重型精神疾患丈夫為施暴者之婚姻處遇：施暴者之特徵及治療成效研究

楊連謙; 葉光輝; 董秀珠

doi:10.30074/FJMH.201106_24(2).0006

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社会科学 > 心理学

DOI： 10.30074/FJMH

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重型精神疾患丈夫为施暴者之婚姻处遇：施暴者之特徵及治疗成效研究

Couples Treatment for Male Perpetrators with a Major Mental Illness: A Study of the Characteristics of Batterers and Therapeutic Outcomes

杨连谦(Lien-Chien Yang) ；叶光辉(Kuang-Hui Yeh) ；董秀珠(Hsiu-Chu Tung)

中华心理卫生学刊； 24 卷 2 期 (2011 / 06 / 01) ， P311 - 334

繁体中文 DOI： 10.30074/FJMH.201106_24(2).0006

婚姻暴力；精神分裂病；婚姻治疗；精神病； marital violence ； schizophrenia ； marital therapy ； mental illness

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摘要 │ 参考文献 (40) │ 被引用文献 (2) │ 国际计量

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Purpose: This study explores the characteristics of men with a major mental illness who engage in marital violence and examines the outcomes of the Relational Development Program (RDP) and the effectiveness of marital therapy, the main intervention used in RDP. Methods: Seventy couples participated in RDP. All of them received an ordinary psychiatric practice and were prepared into an additional course of marital therapy, yet only 29 (41.4%) of them completed it. All RDP participants were allocated to the three groups in the study according to the diagnosis of the husband's mental disorder: no psychiatric diagnosis, minor mental illness, and major mental illness (eg, schizophrenia and bipolar disorder). Statistical comparisons of associated variables between diagnostic groups were performed to identify the unique characteristics of married violent men with a major mental illness. All participants' mean pre-and post-test violence scores (severity, person involved, and frequency of verbal aggression, mild, moderate, severe, and extreme violence) were compared to examine the effectiveness of the RDP. We also compared the data of participants who completed the marital therapy with those who did not complete it to examine the effectiveness of marital therapy. Results: Five characteristics of married violent men with a major mental illness were identified: 1) younger in age, 2) lower socioeconomic status, 3) more serious violent behaviors, 4) low in the marital power hierarchy, and 5) batterers' roles and relationships inflicted by major mental illness as well. RDP reduced the violence scores of all participants significantly, and the violence scores of those who completed the marital therapy were reduced significantly more than those who did not complete it, but there were no difference among the three groups with different psychiatric diagnoses. Conclusions: 1) Male perpetrators with a major mental illness are a distinct subtype of batterers. Based on the characteristics identified, we propose ways to refine the treatment model and suggest specific interventions. 2) The outcome of the RDP is as good as other treatment models for male perpetrators. 3) Adding marital therapy to current ordinary psychiatric practices could further reduce marital violence.

参考文献 ( 40 ) 〈TOP〉

行政院(1992年7月3日)：〈中华民国职业标准分类〉。台北：行政院台八一仁授一字第０七二四八号函。
American Psychiatric Association(1994).Diagnostic and statistical manual for mental disorders.Washington DC:American Psychiatric Press.
Babcock, J. C.,Waltz, J.,Jacobson, N. S.,Gottman, J. M.(1993).Power and violence: The relation between communication patterns, power discrepancies, and domestic violence.Journal of Consulting and Clinical Psychology,61,40-50.
Bookwala, J.(2002).The role of own and perceived partner attachment in relationship aggression.Journal of Interpersonal Violence,17,84-100.
Cano, A.,Vivian, D.(2003).Are life stressors associated with marital violence?.Journal of Family Psychology,17(3),302-314.

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