Clinical Challenges in Addressing Intimate Partner Violence (IPV) with Pregnant and Parenting Adolescents

Intimate partner violence (IPV) has been identified as a significant issue for pregnant and parenting adolescents. This study thematically analyzed data from focus groups with service providers (n?=?43) who work with pregnant and parenting adolescents to learn about barriers and strategies for addressing IPV. Service providers described four primary barriers to addressing IPV with their adolescent clients: adolescent clients?? definitions of love, intergenerational relationship patterns, cultural norms about gender and violence, and developmental-contextual considerations. Service providers also indicated that they respond to adolescents?? IPV related concerns by taking steps to identify IPV, building working relationships, and taking appropriate follow-up action. Results suggest that providers can benefit from increased training and skill development in working with IPV, as well as working in interdisciplinary, collaborative teams to increase effectiveness with challenging cases. Programs should consider integrating IPV prevention initiatives that target broader social norms. Future research should pilot and test the effectiveness of targeted IPV training and programmatic interventions with service providers who work with this population.     

Informing Police Response to Intimate Partner Violence: Predictors of Perceived Usefulness of Risk Assessment Screening

Substantial research has demonstrated the value of using risk assessment tools for the prediction and management of violence risk, including for intimate partner violence (IPV) (Mills, Kroner, and Morgan 2011). Such tools have been advocated for use by police officers (Hilton, Grant, and Rice 2010), but little is known about police officers’ perceptions of using these tools to inform their decision-making. Using a sample of 159 Canadian police officers (73% male, M age =?41.8 years, SD?=?8.9), the current study examined police officer’s experiences with IPV risk tools, their attitudes about using such tools, and identified predictors of these attitudes using an online survey. Most of this sample had previously used an IPV risk tool, which was most commonly the Brief Spousal Assault Form for the Evaluation of Risk (64.1%). Most police officers rated use of risk tools as at least somewhat to extremely helpful (73.5%), and 67.4% indicated that they would use a risk tool with sufficient training on it. Regression analyses indicated that police officers’ perceived IPV risk tool usefulness was significantly predicted by older respondent age and greater perceived need for guidance in responding to IPV calls. In conclusion, most police officers view IPV risk screening as valuable for informing their responses to such calls for service and are likely to embrace such decision-aids with sufficient training on their potential impact for enhancing safety.     

Reducing Intimate Partner Violence Among Latinas Through the Moms’ Empowerment Program: an Efficacy Trial

Although intimate partner violence (IPV) is a particularly prevalent public health concern among Latina populations, the evidence-based treatment options for Latinas who experience IPV are limited. The present study tested the efficacy of the Moms’ Empowerment Program (MEP), an intervention for Spanish-speaking Latina mothers who had recently experienced IPV. Participants (N?=?95) were assigned to a Treatment (n?=?55) or a waitlist Control (n?=?40) condition, and those in the Treatment group completed a 10-week intervention designed to address the problems associated with IPV. Intent-to-treat analyses using multiple regression revealed that Latinas’ participation in the MEP was associated with reductions in IPV exposure. These findings provide preliminary evidence that the MEP may reduce exposure to physical violence among Spanish-speaking Latinas.     

Gender Differences in the Connections Between Violence Experienced as a Child and Perpetration of Intimate Partner Violence in Young Adulthood

This paper uses longitudinal and nationally representative survey data to investigate the direct relationship between three forms of child maltreatment (neglect, physical abuse, and sexual abuse), and future intimate partner violence (IPV) perpetration in the USA. We further examine the indirect effect that child maltreatment has on future IPV perpetration through the presence of youth violence perpetration, and the roles of socioeconomic factors on committing youth violence and IPV. Analyses indicate that gender differences exist for the developmental relationship between child maltreatment and young adult IPV perpetration, and the effects of socioeconomic factors on youth violence and IPV perpetration. For males, the direct effects of being neglected/physically abused as a child on IPV perpetration are not significant. However, the indirect effects of being neglected/physically abused on IPV perpetration through the presence of youth violence perpetration are significant. For females, the direct effects of being neglected/physically abused on IPV perpetration are significant. The indirect effect of being neglected on IPV perpetration is significant, while the indirect effect of childhood physical abuse is not significant. Childhood sexual abuse is not significantly directly associated with IPV perpetration for females; however, for males, it is the strongest (i.e., largest effect size) direct predictor of IPV perpetration. The indirect effects of childhood sexual abuse on IPV perpetration are not significant for both females and males.

An Innovative Program for Justice-Involved Partner Violence Victims: “No Man is Worth Me Getting Locked Up”

Violence victims who are the primary caregivers for their children sometimes become justice-involved through efforts to protect and defend against intimate partner violence (IPV). Judges often mandate these victims to community-based services, although little is known about these services. Given increasing numbers of such victims, two human service agencies collaborated to create a program for female IPV victims who were their children’s primary caregivers and who were mandated to services for violence against a male partner. Our research team conducted a feasibility study of the program using an exploratory qualitative study design to collect data from program participants (n?=?18) and providers (n?=?7). Analyses determined three key findings: (a) the importance of a welcoming, comfortable environment; (b) the value of certain aspects of the program content; and (c) the importance of support from like others for participant improvement. These findings point to indispensable program elements. Implications for other communities and providers serving justice-involved IPV victims who are also primary caregivers are described.     

IPV Stigma and its Social Management: The Roles of Relationship-Type,Abuse-Type,and Victims’ Sex

Victims of intimate partner violence (IPV) often encounter negative societal reactions to their abuse. A quantitative self-report study examined the existence of these potential identity-threats to former IPV victims (N?=?345, n?=?106 males, n?=?239 females). Biological sex, abuse type (i.e., psychological, physical) and severity, and IPV relationship type (i.e., situational couple violence, intimate terrorism) were each modeled as predictors of IPV stigma and its social management strategies. Results indicated differences in how IPV stigma was experienced and communicatively managed by diverse victims. Findings, interpreted through an applied lens for IPV practitioners and victims, also add nuance to existing theories of IPV, interpersonal communication, and social stigma.     

Personality Disorder Symptoms in Women as a Result of Chronic Intimate Male Partner Violence

This study explores the personality disorder symptoms of women victims of intimate male partner violence (IPV), after controlling for the contribution of experiences of childhood abuse. Victims of both physical and psychological violence (n = 73) or psychological violence alone (n = 53) were compared with non-abused control women (n = 52). Information about sociodemographic characteristics, childhood abuse, and personality characteristics (MCMI-II) was obtained through face-to-face structured interviews. Women victims of IPV had higher scores than controls in schizoid, avoidant, self-defeating personality scales, as well as in the three pathological personality scales (schizotypal, borderline and paranoid). Both physical and psychological IPV were strongly associated with personality disorder symptomatology, regardless of the effects of childhood abuse. These findings underscore the need to screen for personality disorder symptoms in women victims of IPV when dealing with therapeutic interventions.     

Intimate Partner Violence in Cohabiting Families: Reports by Multiple Informants and Associations with Adolescent Outcomes

Intimate partner violence (IPV) is common, particularly in families with children. Observing such verbal and physical aggression has consistently been linked to unfavorable outcomes for affected children. Although cohabiting families are becoming increasingly prevalent and preliminary data suggest that rates of IPV may be high in these families, little is currently known about IPV and its impact as experienced by adolescents living in cohabiting families. This study used data from low-income urban Black cohabiting families (N = 92) to (1) examine agreement of reports of verbal and physical IPV between the adolescent and the mother and between the adolescent and the male cohabiting partner (MCP) and (2) test associations between IPV and youth mental health. A higher percentage of adolescents reported the occurrence of IPV, particularly physical violence, than did mothers and MCPs. Relative to those living in minimally violent or verbally violent homes, adolescents living in verbally and physically violent homes reported higher rates of internalizing and externalizing problem behaviors. These youth also reported higher levels of self-blame for the conflict and a worse relationship with the MCP but not the mother.     

A Feasibility Pilot Intervention Program to Teach Parenting Skills to Mothers of Poly-Victimized Children

The Parceria (Partnership) Project is a Brazilian intervention program designed for mothers with an intimate partner violence (IPV) history. Its short term goal is to teach parenting skills to abused women, and in the long term, to prevent behavioral problems in their children. The objective of this pilot study was to evaluate the feasibility of the Parceria Project with mothers of children who had experienced multiple forms of maltreatment (poly-victimization), as it was expected that most of the mothers would also have a history of IPV. Seventeen Brazilian mothers took part in this intervention. They completed several types of evaluation. The intervention program using a cognitive-behavioral model took place in each family’s home. All mothers completed the intervention and evaluated the project positively. The study showed that it is feasible to conduct interventions with families who face severe psychosocial risk such as family violence.     

Intimate Partner Violence Perpetration from Adolescence to Young Adulthood: Trajectories and the Role of Familial Factors

Prior empirical research on intimate partner violence (IPV) in adolescence and young adulthood often focuses on exposure to violence in the family-of-origin using retrospective and cross-sectional data. Yet individuals’ families matter beyond simply the presence or absence of abuse, and these effects may vary across time. To address these issues, the present study employed five waves of longitudinal data from the Toledo Adolescent Relationships Study (TARS) to investigate the trajectory of IPV from adolescence to young adulthood (N = 950 respondents, 4,750 person-periods) with a specific focus on how familial factors continue to matter across the life course. Results indicated that family-of-origin violence and parent-child relationship quality were independent predictors of IPV. The effect of parent-child relationship quality on IPV also became greater as individuals aged. These results have implications for policies targeted at reducing IPV.     

Relationship Between Intimate Partner Violence, Depressive Symptomatology, and Personality Traits

The aim of this study was to examine the relationship between intimate partner violence (IPV) and personality disorder symptoms controlling for depressive state. Victims of IPV (n?=?176) and non-abused women (n?=?193) completed the Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ), Index of Spouse Abuse (ISA), and Beck Depression Inventory-II (BDI-II). IPV victims scored higher than non-abused women on Intimacy Problems, and scored lower on Rejection traits, after adjustment for depressive symptoms. Severity of the IPV was related to Cognitive Distortion, Suspiciousness, Restricted Expression, and Intimacy Problems, and the length of the IPV was negatively associated with Rejection. The current study suggests only modest differences in personality traits between IPV and non-abused women. The DAPP-BQ traits associated with severity of IPV, in a dose-response manner, would partially reflect the symptoms of complex post-traumatic stress disorder (CPTSD), although this possibility deserves further study.     

“Strength at Home” Group Intervention for Military Populations Engaging in Intimate Partner Violence: Pilot Findings

In this brief report, we present information on the Strength at Home intervention to treat male active duty or military veteran perpetrators of intimate partner violence (IPV) as well as preliminary pilot study findings. Strength at Home is a 12-session cognitive-behavioral group intervention developed by the authors that is based on a social information processing model of IPV perpetration. Six men referred to two intervention groups and five collateral female partners participated in this pilot study. Findings indicated large reductions for most indices of physical and psychological IPV from pre-treatment to 6-month follow-up. These initial results are promising though the small sample size and other study limitations preclude our ability to draw firm conclusions.     

Seeking for risk factors of Intimate Partner Violence (IPV) in a Greek national sample: the role of self-esteem

The objective of this article is to gain a better understanding of the magnitude of intimate partner violence (IPV) in Greece and to explore factors associated with increased risk of IPV prevalence. A cross-sectional study was undertaken among 1,122 men and women, aged 18 to 65, who are residents of urban areas of Greece. The questionnaire used included 3 sections and 39 items that examined the sociodemographic characteristics of the participants, rate of IPV victimization and perpetration (physical, sexual, emotional), childhood experience of violence, and level of self-esteem. Statistical analysis showed self-esteem to be significantly associated with physical violence victimization and perpetration (odds ratio [OR] = .975, confidence interval [CI] = .955-.996; OR = .972, CI = .951-.993, respectively), whereas experience of abuse during childhood was shown to be a strong predictor in all six models of IPV victimization and perpetration (p < .001). Finally, gender, age and years of cohabitation were some sociodemographic and background characteristics found to increase the risk of specific forms of IPV. Conclusions drawn from the current study should be taken into account in attempts aiming at preventing or ameliorating the problem.     

Behavioral and Attitudinal Factors Differentiating Male Intimate Partner Violence Perpetrators With and Without a History of Childhood Family Violence

This study utilized a sample of men (N?=?340) charged with assault against a female partner to assess differences among IPV perpetrators with and without a history of childhood family violence on factors such as angry, controlling and violent behaviors, substance use related behaviors, and attitudes towards women. Over two-thirds of the sample reported childhood exposure to maltreatment or witnessing IPV. Chi-square analyses and t-tests indicated significant differences between perpetrators with and without a history of family violence on eight of eleven measures. Findings suggest perpetrators with a family violence history more strongly endorse ideas that present women and feminine attributes in a negative light. This research demonstrates that while exposure to family violence during childhood is not necessary for IPV to occur, its presence may be a marker for more severe attitudinal and behavioral problems. Findings highlight the need for primary prevention efforts and can inform secondary prevention strategies.     

Does Level of Intimate Partner Violence and Abuse Predict the Content of Family Mediation Agreements?

This study investigated whether reported levels of intimate partner violence (IPV) and/or abuse (IPV/A) victimization are related to reaching agreement and to the content of mediation agreements of parties seeking to resolve family‐ and child‐related issues. Whether or not parties reached agreement was analyzed for 105 cases at a law school mediation clinic. Agreement content was coded for the 71 cases that reached agreement. Levels of IPV and IPV/A were determined separately for males and females, using a standardized measure. Regression models were utilized to examine reports of IPV or IPV/A as predictors. Results indicated that mediation may help families with a reported history of IPV and IPV/A address a variety of concerns; levels of partner violence/abuse predicted numerous issues in mediation agreements, including arrangements regarding legal custody, parenting time, holidays, child exchanges, interparental communication, safety restrictions, counseling referrals, child support, financial arrangements, and other miscellaneous topics (e.g., relocation). However, some findings were consistent with concerns raised about the use of mediation with parties reporting IPV and IPV/A; for example, increasing levels of male‐perpetrated IPV/A predicted increased likelihood of making an agreement to share legal custody. Further research is needed to resolve the longstanding debate of whether divorce mediation is an effective and safe process for parties demonstrating IPV/A.

Key Points for the Family Court Community
• This study adds to the debate of whether divorce mediation is an effective and safe process for parties demonstrating IPV/A.
• It examines whether reported levels of IPV and IPV/A victimization are related to reaching agreement and to the content of mediation agreements of parties seeking to resolve family‐ and child‐related issues.
• Results provide some evidence that mediation may help families with a reported history of IPV and IPV/A address a variety of concerns.
• However, some findings are consistent with concerns raised about the use of mediation with parties reporting IPV and IPV/A.
• Findings have implications for the practice of family mediation with parties reporting a history of IPV or IPV/A.

     

How the Indashyikirwa Intimate Partner Violence Prevention Programme in Rwanda Influenced Parenting and Violence against Children

There is increasing interest in working at the intersections of intimate partner violence (IPV) and violence against children (VAC), especially in the family, yet few programmatic strategies exist or have been evaluated to assess the combined impact of strategies on both types of violence. This paper addresses this gap by exploring the influence that Indashyikirwa—a programme designed to reduce IPV in Rwanda— had on VAC in the families of couples participating in the programme. Indashyikirwa included a 21-session couples’ curriculum, safe spaces for IPV survivors, and community activism against violence. In addition to reductions in IPV, a randomized control trial found significant reductions in parent’s reports of children witnessing IPV, parents’ attitudes condoning harsh physical punishment of children, and parents’ use of corporal punishment as discipline. This paper uses qualitative data to better understand how and why the couples’ curriculum influenced parenting and VAC. Twenty-eight participants (fourteen male-female couples) were individually interviewed at three time points, once before and twice after the couples’ curriculum implementation. Six men and six women who completed the curriculum and subsequently carried out activism were also interviewed at two time points. The data were analyzed thematically. Pathways motivating couples’ attitude and behavior changes towards children included reflecting on the consequences of IPV for children and appreciating the benefits for children of non-violent, gender equitable households. This analysis suggests that working with co-habiting couples presents a viable strategy for working to prevent IPV, VAC and promote more gender equitable family dynamics.

     

Intimate Partner Violence in the Occupied Palestinian Territory: Prevalence and Risk Factors

This paper presents results from a nationally representative cross-sectional survey of married women (N?=?3,500) in the West Bank and Gaza Strip. Interviews assessed the 12-month prevalence of participants’ exposure to psychological, physical, and sexual intimate partner violence (IPV) and risk factors including: demographic characteristics, several factors of marital relations, stressful life events, political violence, status inconsistency, family size, locality, region, help resources in the community, and locality-level acceptance of wife abuse. The prevalence estimates of IPV were: psychological aggression, 50 % minor and 12 % severe; physical assault, 17 % minor and 6 % severe; and sexual coercion, 4 % minor and 6 % severe. Results revealed that stressful life events, husbands’ controlling behavior, and marital conflicts were related to all forms of IPV (all p-values?<?0.05). Greater locality-level acceptance of wife abuse was statistically associated with greater odds of each type of violence except sexual violence. The limitations and implications of the study for future research are discussed.     

Child Adjustment after Parental Separation: Variations by Gender,Age, and Maternal Experiences of Violence during Marriage

This study examined variations in children’s post-separation adjustment based on child characteristics (gender and age) and maternal experiences of intimate partner violence (IPV) during marriage. Mothers (N?=?147) recruited within 12 weeks of a divorce filing took part in two interviews three months apart. They reported on marital IPV at Time 1, and their children’s (47% female; ages 3–17) adjustment 3 months later at Time 2. Four aspects of child adjustment were assessed using a standardized measure (hyperactivity, emotional symptoms, conduct problems, peer problems). Mothers were classified as having experienced coercive controlling violence (CCV; 23.8%), situational couple violence (SCV; 27.9%), or no violence (48.3%) during marriage. Gender differences were found on one of the four child adjustment indicators: boys had higher levels of hyperactivity than girls. Among boys but not girls, hyperactivity scores varied based on age and IPV type. Implications for practitioners and researchers are discussed.

     

Intimate partner violence and HIV/STD risk among lesbian, gay, bisexual, and transgender individuals

To date, there has been little research examining HIV/STD risk among lesbian, gay, bisexual, and transgender (LGBT) individuals who are in abusive relationships. This article uses data collected from a community-based organization that provides counseling for LGBT victims of intimate partner violence (IPV). A total of 58 clients completed the survey, which inquired as to sexual violence and difficulties negotiating safer sex with their abusive partners. A large percentage of participants reported being forced by their partners to have sex (41%). Many stated that they felt unsafe to ask their abusive partners to use safer sex protection or that they feared their partners' response to safer sex (28%). In addition, many participants experienced sexual (19%), physical (21%), and/or verbal abuse (32%) as a direct consequence of asking their partner to use safer sex protection. Training counselors on issues of sexuality and safer sex will benefit victims of IPV.     

Intimate partner violence victimization and household financial strain

Most scholars agree that low socio-economic status is associated with an elevated risk for violent victimization as well as offending. Nevertheless, it has been suggested that certain forms of violence—particularly intimate partner violence (IPV)—are more equally distributed in the population, not concentrating on the lower social strata as strongly as other forms of violence. In this paper, we examine the association between financial strain, measured on the household level, and two different types of victimization: IPV and violence committed by a person unknown to the victim. The analysis is based on the 2013 sweep of Finnish National Crime Victim Survey (n = 6,999), a nationally representative survey incorporating a mix of postal and web-based survey methodology. Multivariate analyses indicate that the risk for both kinds of victimization is highest among those who report financial difficulties. Moreover, the association between IPV and financial strain appears stronger when less serious violent incidences are excluded from the analysis.