Battered Women

SUMMARY

This review of research findings on woman battering reveals how research has played a major role in changing social policy and challenging common myths and stereotypes. The earliest literature contained the ideas of a few psychotherapists who viewed woman battering as a rare phenomenon that involved masochistic women and sadistic men, which led to the myth of psychopathology as the mediating factor. Research following the birth of the battered women's movement destroyed this and some subsequent myths. It led to changes in medical practitioners' attitudes toward battered women patients and law enforcement's reaction to battering victims and their abusers. It also revealed important facts about the courts' handling of abusers and their victims and about violent relationships that result in homicide. The myth that children living in violent households are unharmed has been soundly discredited, yet despite these findings, many battered women continue to face serious difficulties when they attempt to divorce their abusers and obtain custody of their children. Other myths have been exposed by researchers on the basis of their findings. However, once ideas gain popular public acceptance, they tend to continue to exert influence. Nevertheless, positive changes have occurred in the entire spectrum of medical, legal, and social services with which battered women must interface. The research findings reviewed here help highlight current needs and suggest future directions.     

Psychological MaltreatmentL

SUMMARY

Current issues regarding the definition of psychological maltreatment and its impact on children are discussed. The argument is made that psychological maltreatment can be understood as parenting and socialization practices that leave a child's basic psychological needs unmet, and that children exposed to interparental violence should be viewed as victims of psychological maltreatment. A needs analysis based on developmental theory and research is presented as a context within which to view psychological maltreatment. Using that conceptualization, research findings concerning the behavioral, cognitive, and social-emotional difficulties of children exposed to marital violence are examined. Based on this developmental analysis, recommendations are made regarding research that is needed in the areas of these children and psychological maltreatment.     

Research Concerning Wife Abuse

SUMMARY

Violence toward women has been declared a public health epidemic. To date, research on battered women in medical settings has focused primarily on incidence and prevalence and on identification of risk markers. Such research also has elucidated low rates of battered women identified in medical settings, as well as barriers to such identification. Methods of training physicians to identify and help battered women are described in the present article. The unique role of psychologists and other mental health professionals in designing and evaluating such programs is discussed.     

Emotional Abuse Questionnaire (EAQ): A New Scale for Measuring Emotional Abuse and Psychological Maltreatment1

Emotional abuse is the core of all other kinds of child abuses and maltreatments. The significant and serious outcomes of other kinds of abuses are often due to the emotional aspects. Moreover, emotional abuse has several forms, and each form may lead to different adverse outcomes for children and adolescents. Unfortunately, there is not a comprehensive instrument to assess all categories of emotional abuse. A 30-item self-report questionnaire was developed for ages 12 years and older. The sample included 328 students aged 12 to 19 years selected randomly from students referred to different student counseling centers. Exploratory factor analysis categorized the scale into six subscales. Confirmatory factor analysis revealed that all items were fitted with the subscales significantly. Content and concurrent validity demonstrated good validity and reliability for each subscale. Overall reliability was also significantly acceptable.     

Sibling Child Sexual Abuse Research Review and Clinical Implications

SUMMARY

Although sex play is a part of normal childhood development, some sexual activity may be coerced or forced and may have negative long-term consequences and, thus, be considered abusive. However, childhood sexual abuse perpetrated by siblings, cousins, or peers receives relatively little attention from either researchers or practitioners. In the present article, the literature on sibling child sexual abuse is critically reviewed, and particular attention is focused on defining sibling sexual abuse, and determining its scope and effects. Clinical Implications are derived as well. Although the article focuses on sibling sexual abuse, the concepts considered here also apply to other forms of same-age (or near same-age) child sexual relationships.     

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.     

Women with Children in Violent Relationships

Summary

Custody issues for battered women means continuing involvement with a violent, abusive, intimidating partner. This article explores the continuing power and control dynamics of the domestic violence relationship after the woman with children leaves, and presents some preliminary findings. The custody of the children, visitation and financial arrangements often become the basis of terrorism as the man attempts to continue to control the woman's behavior with threats against the children. Fear of losing her children may force a woman to stay in a violent relationship, or return in spite of danger to her children and herself. On the other hand, the history of violence may make it difficult for the mother to cooperate with the court orders regarding joint custody or visitation even when safety appears not to be an issue. It is important for professionals working with children of violent families to understand the continuing effects of domestic violence after separation in order to provide assistance to children “caught in the middle” in custody disputes.     

Children and Political Violence from a Social Ecological Perspective: Implications from Research on Children and Families in Northern Ireland

The effects on children of political violence are matters of international concern, with many negative effects well-documented. At the same time, relations between war, terrorism, or other forms of political violence and child development do not occur in a vacuum. The impact can be understood as related to changes in the communities, families and other social contexts in which children live, and in the psychological processes engaged by these social ecologies. To advance this process-oriented perspective, a social ecological model for the effects of political violence on children is advanced. This approach is illustrated by findings and methods from an ongoing research project on political violence and children in Northern Ireland. Aims of this project include both greater insight into this particular context for political violence and the provision of a template for study of the impact of children’s exposure to violence in other regions of the world. Accordingly, the applicability of this approach is considered for other social contexts, including (a) another area in the world with histories of political violence and (b) a context of community violence in the US.     

Family of Origin Violence Predictors of IPV by Two Types of Male Offenders

The aim of this study was to determine the role of family of origin violence in predicting intimate partner violence (IPV). Male participants were divided into generally offending and family-only groups according to whether their violence occurred exclusively within intimate partner and family contexts or toward others outside the family as well. Results showed that exposure to family of origin violence affected IPV differently between the two groups of offenders. For generally offending offenders, exposure to family of origin violence significantly predicted IPV above and beyond demographic factors, alcohol and drug use, and bidirectional aggression. For family-only offenders, witnessing father-initiated violence toward the mother had a significant influence on their violent behavior toward their intimate partners. Clinical implications of these findings are addressed.     

Dating Violence Perpetration: The Predictive Roles of Maternally versus Paternally Perpetrated Childhood Abuse and Subsequent Dating Violence Attitudes and Behaviors

This study investigated both young men's and young women's perpetration of physical, sexual, and psychological forms of dating violence, examining predictors of violence including maternally or paternally perpetrated forms of various types of child maltreatment, as well as attitudes toward dating violence and dating violence victimization. Results of hierarchical linear regressions found that childhood experiences of maternal neglect predicted men's physical perpetration, and childhood sexual abuse predicted women's sexual perpetration and men's psychological perpetration. Further, positive attitudes toward dating violence predicted women's physical, psychological, and sexual perpetration, as well as men's sexual perpetration, and experiences of dating violence victimization were the strongest predictors of most forms of dating violence perpetration, particularly among women. Implications for future research and prevention initiatives are discussed.     

Implementing Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) With Preteen Children Displaying Problematic Sexual Behavior

Problematic sexual behavior (PSB) is a fairly common presenting concern among preteen children with histories of trauma. Unfortunately, relatively little information about these concerns are provided in training programs and clinicians often report lacking the skills and confidence to intervene when PSB is present. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), on the other hand, is a well-known and well-validated intervention for children who experienced maltreatment and trauma. Current evidence-based treatment techniques for PSB are primarily cognitive-behavioral in nature and easily delivered within the standard TF-CBT protocol. This paper reviews the empirical and theoretical premises of evidence-based treatment techniques for PSB and discusses how the clinician can implement them within the context of TF-CBT, while maintaining fidelity to the TF-CBT protocol. Conducting an assessment to determine the appropriateness of this form of treatment is examined as well as recommendations on addressing safety issues that may be identified during assessment.     

Long-term consequences of childhood physical and psychological maltreatment

This study assessed whether some of the correlates of learned helplessness—depression, low self-esteem, and a maladaptive attributional style—are long-term consequences of child abused. In this study, 260 subjects were identified as physically abused, psychologically abused, both physically and psychologically abused, or nonabused, based on responses to the Child Abuse Questionnaire (CAQ). Subjects were tested for levels of nonclinical depression via the Beck Depression Inventory (BDI), for levels of self-esteem via the Rosenberg Self-Esteem Scale (RSE), and for the adaptiveness of attributional style via the Attributional Style Questionnaire (ASQ). It was hypothesized that each of the three abuse groups would differ from the control group on the three dependent measures; differences among the three abuse groups were also explored. Three one-way analyses of variance indicated that (1) BDI scores reflected a greater tendency toward depression in subjects reporting both types of abuse than in nonabused subjects or in subjects reporting either psychological or physical abuse, (2) subjects reporting psychological abuse only or both psychological and physical abuse showed lower self-esteem than did nonabused subjects, and (3) abused subjects did not seem to exhibit a more maladaptive attributional style than that of nonabused subjects. In addition, multiple linear regression analyses pointed to psychological abuse as a critical variable in predicting levels of depression, self-esteem, and attributional style, when physical abuse effects were controlled. Controlling for the effects of psychological abuse, however, indicated that physical abuse did not significantly contribute to the variance in these variables. Implications for the learned helplessness model and for future research are discussed. © 1992 Wiley-Liss, Inc.     

Trauma and Parenting in Battered Women

Summary

While research has documented the harmful effects of domestic violence on women and children, little attention has been paid to the effects on women's ability to parent in this dangerous environment. This paper examines theoretical perspectives on the effects of domestic violence on parenting and proposes an ecologically-based model which can be used to inform research on parenting and treatment of battered mothers. Trauma theory and traumatic bonding are integrated into the ecological model of parenting in battered women.     

Violent Experiences Questionnaire Predictors of Low Base-Rate Aggressive Acts

This study found elevations in low base-rate aggressive acts among college students (n = 171) who reported (via the Violent Experiences Questionnaire–Revised) exposure to extreme forms of maltreatment (i.e., parental physical abuse, domestic violence, sibling abuse, peer bullying, relational aggression) or corporal punishment during their upbringing. Low base-rate aggressive acts were identified through a separate customized questionnaire. Parental physical abuse was associated with an increased risk (three- to nine-fold) of past physical fighting, violence-related trouble, inflicting violent injury, and making a threat to kill someone. Corporal punishment was associated with elevated risk (two- to four-fold) of physical fighting or inflicting violent injury to another. Past threat(s) to kill were linked to histories of corporal punishment, sibling abuse, or domestic violence. These results illustrate that the adverse effects of childhood maltreatment extend broadly to both clinical and nonclinical samples.     

Current Treatment Strategies for Sexually Abused Children

SUMMARY

Given the disturbingly high prevalence of child sexual abuse, the expertise of medical and mental health professionals in treating child sexual abuse victims is essential. Relevant issues in treating these children include the mindfulness of developmental considerations, incorporation of a multi-modal therapeutic evaluation approach, clarification of treatment goals, appropriate use of and integration of various treatment modalities, and effective treatment termination. This article provides an introduction aid overview of treatment of sexually abused children of all ages, from preschoolers to adolescents, with special emphasis on the importance of developmentally linked evaluation and treatment strategies. Treatment is discussed in terms of goals, stages from evaluation to termination, and formats and modalities including individual psychotherapy, family psychotherapy, group psychotherapy and hypnotherapy, to provide a comprehensive overview of current treatment strategies for sexually abused children.     

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.     

No Ordinary Life: Complex Narratives of Trauma and Resilience in Under-Resourced Communities

This investigation examines the occurrence and impact of chronic adversity for young adults who grew up amidst poverty and community violence. Young adults in such contexts, particularly those who have been involved with the courts, are not commonly conceptualized through the developmental lens of complex trauma but rather described by maladaptive behaviors and risk to society. This grounded theory analysis explored how participants perceive and make meaning of their experiences. Interview data revealed consistent narratives of childhood neglect and psychological maltreatment, chronic loss, intergenerational trauma exposure, and the resulting survival-based adaptation. We identified 3 primary themes across the participant narratives: (a) lack of need fulfillment; paradoxical experience of self, others, and the world; and persistent sense of purpose and meaning. Findings illuminated the complexity of ongoing struggle, adaptation, and resilience in adult survivors. The need for an increased focus in trauma-informed treatment of adults in underresourced communities is discussed.     

Physical Abuse and Childhood Disability

SUMMARY

Several authors have hypothesized that children with disabilities are at increased risk for physical abuse. Such a finding would be consistent with current ecological models, which posit that certain child characteristics (e.g., behavior problems) in combination with other risk factors can lead to abuse. The paucity of research in this area makes it difficult to draw firm conclusions at this time. However, the few studies conducted suggest that child characteristics play a minor role in the etiology of abuse. Despite the lack of evidence indicating that children with disabilities are at significantly greater risk for abuse than their nondisabled peers, the presence of a disability raises some unique issues in the identification, assessment, and treatment of special needs children. This article reviews the literature linking abuse and disability as a risk factor. In addition, impediments encountered in the assessment and treatment of abused children with disabilities and their families are discussed and guidelines for practice are presented.     

Childhood Physical Abuse and Sociopathy: Is This Link Magnified among Firstborn Children?

The Psychopathic Deviate scale of the Minnesota Multiphasic Personality Inventory–2 (MMPI–2) provides a valid psychometric index of sociopathic tendencies in both clinical and nonclinical samples. Childhood physical abuse has provided a robust predictor of sociopathic penchants. The link between childhood physical abuse and MMPI–2 Psychopathic Deviate scores was examined (N = 322) as a function of birth order. A significant childhood physical abuse by birth order interaction was found (p < .0001, η² = .62) with a 6-fold increase in relative risk of a Psychopathic Deviate elevation (T > 70) found for firstborn participants. Childhood physical abuse predicted Psychopathic Deviate scores for firstborn (r = .50, p < .0001, d = 1.15) and middle-born (r = .24, p = .006, d = .49) offspring. Harris–Lingoes subscale scores suggested firstborns felt selectively alienated from self and others in response to childhood physical abuse experiences.