Client perspectives: The therapeutic challenge of domestic violence counselling – a pilot study

Aims: This qualitative pilot study explored the perceptions of four female domestic violence clients regarding counselling they had concluded in order to identify a preliminary client‐preferred domestic violence counselling approach. Method: Semi‐structured interviews asking about significant events during counselling were held. An adapted grounded theory and narrative methodology was used. Results from the analysis were reviewed with two of the participants. Participants were offered additional counselling support if required after the research interview. Results/Findings: Domestic violence clients found starting counselling particularly difficult after years of keeping the abuse to themselves. Participants actively withheld and managed information for several sessions and needed to know they had time to explore their experiences. The counsellor being consistent and non‐judgemental, and understanding domestic violence and its effects was helpful. Having a clear ending was appreciated by the participants. Discussion: The initial development of the therapeutic relationship benefited from active discussion of how domestic violence could affect behaviour and emotions. Good early therapeutic relationships showed elements of the three main psychological schools. Participants benefited from a pro‐active discussion of endings. A key limitation of this research is the small sample size. Implications for practice: The research suggests that counsellors would benefit from knowledge and skills from different psychological schools and specific training in domestic violence. Allowing flexibility on the number of sessions available to clients may be helpful. Conclusions: Further work is required to explore these preliminary findings. However, early indications suggest that domestic abuse clients may benefit from non‐time‐limited specialist counselling services.     

Examining the Long-Term Effects of a Domestic Violence Training for Educators

Domestic violence affects not only the victims and perpetrators, but also children living in these households. This study examined the long-term effects of a training presented to all employees working in 22 different rural school districts (N = 556). Quantitative and qualitative data were collected to determine the long-term impact of the training. After approximately 4 years, the staff who had received the training reported that they had significantly more confidence in handling families dealing with domestic violence; however, both groups reported similar levels of general knowledge of the topic. Recommendations for training school personnel are provided along with key elements for replicating the training.     

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.     

The Influence of Community Violence on the Functioning of Women Experiencing Domestic Violence

The relationships among women’s experiences of domestic violence, community violence, and their mental health functioning were explored (N = 94). Social contagion theory was used to argue for the link between community violence and family violence. Results revealed that women’s experiences of domestic violence were not related to community violence. Furthermore, women’s mental health functioning was solely associated with their experiences of domestic violence, not with community violence. Results are discussed in terms of an ecological model of domestic violence and future directions for exploring linkages between neighborhood characteristics and individual experiences.     

Introduction

This issue of Clinical Child and Family Psychology Review, Children Exposed to Domestic Violence: Current Status and Research Directions, addresses the current status of our knowledge as well as critical research needs in the area of children exposed to domestic violence. Although much has been learned in recent years about children exposed to violence, significant research gaps remain, the identification of which may help to build a more complete and rigorous science base in this area. This journal issue represents the distillation of a 3-day workshop on children exposed to violence, held in July of 2002, that identified what is known about children exposed to violence and what this information tells us about future research directions. Although many federal agencies have supported some research in this area, there is a need for more targeted attention on the topic, particularly with regard to measurement, sampling, and interventions/services. The papers in this issue were selected with these themes in mind. Although no single issue could cover the entire field, we intend to offer a representative sample of where we are and where we need to go with the hope of stimulating additional thought, collaboration, and research in this important area.     

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.     

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.     

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 living with violence within the family and its sequel: A meta-analysis from 1995–2006

Based on 37 articles published in international refereed journals between 1995 and 2006, this meta-analytical review attempted to study the sequel of children living with family violence. It specifically attempted to identify the overall effect size of family violence on children's adjustment outcomes. Moderators that exerted their effects on the relationship were also studied. The overall effect size generated from the 353 study-level effect sizes was rather small (Z_r = .201). Moderating analysis on study designs, sample sources, child developmental stages and gender did not show significant heterogeneity in effect sizes, while there was significant dispersion in effect sizes among different types of child adjustment outcomes. Results of this study are basically resonant with the meta-analyses of Kitzmann et al. [Kitzmann, K. M., Gaylord, N. K., Holt, A. R., & Kenny, E. D., (2003). Child witnesses to domestic violence: A meta-analytic review. Journal of Consulting and Clinical Psychology, 71, 339–352] and Wolfe et al. [Wolfe, D. A., Crooks, C. V., Lee, V., McIntyre-Smith, A., & Jaffe, P. G., (2003). The effects of children's exposure to domestic violence: A meta-analysis and critique. Clinical Child and Family Psychology Review, 6, 171–187], but add new information in that the report source of family violence was not a significant moderator, while that of child adjustment outcomes was.     

Sexual Harassment and the Cultures of Childhood

ABSTRACT

Sexual harassment is increasingly recognized as a common problem for schoolchildren. Four out of five 8th through 11th graders have experienced some form of sexual harassment in their school lives. Of the girls who experience harassment, 38% report that they were first harassed in 6th grade or before (AAUW, 2001). We propose that children construct a peer-based «school society» where attitudes and behaviors are strongly connected to peer group influence and concerns about social status. School-based peer sexual harassment emerges from a climate of tense, unequal social relations between boys and girls during middle childhood, accelerating into adolescence. One unexplored possibility is that some boys with high social status among their peers may engage in or encourage harassment of girls. Next, we turn to a distinct social context embedded within the school society: relationships of abuse between boy and girl peers. We explore how the dynamics of domestic violence apply to sexual harassment between peers, illustrating themes from narratives of child sexual harassment victims derived from interviews and legal cases. We also use these narratives to examine the institutional responses to sexual harassment by school authorities, identifying the parallels to domestic violence legal solutions. Our discussion emphasizes how school service providers can better appreciate and react to the social and relational context of boys' harassment of girls.     

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.     

Legal and Policy Responses to Children Exposed to Domestic Violence: The Need to Evaluate Intended and Unintended Consequences

Greater training and specialization in working with children exposed to domestic violence has resulted in new policies, interagency protocols, and legislation in many states. This paper examines court-related responses in criminal, child protection, and family court custody proceedings, which highlight legislative changes and resulting systemic change. Although this legislation originated with the best of intentions to assist and protect children, some of the most striking outcomes have been negative and unintended. Laws that mandate reporting of children exposed to domestic violence can clash with inadequate training and resources, or inadvertently revictimize abused women. Similarly, child custody legislation that raises a rebuttable presumption that a violent spouse will not receive custody or joint custody of children after parental separation has resulted in greater skepticism about abuse allegations. We propose that efforts at law reform can be enhanced by a more thoughtful analysis of potential intended and unintended consequences, and should be accompanied by a comprehensive evaluation plan to monitor implementation effects.     

The effects of exposure to political and domestic violence on preschool children and their mothers

The purpose of this study was to examine the effects of exposure to political violence on preschool children and their mothers. We explored whether these dyads are different from dyads with no known history of exposure to violence and from mother–child dyads with known exposure to domestic violence. Specifically, we explored differences in mothers' psychological status (depression and anxiety), dyadic emotional availability (EA), children's social information processing, and children's social behaviour, in a sample of 216 dyads divided into three groups (exposure to political violence, no exposure to violence, and exposure to domestic violence). We found evidence to support our hypotheses that children exposed to domestic violence exhibit the highest levels of social maladjustment with smaller but still significant differences between children exposed to political violence and children in the comparison group. As expected, the lowest EA scores were found in the exposure to domestic violence group, followed by dyads in the exposure to political violence group. Dyads belonging to the comparison group (no exposure) exhibited the highest levels of EA. These findings contribute to our understanding of the meaning of exposure to political violence, as well as sharpen the difference between exposure to political and domestic violence.     

Coping with Exposure to Violence: Relations to Emotional Symptoms and Aggression in Three Urban Samples

Relations among exposure to violence, coping, and adjustment were examined in three urban samples. In study 1, which took place in a southeastern city, children ages 6–16 (N = 35; M age = 10.7 years) completed measures of adjustment, exposure to violence, and coping with violence. In study 2, which took place in one southern Midwestern city and one Northeastern city, children ages 8–15 (N = 70; M age = 11.3 years) completed similar measures with the addition of a measure assessing normative beliefs about aggression. Results are in line with the pathologic adaptation model and provide preliminary evidence for two hypothesized pathways explaining the effects of exposure to violence on adjustment: a normalization pathway in which exposure leads to more aggression-supporting beliefs and in turn to greater aggression, and a distress pathway in which exposure leads to avoidant coping and in turn to emotional symptoms.     

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.     

Domestic violence and mental health in a Dutch community sample: The adverse role of loneliness

The present study explored whether the adverse mental health consequences of domestic violence victimization vary by type of loneliness (i.e., emotional and social loneliness). Participants were drawn from the Dutch city of Rotterdam (N = 7072). Domestic violence victimization, emotional loneliness and social loneliness were associated with self‐reported mental health. In addition, interaction effects were observed between domestic violence victimization and each type of loneliness. Implications for policy practice as well as strengths and limitations of the study were discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Psychological consequences of collective violence in childhood: the case of Monterrey,Mexico / Consecuencias psicológicas de la violencia colectiva en la niñez: el caso de Monterrey,México

Abstract

During the last years, different types of violence have severely damaged Mexico. In this paper we examine the consequences that violence could have in children, one of the most vulnerable segments of society. In short, we predict that exposure to any type of violence will lead to higher depression and that this could be explained through the effects of violence on childhood well-being. Our hypothesis was supported in two studies, showing that exposure to street violence (Study 1, N = 607) and exposure to collective violence (Study 2, N = 172) can increase childhood depression. Moreover, in both studies, this effect was explained by the decrease of childhood well-being caused by violence exposure. The implications of these results are discussed.     

Exposure to Interpersonal Violence and Socioemotional Adjustment in Economically Disadvantaged Preschoolers

Focusing specifically on the experiences of economically disadvantaged preschoolers, the relations between interpersonal violence exposure, behavior problems, and social skills were examined in both the home and school settings. In this racially and ethnically diverse sample of preschoolers from poor, urban households (N = 64; 3–6 years old; 56% female), many children (33%) had been exposed to at least 1 type of interpersonal violence, and even more (70%) had been exposed to any type of potentially traumatic event (PTE). Although exposure to interpersonal violence was not directly associated with parent- or teacher-reported behavior problems or social skills, a significant interaction effect was observed between exposure to interpersonal violence and teacher-reported internalizing problems in predicting teacher-reported social skills; specifically, for children with the highest levels of internalizing problems, a positive relation between interpersonal violence exposure and social skills was observed. This indirect effect was observed only in the school setting, whereas children in this high-risk sample appeared to demonstrate resilience in the home setting. Given these high rates of exposure, additional, clinically relevant research is needed to inform interventions for this vulnerable population.     

Beyond Resilience: Glimpses into Women’s Posttraumatic Growth after Experiencing Intimate Partner Violence

Abstract

Little focus is given to the pathways victims of intimate partner violence (IPV) use to move toward posttraumatic growth. A sample of 32 female participants was recruited through advertising in domestic violence shelters. Women were interviewed about their experiences with four main themes emerging from women’s narratives related to posttraumatic growth: deliberateness of action, ending the cycle for the children, a changed perspective on life, and alternative perceptions of social support. Opportunities for professions working with this population in a number of various of settings is presented to promote long-term changes for women affected by IPV.     

Reading and Phonological Awareness Skills in Children Exposed to Domestic Violence

This study examined whether children exposed to domestic violence perform worse on tests of reading and phonological awareness than children from nonviolent homes. Forty children, ages 6 to 9 years, were divided into control or domestic violence groups based on their mothers' responses on the revised Conflict Tactics Scales (CTS2). The groups were matched on age, gender, nonverbal IQ, and socioeconomic status. The domestic violence group performed worse than the control group on all measures of reading and phonological awareness. Significantly more children in the domestic violence group were identified as having reading difficulties compared to the control group. The results suggest that domestic violence may negatively impact children's reading skills, and appropriate intervention techniques should be developed.