音樂治療對毒品受刑人幸福感之初探

A preliminary study on the effects of music therapy on the well-being of drug inmates

10.6905/JC.202407_13(2).0004

温敏男(Wen, Min-Nan)；蔡田木(Tsai, Tyan-muh)

音樂治療 ； 毒品受刑人 ； 幸福感 ； Music therapy ； Drug inmates ； Well-being

矯政期刊

13卷2期（2024 / 07 / 01）

117 - 154

繁體中文;英文

物質濫用是臺灣重大社會問題之一，且毒品犯約佔矯正機構收容人數的一半，突顯毒品處遇的重要性，本研究目標是探討音樂治療對毒品受刑人幸福感的影響，期能預防毒癮復發。音樂治療有助於個人心靈的整合，並可在臨床上作為一種輔助療法，音樂是一種表達情感的有效方式，文獻顯示毒品成癮者抗拒毒品誘發的能力與他們的幸福感有關，因此，本研究旨在探討音樂輔助治療如何影響毒品受刑人的幸福感。本研究採實驗性研究法，於北部戒治所的受刑人，以隨機取樣選取62名毒品受刑人，隨機分派為實驗組與對照組各31名，實驗組接受10週音樂治療處遇課程，對照組接受監獄一般處遇課程，研究工具包括幸福感量表、憂鬱評估量表。研究結果顯示，成對樣本檢定分析的結果，顯示音樂治療組比對照組能顯現改善毒品受刑人在課程過程的情緒感受，並增進毒品受刑人對自己的心理狀況、維持身體舒適感。研究結論，音樂治療能調節毒品受刑人的情緒，提升幸福感，降低憂鬱情緒，應對毒品挑戰具有積極效果。然而，研究受多種干擾因子影響，包括毒品對腦部的損害、多次入監的戒治經驗、監禁環境下的課程差異，以及控制組參與其他教化課程等。音樂治療的短期效果顯著，長期效果仍需進一步追蹤，音樂治療不失為一種短期、自願參與的情緒改善和幸福感提升的治療方式，建議矯正機關可考慮將音樂治療納入處遇選項，以提升毒品受刑人的正向情緒。

Substance abuse is a major social problem in Taiwan, with drug offenders accounting for about half of the inmate population in correctional institutions. This highlights the importance of drug treatment. The goal of this study is to explore the impact of music therapy on the well-being of drug offenders, with the aim of preventing relapse. Music therapy aids in the integration of an individual's mind and can be used clinically as an adjunct therapy. Music is an effective means of emotional expression, and literature indicates that the ability of drug addicts to resist drug-induced cravings is related to their well-being. Therefore, this study aims to investigate how music therapy influences the well-being of drug offenders. This experimental study was conducted at a correctional facility in northern Taiwan, using a random sampling method to select 62 drug offenders. They were randomly assigned to an experimental group and a control group, with 31 participants in each group. The experimental group received a 10-week music therapy program, while the control group received the standard prison treatment program. The research tools included a well-being scale and a depression assessment scale. The results of the paired sample t-test analysis showed that the music therapy group demonstrated significant improvement in emotional experiences during the course, compared to the control group. Additionally, the music therapy group showed enhanced psychological conditions and maintained physical comfort. The study concludes that music therapy can regulate the emotions of drug offenders, enhance their well-being, and reduce depressive symptoms, having a positive effect on coping with challenges induced by drug use. However, the research is influenced by various confounding factors, including brain damage from drug use, repeated incarceration and rehabilitation experiences, differences in courses available in the prison environment, and the participation of the control group in other educational programs. While the short-term effects of music therapy are significant, its long-term effects require further investigation. Music therapy is a viable option for short-term, voluntary participation to improve emotions and enhance well-being. It is recommended that correctional institutions consider incorporating music therapy as a treatment option to improve the positive emotions of drug offenders.