数字化接触干预对未来德国心理治疗师针对恋童/恋少年症者的污名化态度及治疗意愿的影响
数字化接触干预对未来德国心理治疗师针对恋童/恋少年症者的污名化态度及治疗意愿的影响
Effects of a Digital Contact Intervention on Stigmatizing Attitudes and Willingness to Treat Towards People with Pedohebephilia in Future German Psychotherapists
——《国际性健康杂志》第38卷第1期，2026年3月——
【摘要】目的：心理治疗师对恋童/恋少年症者（PWP）持有的污名化态度，可能会阻碍PWP寻求心理治疗。这导致了针对性犯罪者开展儿童性侵犯预防工作的机会流失。本研究通过三个子研究，开发并评估了一项专门针对未来心理治疗师的“想象接触”式污名消除干预措施。我们检验了该干预措施是否能在实施后即刻以及在六个月的随访期后，有效降低污名化态度并提升治疗PWP的意愿。此外，我们还探讨了补充关于PWP心理治疗的专业知识，是否能增强干预措施的成效。方法：本研究开发了一项数字化“想象接触”干预措施，并通过一项随机对照试验对其进行了测试。受试者包括266名德国心理学专业学生，他们均立志成为心理治疗师或正处于相关的专业培训阶段。其中一个干预组接受了关于PWP心理治疗的额外专业知识补充。研究分别在干预措施实施后即刻及六个月的随访期末，对受试者对PWP的污名化态度及治疗意愿进行了评估。结果：干预措施实施后，受试者对PWP的污名化态度显著降低，且其降低幅度较对照组更为显著。在六个月的随访期末，这种显著的差异效应在构成污名化态度的四个分量表中，仍有两个分量表保持显著。在消除污名方面，补充了PWP心理治疗专业知识的增强版干预措施，并未显示出优于基础版干预措施的成效。在干预措施实施后，干预组与对照组受试者治疗PWP的意愿均显著提升；但在提升治疗意愿方面，干预组并未表现出优于对照组的优势。在六个月的随访期末，受试者在治疗意愿方面已不再显示出相对于基线水平的提升。结论：通过对“想象接触”干预措施的开发与评估，本研究证实了该干预措施能够有效降低未来心理治疗师对PWP的污名化态度，且这种成效不仅体现在短期内，更首次证实了其在干预措施实施六个月后的长期维持效应。与此同时，研究结果也突显了在改变诸如“治疗意愿”这类行为层面的指标时所面临的挑战。
【关键词】恋童症，恋少年症，污名，预防
[Abstract] Objectives: Stigmatizing attitudes toward people with pedohebephilia (PWP) among psychotherapists can hinder PWP’s access to psychotherapy. This results in lost opportunities for offender-related prevention of child sexual offending. This study developed and evaluated an imagined contact stigma reduction intervention tailored to future psychotherapists through three sub-studies. We tested whether stigmatizing attitudes could be reduced and whether willingness to treat PWP could be increased immediately after the intervention and after a six-month follow-up. We also explored whether additional knowledge about PWP psychotherapy increased the effects of the intervention. Methods: A digital imagined contact intervention was developed and tested in a randomized controlled trial including N?=?266 German psychology students aiming to become psychotherapists or were training as such. An additional intervention group received additional knowledge about psychotherapy for PWP. Stigmatizing attitudes and willingness to treat PWP were assessed directly after the intervention and at the 6-month follow-up. Results: Stigmatizing attitudes toward PWP were significantly reduced after the intervention, with greater reductions than in the control group. After six months, this interaction remained significant on two of the four subscales for stigmatizing attitudes. No superiority of the intervention supplemented with knowledge about PWP psychotherapy over the basic intervention was found in terms of stigma reduction. Willingness to treat PWP was significantly increased in both the intervention groups and the control group at post. The intervention groups were not superior to the control group. After six months, no improvement in willingness to treat compared to was found anymore. Conclusions: With the development and evaluation of an imagined contact intervention, we demonstrated the short-term and, for the first time, the long-term reduction of future psychotherapists’ stigmatizing attitudes toward PWP six months after the intervention. At the same time, the challenges of influencing behavioral measures such as willingness to treat PWP were highlighted.
[Key words] Pedophilia, hebephilia, stigma, prevention
论文原文：Sophie H. Lux, Christoph P. Schwarzbach, Tom Dippmann, Julia Singer & Stephan Mühlig (2026). Effects of a Digital Contact Intervention on Stigmatizing Attitudes and Willingness to Treat Towards People with Pedohebephilia in Future German Psychotherapists. International Journal of Sexual Health, Volume 38, Issue 1, Pages 221-238. March 2026.
https://doi.org/10.1080/19317611.2025.2573688
（翻译兼责任编辑：MARY）
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