Barriers to Addressing Substance Abuse in Domestic Violence Court

Substance abuse commonly co-occurs with intimate partner violence among both perpetrators and survivors. Specialized courts that focus on intimate partner violence provide a unique opportunity to address both problems simultaneously, but research has yet to identify whether this happens. In this qualitative study of a domestic violence court in a large midwestern metropolitan area, key informants were interviewed to understand how the Court treats substance abuse. Results indicate that substance abuse typically is not identified among perpetrators or survivors going through the Court unless it is mentioned in a police report. Barriers to such identification are the organization of the Court, bounded definition of actors’ roles in the Court, limited resources, and negative attitudes towards survivors. These results suggest that specialized courts that attend to only one problem may overlook the possibility of addressing issues that commonly co-occur.     

Making the Invisible Victims of Violence Against Women Visible Through University/Community Partnerships

Summary

The absence of scientifically credible information about the nature and extent of children exposed to abuse of their mothers is an impediment to effective intervention and prevention efforts. This article proposes a research agenda based upon guiding principles of a public health surveillance model. Three major principles are presented and applied to this social problem. Additionally, a concrete example of the application of these principles is drawn from an ongoing university/community partnership in Philadelphia.     

Domestic Violence Screening in Medical and Mental Health Care Settings

ABSTRACT

Health care providers and patients agree that domestic violence presents a serious health issue that falls within the purview of medical care. The patient-physician encounter has the potential to assist domestic violence victims in considering their options of living without violence and playing a critical role in preventing future violence. Despite this possibility, many persons evaluated in the health care system do not experience the benefits of such interactions. This article reviews current research that evaluates physician, patient, and systems barriers to providing care to patients experiencing domestic violence as well as gaps in the current research and suggestions for how these barriers might be overcome. Educational initiatives, implementation of protocols, and increasing environmental cues that prompt patients and physicians to discuss domestic violence may all increase the likelihood of screening and the success of interventions.     

Developing Guidelines for Domestic Violence Offender Programs

Summary

This article reviews research on domestic violence that can help inform the development of guidelines for programs for men who batter. It also illustrates some successes and problems in other fields that might be instructive for the domestic violence field. Firm conclusions about “best practice” guidelines for intervention seem to be premature because of flaws in evaluation studies. In addition, there is growing evidence of variability among men who batter on dimensions such as severity of violence, childhood traumas, generality of violence and personality traits. Programs also need to be able to respond to motivational and cultural difference among abusers. Existence of variability implies the need for multiple forms of interventions.     

Equipping Religious Professionals to Engage Effectively with Domestic Violence

ABSTRACT

Grant-funded agencies provide the context for religious professionals seeking to engage with domestic violence. Christian and Jewish professionals are addressed. Research-driven resources sanctioned by domestic violence agencies will be identified, examining etiology, dynamics, and treatment. Domestic violence presupposes a structure of beliefs in which religious professionals participate. Physical violence may be predatory or affective and violence may be non-physical. It occurs in all congregations. Cultural norms for appropriate behavior provide a deceptive cover. Consistent resources include books, articles, information packets, audio-visual resources, seminars/workshops and the Internet. Ties between seminaries/ religious organizations and domestic violence agencies must be promoted to fully expose and reduce this public health epidemic.     

Future Directions in Mandated Standards for Domestic Violence Offenders

Summary

Over the past decade, states have been enacting domestic violence legislation, which often empowers judges to mandate batterers into intervention programs. To insure that these programs meet reasonable standards and that there is some homogeneity among programs, collateral laws mandating the development of batterer treatment standards are also common. The standards that have emerged have become a source of controversy. The current volume was developed in order to examine the issues and evidence, and to suggest some guidelines, if not for the standards themselves, then for the process that states might use in developing rational, useful standards, or in reevaluating and revising existing standards. To that end, this article offers a synthesis of the selections in this special volume and a suggested set of recommendations that committees might consider as they engage in the difficult processes of standard development or revision.     

An Integrative Model for Ethnocultural Counseling and Psychotherapy of Victims of Organized Violence

The author researched sociocultural factors related to psychotherapy with victims of organized violence from different perspectives: a refugee counseling center in a metropolis (Frankfurt, 1991–95) and refugee camps in neighboring countries (Uganda, 1994–96). At first the psychopathology of victims of organized violence is described. Then a review of treatment approaches follows and a conceptual model for integrative psychotherapy is developed. On the basis of qualitative analysis of client–therapist interactions, case discussions, supervision, evaluation of treatment, and literature review, an eclectic model for ethnocultural counseling and psychotherapy was developed. This eclectic model can be divided into (1) therapeutic relationship and transference, (2) modeling techniques, (3) extrapsychic techniques, (4) somatic techniques,(5) working through traumatic/grief/repressive experiences, and (6) reeducative and supportive techniques.     

Clergy Response to Domestic Violence: A Preliminary Survey of Clergy Members,Victims, and Batterers

Although the presence of both religious organizations and violence in American communities is pervasive, scant attention has focused on how to best enroll clergy and religiously oriented resources in the battle against family violence. Given that it is not uncommon for women or couples to seek counseling or advice from clergy before accessing community-based resources, the frequency, nature, and utility of these contacts were assessed in this exploratory study from the perspectives of 47 female victims and 70 male perpetrators of domestic violence. Forty-one clergy members from various denominations were also surveyed about their contacts with those seeking help for domestic violence. Results indicated that 43% of the victims and 20% of the perpetrators did seek help from clergy. Almost all of the victims who contacted clergy reported satisfaction with the counsel they received. All clergy respondents reported counseling people who had experienced domestic violence during their career, and 80% had violence-related contacts in the past year. The service-related implications of these clergy contacts from victim, perpetrator, and clergy perspectives are discussed.     

Female Offenders in Domestic Violence

SUMMARY

It is well accepted that large numbers of men batter women. Although some data also reveal that women report assaulting men in large numbers, interpretation of the latter data has been fraught with controversy. The present article reports on a sample of women arrested for domestic violence. When questions were asked about frequency of violence initiation, which partner began the overall pattern of violence in the relationship, and the women's reasons for using violence, it was found that about two-thirds of the women were battered and using violence to protect themselves or to retaliate for previous violence against them. Implications of these findings for conceptualizing women's violence as well as for training law enforcement personnel are discussed.     

Occupational Therapy and Victim Advocacy

ABSTRACT

This article provides an orientation to increase the profession's awareness of occupational therapy's role in victim advocacy, an emerging area of community-based practice. Analysis and comparison of OT's core assumptions and values with general principles of victim advocacy and empowerment demonstrate striking similarities: Each acknowledges holism and a profound connection between the individual and society, as well as their ability to interact and influence each other. In addition, the cultures of OT and victim advocacy both value the dignity and worth of persons, self-determination, freedom and autonomy, latent capacity, human uniqueness and subjectivity, and active and mutual cooperation in restoration or recovery. The compatibility of OT and victim advocacy is further demonstrated in the context of one therapist's work with survivors of domestic and sexual violence.     

Missed Opportunities: Newspaper Reports of Domestic Violence

News coverage can influence public views of important health problems, including domestic violence (DV). To understand how newspaper reports frame DV, this study examined 187 articles published across a single state over a one-year period. Coded variables included characteristics of the newspapers and articles; incident details; common DV themes (e.g., victim blame; DV as isolated or rare); and education, resources, and community context. Approximately one-third of articles framed DV using themes that might misinform the public about DV (e.g., victim blame). The majority of articles missed opportunities to provide educational information or resources about DV and failed to situate DV in a community context. These findings point to missed opportunities for newspapers to provide comprehensive information and resources to the public.     

Neuropsychological Issues in the Assessment of Refugees and Victims of Mass Violence

Brain injury, stressor severity, depression, premorbid vulnerabilities, and PTSD are frequently intertwined in trauma populations. This interaction is further complicated when the neuropsychologist evaluates refugees from other cultures. In addition, the observed psychiatric symptoms reported in refugees and victims of mass violence may in fact not be the primary features of PTSD and depression but psychiatric symptoms secondary to the effects of traumatic brain injury. This paper reviews the occurrence of starvation, torture, beatings, imprisonment, and other head injury experiences in refugee and POW populations to alert treators to the presence of chronic and persistent neuropsychiatric morbidity, with implications for psychosocial adjustment. The concept of fixed neural loss may also interact with environmental and emotional stresses, and a model of neuropsychological abnormalities triggered by traumatic events and influenced by subsequent stress will also be considered. Neuropsychologists working with refugees play an important role in assessing the possibility of traumatic brain injury with tools that are relatively culture-fair.     

Innovative Approaches to Child Custody and Domestic Violence in New Zealand

Summary

In 1995, as part of a major review of domestic violence law, the New Zealand Parliament amended the legislation under which disputes about custody of and access to children are determined by the Court. Specifically, the amendment introduced a rebuttable presumption that a parent who had used violence against a child or against the other parent would not have custody of, or unsupervised access to the child unless the Court could be satisfied that the child would be safe during visitation arrangements. Three years after the implementation of this legislation, it is timely to reflect on the impact of this major domestic violence law reform initiative. Our findings indicate that there are indeed advances. Psychological violence is now clearly being considered when Courts are assessing the issue of children's safety. As well, the delineation of mandatory risk assessment factors has led many judges to see a continuum of power and control tactics as relevant in domestic violence related visitation proceedings; the previous emphasis on physical violence has given way to an analysis which more closely reflects accords with women's and children's realities of the abuse they are exposed to. Some of the old problems continue to exist despite the law changes. There are still recent cases where perpetrators of serious violence are awarded unsupervised access and where their violence continues to be construed as “out of character,” arising because of the perpetrator's “despair” about the breakdown of his relationship. These and other issues are discussed.     

家庭暴力的社会认知心理机制及其防范策略的研究

家庭暴力已成为一个世界性的社会问题,然而我国学者对家庭暴力的研究多集中在现象的描述,原因的探讨和完善立法等方面,因而从社会心理学角度探究家庭暴力的认知机制对揭示家庭暴力的实质具有重要意义。心理学研究指出家庭暴力的产生及其对子女的影响而导致的暴力轮回都是认知结构上的偏差所导致,所以从改变认知结构入手的认知行为疗法将是防止家庭暴力的直接和有效的策略。     

Conjoint Couple's Treatment for Intimate Partner Violence

Abstract

Despite lingering concerns in the field about the wisdom of seeing couples conjointly when there has been Intimate Partner Violence (IPV), the research literature and clinical practice experience both indicate that this approach can be safe and effective for at least some couples. In this paper, we briefly review the existing outcome research on Couple's treatment for IPV and then suggest best clinical practices for this work. Best practices, in our view, include seeing Couple's treatment of IPV as a clinical specialty necessitating specific training, working as part of a coordinated community response to IPV, modification of the structure of therapy to increase safety, as well as careful screening of couples and on-going assessment of the propriety of conjoint treatment.     

The Neglected Variable of Physiology in Domestic Violence

Summary

In the early stages of research concerning domestic violence and its effects on children, scholars have focused almost exclusively on isolated psychological variables. Little attention has been paid to events that might inform the research community about the effects of physiological factors surrounding such exposure on children's subsequent development. In order to go beyond a narrow disciplinary perspective that would exclude such important variables, a broader research agenda that includes multiple partners must be forged. The understanding of multiple etiologies and sequelae of domestic violence requires the use of comprehensive conceptual models that can bring together multiple theoretical perspectives under a broad umbrella. This article presents a developmental ecological perspective that allows for a more thorough and accurate examination of the influences of domestic violence on child development by simultaneously addressing child and environmental characteristics.     

Next Steps in Research on Children Exposed to Domestic Violence

The papers in this special issue of Clinical Child and Family Psychology Review provided an overview of what is known about children's exposure to domestic violence, and include indications of gaps in extant research. These gaps and research needs are summarized in this conclusion. Specifically, there is need for further research in several broad areas: definition and measurement of children's exposure to domestic violence; development of research methods and statistical designs that provide detailed information and provide for evidence of intervention effectiveness; impact of domestic violence on parenting and family functioning; the role of child factors and exposure to violence factors in predicting developmental risk and resilience; medical and health consequences of exposure to violence; and the nature of child-system interaction in response to domestic violence. Research needs in these areas are discussed in greater detail, and specific questions are raised for further development.     

Children Exposed to Domestic Violence and Child Abuse: Terminology and Taxonomy

Three definitional issues regarding children exposed to domestic violence are examined. First, the multiple ways in which a child can be exposed to violence is discussed. A taxonomy of 10 types of exposure is proposed. Nine key characteristics of domestic violence, as they relate to children and children's exposure, are then outlined. The third issue addressed concerns why children who are exposed to domestic violence can be considered victims of child maltreatment. These children, by nature of their experience in the home, are psychologically maltreated and are also at high risk for physical abuse and some risk for sexual abuse. Empirical questions concerning these definitions and taxonomies and their interrelations are discussed.     

Victims of Intimate Partner Violence: Arrest Rates Across Recent Studies

Efforts by women's rights activists, concomitant with results of research studies and court cases, have prompted legal reforms in public policy that include recently implemented mandatory arrest and prosecution laws. A review of the recent research since the advent of these laws suggests that arrests of women have increased by 25–35%, while the most liberal estimate is that only 1–7% of all IPV arrests are of actual female primary batterers, suggesting that victim arrests are on the rise. Various factors contribute to officers arresting not only primary batterers but victims as well, creating confusion and resentment over mandatory arrest policies. The negative implications of this arrest pattern are far-reaching because errant arrests hold negative consequences for victims, including legal, financial, employment, and familial repercussions.     

Domestic Violence

Summary

In this paper, the authors outline their experience in incorporating a curriculum on domestic violence into an urban family practice residency program. Based on the concept that in order to successfully develop such a curriculum, it is necessary to address the “culture of the organization,” joint educational strategies that in-elude resident education as well as faculty development were considered. A research question was designed to inquire as to the difference in the level of knowledge about domestic violence in family practice faculty as compared to residents prior to the introduction of educational strategies. The authors describe curriculum goals and objectives and outline specific teaching methods as well as the evaluation instrument utilized in the study to measure actual difference in knowledge between faculty and residents about domestic violence with a focus specifically on spousal abuse. Their conclusions point to the need for an educational strategy that includes emphasis on the faculty-resident interface which utilizes both traditional and non-traditional integrated formats in order to successfully train residents in the identification and treatment of domestic violence.