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与已定罪性犯罪者的否认心理作斗争:对治疗专业人员观点、经历及其对实践影响的定性分析

Working with denial in convicted sexual offenders: a qualitative analysis of treatment professionals' views and experiences and their implications for practice.

作者信息

Blagden Nicholas, Winder Belinda, Gregson Mick, Thorne Karen

机构信息

Nottingham Trent University, Nottingham, UK.

出版信息

Int J Offender Ther Comp Criminol. 2013 Mar;57(3):332-56. doi: 10.1177/0306624X11432301. Epub 2011 Dec 19.

DOI:10.1177/0306624X11432301
PMID:22186882
Abstract

Denial in sexual offenders represents the first barrier to successful treatment a clinician is likely to face. However, there is currently no research focusing on the experiences of treatment professionals who treat and manage deniers. This study aimed to bridge this research gap and to gain an insight into the perspectives and experiences of professionals who treat and manage sex offenders in denial. The purpose was to ascertain their views on whether deniers are amenable to treatment, whether they should be offered treatment (as presently they are excluded from sex offender programmes), and what they believe may work with this population. A qualitative methodology was used, and treatment professionals were interviewed using semistructured interviews at a HM Prison in England. The main findings indicated that participants viewed denial as a barrier to treatment and that categorical deniers should be excluded from treatment. Implications for treatment are discussed, and it is concluded that viewing denial as a barrier to treatment impedes constructive work with offenders. It is argued that denial as an organising principle for treatment needs rethinking and that admittance may not be required for personal reform.

摘要

性犯罪者的否认是临床医生在成功治疗过程中可能面临的首要障碍。然而,目前尚无研究聚焦于治疗和管理持否认态度者的治疗专业人员的经历。本研究旨在填补这一研究空白,深入了解治疗和管理持否认态度的性犯罪者的专业人员的观点和经历。目的是确定他们对于持否认态度者是否适合接受治疗、是否应给予其治疗(因为目前他们被排除在性犯罪者项目之外)以及他们认为何种方法可能对这类人群有效的看法。采用了定性研究方法,在英国一所皇家监狱对治疗专业人员进行了半结构化访谈。主要研究结果表明,参与者将否认视为治疗的障碍,持绝对否认态度者应被排除在治疗之外。文中讨论了对治疗的影响,并得出结论,将否认视为治疗障碍会妨碍与罪犯开展建设性工作。有人认为,需要重新思考将否认作为治疗的组织原则这一观点,个人改造可能并不需要接纳这些人。

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