性侵男童者性傾向發展之質性研究

A Qualitative Study on the Sexual Orientation Development of Boy Molesters

前言：Finkelhor（1986）發現遭受比自己年長男性性侵害的男童成年後變成同性戀的傾向為未受侵害者的四倍多。但至今尚無明確研究可說明男童遭受性侵害及性取向之間是如何關聯。故研究者推論曾遭受性侵害可能是造成性侵男童者在性別認同上產生混淆，使其認為自己有同性戀的傾向，並且傾向對男童有愛戀的心。研究者期待藉著本研究來探索可能的心理機制，及找出如何改善的方法。
目的：本研究探究性侵男童者的性取向之發展議題，從傳統社會中對於性侵男童者等同男性同性戀之迷思，深入探討性別認同與性取向之差異，並分析性侵男童者潛在的心理創傷、性取向、性侵動機等心理歷程，擬定合適的處遇策略。
方法：本研究採質性研究。招募3名性侵男童者分別為大林慈濟醫院、嘉義縣政府衛生局、雲林縣政府衛生局，同時作為預試問卷及半結構式深度訪談的參與者。
結果：依據性侵男童者之四個類型：（1）報復型實施心理治療（2）合意型實施性教育（3）高功能型實施性別教育及法治教育（4）退縮型實施心理治療處遇創傷。

Preface: Finkelhor (1986) found that boys sexually abused by older males were over four times more likely to develop a homosexual orientation in adulthood. However, there is still no clear research explaining the exact relationship between childhood sexual abuse and sexual orientation. Therefore, the researcher hypothesizes that experiencing sexual abuse may cause confusion in the perpetrator’s gender identity, leading them to believe they have homosexual tendencies and fostering romantic feelings toward boys. Through this study, the researcher aims to explore possible psychological mechanisms and identify methods for intervention and improvement.
Objectives: This study examines the development of sexual orientation among perpetrators of boy molesters, challenging the misconception that they are inherently homosexual. It analyzes their psychological trauma, motivations, and gender identity differences to develop appropriate treatment strategies.
Research Method: A qualitative study with semi-structured interviews was conducted on three offenders from Dalin Tzu Chi Hospital, Chiayi County Public Health Bureau, and Yunlin County Public Health Bureau.
Research Findings: Different treatment strategies were proposed: (1) Retaliatory types: psychological therapy; (2) Consensual type: sexual education (3) High-Functioning type: gender and legal education; (4) Withdrawn type: Psychological trauma treatment. Counseling should consider these traits, offer tailored attention and corrective therapy to address their specific needs.