有害飲酒親密暴力者改善有害飲酒及停止暴行的改變歷程

The Changing Process Related to the Amelioration of Hazardous Drinking and Stopping of Intimate Partner Violence among Perpetrators

邱獻輝(Hsien-Huei Chiou)

《藥物濫用防治》 2卷1期 (2017/03) Pp. 1-28

https://doi.org/10.6645/JSAR.2017.2.1.1

摘要

有害飲酒可能促發親密暴力，故在親密暴力強制諮商中，若施暴者合併出現有害飲酒，則諮商內容應包含戒酒處遇。然在此介入策略脈絡中，施暴者停止有害飲酒與親密暴力的歷程為何？目前尚不清楚。此外，鑒於個體行為富含文化意涵，故探討此議題應有文化考量。本研究採取紮根理論研究法，邀請32 位完成強制諮商的合併有害飲酒之親密暴力者接受訪談，並以協同分析策略進行文本分析。研究結果可分成兩部份，其一是受訪者在強制處遇過程的逐漸改善歷程，此歷程可分成三個階段，包括「初期：瀰漫抗拒的氛圍」、「療效萌芽：欲藉由控制飲酒來避免親密暴力」、「療效落實：適切飲用酒精」。其二，部分受訪者在強制諮商後並未改善，仍「持續有害飲酒」。

關鍵字

酒精 ； 家暴 ； 強制處遇 ； 諮商

並列摘要

Researches indicated that hazardous drinking could lead to intimate partner violence (IPV). Therefore, the court-mandated counseling among IPV perpetrators with hazardous drinking should involve intervention for hazardous alcohol consumption as well. However, what is the mechanism of change when perpetrators stop hazardous drinking and IPV in this counseling approach? This study investigated to find the answers to this question as the answers were not clear at present. Considering that an individual’s behaviors imply rich cultural meanings, this study also included the traditional Chinese cultural influence which probes into this issue presented in the question. This study invited 32 IPV perpetrators with hazardous drinking as interviewees who completed court-mandated counseling. It followed the grounded theory method with co-analysis strategies to collect and analyze data. The result showed two lines of mechanisms of change. The first one was an improving course along with the progression in counseling which could be divided into three stages: ＂being prevalent to the resistance climate at the onset of counseling,＂ ＂bud of therapeutic effectiveness: hoping to avoid recidivism of IPV by controlling alcohol consumption,＂ and ＂practice therapeutic effectiveness: appropriate drinking.＂ The second one was ＂continuing hazardous drinking.＂

並列關鍵字

Alcohol ； Counseling ； Court-Mandated Treatment ； Domestic Violence