婚姻治療對婚姻暴力夫妻婚姻權力之影響

The Influence on Marital Power when Couples are Treated for Marital Violence

董秀珠(Hsiu-Chu Tung) ； 楊連謙(Lien-Chien Yang)

《北市醫學雜誌》 10卷1期 (2013/03) Pp. 38-47

https://doi.org/10.6200/TCMJ.2013.10.1.05

摘要

目的：探討婚姻處遇對婚姻暴力夫妻權力的影響。方法：以70對接受「關係成長方案」處遇的婚姻暴力夫妻為對象，其中夫權夫妻（44.3%）、平權（39.6%）、妻權（7.1%）、分權（10.0%），完成婚姻治療的占41.4%。以事務、情感及資源三個維度評量個案初次暴力發生前及處遇後的婚姻權力，探討研究問題。結果：夫權夫妻的三權力維度都是夫權減少，妻權增加；平權夫妻妻子的情感權力增加，丈夫的資源權力減少；妻權夫妻丈夫的事務及情感權力增加；分權夫妻丈夫的情感權力減少，妻子的資源權力增加。作為主要介入方式的婚姻治療並未造成婚姻權力統計學上的顯著差異。結論：婚姻處遇普遍造成夫權減少、妻權增加；夫妻權力平衡；平權夫妻有更佳的婚姻適應；分權夫妻的妻子有更佳的個人適應。

關鍵字

婚姻權力 ； 婚姻暴力 ； 親密伴侶暴力 ； 婚姻治療 ； 精神病

並列摘要

Objectives: This study explores the influence on marital power of treatment for marital violence among couples. Methods: A total of 70 couples participated in the Relational Development Program, a treatment model for couples who have experienced marital violence. All of them received ordinary psychiatric therapy and were invited to participate in an additional course of marital therapy. Of the 70 couples, 29 (41.4%) of them completed this additional therapy. Pre-management and post-management marital power was measured using the marital power clinical rating scale, which consists material, affection and resource subscales. Using this approach, we determined each couple's initial marital power pattern, which consisted of husband-dominant (n=31), wifedominant (n=5), egalitarian (n=27) and divided power (n=7). Results: The management model was found to have an influence on the marital power pattern. Specifically, among husband-dominant couples, the wife's power was increased and husband's power was decreased. Furthermore, among egalitarian couples, the affection power of wives in this group was increased. Among the wife-dominant couples, the affection and material powers of the husband were increased. Finally, among the divided-power group, the husband's affection power was decreased and the wife's resource power was increased. Those couples that completed marital therapy did not show a more significant change in marital power compared to couples who did not complete the program. Conclusions: The influence of the couples' treatment on the marital power was: 1) to decease the husband's power and to increase the wife's power across all power dimensions; 2) to produce a better balance in marital power; 3) egalitarian couples were found to be more adaptive in terms of their marriage; and 4) there was enhancement of the individual adjusting abilities of the wife among divided-power couples.

並列關鍵字

marital power ； marital violence ； intimate partner violence ； marital therapy ； mental illness