兒童性侵害加害者處遇原則之探討－認知行為治療與因應理論之運用

The Treatment for Child Molesters-The "Cognitive-Behavior Therapy" and "Coping Model" Perspective

10.6171/ntuswr2002.06.03

鄭怡世(Yi-Shih Cheng)

兒童性侵害 ； 性犯罪 ； 加害者 ； 認知行為治療 ； 因應理論 ； Sexual offending against children ； Child molester ； Sexual assault ； Cognitive-behavior therapy ； Coping model

臺大社會工作學刊

6期（2002 / 06 / 01）

89 - 122

繁體中文

隨著「性侵害犯罪防治法」的通過，性侵害加害者一旦經判刑確定，除了必須接受強制診療外，還需接受追蹤輔導，這樣的立法意旨，其目的就是希望透過對性侵害加害者的強制診療與社區化處遇，來矯治其行為以避免再犯，而這樣的立法規定，也為社會工作專業對兒童性侵害加害者進行處遇提供了法源基礎。因此，本文期盼通過對相關文獻的檢閱，來理解社會工作專業的相關理論可以在這個議題上的切入點。在經過相關文獻的檢閱後發現，「認知－行為治療」與「因應理論」這兩個理論架構是被英、美兩國所廣泛採行，因此，本文嚐試整理出這兩個理論架構的內涵，以及其應用於兒童性侵害加害者處遇的可行技術與方法。本文也綜合了Beckett(1994)的「綜合統整的處遇模型」，以及在美國頗具成效的Hennepin County社區矯治部門所發展出來的「兒童性侵害加害者的處遇原則」，而形成一個「兒童性侵害加害者處遇工作模型」。此模型區分為接案、處遇、結案三個階段，並詳述每個階段的焦點及重要議題、工作策略與重點、處遇目標、使用的方法與技術、期待的結果等面向。

Sexual offenders, especially child molesters are in some ways the most difficult population for correctional intervention. According to the ”Sexual Assault Prevention Law”, passed by the Legislation Yuan, sexual offenders and child molesters must receive a probationary treatment after serving their sentence. During the probationary period, the offenders and molesters must be monitored under the reinforced treatment and follow-up programs to prevent them from committing the crime again. Therefore, it is the very moment of which social worker may intervene with professional treatments. The new law indeed provides social workers with the legitimacy of reinforced intervention for sexual offenders. This paper tries to explore the notion of ”cognitive-behavior therapy” and the ”coping model” perspective, and the application of these theoretical disciplines to treatment for child molesters. It also integrates Beckett (1994) ”comprehensive treatment model” and ”the principle of child sexual abuse treatment” that are developed by the Hennepin County Department of Community Corrections as ”the treatment model for child molesters”. In light of above models/theories, the treatment for child molester may be divided as three stages: in-take, treatment, and termination. The article identifies important issues of each stage such as treat strategies, treat objectives, methods and techniques, and expected outcomes.

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