The Clinical Utility of Batterer Typologies

Domestic violence research has increasingly focused on the identification of batterer subgroups. Although typologies have been proposed using the utility of both empirical and theoretical methodologies, studies comparing empirically derived and theoretically based typology solutions have not been conducted. To what degree mental health practitioners can successfully classify batterers into subgroups is also not known. To address these questions, data were gathered from 49 male batterers who were treated for domestic violence in an outpatient mental health facility. A preliminary comparison of an empirically derived and a theoretically based typology solution revealed that many batterers were classified differently by the two strategies, although the overall grouping strategies were similar in content. Further, mental health professionals had substantial difficulty choosing which of the cluster analytically created subgroups into which to sort individual batterer's MMPI profile. Finally, different treatment efficacy indicators differentiated among the men in the two subtyping systems, suggesting that each system offers unique clinical information.The second author was supported as a predoctoral fellow by a NIMH Training grant     

Decoding Deficits of Different Types of Batterers During Presentation of Facial Affect Slides

The ability to decode emotional cues is associated with both personality disorders and violence. This study investigated whether subtypes of intimate partner abusers differ in their ability to label facial affect displays. Intimate partner violent (IPV; n = 69) and nonviolent (NV; n = 32) men were asked to label slides of facial affect. Cluster analyses classified the IPV men into three different types as per the Holtzworth-Munroe and Stuart (1994; Typologies of male batterers: three subtypes and the differences among them. Psychological Bulletin, 116, 476–497) typology: family-only (FO), borderline or dysphoric (BD), and generally violent or antisocial (GVA). Overall, IPV men did not make more errors decoding facial affect slides than did NV men. However, GVA batterers showed deficits while BD batterers were particularly accurate in identifying emotions. Clinical implications are that emotional recognition skills training techniques may be useful for GVA batterers only.     

Personality correlates of men who batter and nonviolent men: Some continuities and discontinuities

The present study investigated personality and family-of-origin differences among three groups of domestically violent men and a nonviolent comparison group, matched for age and education. The domestic violence groups consisted of male batterers referred for treatment (agency identified batterers) who were alcoholic (n=38) or nonalcoholic (n=61), and a third group who were identified through community sampling as maritally violent (n=28 community batterers). Multivariate analyses of variance of the Millon Clinical Multiaxial Inventory (MCMI) showed that, compared to nonviolent controls, alcoholic and nonalcoholic batterers showed higher levels of borderline characteristics. Furthermore, alcoholic batterers showed the highest MCMI elevations, followed by nonalcoholic batterers. Community-identified batterers showed no predicted significant differences from the nonviolent controls. On measures of family-of-origin pathology and disruption, only alcoholic batterers differed significantly from nonbatterers on report of both experienced and witnessed abuse victimization.Based on a paper presented in: A. Holtzworth-Monroe (Chair)Research on Marital Violence: What We Know, How We Can Apply It. Symposium presented at the meeting of the Association for the Advancement of Behavior Therapy, New York, November 19, 1988.     

Personality Profiles of Veterans Entering Treatment for Domestic Violence

The purpose of this study was to reveal the typical personality profiles of veterans who have been perpetrators of domestic violence. Cluster analysis revealed that the MCMI-II profiles of 183 veterans entering treatment for domestic violence at a Veterans Affairs Medical Center fell into three clusters. These clusters were labeled Subclinical Narcissism, Narcissistic Personality Disorder, and High General Psychopathology/ Substance Dependence. The typical MCMI-II profile for each cluster is discussed in terms how it might be associated with domestic violence. As this typology enables a fuller understanding of veterans who have been perpetrators of domestic violence, it can provide useful information for diagnosis, treatment, and prevention.     

Early Exposure to Violence in the Family of Origin and Positive Attitudes towards Marital Violence: Chinese Immigrant Male Batterers vs. Controls

This study examined self-reported early exposure to violence in the family of origin and positive attitudes towards marital violence as risk factors in court-referred Chinese immigrant male batterers (N = 64) versus controls (N = 62). Early exposure to violence was positively correlated with marital violence, but it alone did not differentiate the batterers from the controls, as both groups were widely exposed to it. While it was significantly correlated with marital violence in the batterer group, it was significantly correlated with depression in the control group. Positive attitudes towards marital violence were not only correlated with marital violence but also sufficient to differentiate the batterers from the controls. It also partially mediated the effect of early exposure to violence on marital violence. These two risk factors together accounted for 21.9% of the variance in marital violence over and above sociodemographic variables and marital dissatisfaction. Research and treatment implications based on these findings were outlined.

Articulated Thoughts of Intimate Partner Abusive Men during Anger Arousal: Correlates with Personality Disorder Features

This study extends Eckhardt et al. (Journal of Consulting and Clinical Psychology, 66:259–269, 1998) research on cognitive correlates of anger arousal among intimate partner abusers (IPA; n = 130), distressed/nonviolent (DNV; n = 27), and satisfied/nonviolent men (SNV; n = 21) during a standardized anger induction task by examining variables thought to differentiate batterers. Variables pertinent to the Holtzworth-Munroe and Stuart (Psychological Bulletin, 116:476–497, 1994) typology—borderline and antisocial personality, psychopathy, general violence, and partner violence—were correlated to articulated cognitive distortions. Since between group comparisons were not significant, articulated anger was correlated with antisocial, borderline, and psychopathic features. Borderline personality features correlated positively with articulations reflecting jealousy. Articulated themes were more consistently related to psychopathology than to violence, suggesting that tailoring treatments to personality features of clients may prove fruitful.     

Assessing the Generalization of Psychopathy in a Clinical Sample of Domestic Violence Perpetrators

This study proposed that domestic violence perpetrators in a clinical sample could be categorized into distinct subgroups and that a particular subgroup of batterers would exhibit sufficient psychopathic characteristics to be clinically meaningful. Participants were interviewed in order to gather a relevant social, familial, educational, criminal, and substance abuse history. They were then administered several psychological measures including the Psychopathy Checklist: Screening Version (PCL:SV). Results lent support to the empirical batterer typology identified by Holtzworth-Munroe, A., Meehan, J. C., Herron, K., Rehman, U., & Stuart, G. L. (2000). However, despite the presence of a more antisocial subgroup, psychopathy did not consistently differentiate among batterers across the measured dependent variables.     

Children’s Direct Exposure to Types of Domestic Violence Crime: A Population-based Investigation

Police officers served as public health sentinels to collect data on children exposed to domestic violence across an entire municipality for 1 year. This study extended research by investigating a typology of domestic violence crimes and children’s direct sensory exposure to these types. Police officers used a standard, validated protocol to collect data on all substantiated domestic violence. Findings revealed that almost half of all events had children present, and 81% of these children were directly exposed to the violence. Children under the age of 6 years old were at greater risk of exposure. Identified domestic violence households with children were more likely to be low-income, non-White, and headed by a single female, compared to households at large. Cluster analysis revealed seven domestic violence event profiles. Typology showed that children were disproportionately exposed to the most unstable and dangerous profiles including weapon use, mutual assault, and substance abuse.     

An Application of Attachment Theory to Court-Mandated Batterers

The purpose of this study was to investigate levels of interpersonal dependency, an indicator of insecure attachment in adulthood, among batterers court-mandated into domestic violence treatment. The study collected data from 158 batterers beginning treatment and 25 nonviolent men. Analysis indicated that batterers demonstrated significantly elevated levels of interpersonal dependency, relative to the nonviolent comparison group. These findings indicate that more research is needed before the role of interpersonal dependency in the etiology and maintenance of domestic violence can be understood. Program Director, Alternatives to Violence Program     

Identifying subgroups at high risk of dropping out of domestic batterer treatment: the buffering effects of a high school education

This study identifies the subgroups of domestic batterers who are at a low or high risk of failing to complete domestic batterer cognitive behavioral treatment. The sample is composed of 355 domestic batterers ordered to complete treatment, with 31.8% not completing treatment. Three subgroups of batterers were identified as having at least a 60% chance of treatment failure: (a) unemployed generalized aggressors, (b) high school dropouts ordered into substance abuse treatment, and (c) unemployed offenders ordered into substance abuse treatment. Furthermore, a high school education, even when offenders are unemployed or living in poverty, buffers the negative effects of a substance abuse problem among court-mandated batterers required to participate in both domestic violence treatment and substance abuse treatment. Two thirds of substance-abusing high school graduates completed both domestic violence and substance abuse treatment, compared to only one third of the substance-abusing high school dropouts. Implications are discussed.     

The effects of a group batterer treatment program: A randomized experiment in Brooklyn

Despite numerous evaluations of batterer treatment programs, most lack sufficient methodological rigor to yield valid answers about the programs' effectiveness. This paper presents results from an experimental evaluation in which 376 adult males convicted of domestic violence were randomly assigned to either a 40-hour batterer treatment program or 40 hours of community service that did not include any therapeutic treatment. We examined both official records and victims' reports of recidivism. Those assigned to the treatment program showed significantly lower recidivism, on the basis of all outcome measures from official records. Although victims' reports also recorded fewer failures among the batterers assigned to the treatment group, the differences in failure rates were not large enough to be statistically significant. Overall results suggest that therapeutic treatment for batterers may reduce domestic violence among convicted batterers who agree to this sentence.     

Alcohol and Domestic Violence: A Cross-Over Study in Residences of Individuals in Brazil

The objective of this study was to investigate psychological or physical violence associated with the use of alcohol, in residences of individuals in Brazil and, also describe the social characteristics of aggressors and victims. Therefore, this study expects to contribute to studies in Brazil that seek to clarify the relations between alcohol and violence in residences. A total of 454 respondents, 12–65 years old, were assessed, they were sorted by the Kish method, and the residences randomly. The SAMHSA questionnaire was utilized after translated and adapted to Brazilian conditions. 26% of the individuals reported psychological violence, and 16% reported physical violence. The study’s main results set the differences in the reports for physical violence (OR 7, 95% CI: 4–13) and psychological violence (OR 5, 95% CI: 3–8) in residences where someone arrived or became intoxicated with alcohol (P < 0.05). 50% of the aggressors were under the effects of alcohol, and 77% of the victims were relatives of their aggressors. Acts of violence are not necessarily associated with alcohol consumption. Men and women reported acts of domestic violence; psychological violence was the most prevalent form. Men are currently the primary aggressors, while women are primarily the victims     

Interventions for Intimate Partner Violence: A Historical Review

Intimate partner violence (IPV), also known as domestic abuse or relationship violence, has generated a large research literature for the last half-century, particularly in the areas of criminal justice, psychology, and the social sciences. Interventions for victims and perpetrators of IPV have largely been sequestered to separately evolving efforts of law enforcement and the psychotherapeutic community (Chang et al. Women’s Health Issues, 15(1), 21–30, 2005; Dalton Journal of Aggression, Maltreatment & Trauma, 15(1), 59–75, 2007; Dobash and Dobash 2000; Feder et al. 2008; Gerbert et al. Journal of Family Practice, 49(10), 889–895, 2000; Wathen and MacMillan. Journal of the American Medical Association, 289(5), 589–600, 2003). This article presents a brief overview of the historical evolution and development of these discrete perspectives and identifies and assesses current collaborative interventions rooted in these historical precedents. In conclusion, the authors provide a summative discussion of the most current findings of research into IPV interventions, with a particular focus on the changing roles of race and gender in both the criminal prosecution of IPV and services provided to IPV perpetrators and victims.     

Domestic Violence against Women in Cambodia: Husband’s Control,Frequency of Spousal Discussion,and Domestic Violence Reported by Cambodian Women

This study sought to examine the effects of husband’s control and frequency of spousal discussion on domestic violence against Cambodian married women, using the 2005 Cambodia Demographic and Health Survey data. The sample included 1,707 married women, aged 16–49 (M = 35.14). Structural Equation Modeling showed that husband’s control positively predicted both emotional and physical violence. Frequency of spousal discussion positively predicted emotional violence, an association consistent with the idea that a husband holding patriarchal beliefs would interpret women’s more frequent discussion as a violation of Cambodian norms for quiet, submissive wives. Frequency of spousal discussion and husband’s control were positively correlated. The role of gender issues in husband’s control and frequency of spousal discussion are discussed with respect to violence in the lives of Cambodian women.     

Does Controlling Behavior Predict Physical Aggression and Violence to Partners?

Using data obtained from women’s shelter residents, male and female students, and male prisoners, this study investigated the association between non-violent controlling behaviors, physical aggression, and violence towards a spouse (N = 264). It was predicted that only men and women involved in intimate terrorism (Johnson, Violence Against Women, 11(12):1003–1018, 2006) would use controlling aggression, and that physical aggression used by those involved in situational couple violence would be unrelated to controlling behavior. Contrary to predictions derived from Johnson’s theory, regression analysis showed that control accounted significant proportions of the variance in the use of physical aggression for all three relationship categories. Some support was provided, however, as it was found that the pattern of both interrelationships of the five types of controlling behaviors, and control and physical aggression, supported Johnson’s distinction.     

A review of domestic violence arrest statistics in a police department using a pro-arrest policy: Are pro-arrest policies enough?

This study examined domestic violence arrest statistics in a sheriff's department that does not utilize a community approach and provides little police training on domestic violence. In reviewing all domestic violence reports (n=1870) over a 12-month period, less than one-third (28.8%) of the domestic violence cases ended in arrest. Even the most serious charges (aggravated batteries) were more likely to end without an arrest (62.6%) than with an arrest (37.4%). Although results showed that more men were identified (88.4%) and arrested (91.6%) as batterers than women (11.6% and 8.4%, respectively), closer analyses revealed that arrested women were more often charged with more serious charges (60%) than arrested men (26.0%). Finally, gender and race data indicated that while four-fifths (84.6%) of black females were arrested on felony charges, less than one-fifth (19.5%) of white males were arrested on the same charge. These findings demonstrate a need for further research on factors that may affect pro-arrest policy effectiveness.Forensic psychological resident in private practice in Miami and Fort Lauderdale, Florida.     

Interpersonal Dependency Among Court-Ordered Domestic Violence Offenders: A Descriptive Analysis

In the effort to improve treatment programs for batterers, researchers have begun to examine the role of interpersonal dependency in the etiology and maintenance of domestic violence. Recent empirical investigations of interpersonal dependency among maritally violent men have discovered that these men exhibit increased levels of interpersonal dependency when compared to nonviolent men. This study examined the level of interpersonal dependency of 105 adult men court-ordered into a treatment program for domestic violence offenses, and 25 nonviolent men. Results indicated no significant difference in level of interpersonal dependency between the court-ordered batterers and the nonviolent men. Possible explanations for the failure of this research to replicate earlier findings were explored and discussed. These findings indicate that more research is needed before the role of interpersonal dependency in the etiology and maintenance of domestic violence can be understood.     

Stalking Behaviors Within Domestic Violence

An examination of data from 120 male and female batterers of varied age and marital, educational, and economic status, who attended group treatment for batterers or who were charged with domestic violence from January to February 1996 in a district court setting, produced the following findings: Stalkers tended to live alone, were less likely to be married, not living with children, and used more alcohol than nonstalkers. They also tended to have had a history of prior stalking offenses and of being abused themselves. Factor analysis found three stalking groupings: one in which discrediting was the key, a second revolving around love turning to hate, and a third with violent confrontation with the ex-partner.