Who completes batterer's treatment groups? An empirical investigation

The purpose of this study was to investigate differences that could discriminate among batterers who completed a violence treatment program and batterers who dropped out after intake, but prior to or during treatment. A discriminant analysis of a variety of demographic and psychological variables showed a significant difference between the completers group and the other two groups of batterers. Men who completed treatment reported fewer indirect threats of violence, had a higher level of education, were more likely to be employed full time, witnessed abuse more often in their family of origin, were less likely to be victims of child abuse, scored higher on the FIRO-B subscale of expressed control and had more children. Further research needs to be done to assess how these variables influence the batterers during treatment and to help dropouts successfully complete treatment.     

The effect on reconviction of an intervention for drink-driving offenders in the community

This study reports an evaluation of the Drink-Impaired Drivers program in the English and Welsh probation service. Participants were adult male offenders who had been convicted of a drink-driving offence and were serving community sentences. The 1-year drink-drive reconviction rates were compared for offenders who completed the program, offenders who started but did not complete the program, and a comparison group who were not allocated to the program. At 1-year follow-up, there was no reconviction among offenders who had completed the program. Multivariate analysis showed that the noncompleters had a significantly higher rate of reconviction than the completers and comparison group.     

Social-cognitive skills training with a sexually abused and abusive child psychiatric inpatient: Training,generalization, and follow-up

This paper describes the clinical application of a social-cognitive skills training program for an 11 1/2-year-old child psychiatric inpatient with a history of sexual abuse and neglect who was referred for hospitalization after sexually molesting a neighborhood girl. The content and procedures of the program are outlined in detail to facilitate replication. Results indicated that improvements were found on analogue role-play scenarios administered during training-which then generalized to several specific and general measures of social adjustment/competence on the inpatient unit. A 1-year follow-up assessment revealed the maintenance of these therapeutic gains. The implications of this therapeutic approach with maltreated children and need for more rigorous empirical outcome studies are discussed.     

Group Treatment for Spouse Abuse: Are Women with PTSD Appropriate Participants?

Eighty four abused women seeking therapy with their husbands were accepted into a group treatment program for spouse abuse. In the current study, we evaluated the treatment outcome of those women (n = 27) diagnosed with Posttraumatic Stress Disorder (PTSD). PTSD diagnosis, itself, did not differentiate those women who dropped out of treatment. Results indicated, however, that across all women, avoidance symptomatology significantly differentiated treatment completers from dropouts. Although women with PTSD began treatment in worse condition (lower marital satisfaction, higher depressive symptomatology, greater fear of spouse), post-assessment revealed they achieved positive treatment gains parallel to those of women without PTSD. Women with PTSD improved on each outcome variable measured, including a reduction in fear of spouse. Women with PTSD also did not differentially drop out of either treatment condition (men's/women's versus conjoint groups) which lends support to the appropriateness of conjoint treatment for spouse abuse.     

Psychological Abuse of Chinese Wives

The present studies aimed to facilitate understanding of psychological wife abuse in Chinese families by extending the generality of the Index of Spouse Abuse (ISA) to Chinese. Study 1 examined the factorial validity of the original ISA using Chinese college students. Results of the confirmatory factor analysis rejected the 2-factor structure of the original ISA. Based on results of exploratory factor analysis, an alternative 19-item Chinese ISA was devised, which showed satisfactory internal consistency and correlated with the original ISA and the Conflict Tactics Scale (CTS). Study 2 aimed to determine the concurrent and construct validity of the Chinese ISA. Results showed that the scale could adequately differentiate between victims of wife abuse from those women who had no abuse experiences. It also correlated with the CTS, marital dissatisfaction, and negative mental health measures of general psychological symptoms, depression, and anxiety. The clinical cutting scores of the Chinese ISA were also determined to predict psychological and physical wife abuse in Chinese families.     

Predicting dropout of court-mandated treatment in a British sample of domestic violence offenders

Abstract

Prior to starting a pro-feminist domestic violence rehabilitation programme, 120 British male domestic violence offenders completed psychometric and attitudinal measures that assessed pro-domestic violence attitudes, anger, locus of control, self-reported emotional and psychological abuse of a partner, interpersonal dependency and social desirability. Offenders who completed the programme were compared to those who dropped out on these measures and demographic variables. Just under one-third (32.5%) of offenders failed to complete the programme. Of those variables that discriminated between completers and dropouts (age, previous custodial sentences, age at first conviction, marital status, self-reported abuse, and diagnosis of depression), only age (being young), having previously received a custodial sentence and self-reported low levels of physical abuse of a partner predicted attrition. These results are discussed with reference to probation supervision.     

Nonphysical Abuse Among Batterer Program Participants

Nonphysical abuse of women is receiving increased attention, but research with clinical samples of batterers has not substantially addressed the risk markers of nonphysical abuse. A multisite sample of batterer program participants (n = 840) with a longitudinal 15-month follow-up was used to identify risk markers. Logistic regressions were computed with batterer characteristics for 4 categories of nonphysical abuse (i.e., control, verbal, threats, combined) reported by the batterer's female partners during the follow-up. The only substantial and consistent risk markers were nonphysical and physical abuse prior to program intake and program dropout. The programs appear to help reduce the abuse. Other significant risk markers varied across the categories of nonphysical abuse, suggesting that the categories do not form a continuum or hierarchy of abuse. Recurrent abuse, moreover, continues to be more difficult to predict in clinical samples than in the general population.     

The reduction of male abusiveness as a result of treatment: Reality or myth?

A 6-month outpatient treatment program for male abusers emphasized honesty, shame reduction, and group support for change. Ratings on the Abusive Behavior Inventory (ABI) obtained before and immediately after treatment demonstrated a significant decrease in physical and psychological abuse as rated by both the abusers and their female partners. This decrease in male abusiveness was maintained 6 months and two years after completion of treatment for those couples who cooperated in followup. No decrease in male abusiveness was observed during treatment, however, for those couples who did not cooperate in the followup. The authors suggest that the noncooperative female partners may have been afraid to rate their partners because of continued abuse. Therefore, the selective attrition of subjects who did not improve is a major problem in evaluating the apparent long-term success of treatment.     

Promoting awareness and prevention of child sexual victimization using the Red Flag/Green Flag program: An evaluation with follow-up

This study describes an evaluation of a school-based sexual abuse awareness and prevention program that featured the “Red Flag/Green Flag People” coloring book and included presentation of a film (“Better Safe than Sorry II”) and discussion of hypothetical and actual experiences involving inappropriate physical touching. Children, parents, and teachers from two experimental schools participated in the program and were compared to similar groups from a control school. Outcomes were evaluated using pre-post (2-month) assessment questionnaires. Among the findings obtained, experimental group children reported learning more about the differences between good and bad touching, and being more likely to both report instances of sexual victimization and utilize program-specific preventive skills, relative to controls. Parents exposed to program materials acknowledged greater improvements in knowledge about program goals and more positive communication at home about abuse. Although no significant differences were obtained for teachers, the ratings for one experimental group were consistently higher than those of the other groups. Staff volunteers evaluated the program as overwhelmingly positive and without adverse effects. Still, some children from all groups reported being touched inappropriately. Some of these improvements were also noted for the experimental group at 6-month follow-up assessment. The findings were discussed in the context of conceptual, clinical, training, and empirical considerations.     

The relationship of abuse and witnessing violence on the Child Abuse Potential Inventory with black adolescents

A number of social and psychological factors present in most adolescent parents place them at high risk for abusive behavior toward their children. However, current child abuse potential measures do not include adolescent samples as part of the psychometric data base. Consequently, the purpose of this study was twofold: (1) to investigate whether a Black adolescent sample would perform differently than an adult nonabusing sample on the Child Abuse Potential Inventory (CAP), and (2) to examine the relationship between history of abuse or witnessing violence to scores on the CAP. Results revealed that Black adolescents scored significantly higher than the adult normative sample on the CAP; consequently, cutoff scores need to be empirically established for adolescents. Additional analyses indicated that a history of abuse, as well as a history of witnessing violence, are associated with a high potential for abuse.     

Evaluation of the persistently violent offender treatment program

The treatment of violent offenders has evolved in recent years, shifting from interventions focused on anger management to those incorporating social information processing skills. The present study was a multimethod evaluation of one such program, the Persistently Violent Offender program. A total of 256 Canadian male violent offenders participated in the study; 70 Persistently Violent Offender program completers were compared to two control groups (n(1) = 33, n(2) = 105) who completed an alternate program and to 48 offenders who failed to complete either program. Results demonstrate few differences among groups in terms of changes on measures of treatment targets, involvement in institutional misconducts, and postrelease returns to custody, thus demonstrating that the Persistently Violent Offender program was superior to neither the alternate program nor program noncompletion. These results are discussed in light of the findings from two more promising recent evaluations of similar programs.     

Factors moderating physical and psychological symptoms of battered women

Physical and psychological symptoms of battered women were investigated based on the theory that their ongoing victimization would produce stress-related symptoms. It was hypothesized that moderating variables (e.g., frequency and severity of abuse, predictability and controllability of abuse, social support networks) would influence the effects of abuse. Battered women (N = 234) were interviewed according to a structured format which allowed for behavioral indices of the data and categorization of the women's responses. Results indicated that frequency of abuse was a strong predictor of the number and severity of symptoms. Those women who could predict abuse experienced more symptoms. Severity of physical and psychological symptoms was predicted by a model including women with more injuries requiring medical attention, women adhering to traditional sex role values, and the presence of one type of emotional abuse. Battered women perceived their physical and emotional health as deteriorating during the relationship and during the abuse, but as getting healthier after the abuse ended. Future research needs to replicate these findings with a representative group of battered women who are still in the battering relationship.     

Female Perpetrated Dyadic Psychological Aggression Predicts Relapse in a Treatment Sample of Men with Substance Use Disorders

This study examined whether female-to-male (FTM) psychological aggression predicted men’s relapse of substance use disorder (SUD) 6 months following substance use treatment. Men diagnosed with either a substance abuse or dependence disorder who had recently begun an SUD treatment program participated in the study with their female relationship partners (N = 173). Logistic regression was used to examine the relationship between baseline FTM psychological aggression and SUD relapse when controlling for baseline demographic, dyadic, substance abuse- and treatment-related variables, as well as frequencies of other male- and female-perpetrated aggressive dyadic behaviors. Higher frequencies of severe, but not minor, forms of FTM psychological aggression uniquely predicted an increased risk of relapse at 6 months follow-up. These data add to the developing research program highlighting the negative sequelae of female-perpetrated psychological aggression and also provide an empirical basis for targeting specific dyadic behaviors in the context of SUD treatment and relapse prevention.     

An experimental evaluation of a nationally recognized employment-focused offender reentry program

Objectives

The need for re-entry assistance is widely acknowledged, but specifics about what services actually lead to reduced recidivism are hard to find—at least among rigorous studies. This is a critical issue: at a time when there appears to be unprecedented support for expanding rehabilitative programs for offenders, there is a dearth of rigorously vetted program options from which to choose.

Methods

Collaborating with a nationally known employment-focused reentry program in Southern California, the authors compared employment, housing, and recidivism outcomes of reentering offenders (n?=?217) who were either randomized into the program or simply provided with a list of community resources. This approach was possible because the number of applicants at the time exceeded program capacity. Outcomes were based on self-report interviews conducted 1-year post-randomization and arrest records reflecting a 2-year follow-up period. The follow-up rate for interviews was 87 %.

Results

No significant differences were found for any of the between-group comparisons on any of the major intervention outcomes.

Conclusions

Findings from the study suggest a greater need to apply randomized designs to more carefully evaluate current reentry efforts. Methodological challenges of field experiments are also discussed.     

Predictors of Child Abuse Potential in At-Risk Adolescents

Characteristics prevalent in known child abusers and in child victims of abuse (i.e., internalizing, externalizing, sociopathy, delinquency, and nonrational conflict-solving tactics) were examined as predictors of abuse potential in adolescents. The Child Abuse Potential (CAP) Inventory (Milner, 1986) was administered to male (n = 71) and female (n = 63) teenagers attending alternative educational sites due to behavioral problems or pregnancy. Regression analyses found unique variance in abuse potential contributed by youth (16%) and teacher (6%) reports of internalizing behavior, and youth reports of sociopathy (4%) and delinquency (4%) for a total of 33% of the variance (p < .0001, n = 91) after controlling for age, sex, and pregnancy status. Number of elevated predictors in each student was also related to increased abuse potential (r = .39, p < .001). Pregnancy status and SES were not independently associated with abuse potential. Conduct disorder as a probable precursor to future abusive behavior is suggested, and the use of the CAP with adolescents is discussed.     

Two-Year Reliability of the Propensity for Abusiveness Scale

The Propensity for Abusiveness Scale (PAS; Dutton [1995a] J. Fam. Violence 10[2]: 203–221) has been shown to correlate with both physical and psychological abuse in a variety of samples including gay men, assaultive males, and male and female college students (Clift, 2001; Dutton et al., 2001). For the current study, 27 male and 37 female university students completed the PAS during the 1998–1999 and the 2000–2001 school years. A 2-year test–retest reliability coefficient of r = .851 was found for women and a reliability coefficient of r = .629 was found for men. The combined sample had a reliability coefficient of r = .774. Moderate test–retest reliability coefficients were also found for each of the subscales.     

Severity of neurocognitive impairment in women who have experienced intimate partner violence in Spain

This study examines neuropsychological impairment in women who have experienced intimate partner violence using DSM 5 criteria for mild and severe cognitive impairment. A total of 108 females in Spain were included in one of three groups: psychological abuse (n = 24), physical and psychological abuse (n = 45), and no-abuse (n = 39). There were differences between the control and IPV groups in attention and executive functioning. Furthermore, approximately 25% of women experiencing IPV suffer mild neuropsychological alterations and 5% severe, mostly in memory and executive function domains. This evidence supports the growth in research that suggests psychological violence on its own to be as strongly related to poor health outcomes as physical violence in intimate partner relationships.     

Nursing Students' Attitudes Toward Victims of Domestic Violence as Predicted by Selected Individual and Relationship Variables

Access to quality health care for victims of abuse is often limited by the attitudes of health care professionals. Data collected from female nursing students (n = 155) revealed that those students with more egalitarian sex-role beliefs and a greater sense of control over life events were more sympathetic to battered women than those students with more traditional sex-role attitudes and less perceived control. Sex-role egalitarianism was found to be the best predictor of attitudes toward victims of domestic violence. Implications for health care practitioners and policy makers are presented.     

Intergenerational Continuity of Risky Parenting: A Person-Oriented Approach to Assessing Parenting Behaviors

Limited research has investigated the long-term effects of childhood emotional abuse on later forms of parenting. This study utilized a person-centered approach to explore the relation between retrospectively-reported maternal childhood emotional abuse and observed parenting behaviors during a conflict discussion. Data were collected from 53 caregiver-child dyads with children ages 8–11. Results of a model-based clustering procedure (Mclust; Fraley and Raftery 2006) identified three parenting styles (negative, at-risk, positive) that were based on five observed parenting behaviors (emotion regulation, anger, hostility, psychological control, and psychological unavailability). Results indicated that higher levels of childhood emotional abuse were reported by women in the at-risk and negative parenting subgroups. Mothers in the negative parenting and at-risk parenting clusters exhibited greater levels of emotional abuse when compared to the positive parenting cluster. Possible implications are discussed, and results underscore the importance of emotionally abusive developmental experiences in the understanding of risk for maladaptive parenting behaviors.