성범죄자 치료 프로그램이 심신장애 성범죄자의 인지 및 정서적 특성에 미치는 영향
Effect of Sex Offenders Treatment Programme on Cognitive and Emotional Characteristics of Mentally Ill Sex-Offenders
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참고문헌
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초록
이 연구는 최초로 심신장애인에게 성범죄자 특성에 초점을 맞춘 집단인지행동치료 프로그램을 시도였다는 점에서 의의가 있겠으며, 그 결과도 의미 있는 호전을 보였다. 심신장애인의 경우에도 재범 방지를 위해서는 주요정신질환에 초점을 맞춘 치료 외에 성범죄에 특성을 맞춘 치료 프로그램이 제공되어야 할 것이며, 향후 보다 많은 연구와 경험을 바탕으로 심신장애인 특성에 맞는 인지행동치료 프로그램의 개발이 필요할 것이다. 또한 이러한 척도상의 호전이 실질적인 재범률의 감소로 이어지는 것 을 관찰하기 위한 장기 추적 연구가 필요하겠다.
Abstract
Objectives：This study was investigated to prove the effectiveness of Cognitive Behavior Treatment Program in mentally ill sex offenders and to be used as basic data for development of optimized treatment program for mentally ill sex offenders. Methods：Cognitive Behavior Treatment Program was carried out over 10 weeks for 30 mentally ill sex offenders. With Interpersonal Responsiveness Index (IRI), UCLA Loneliness Scale (UCLALS), Coping Using Sex Inventory (CUSI) and Rape Myth Acceptance Scale (RMAS), the effectiveness of the treatment programme was evaluated. The data was analyzed with paired t-test. Results：The results with 23 subjects showed no significant score changes after treatment program in IRI and UCLALS. However, there was a statistically significant improvement in the scores of CUSI and RMAS. Conclusion：Despite several limitations, this study showed significant effects of Cognitive Behavior Treatment Program on mentally-ill sex offenders. Therefore, treatment focused on the changes of cognitive and emotional characteristics of sex offenders along with the treatment for main psychiatric illness should be provided for mentally ill sex offenders to prevent recidivism. More studies to develope optimized treatment programme for mentally ill sex offenders are needed in the future. (J Korean Neuropsychiatr Assoc 2007;46(6):579-586)
참고문헌 (25)
- Ministry of Justice, "Measures to Prevent Recurrent Violence by Sex Ofenders: Expanded Implementation of Protective Custody for Sex", 46(6)
- Le SK, "Republic of Sexual Violence, Where is it Headed to?: Cen-tered on Programs to Prevent the Recurence of Sexual Violence" (2006), Seoul: Legislation and Judiciary Comite of the National Asembly
- Marshall WL, "Cognitive Behavioral Treatment of Sexual Ofenders" (1999), Chichester:Wiley
- Marshal WL, "Curent issues in the asesment and treat-ment of sexual offenders", 7, pp.85~96 (2007)
- Shin YJ, "A Study on the Development of Rehabilitation Programs for Sex Ofenders in Corectional Facilities: a report commisioned by the Ministry of Justice" (2006), Seoul: Institute of Behavioral Science in Me-dicine, Yonsei University
- Hodes P, "the experience of a regional secure unit", pp.846~849
- Smith AD, "Aggressive sexual fantasy in men with schizophrenia who commit contact sex offences against women", 10, pp.538~552 (1999)
- Gordon H, "Psychiatric aspects of the asesment and treat- ment of sex ofenders", 10, pp.73~80 (2004)
- "Korean version of Wechsler Adult Intelligence Scale"
- Chang HI, "The preliminary study for the aplication of Michigan Alcoholism Screening Test in Korea", pp.46~53
- American Psychiatric Asociation, "Diagnostic and Statistical Manual of Mental Disorder"
- Hanson RK, "The characteristics of persistent sexual offenders: a meta-analysis of recidivism studies", 73, pp.1154~1163 (2005)
- Choi DH, "A Study on the Improvement of Educational Programs for Low-risk Juvenile Prostitution Ofenders and Molesters Subject to Sex Ofender Notifi-cation Policy" (2005), Seoul: Government Youth Comision
- Davis MH, "Measuring individual diferences in empathy evidence for a multidimensional approach", pp.113~126
- Cortoni F, "Sex as a coping strategy and its relationship to juvenile sexual history and intimacy in sexual offender", 13, pp.27~43 (2001)
- Burt MR, "Cultural myths and supports for rape", pp.217~230
- Lee SJ, "Development of a rape myths scale", 13, pp.131~149 (1999)
- Marques JK, "Efect of cognitive be-havioral treatment on sex ofenders recidivism preliminary results of a longitudinal study", pp.28~54
- Atascadero State Hospital, "Sex offender commitment program: Phase I-IV treatment manual" (2002)
- Chiroro P, "Rape myth acceptance and rape proclivity: Expected dominance versus expected arousal as me-diators in acquaintance situations", 19, pp.427~444 (2004)
- Plaud J, "The relationship of male self-report of rape supportive attitudes, sexual fantasy, social desirability and physio-logical arousal to sexualy coercive stimuli", 53, pp.935~942 (1997)
- Moore BS, "The origins and development of empathy", pp.107~130
- Miler PA, "The relationship of empathy to agressive and externalizing antisocial behavior", pp.213~225
- Broxholme SL, "Development and preliminary evalua-tion of a questionaire on cognition related to sex ofending for use with individuals who have mild intellectual disabilities", 47, pp.472~482 (2003)
- Dunsieth NW Jr, "Psychiatric and legal features of 113 men convicted of sexual offenses", 65, pp.293~300 (2004)