Alexander Pamela C, Morris Eugene, Tracy Allison, Frye Alice
Wellesley Centers for Women, USA.
Violence Vict. 2010;25(5):571-87. doi: 10.1891/0886-6708.25.5.571.
A stages-of-change motivational interviewing (SOCMI) treatment approach was compared with a standard cognitive behavioral therapy gender reeducation (CBTGR) approach in a sample of 528 English-speaking and Spanish-speaking male batterers who were randomly assigned to 49 26-week groups in either condition. Blind ratings of therapist adherence differentiated the two conditions. Language spoken neither predicted outcome nor interacted with treatment. The SOCMI curriculum led to significant reductions in female partners' reports of physical aggression at follow-up, but not to changes in self-reported aggression. Men who were initially less ready to change benefited more from the SOCMI approach while men who were more ready to change benefited more from the CBTGR approach. Results suggest the importance of tailoring abuser intervention programs to individuals' initial readiness to change.
在一个由528名说英语和西班牙语的男性施暴者组成的样本中，将改变阶段动机访谈（SOCMI）治疗方法与标准认知行为疗法性别再教育（CBTGR）方法进行了比较，这些参与者被随机分配到两种条件下的49个为期26周的小组中。治疗师依从性的盲评区分了这两种条件。所使用的语言既不能预测结果，也不会与治疗产生交互作用。SOCMI课程在随访时使女性伴侣报告的身体攻击行为显著减少，但自我报告的攻击行为没有变化。最初不太愿意改变的男性从SOCMI方法中获益更多，而更愿意改变的男性从CBTGR方法中获益更多。结果表明，根据个体最初的改变意愿来调整施虐者干预项目非常重要。
