Scott Katreena L, King Colin B
Department of Human Development and Applied Psychology, University of Toronto, Toronto.
Trauma Violence Abuse. 2007 Oct;8(4):401-17. doi: 10.1177/1524838007307593.
Perpetrators of abuse and violence against women and children are often reluctant participants in intervention programs. They frequently fail to attend scheduled appointments, are sometimes openly hostile to intervention staff, and often judge program materials as irrelevant to their situation. Recognizing this problem, researchers and practitioners have begun to develop models and tools to more appropriately assess and intervene with reluctant clients. Unfortunately, the resulting proliferation and inconsistent application of terms and theories have led to considerable confusion in characterizing reluctant clients and have significantly hampered research on strategies that may be helpful to better meet the needs of this client group. The purpose of this review is to help standardize the definition and measurement of treatment reluctance as it applies to violence perpetration and to review evidence for the importance of these aspects of client reluctance to intervention. Recommendations for assessing reluctance in research and clinical practice are also provided.
对妇女和儿童实施虐待与暴力行为的人往往不太愿意参与干预项目。他们常常不按预定时间赴约，有时还公然对干预工作人员怀有敌意，并且经常认为项目材料与他们的情况无关。认识到这一问题后，研究人员和从业者已开始开发模型和工具，以便更恰当地评估和干预不太配合的服务对象。不幸的是，由此导致的术语和理论的大量涌现以及应用的不一致，在界定不太配合的服务对象方面造成了相当大的混乱，并严重阻碍了对可能有助于更好满足这一服务对象群体需求的策略的研究。本综述的目的是帮助规范适用于暴力行为实施者的治疗抵触情绪的定义和衡量标准，并审视服务对象抵触干预这些方面的重要性的相关证据。同时还提供了在研究和临床实践中评估抵触情绪的建议。
