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“什么有效,对谁有效?”性犯罪治疗的剂量、疗程、顺序和构成。

'What Works, for Whom?' Sexual Offence Treatment Dosage, Duration, Sequence, and Composition.

作者信息

McKillop Nadine, Rayment-McHugh Susan

机构信息

Sexual Violence Research and Prevention Unit, School of Law and Society, University of the Sunshine Coast, Sunshine Coast, Australia.

出版信息

Curr Psychiatry Rep. 2025 Jan;27(1):58-65. doi: 10.1007/s11920-024-01574-5. Epub 2024 Nov 30.

Abstract

PURPOSE OF REVIEW

Recent scholarship has advocated the need for more detailed analysis of key components within sexual offender treatment programs that contribute to successful outcomes; and importantly to delineate 'what works best, for whom.' The present review interrogates recent scholarship on treatment duration and dosage, program composition and sequencing, to advance critical discussion on 'for whom' treatment works best.

RECENT FINDINGS

Although we now know more about what key program components are associated with better outcomes overall, observed differences at an individual level reemphasize the importance of attending to specific responsivity factors in treatment. Elevating the specific responsivity principle demands more tailored methods to program design and implementation. However, implementing nuanced programming within 'real-world' correctional settings poses significant challenges. Therefore, we call to action the adoption of an implementation science lens in future research, to optimize translation of research knowledge on 'what works, and for whom' into practice.

摘要

综述目的

近期的学术研究主张,有必要对性犯罪者治疗项目中有助于取得成功结果的关键组成部分进行更详细的分析;重要的是要明确“什么对谁最有效”。本综述探讨了近期关于治疗时长和剂量、项目构成与顺序安排的学术研究,以推动关于“治疗对谁最有效”的批判性讨论。

近期研究结果

尽管我们现在对哪些关键项目组成部分总体上与更好的结果相关有了更多了解,但个体层面观察到的差异再次强调了在治疗中关注特定反应性因素的重要性。提升特定反应性原则需要在项目设计和实施中采用更具针对性的方法。然而,在“现实世界”的惩教环境中实施细致入微的项目面临重大挑战。因此,我们呼吁在未来研究中采用实施科学的视角,以优化将关于“什么有效、对谁有效”的研究知识转化为实践。

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