性侵害案件中提供司法單位心理諮商報告之倫理考量

Ethical Considerations in Providing Counseling Reports to the Judiciary in Cases of Sexual Assault

本研究旨在探討性侵害案件中提供司法單位心理諮商報告之倫理考量，經個別深度訪談6位經歷此等經驗之心理師，採用內容分析法。發現：心理師在出具報告的考量階段，需考慮當事人福祉及心理師個人議題；在告知當事人的考量階段，則面臨知情同意、保密協定、未成年當事人權益及已結案當事人考量；在撰寫報告的考量階段，會出現當事人的意願想法、資料保留、當事人最佳利益和諮詢專業意見議題；最後在當事人閱讀報告的考量階段，將面臨當事人內容確認、特殊不提供閱讀因素、專業考量與社會公平及特別監護權考量等問題，經過多方倫理考量之後，心理師方完成當事人報告以回覆司法單位。整體而言，皆須考量當事人的最佳利益和福祉為首要原則，並一併在簽署諮商同意書時就將這些倫理情境考量進去，充分讓當事人理解可能產生的法律後果，也同時思考解決結案之後可能會衍生的倫理議題，並就研究結果提出實務工作與未來研究之建議。

 

The purpose of the study is to explore how psychologists deal with ethical issues arising when offering counseling reports on victims of sexual assault to the judiciary. After in-depth interviews with six psychologists who had experienced this, the "" content analysis"" method was used for qualitative analysis. The findings of this study are as follows: in the stage of the psychologist being asked to provide sexual abuse victim’s record, it is necessary to consider the personal welfare of the client and the psychologist’s personal issues; in the stage of informing the client, informed consent, confidentiality, and the rights of minor clients should be taken into consideration; in the stage of writing a report, the psychologists encountered some difficulties such as the clients’ wishes, data custody, the best interests of the clients, and counseling professional opinions; finally, in the stage of the client’s previewing a report, there are some problems involved such as confirmation of the content with the client, reasons for not providing reports for clients to read, the initiative of the client, the modification of the content of the report, and the rights of the minors. As a whole, psychologists must prioritize the client’s best interests and well-being of the sexual abuse victim. Before signing the counseling consent, these ethical situations should be taken heeded to make clients fully aware of possible legal consequences and ethical issues regarding the court’s access to counseling records that may arise after termination of counseling. After the ethical concerns, the psychologist finally provides a report to the court. This study also provides practical and future research recommendations based on the results and findings.