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.     

Differentiation and Intimate Partner Violence

ABSTRACT

This study explored the impact of differentiation of self on Intimate Partner Violence (IPV). We sought to determine if an individual's level of differentiation of self in a relationship adds to the variance accounted for in IPV perpetration by known risk factors, i.e., relational satisfaction, marital conflict, romantic jealousy, depression, and anxiety. Results indicated that differentiation of self in a relationship is a predictor for perpetration of physical intimate partner violence even after controlling for other known risk factors.     

Theorizing Gender in Intimate Partner Violence Research

Research findings of sex-symmetry in the perpetration of intimate partner assaults have sparked vigorous debate about the appropriate definition and measurement of intimate violence. A neglected but central issue in this debate is the conceptualization and measurement of gender. This article first examines the often unstated theoretical perspective on gender that underlies the research on sex-symmetry in intimate partner violence. This perspective treats gender as an individual characteristic of persons. Next, I describe challenges to the individualist model of gender from two emerging theoretical perspectives—interactionist and structuralist gender theories. The article concludes with suggestions for research on intimate partner violence that are informed by these new gender theories.     

Lessons from Examining Same-Sex Intimate Partner Violence

Even though scientific and legal recognition of same-sex relationships has increased, same-sex intimate partner violence (IPV) has not been included in the core conceptualization of the research and theorizing about IPV. Because of its inherent disjuncture from the patriarchal and hetero-normative marriage model, battering in the lesbian, gay, bisexual, and transgendered community needs a much closer examination. Examining the violence that occurs in same-sex relationships allows us to reframe how we look at IPV and scrutinize the ideological frameworks, cultural narratives, and stereotypes that have been set forth as well investigate further the predictors of violence and the use of scales created. This article reviews the research on same-sex IPV primarily within the United States. In placing the lessons of same-sex IPV in the foreground, we are able to uncover some common truths about IPV in general. Viewing IPV through a same-sex lens removes gender-based assumptions about the manifestations of IPV, enabling us to see how other cultural and systemic factors may contribute to IPV. At the same time, incorporating the experience of same-sex couples facilitates viewing gender as a marker for variables requiring further study rather than as an explanation. When we change our focus of IPV in such a way, we discover it is a function of a complex interaction of culture, social structures, social status, and interpersonal dynamics.     

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.     

Intimate Partner Violence: The Recovery Experience

This qualitative study explored the recovery experience of six women who have survived intimate partner violence. Interviews were used as an instrument to elicit the individual stories of each of these women. Qualitative analysis revealed two types of themes: process and supports. The process themes include (a) spirituality, (b) facing death, (c) future relationships and (d) hope and encouragement. The support themes include (a) professional help (effective and ineffective) and (b) informal supports (family/friends/other survivors). Implications for helping professionals include the call for increased understanding of the recovery process and the need to abandon preset agendas when working with survivors.     

Intimate Partner Violence among West African Immigrants

Although the number of African immigrants arriving to the United States has increased significantly, there has been little investigation regarding their experiences of intimate partner violence or coping strategies. This study used focus groups and individual interviews to explore intimate partner violence among 32 heterosexual West African immigrants. Results suggest that although cultural expectations influence their coping strategies, West African–born men and women face different realities, with women reporting multiple instances of abuse and a sense of frustration with the existing options for assistance. Although participants discussed multilevel support structures within the immediate West African community to address intimate partner violence, all of these options maintained a gender hierarchy, leaving women dissatisfied. Challenges and barriers to partner violence resolution and coping strategies are identified. Results are examined in terms of their implications for addressing the needs of this underserved population. Implications for future research and services are discussed and highlighted.     

Patient Perspectives on Intimate Partner Violence Discussion during Genetic Counseling Sessions

Intimate partner violence (IPV) is a major health concern in the United States (ACOG 2013). The World Health Organization (WHO) describes IPV as any physical, sexual, psychological harm by a current or former intimate partner (WHO 2016). Due to the psychosocial depth and nature of discussions within genetic counseling sessions, patients may disclose and/or discuss IPV as it relates to sexual well-being, reproductive and overall health. This study aims to assess the role for IPV screening, counseling and intervention in genetic counseling practice by investigating the incidence, experiences and attitudes about IPV among genetic counseling patients. Patients receiving genetic counseling at an urban metropolitan hospital were anonymously surveyed about experiences and perspectives on IPV as a topic of discussion during genetic counseling sessions. Among 60 eligible patients, 50 completed the survey (49 females, 1 male, of which, 5 identified as LGBT) ages 20 to 66. The incidence of IPV in this group was 16.0 % (n = 8). Majority of participants had never been asked about IPV by a healthcare provider (n = 32; 64.0%), would have felt comfortable answering questions about IPV by their healthcare provider (n = 34; 68.0%), and would have felt comfortable answering questions about IPV by their genetic counselor (n = 39; 78.0%). Perspectives from all participants, notably those with IPV history, provided insights to the role of genetic counselors in areas for IPV screening and counseling training.     

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.     

An Updated Feminist View of Intimate Partner Violence

In this article, we explore intimate partner violence (IPV) from an intersectional, feminist perspective. We describe how an updated feminist view guides us to a perspective on IPV that is more strongly grounded in an antioppressive, nonviolent, socially just feminist stance than a second‐wave gender‐essential feminist stance that suggests that patriarchy is the cause of IPV. At the time we began to work together it seemed that a researcher had to be identified as a “family violence” researcher or a “feminist” researcher of violence against women, and that it wasn't possible to be a feminist researcher who looked beyond patriarchy as the cause of IPV. We advocate critically thinking about essentialist practices in clinical work so that we can maintain an antioppressive, socially just, nonviolent approach to working with clients who experience IPV.     

Intimate Partner Violence Within Gay Male Couples: Dimensionalizing Partner Violence Among Cuban Gay Men

Using a quantitative–qualitative mixed design, the current study investigated relationship violence within 35 gay male couples living in Santiago, Cuba. Informants narrated how violence was enacted within their relationship. Qualitative analyses revealed men’s construction of masculinity and the sequelae of economic hardships—which led to economic emasculinization—were primary contributors to relationship abuse. Gendered interpretations to the display of heightened masculinity contributed to intimate partner violence. Enacted interpersonal violence was not meaningfully associated with alcohol consumption or to personality measures. We suggest the economic constraints that are perceived by couples to precipitate relational stress may be similar across heterosexual and gay/lesbian couples, and that the relational power accorded to economic privilege cannot be aligned fully by gender.     

Intimate Partner Violence and Poverty in the Context of Botswana

The study aimed at exploring pathways of intimate partner violence and poverty. The sample consisted of 30 women (aged 18 to 54 years) who had experienced intimate partner violence. Data were collected through semi-structured in-depth interviews and analysed thematically. The results revealed that intimate partner violence was related to a lack of financial resources and stable income, financial dependency on the perpetrator, lack of child support, and intergenerational exposure to violence and poverty. The findings suggest that experiences of poverty and intimate partner violence are largely intertwined.     

Culture,Gender, and Men's Intimate Partner Violence

This article reviews research on cultural beliefs and expectations about gender and romantic relationships that are related to male intimate partner violence. We link beliefs about men (manhood is tenuous and must be proven, men must protect women, and honor must be defended), about women (good women put sacrifice and family loyalty first and good women are morally and sexually pure), and about relationships (jealousy is a sign of passionate love) to show how they create a cultural context in which intimate partner violence is tolerated, accepted, or rejected. We end by discussing avenues for future research that take an expansive approach to examining culture's influence on intimate violence.     

Coercion in Intimate Partner Violence: Toward a New Conceptualization

For decades, battered women’s advocates have placed coercive control squarely at the center of their analysis of intimate partner violence. Yet, little work has been done to conceptualize and measure the key construct of coercive control. In this article, we apply French and Raven’s social power model to a conceptualization of coercive control in intimate partner violence relationships. Central elements of the model include: social ecology; setting the stage; coercion involving a demand and a credible threat for noncompliance; surveillance; delivery of threatened consequences; and the victim’s behavioral and emotional response to coercion. These elements occur in spiraling and overlapping sequences to establish an overall situation of coercive control. The implications of this model for theory and practice are discussed.     

Intimate Partner Violence and Relationship Dissolution Among Reserve Soldiers

The military has sought to prevent intimate partner violence (IPV) and relationship dissolution. This study examined the longitudinal associations of psychosocial, demographic, and military service characteristics with IPV and relationship dissolution among 546 married or cohabiting reservist military personnel that both mobilized and demobilized during an approximate 8-month period in 2003. Over 13% reported engaging in IPV in the year prior to mobilization. Younger age and more stress were associated with IPV. Upon demobilization, 5% of the sample had experienced relationship dissolution, which was associated with less education, CONUS (continental United States) deployments, and enlisted rank. Identifying the factors associated with IPV and relationship dissolution may help detect couples at potential risk to improve family support and military readiness.     

Female Intimate Partner Violence Survivors' Experiences With Accessing Resources

This phenomenological study investigates the types of personal and community resources that female intimate partner violence (IPV) survivors used when leaving an abusive male partner. Three African American and 2 European American IPV survivors, ages 24 to 38 years, described positive and negative experiences with social support, personal validation, self‐care, connection, IPV assessment, community validation, protection, and community support. On the basis of their experiences, a checklist of IPV competencies for counselors is presented.     

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.     

Contemporary Issues in the Measurement of Partner Violence

The construction of this special issue, focusing on measurement of intimate partner violence (IPV), was designed to raise questions and to point out potential limitations by which social scientists have approached measuring IPV. Research on IPV, consisting mostly of United States’ samples, is critiqued with the goal of expanding our conceptions of this phenomenon and energizing future research focused on measurement of IPV. This special issue contains a historical perspective of the measurement of IPV, addresses technical concerns of reliability and validity as they apply to IPV, considers unique aspects of assessment based on gender or same-sex relationships, contains a novel approach proposing assessment of interactional observation units, and proposes methodologies for assessment with different cultures. All contributors provide recommendations for improving the assessment of IPV.     

Dominance and Dialogue in Couple Therapy for Psychological Intimate Partner Violence

Although there is controversy concerning indications for conjoint therapy in Intimate Partner Violence (IPV), both research and practice have come to recognize that it has some important benefits. This study analyzes issues of dominance and dialogue in a conjoint therapy for psychological IPV within a naturalistic setting, in which the spouses sought couple therapy on a voluntary basis. The method used to analyze the therapy was Dialogical Investigations of Happenings of Change (DIHC). Results on dominance indicated that the male client showed more quantitative dominance, whereas semantic dominance was more present in the female client, and therapists used more interactional dominance. Results on dialogue analysis showed that dialogical dialogue might help to construct a new-shared meaning of the issue of violence. In the Discussion section some research and clinical implications of the results are derived.