目的:描述在精神醫學中心所見婚姻暴力夫妻的特質並提出治療模式。方法:比較門診(n=9)及病房(n=17)個案之特徵,並評估經治療後,個案處理婚姻關係的意願是否增加。結果:有多於半數的14對(53.8%)個案未曾尋求家暴體系協助,有8對(30.8%)個案是首次向公領域揭露婚暴問題。病房組學歷較低、工作較不穩定、較多有精神疾病診斷、較多為非自願個案。有7對(77.8%)門診組個案尋求處理關係問題。經治療後,病房組有58.8%而門診組有67.8%個案處理婚姻關係的意願增強。結論:精神醫療能在及早發現個案及提供更佳治療等兩方面對婚暴防治作出貢獻。文中並提出強調個案意願及「在關係中成長」的治療模式。
Backgroand and purpose: To describe the characteristics of couples within a psychiatric center for whom marital violence against women occurs, and to propose a treatment model. Methods: To compare the characteristics of couples from the Out Patients Department (OPD) (n=9) with couples from psychiatric wards (n=17), and to evaluate their motivation for dealing with relational problems after sessions of therapeutic interviews. Results: There were fourteen couples (53.8%) that had never sought help from the domestic violence social support systems previously, and eight couples (30.8%) that reported domestic violence to formal social support systems for the first time. The characteristics of couples from the wards were lower levels of education, more cases of unemployment, psychiatric diagnosis and attending psychiatric department involuntarily. In contrast, 77.8% of OPD cases attended voluntarily for relational problems. The motivation for dealing with their own relational problems was increased in 58.8% of cases from the wards and 67.8% of cases from the OPD after sessions of therapeutic interviews. Conclusion: It is suggested that psychiatric practice would facilitate the huge task of detection and management of marital violence. In this article an intervention model emphasizing motivation and growth, through dealing with intimate relationships with partners, is proposed.