Preventing Intimate Partner Violence

ABSTRACT

Bringing together the energy, resources, creativity, and good will of citizens enhances community resilience. The shared responsibility and collective competence that emerge from community members banding together can be a powerful and ongoing positive influence on the quality of community life, including the relationships between intimate partners. We explore the importance that the community has for preventing intimate partner violence (IPV). We argue for active, network-oriented prevention efforts. We discuss key community principles and concepts (including a definition of the nature of community), explore a social organization perspective on communities, and present a theoretical approach to building community capacity. We posit implications for program development that include community as a place for prevention, a target for prevention, and as a force for prevention. Our implications for research include examining multiple community layers, the nexus of informal and formal social care systems, and contrasting extreme groups on pivotal social organization processes.     

Relationships between Past Trauma Exposures and PTSD among Survivors of Intimate Partner Violence

This study examined child abuse and community violence exposure as potential risk factors in the development of posttraumatic stress disorder (PTSD) symptoms following exposure to intimate partner violence (IPV). In a community sample of 51 primarily low-income women who had experienced IPV, childhood exposure to child abuse made a unique contribution to PTSD symptom severity from subsequent IPV. Community violence also accounted for variance in PTSD symptom severity, but in the opposite direction, with individuals exposed to community violence reporting lower levels of PTSD symptoms from IPV. These findings suggest the need for further research to identify which factors related to community violence exposure might inoculate individuals against the development of PTSD following IPV exposure.     

Testing Posttraumatic Stress as a Mediator of Childhood Trauma and Adult Intimate Partner Violence Victimization

This study examined whether potential posttraumatic stress disorder (PTSD) mediated the relationships between different forms of childhood trauma (sexual abuse, physical abuse, violence between caregivers) and intimate partner violence (IPV) victimization (psychological, physical, sexual). Participants were 1,150 female nurses and nursing personnel. Path analytic findings revealed potential PTSD partially mediated the relationships between childhood sexual abuse and psychological IPV and childhood sexual abuse and sexual IPV. Potential PTSD did not mediate the relationship between other types of childhood trauma and IPV. This study adds to the literature indicating PTSD as a risk factor for revictimization in the form of adult IPV among women. Screening for and treatment of PTSD among female child sexual abuse survivors could prevent future IPV victimization.     

Predictors of Treatment Completion and Recidivism Among Intimate Partner Violence Offenders

This study examined the variables that predicted completion of an AMEND-Emerge-based program designed to treat men (n = 202) who had engaged in intimate partner violence and the rates of recidivism among those who completed versus those who failed to complete the program. Data were collected from an archival database that housed historical and demographic data on each participant; recidivism was determined by accessing publicly available court records, and was defined very broadly as any charges filed within a year after participating in the program. Overall recidivism for this sample was low (22.28%). Demographic factors demonstrated to correctly classify post-treatment recidivism included age, race, and relationship status. Whereas those who completed the program had lower recidivism than non-completers, the differences between those groups in age, race, and relationship status suggest that features of the program may not address the needs of younger African Americans who are not married.     

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.     

Psychosocial Variables Associated With Verbal Abuse as a Form of Intimate Partner Violence Against Women in a Spanish Sample

This article aims to analyze psychosocial variables associated with verbal abuse in women who suffer intimate partner violence. The following factors, taken from the scientific literature, were examined: social and family isolation; low self-esteem; an excess of empathy for the abuser; submission; psychological dependence on the abuser; and, self-blame as internal attribution for the cause of abuse. Our results show that low self-esteem has a direct relationship with verbal abuse. Additionally, family (including in-laws) and social (from friends, workmates, and neighbors), isolation are significantly and positively related to verbal abuse. The results of our study raise questions about the adoption of gender roles and their consequences when stereotyped tendencies are acquired. Implications, as well as ideas future research, are discussed.     

The Prevalence and Consequences of Intimate Partner Violence Intrusion in the Workplace

This study examines the prevalence and consequences of intimate partner violence (IPV) in the workplace. Surveys were completed by 1,390 employees in 32 different companies representing different organization types. Over half of the women and almost a quarter of the males reported that they had been an IPV victim at some point in their lives with 16% reporting victimization in the previous 12 months. Younger workers and workers who witnessed IPV frequently as a child were more likely to be current IPV victims. Further, 41% of lifetime victims reported significant workplace consequences, such as missed days of work, tardiness, and perpetrator intrusion. Younger workers, a history of IPV physical injury, more frequent IPV events over longer periods of time, and a history of stalking were associated with a greater number of IPV work consequences. The cumulative effects of IPV as well as active victimization contribute to negative workplace consequences. With significant numbers of employees experiencing IPV and reporting workplace consequences, the present research underscores the need for employers to develop a more precise means of understanding cost and response.     

Future Directions in Intimate Partner Violence Prevention Research

ABSTRACT

During the past 20 years, research on dynamics of intimate partner violence, risk factors, and treatment of intimate partner violence has flourished. However, research on the prevention of intimate partner violence is in its infancy. The current volume was developed in order to examine the state of the art in preventing intimate partner violence. To that end, this article offers a synthesis of recommendations for future research made by the authors in this volume and participants in the symposium on the prevention of intimate partner violence sponsored by the Department of Defense. A goal in compiling these recommendations is to foster more and better research into preventing intimate partner violence.     

The Protective Functions of Social Support and Coping for Women Experiencing Intimate Partner Abuse

This study evaluated two alternate models exploring protective factors in the relationship between intimate partner abuse and health: one in which social support was proposed to mediate the violence-health relation, and a second in which coping was proposed to mediate this relation, while social support would moderate the abuse-coping relation. Women were administered questionnaires measuring coping, social support, violence, and health status. Relationship violence predicted mental health status only, although mental health did predict physical health. Coping was found to serve as a mediator between abuse and health. Implications for future research and clinical applications 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.     

Exploring Women's Perspectives of Overcoming Intimate Partner Violence: A Phenomenological Study

Research in occupational therapy with women overcoming Intimate Partner Violence (IPV) focuses primarily on role acquisition; however, a broader lens in which to understand recovery may support more client-centered practice. The purpose of this study was to explore and understand the perspectives of women overcoming Intimate Partner Violence. Six women, residents at a domestic violence shelter, volunteered to participate in this phenomenological study. Relationships, Starting Over, Spirituality, and Expansion of Self emerged as major themes with an overarching theme of Forward Movement as the women continued on their journey in recovery.     

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.     

Non-Violent Survival Strategies in the Face of Intimate Partner Violence and Economic Discrimination

Intimate partner violence (IPV) theory often locates violence equitably between women and men. Women, however, sustain greater degrees of injury than men and often use violence as a measure of protection rather than as an act of aggression. Yet measures of protection must be viewed in multiple contexts. In this case, the context is poverty, which reveals that violence by women in response to IPV is not the only way that women deal with the violence in their lives. This article explicates four strategies that battered women in poverty deploy in their protective trajectory and highlight alternative resistance strategies women use to overcome multiple structural barriers.     

Changing Public Attitudes as a Prevention Strategy to Reduce Intimate Partner Violence

ABSTRACT

Although violence by intimate partners has decreased in the past decade, it is still a problem affecting many women. For instance, IPV accounted for 22% of violent crimes against women between 1993 and 1998 (NCVS). The paucity of research evaluating the effectiveness of primary prevention strategies to reduce IPV has been recognized in various reports on intimate partner violence. Experts have suggested that public awareness campaigns would be helpful both to inform abused women about strategies for getting help, and to potentially change pub-Address correspondence to Jacquelyn C. Campbell, PhD, RN, Johns Hopkins University, School of Nursing, 525 North Wolfe Street, Room 436, Baltimore, MD21205. lic attitudes and norms about IPV. This article reviews published research available on public education campaigns regarding intimate partner violence, as well as education campaigns conducted for other issues, in order to better understand the potential for success and the limitations of this type of intervention.     

Women Experiencing Intimate Partner Violence: Effects of Confiding in Religious Leaders

IPV is the most challenging mental health problem facing clergy. Abused women (n = 476), most of whom are Christians living at home (not in shelters), sought assistance from domestic violence centers. Data obtained from questionnaires demonstrated that confiding in clergy predicts higher self-esteem and reduces the impact of lack of social support on self-esteem, self-efficacy, and life satisfaction. Compassionate clergy counseling can have a positive influence on psychological outcomes of women in abusive relationships.     

The Ecology of Intimate Partner Violence: Theorized Impacts on Women's Use of Violence

The aim of this paper is to describe the multiple factors associated with intimate partner violence (IPV) using the social-ecological framework developed by Heise (1998). This framework is used to categorize research findings from multiple disciplines according to the level of social organization at which they operate. Evidence-based strategies are then reviewed according to the sphere of influence in the social ecological model, as well as their place on the prevention continuum. Along the way, possible effects on women's use of IPV, and battered women's use of violence in particular, will be noted.     

The Importance of Cognitive Dissonance in Understanding and Treating Victims of Intimate Partner Violence

External mechanisms and batterer behaviors have commonly been cited as to why women remain in intimate partner violence relationships. However, past research has generally minimized the focus on individual psychological elements of victims that perpetuate their commitments to abusers. The current review proposes the potential for cognitive dissonance resolution as an underlying mechanism to affect female victims’ stay/leave decisions while in domestically violent relationships. High and low levels of self-esteem differentially affect the resolution of cognitive dissonance as explained by self-consistency and self-affirmation theories. Theories of commitment including the foot-in-the-door principle, justification of effort, and the investment model are applied specifically to the arousal of dissonance in victims. The importance of taking into account the mechanisms of dissonance arousal and subsequent reduction techniques are proposed for treating this population and preventing similar relationships in the future.     

Correlates of Readiness to Change in Victims of Intimate Partner Violence

Intimate partner violence (IPV) is a social problem associated with significant morbidity; however, victims do not always utilize treatment and resources. One's readiness to change might be one variable impacting his or her pursuit of treatment and other resources. This study investigated correlates of readiness to change, and readiness to change's impact on treatment utilization. Data were collected from 223 women residing in battered women's shelters. Correlational analyses find that generally victims with more psychopathology and distress, as well as more social support, were more ready to change. Posttraumatic stress disorder symptoms, overall distress, and social support were the strongest predictors of readiness to change. Finally, victims higher in readiness to change were more likely to seek mental health treatment and other IPV-related services.     

Childhood Maltreatment and PTSD: Spiritual Well-Being and Intimate Partner Violence as Mediators

Childhood maltreatment places individuals, including African American women who are undereducated and economically disadvantaged, at risk for developing posttraumatic stress disorder (PTSD) symptoms. Participants were 192 African American women with a history in the prior year of both a suicide attempt and intimate partner violence (IPV) exposure. They were recruited from a public hospital that provides medical and mental health treatment to mostly low-income patients. A simple mediator model was used to examine if (a) existential well-being (sense of purpose) or religious well-being (relationship with God) mediated the link between childhood maltreatment and adult PTSD symptoms. Sequential multiple mediator models determined if physical and nonphysical IPV enhanced our understanding of the mediational association among the aforementioned variables. Findings suggest that existential well-being mediated the association between childhood maltreatment and adult PTSD symptoms in a simple mediator model, and existential well-being and recent nonphysical IPV served as sequential multiple mediators of this link. However, religious well-being and physical IPV were not significant mediators. Findings underscore the importance of enhancing existential well-being in the treatment of suicidal African American women with a history of childhood maltreatment and IPV.