矯正諮商中再犯預防取向之缺點與改善：新取向的提出

The Disadvantage and Its Modification of Relapse Prevention Model among Correctional Counseling: Submitting A New Approach

再犯預防(Relapse Prevention, RP) 被原引用於性侵者治療之加州團隊(Marques, et al, 2005)經十五年研究確認為無效，紐西蘭學者Ward 於2000 與2003年先後提出自我規範模式(Self-Regulation Model, SRM)與好生活模式(Good Life Mode, GLM)並與加拿大於1990 年即提倡接近RP 之危險──需求──相應性模式(Risk-Need-Responsivity, RNR, Andrews, et al, 1990)互相批評筆仗。本文作者根據實務治療經驗，評估此三模式之優缺點，認為應可相互取長補短，並提出以現實療法、優勢觀點、及再犯預防為取向之認知行為療法（取名為整合矯正諮商模式，其作法為確定方向、找出優點、找出作法、慢慢做到四階段）作為未來實施矯正諮商與矯正方案之較佳技術。

Relapse Prevention (RP) had been proven ineffective by the first working group for treating sex offenders in California after 15 years (Marques, et al, 2005). Ward, a New Zealand psychology scholar, submitted Self-Regulation Model (SRM) and Good Life Mode (GLM) in 2000 and 2003, respectively, and arguing with Andrews et al (1990), who submitted Risk-Need-Responsivity, RNR, which is close to RP. Based on the clinical experience, the authors submitted a Integral Correctional Counseling Model, which integrates reality therapy, strength model, in relapse prevention into cognitive behavioral therapy, for better correctional counseling for future usage by the practitioners. There are four steps in this model to modify the drawbacks of RP. They are identifying the future direction, identifying the strength, identifying the ways to behave, slowly and firmly on fulfilling the behavior and direction.