The resource utilization of women who use violence in intimate relationships

Studies have found high rates of help seeking among domestic violence victims. However, little research has investigated the help-seeking patterns of women who use violence (many of whom are also abused). Understanding the resources utilized by women who are violent toward their partners may aid in designing interventions that will reduce the women's violence, as well as reduce the victimization they may be experiencing. This study examines the resource utilization of 108 women who used violence against a male partner (94% of whom also experienced victimization). Findings revealed that (a) almost all of the women utilized community resources in an attempt to manage the violence in their relationships; (b) victimization was related to resource utilization via self-defense motives, avoidance coping, and posttraumatic stress symptoms; and (c) greater resource utilization was related to lower levels of women's violence against their partners. Findings suggest that community resources may help prevent women's violence.     

Differential patterns of partner-to-woman violence: A comparison of samples of community,alcohol-abusing,and battered women

This paper compared a sample of women in treatment for alcoholism (N = 45) with a randomly selected sample of women from the local community (N = 40), and a sample of women receiving services for victimization by severe partner violence (N = 38). Conflict Tactics Scale (CTS) items were dichotomized into low frequency of partner violence (twice per year or less) and high frequency of violence (once per month or more), and then summed to yield separate low frequency and high frequency scores for each CTS subscale. Results showed that at the high frequency level, battered women reported the highest scores on each subscale, alcoholic women the second highest, and the community sample of women reported the lowest level of violence. A multiple regression analysis revealed that being in the alcoholic sample significantly predicted high frequency negative verbal interaction and moderate violence, controlling for presence of a partner with alcohol-related problems and demographic differences among the samples.     

Identifying pregnant women experiencing domestic violence in an urban emergency department

The article describes characteristics of pregnant women presenting to the Emergency Department (ED) who are experiencing current violence and presented a screening tool to identify pregnant women experiencing violence. Women completed an in-person interview regarding violence, sociodemo-graphic factors, health status, and drug use. Fifteen percent of women reported at least one episode of violence during the pregnancy. Young age (OR = 3.37, 95% CI: 1.79-6.36), current alcohol use (OR = 1.53, 95% CI: 1.06-2.19), current marijuana use (OR = 1.96, 95% CI: 1.32-2.92), less than a high school education (OR = 1.46, 95% CI: 1.01-2.12), and a prior diagnosis of trichomonas (OR = 1.81, 95% CI: 1.20-2.72) were significantly related to experiencing current violence. Screening patients using these five characteristics identified 8 out of 10 women reporting violence (sensitivity = 75.6%). These results identify a set of predictors that may be helpful in identifying pregnant women who are experiencing current domestic violence.     

Mental disorder in violent women in secure settings: Potential relevance to risk for future violence

The relevance to women of common violence risk factors identified in men has in many instances yet to be established. Consequently, there is a reluctance to accept without question the application to women of practices relating to violence risk assessment and management developed from research into men. This study examines mental disorder in women who are violent in order comment on its relevance to the practice of violence risk assessment and management. A sample of 95 violent women in high secure prison and forensic psychiatric care were assessed. Structured assessments of Axis I and II mental disorders and psychopathy were undertaken on all women and conviction histories were recorded. Very high levels of psychiatric morbidity were noted and patterns in comorbidity were detected. Among Axis I conditions, psychotic disorders and disorders of mood co-occurred at a very high rate. Among the Axis II conditions, dimensional ratings of borderline personality disorder (PD) correlated with dimensional ratings of avoidant, dependent and paranoid PDs while ratings of antisocial PD correlated with those of narcissistic, histrionic and obsessive–compulsive PDs. Women who had been incarcerated for a major violent offence were four times more likely to have a diagnosis of borderline PD than women whose index offence was one of minor violence. A number of the findings reported are in contrast to those reported in similar studies of men. Findings suggest that practitioners are right to question the application to women of knowledge derived from research into men. The practice of violence risk assessment and management with women should emphasise the development of individual risk formulations and responding to psychiatric comorbidity should be the rule rather than the exception with this population.     

Gender differences in risk for intimate partner violence among South African adults

Despite a high prevalence of intimate partner violence in South Africa, few epidemiological studies have assessed individual risk factors and differential vulnerability by gender. This study seeks to analyze gender differences in risk for intimate partner violence victimization and perpetration according to childhood and adult risk factors in a national sample of South African men and women. Using data from the cross-sectional, nationally representative South Africa Stress and Health Study, the authors examine data from 1,715 currently married or cohabiting adults on reporting of intimate partner violence. Our analysis include (a) demographic factors, (b) early life risk factors (including exposure to childhood physical abuse, witnessing parental violence, parental closeness, and early onset DSM-IV disorders), and (c) adult risk factors (including experiencing the death of a child and episodes of DSM-IV disorders after age 20). Although prevalence rates of intimate partner violence are high among both genders, women are significantly more likely than men to report being victimized (29.3% vs. 20.9%). Rates of perpetrating violence are similar for women and men (25.2% and 26.5%, respectively). Men are more likely to report predictive factors for perpetration, whereas women are more likely to report predictors for victimization. Common risk factors among men and women reporting perpetration include exposure to childhood physical abuse, witnessing parental violence, and adult onset alcohol abuse/dependence. However, risk factors in male perpetrators are more likely to include cohabitation, low income, and early and adult-onset mood disorders, whereas risk factors in female perpetrators include low educational attainment and early onset alcohol abuse/dependence. The single common risk factor for male and female victims of partner violence is witnessing parental violence. Additional risk factors for male victims are low income and lack of closeness to a primary female caregiver, whereas additional risk factors for female victims are low educational attainment, childhood physical abuse, and adult onset alcohol abuse/dependence and intermittent explosive disorder. Intimate partner violence is a significant public health issue in South Africa, strongly linked to intergenerational cycling of violence and risk exposure across the life course. These findings indicate that gender differences in risk and common predictive factors, such as alcohol abuse and exposure to childhood violence, should inform the design of future violence-prevention programs and policies.     

Gender inequality, violence against women, and fear: a cross-national test of the feminist theory of violence against women

This article presents a cross-national test of the feminist theory of violence against women. Combining data from the International Crime Victims Survey (ICVS) with United Nations statistics, the findings support the theory. Specifically, the results indicate that the educational and occupational status of women in a country is related to the prevalence of sexual violence against women. In countries where the status of women is low, prevalence of sexual violence against women tends to be higher. In turn, sexual violence is related to higher levels of fear among women relative to men. In comparison, in countries where the status of women is high, sexual violence against women is lower. The findings of this study add confirmation to the argument that we need to look beyond individual level variables to understand and develop strategies for reducing violence against and fear among women.     

A positive domestic violence screen predicts future domestic violence

The objective of this study was to determine if a brief screen for domestic violence (DV) predicts future violence. We conducted a cohort study of adult women who presented to an inner-city emergency department during an 8-week study period. Participants were screened for DV using the Partner Violence Screen (PVS). At 4 months, follow-up telephone interviews were conducted: rates of verbal and physical violence were measured using the modified Conflict Tactics Scale. Relative risks of violent events (physical and verbal) were calculated. Of the 215 women who enrolled, 36 (16%) had an initial screen positive for DV. Ninety-six women participated in the follow-up phase; of these women, 9% had screened positive for DV. At 4 months, women with DV were 11.3 times more likely to experience physical violence and 7.3 times more likely to experience verbal aggression. The study's screen identified women at high risk for subsequent physical violence and verbal aggression.     

Associations Between Experiencing and Witnessing Physical and Psychological Abuse and Internalizing and Externalizing Problems in Yemeni Children

There is little research on how family violence affects children who live the Arab world. This study had three aims. First, to examine the prevalence of family violence in Yemen. Second, to examine the associations between family violence and internalizing and externalizing problems in Yemeni children. Third, to examine participant gender as a possible moderator. A total of 598 children, 11–16 years old, completed measures of experiencing and witnessing physical and psychological abuse in the home, and reported emotional symptoms and conduct problems. Findings indicate that prevalence rates of all forms of abuse are high among Yemeni children (57.5% experiencing physical abuse, 71.2% psychological abuse, 33.6% witnessing physical abuse, and 78.9% witnessing psychological abuse). Boys experienced more physical and psychological abuse in the home than girls, although the level of physical and psychological abuse children witnessed in the home did not differ for boys and girls. The structural equation model indicated that witnessing psychological abuse was associated with emotional symptoms and conduct problems in children. Experiencing physical abuse was associated with conduct problems, whereas experiencing psychological abuse was associated with emotional symptoms. These associations were similar for boys and girls. These findings suggest that living in an abusive home can have harmful effects on Yemeni children.     

One Step at a Time: A Latent Transitional Analysis on Changes in Substance Use,Exposure to Violence,and HIV/AIDS Risk Behaviors among Female Offenders

The aim of this analysis is to identify latent subgroups of women based on substance use, exposure to violence, and risky sexual behaviors and quantify discrete stages of behavior change over time. Data comes from 317 women recruited from a Municipal Drug Court System in the Midwest. All participants were interviewed regarding their substance use and sexual behaviors, as well as their exposure to violence at baseline, a 4th-month follow-up, and an 8th-month follow-up. A latent transitional analysis (LTA), a longitudinal extension of a latent class analysis (LCA), was used to quantify discrete stages of behavior change. The results of our analyses revealed 4 distinct behavioral profiles in our sample: 1) women with high probabilities of risky sexual behaviors, exposure to violence, and crack/cocaine use, 2) women with a high probability of exposure to violence, and moderate sexual risk taking, 3) women characterized solely by a high probability of crack/cocaine use, 4) women with low probabilities of all factors. The proportion of women in latent statuses characterized by a high probability of crack/cocaine use did not substantially decrease over time. Women who experienced child sexual abuse, had a greater number of lifetime arrests, were older, and believed they had risky drug using behavior that needed changing at baseline were significantly more likely to be in higher-risk latent statuses. Targeted interventions tailored to crack/cocaine users, as well as a wide-spread need for trauma-informed interventions among females involved in the criminal justice system, are needed.     

The sex ratio and male-on-female intimate partner violence

Two divergent perspectives have been articulated in the literature regarding the effect that an unbalanced sex ratio is speculated to have on male-on-female intimate partner violence. Evolutionary psychology proffers that a high sex ratio (i.e., more men than women in the population) propagates competition among males for female mates. This competition for female mates is thought to engender sexual jealousy among men, which in turn results in male-on-female intimate partner violence. In contrast, the Guttentag and Secord thesis argues that a high sex ratio acts to attenuate rather than amplify male-on-female intimate partner violence because the relatively small number of women in the population makes them more highly valued and respected by men. Using data culled from the Federal Bureau of Investigation's National Incident-Based Reporting System (NIBRS) and the Census, we investigate the relationship between the sex ratio and male-on-female intimate partner violence. We define male-on-female intimate partner violence as violence occurring within a marriage or boyfriend/girlfriend type relationship. Multivariate regression results furnish evidence supporting evolutionary psychology by demonstrating that a high sex ratio increases male-on-female intimate partner violence. Results also show that male-on-female intimate partner violence is higher in cities where more women work. Such a finding further buttresses the logic associated with evolutionary psychology because participation in the workforce is theorized to afford a woman a greater opportunity to meet and interact with men other than her husband or boyfriend.     

Autonomy,Dependence or Culture: Examining the Impact of Resources and Socio-cultural Processes on Attitudes Towards Intimate Partner Violence in Ghana,Africa

Despite the high levels of domestic violence (intimate partner violence) against African women, tests of competing theories on why the practice is common in the region are quite limited. This study evaluates the effects of resources and cultural factors on attitudes Africans hold about the acceptability of gendered violence, and specifically wife beating (battering). Answers to these questions are relevant to the discourse on intimate partner violence, at least, as pertains to male-dominated societies such as those found in Africa. Drawing on national data from the Ghana Demographic and Health Survey, we explore these linkages in an African context. Our findings suggest that egalitarian decision-making and equal household contributions are associated with a reduced acceptance of abusive actions toward women. We suggest that new questions must be asked concerning the present and future role of men and women within households and the community. We share equally in the conceptualization, data analysis, and writing of the paper. We thank Drs. Nancy B. Miller and Cheryl Elman for their helpful comments on this article.     

Toward a more comprehensive understanding of violence against impoverished women

Research and knowledge of violence against impoverished women continues to be limited. To achieve a more comprehensive understanding of violence against impoverished women and therefore inform prevention and intervention efforts for this population, the authors report on recent (past 6 months) physical, sexual, and psychological violence among 898 women who were randomly sampled from temporary shelter settings (n = 460) and low-income housing (n = 438) in Los Angeles County. Women experienced notable rates of violence during the past 6 months (e.g., 23% of sheltered women and 9% of housed women reported physical violence). Perpetrators were diverse, particularly for the sheltered women, including sexual partners, family, and strangers. These findings, and others suggesting that the different types of violence are distinct and severe, may call for more comprehensive screening and intervention efforts to enhance the safety of impoverished women.     

Traumatic stress symptoms in women exposed to community and partner violence

Prior research documents increased trauma symptoms associated with exposure to violence, primarily by examining types of violence separately. This study extends prior research by examining traumatic stress symptoms associated with two types of violence exposure, community violence and partner violence. A sample of 90 low-income African American women from an urban area completed measures assessing exposure to community violence, partner violence, and trauma symptoms. Exposure to community violence and partner violence were associated with increased reporting of trauma symptoms. Participants who experienced high levels of exposure to both types of violence reported more trauma symptoms than women who were exposed to only one type of violence or neither type of violence. The results suggest that the accumulation of exposures to violence is linked with greater distress. Thus, interventions with women exposed to violence should assess violence exposure in multiple domains and attend to the implications of multiple exposures to violence.     

Establishing a Relationship Between Behavior and Cognition: Violence Against Women and Children within the Family

The goal of our study is to determine whether a person’s cognitions regarding violence against women and violence against children within the family are associated with recourse to violent behavior toward them; and (2) the extent to which an adult who has a narrow conception of violence against women also has a narrow conception of, tolerant attitudes toward, and biased attributions with regard to violence toward children. Thirty men and 32 women took part in the study. Generally speaking, respondents more easily recognized physical aggression than psychological aggression, rated it more severely, and used it more often against their children than their spouses. Further, cognitions regarding violence against women and of parental violence against children appear to be strongly associated. Our results also suggest that the conception of violence toward women is associated with violence toward children.     

An exploratory study of women arrested for intimate partner violence: violent women or violent resistance?

With the advent of mandatory and pro-arrest laws for incidents of intimate partner violence, there has been an increase in the number of women arrested for domestic violence. Several explanations are posed in the literature that attempt to explain such a rise, including the hypothesis that women are being arrested not for offensive violence but rather for defensive violence. Few studies, however, have used empirical data to support such arguments. This exploratory study examines the characteristics of women arrested for intimate personal violence. Particular attention is paid to women arrested with their partner (i.e., dual arrestees) and the contextual characteristics of dual arrestee incidents. Important differences are uncovered in the context and consequences of arrest for dual arrestees (n = 21) compared to women arrested alone as the offender (n = 49). Implications of these findings and further research directions are discussed.     

Alcohol problems and the differentiation of partner, stranger, and general violence

To explore the relationship between alcohol problems and physical violence with partners and strangers, 457 college men and 958 college women with low, intermediate, or high scores on the Short Michigan Alcohol Screening Test reported conflict tactics on the Conflict Tactics Scale in the past year to and by partners and strangers. More men than women had high alcohol problems scores. Men with alcohol problems were more likely than other men to commit violence toward strangers or to partners and strangers. However, men with alcohol problems were not more likely than other men to commit violence toward partners only. Among women, alcohol problems had little relationship to committing violence or being the victim of violence.     

Pregnancy as a Stimulus for Domestic Violence

Data collected from a domestic violence prevention and treatment program were analyzed to determine the relationship between female reproductive status and violent incidents. Both the frequency and severity of male initiated violence against women were twice as high when they were pregnant. These results are discussed in the context of an evolutionary perspective on domestic violence.     

Domestic violence and high conflict are not the same: a gendered analysis

In child custody decision-making experiences of domestic violence and high conflict are not the same. Legislative reform has not yet been guided by the parent voice to inform differentiated responses that keep women and children safe. Available literature in child custody decision-making focuses on outcome research regarding children’s adjustment and well-being. Debates about types of post-separation arrangements have yet to find agreement in three under-researched areas: (a) high conflict, (b) domestic violence; and (c) children under four. Yet, Canadian legislation supports shared parenting arrangements that privilege the dominant, powerful parent in situations of domestic violence. Based on a Canadian study that explores the parent perspectives and experiences of child custody decision-making, this paper privileges a sub-group of participants; five women, all survivors of domestic violence; defined here as both physical violence and coercive control. Data collection includes one-on-one tape-recorded interviews. Thematic analysis reveals that shared parenting is neither the goal, nor does it meet the needs of these women. The findings illuminate the importance of differentiating parent experience as distinct groups, and reinforces the notion of the state’s role in the reproduction of gendered power. Legislative reform and collaborative community practices are critical to facilitate healthy differentiated responses.     

Childhood Sexual Abuse and Intimate Partner Violence among Women in Methadone Treatment: A Direct or Mediated Relationship?

Women in substance use treatment report rates of childhood sexual abuse and intimate partner violence that far exceed those reported by women in the general population. Previous research with nonrandom samples of women in substance use treatment suggests that there is a statistically significant relationship between childhood sexual abuse and intimate partner violence; however, little is known about the mechanisms of risk between these two public health concerns among this population of women. To address this gap in knowledge and to inform intervention strategies, this study examined direct and mediated relationships between childhood sexual abuse and intimate partner violence risk among a random sample of 416 women in methadone treatment. In addition to high rates of childhood sexual abuse (57.9%), intimate partner violence (lifetime prevalence, 89.7%; 6-month prevalence, 78.4%), posttraumatic stress disorder (PTSD, 28.6%), and global psychological distress (19.5%), findings suggest that the relationship between childhood sexual abuse and intimate partner violence is mediated by mental health problems and that women experiencing PTSD or global psychological distress are 2.7 and 2.4 times more likely to experience intimate partner violence than women without such experiences, respectively. Although not a mediator in this relationship, financial independence reduced women's risk of partner violence by two-thirds. The paper includes discussion of social learning and stress and coping theories to explicate the findings and to inform intervention strategies. This study is based, in part, on the first author's dissertation. A previous version of this paper was presented at the Society for Social Work and Research Annual Conference held in January 2005 in New Orleans, Louisiana. The following grants provided funding for this study: R01DA11027 and 3T32MH014623-22S1.     

Violence against women and political conflict: The Northern Ireland experience

This essay outlines the implications for abused women and children living in a society dominated by a high level of social disruption and examines the various responses to domestic violence when it occurs in the midst of political violence. Attention is focused on whether or not there are any special problems encountered in such a situation and whether these have particular implications for women elsewhere. Using Northern Ireland as one example, the essay explores the social conditions impacting at the familial, community, and state level and assesses the extent to which these provide a pervasive and interactive system for legitimizing domestic violence.