融入戒酒處遇的親密暴力強制諮商團體成效研究

The Efficacy Study of Batterer Intervention Program Integrating Binge Drinking Treatment

酗酒是親密暴力的危險因子之一。根據「家庭暴力加害人認知及親職教育輔導處遇要點」，酗酒的施暴者之強制心理處遇得融入戒酒教育，然其內涵、成效為何？殊少實徵研究探討。為釐清此議題，研究者接受中南部某縣市政府的委託進行探究。本研究遵循參與合作研究典範，根據行動研究理念，以性別平權、認知行為療法、團體動力、酗酒戒除等概念，設計並帶領一個12次療程的開放性之半結構諮商團體。本研究累積32筆施暴者及其受暴伴侶的有效資料，結果顯示如下：首先，成員對本研究團體的療效評價頗為正向。其次，施暴者的酗酒、肢體暴力與受暴者的受傷程度已顯著減少。再者，由於本研究團體的療效、施暴者的酗酒與親密暴力的減緩具有顯著相關，故推論本研究團體的療效可解釋部分施暴者的酗酒與親密暴力之改善情況。

Binge drinking is one of the risk factors toward intimate partner violence (IPV). According to ＂The Guidelines of BIP and Parenting Education for Perpetrators of Domestic Violence＂, alcoholic treatment can be integrated in the Batter Intervention Program (BIP) when the perpetrators present binge drinking. The policy has been for more than a decade, however, there is a paucity of research on the content and the efficacy of the treatment. To clarify these issues, the researcher conducted a research project funded by a county authority located in mid-southern Taiwan. Based on participatory/cooperative paradigm and action research, a court-mandated, open-ended, and semi-structured group counseling program involving 12 sessions was designed and led by the author. This group counseling program was designed based on the rationales of gender equity, cognitive and behavioral therapy, group dynamics, and alcoholic abstinence. Thirty-two perpetrators and their victims participating in this study provided completed data. The results are as follows: Firstly, the therapeutic factors were experienced by the perpetrators while they participated in the group counseling process. Secondly, perpetrators' binge drinking, physical violence, and the injuries of the victims decreased significantly after perpetrators finished the counseling sessions. Finally, the group therapeutic factors, the decrease of binge drinking, and the decrease of IPV were significantly related to one another. Hence, it could be inferred that the therapeutic efficacy could be partially associated with the improvement of perpetrators' binge drinking and IPV.