group Treatment

黃冠豪(Huang Kuan-Hao)

指導教授 ： 林明傑

國立中正大學/教育學院/犯罪防治學系/博士(2016年)

摘要

本研究旨在探究性侵害者參與團體處遇前後改變動機之變化，並探究其改變動機之變化與性侵害者的依附關係之關聯。
本研究以彰化縣轉介接受社區團體心理處遇的性侵害者為主要樣本來源，個案在處遇前、處遇後填寫「改變階段量表—性侵害版」與「關係型態量表」(評估個案的依附型態)。研究者依據個案所填寫的「改變階段量表—性侵害版」進行量化分析，以評估性侵害者團體處遇前後改變動機的變化，以及其改變動機變化與依附型態之關聯。進一步，研究者透過立意取樣挑選處遇後改變動機進步的5位個案進行質性訪談，澄清這些性侵害者其依附關係經驗與參與處遇經驗。
研究結論歸納如下：一、本研究接受社區處遇的性侵害者其依附類型多數是屬於安全型依附與排拒型依附。二、改變階段與改變動機方面，本研究的性侵害者在經過3個月的團體處遇之後，「準備期」的人數比例提高，然而「行動期」與「維持期」的人數比例則是下降。而整體改變動機則是無顯著的前、後測變化。三、本研究的焦慮型依附性侵害者與安全型依附性侵害者，在團體處遇前、後改變動機呈現正向改變的人數比例較高，此外本研究的焦慮型依附性侵害者雖然在處遇前整體改變動機最低，但卻也是所有性侵害者之整體改變動機在團體處遇前、後進步幅度最高的依附型態。本研究並進一步將合意與非合意性侵害者分組進行討論。
最後，根據研究結果提出未來研究與性侵害處遇實務之相關建議與討論。

關鍵字

團體處遇 ； 依附關係 ； 改變階段 ； 改變動機 ； 性侵害者

並列摘要

The purpose of this study was to explore the alteration of motivation to change of sexual offenders before and after the group treatment. And to explore the relationship between the alteration of motivation to change and attachment of sexual offenders.
In this study, the participants were sexual offenders who were referred to participate in community group treatment in Changhua County. All participants filled in the Relationship Style Questionnaire (assessment of attachment style) and Stages of Change Scale-Sexual Offense Version before and after treatment. According to the quantitative analysis of Stages of Change Scale-Sexual Offense Version, the researcher assessed the alteration of motivation to change before and after treatment of sexual offender who participated the group treatment, and the the relationship between the alteration of motivation to change and attachment of sexual offenders. Furthermore, in drder to clarified the attachment experience of participants and their experience of group treatment, the researcher used purposive sampling to select five participants who had progressed in terms of motivation to change after group treatment with whom to conduct further interview.
Conclusions are summarized as follows: (1) in our research, the most common attachment type of the sexual offenders who participated in community group treatment were security attachment and dismissing attachment. (2) in our research, in terms of the stage of change and motivation to change, after three months of group treatment, the ratio of the participants who belonged to "preparation stage" increased , but meanwhile the ratio of the participants who belonged to "action stage" and "maintenance stage" reduced. The level of total motivation to change did not change significantly after group treatment. (3) in our research, the ratio of positive changes before and after the group treatment in terms of motivation to change was higher in anxious attachment participants and security attachment participants. Although anxious attachment participants had the lowest level of total motivation to change before group treatment, these participants exhibited the most progress in total motivation to change after group treatment, relative to participants of other attachment types.
Futhermore, all participants were grouped into consensual and non-consensual sexual offenders , and the results of the two groups were discussed separately.
Finally, according to the findings of this study, this article provided discuss and recommendations for future research and practitioners working with sexual offenders.

KEY WORDS：sexual offender, motivation to change, stage of change, attachment, group treatment

並列關鍵字

attachment ； stage of change ； motivation to change ； sexual offender ； group treatment

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