Taylor John L, Thorne Ian, Robertson Alison, Avery Ginny
Centre for Clinical Psychology and Healthcare Research, Northumbria University, Benton, Newcastle upon Tyne, UK.
Crim Behav Ment Health. 2002;12(4):282-93. doi: 10.1002/cbm.506.
The extent to which people with intellectual disabilities (ID) set fires is difficult to ascertain. However, services working with people with ID and offending or quasi-offending histories are increasing the amount of attention that they give to this difficult and perplexing issue. This is due to the real and perceived threat that it presents to society and the seriousness with which it viewed by the criminal justice system.
Against this background there is very little available in the research literature concerning treatment interventions for fire-setting behaviour in this client group, and even less regarding their effectiveness.
In the current study 14 men and women with mild and borderline ID, convictions for arson and detained in a hospital low secure service were offered and completed a broadly cognitive behavioural, approximately 40-session group-based intervention. The treatment was aimed primarily at reducing fire interest and attitudes associated with fire-setting behaviour. Participants were assessed pre- and post-treatment on a number of fire-specific, anger, self-esteem and depression measures.
Following treatment, significant improvements were found in all areas assessed, excepting depression. Despite the limitations of the study design, the results provide encouragement and some guidance to practitioners who are required to develop interventions for this challenging, yet much neglected client group.
智障人士纵火的程度难以确定。然而,为有智障且有犯罪或准犯罪历史的人提供服务的机构越来越关注这个棘手且令人困惑的问题。这是因为它给社会带来了真实且被察觉到的威胁,以及刑事司法系统对其的重视程度。
在此背景下,研究文献中关于针对该客户群体纵火行为的治疗干预措施的内容非常少,关于其有效性的内容则更少。
在当前研究中,14名患有轻度和边缘性智障、有纵火定罪且被拘留在医院低安保服务机构的男性和女性接受并完成了一项大致基于认知行为的、约40节的团体干预。该治疗主要旨在降低对火的兴趣以及与纵火行为相关的态度。在治疗前后,对参与者进行了多项针对火的特定、愤怒、自尊和抑郁的测量评估。
治疗后,除抑郁外,所有评估领域均有显著改善。尽管研究设计存在局限性,但研究结果为那些需要为这个具有挑战性但又被严重忽视的客户群体制定干预措施的从业者提供了鼓励和一些指导。