Assessing the Effect of Batterer Program Completion on Reassault: An Instrumental Variables Analysis

The main objective of this paper is to investigate the utility of using the instrumental variables (IV) method to estimate batterer program efficacy, i.e., the program effect among batterers who complete batterer programs. This method takes account of possible confounding due to unmeasured traits of compliers and non-compliers. A structural model is used to estimate the impact of program completion on reassault using instrumental variables (IV) regression. Data on 640 batterers enrolled at three batterer programs are used. Results obtained from IV regression are compared with those obtained from a more traditional regression analysis. The results indicate that usual regression methods yield estimates of program effect that may be biased due to confounding by unmeasured batterer characteristics. Unfortunately, IV estimates may be unreliable due to failure of some of the assumptions on which they are based. If equations are adequately identified by the non-linear functional form used to estimate them, then IV results indicate that among a very select group of batterers, program completion significantly reduces the probability of reassault. The implications of confounding due to program non-compliance, program non-enrollment and attrition for future evaluations of batterer programs 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.     

Assessing the effect of batterer program completion on reassault using propensity scores

Recent experimental evaluations have suggested little or no effect of batterer programs on reassault but are compromised by methodological and analytical issues. This study assesses program effect using propensity score analysis with a quasi-experimental sample in an attempt to address these issues. The sample consisted of 633 batterers and their partners from three geographically dispersed batterer programs and a 15-month follow-up with their female partners. Subclassification on propensity scores was used to balance program completers and program dropouts. The propensity score was estimated as the probability of completing the batterer program conditional on observable characteristics. Direct adjustment indicates that program completion reduced the probability of reassault during the 15-month follow-up by 33% for the full sample, and by nearly 50% for the court-ordered men.     

Exploring the Effect of Arrest Across a Domestic Batterer Typology

While arrest is a common intervention utilized in intimate partner violence, it is not known if this strategy affects all types of offenders equally. The present study used data from three of the Spousal Assault Replication Program (SARP) studies to examine the deterrent effect of arrest on four different batterer subtypes (those identified by Holtzworth‐Munroe and Stuart, 1994) among a sample of 2,412 heterosexual male batterers. The results indicated that arrest increased the recidivism of IPV for two of the batterer subtypes (generally violent/antisocial and low‐level antisocial subtypes), suggesting the need for pre‐trial protection of victims.     

Taking Action to Stop Violence: A Study on Readiness to Change Among Male Batterers

The Transtheoretical Model of Change (TTM) predicts that matching interventions with a person’s readiness to change should improve treatment outcomes. This cross-sectional correlational study examined characteristics that affected self-reported readiness to change abusive behavior among a sample of 109 men in a 52-week batterer treatment program. Participants completed measures of anger/hostility, readiness to change, manipulative parenting, and self-esteem. Results indicated that contemplation of the impact of abuse has the highest unique relationship with self-reported taking action to stop violence. Moreover, physical aggression and manipulative parenting account for significant variance in the scores associated with self-reported taking action to stop violence as well. These findings suggest that interventions aimed at moving clients into contemplation, and reducing physical aggression and manipulative parenting styles, may increase the likelihood that batterers will take action to stop violence.     

MCMI-III Results for Batterer Program Participants in Four Cities: Less “Pathological” Than Expected

Previous research using diagnostic inventories describe the extent and nature of psychopathology among batterers. MCMI-III scores from batterers in a multisite program evaluation (n = 840) were used to replicate this previous research. As in previous batterer research using the MCMI-I and MCMI-II, the MCMI-III results suggest a complex diversity of psychological problems that does not readily conform to previous profiles. However, less than half of the men had scores suggesting a personality disorder (BR scores 85), as opposed to 80% in a previous batterer study using the MCMI-II. Only one quarter of the men (25%) show evidence of a severe mental disorder. Narcissistic or antisocial tendencies were evident in 39% of our batterer sample, reflecting the sense of entitlement often attributed to batterers. Voluntary, as opposed to court-referred men, were more likely to have depressive and dependent tendencies and evidence of severe disorders. Our multisite sample appears to be less pathological than previous batterer samples and samples of psychiatric or drug outpatients.     

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.

Personality Traits are Related to Intimate Partner Violence Among Securely Attached Individuals

The general assumption has been that male batterers from clinical samples were mostly insecurely attached as compared to non-batterers. Recently, a large group was found (39.4 % of batterers in a clinical sample) whose main attachment style was secure. No previous studies have examined specifically the securely attached batterer. The aim of the present study was to test whether antisocial personality disorder (ASPD) and narcissistic personality disorder (NPD), but not borderline personality disorder (BPD), traits may be related to battering among securely attached individuals. Twenty-seven securely attached batterers, 45 insecurely attached batterers, 40 securely attached controls, and 22 insecurely attached controls who lived in the Netherlands, filled in self-report measures of personality disorder traits (i.e., antisocial, narcissism, borderline) and attachment (i.e., avoidant and anxious). Results showed that ASPD traits explained 19 % of the variance of battering in securely attached individuals. NPD and BPD traits are related to battering among securely attached individuals when NPD and BPD traits were entered alone in the equation.     

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.     

Extent and characteristics of woman batterers among federal inmates

Efforts to identify men who batter women in clinical settings have increased in recent years, but batterer research in United States federal prisons is lacking; low security federal prisons are logical places to consider batterer screening and treatment given the number of men, the domestic violence "risk markers" associated with these men and the likelihood they will be released and return to female partners. This study examined intake assessment data for 115 low security federal inmates. The inmates evidenced high levels of risk markers for woman battering, one in three (33%) acknowledged recent physical violence against women partners, 1 in 10 (13%) admitted severe violence, and the self-identified batterers showed more substance use and personality problems than other inmates. The findings suggest that batterer screening and treatment may be needed in federal prisons and that more research is warranted with a burgeoning male population that ultimately returns to society.     

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.     

Evaluating programs for men who batter: Problems and prospects

The uncertainty and controversy that surround batterer programs beg more systematic evaluation of program effectiveness. The current national surveys and limited evaluations of batterer programs point to several methodological improvements that include comparisons of program modalities, observation study of the group interaction, and more sensitive measures of abuse. Therefore, suggestions for future evaluations are posed, and continuing problematic areas, such as access to the victim, sensitized responses, selectivity of clients, and community context, are discussed.     

Outcomes of Case Management for African-American Men in Batterer Counseling

Case management for additional referrals has been recommended especially for African-American men in batterer counseling programs. Additional services addressing “at risk” needs may help to improve batterer program outcomes. To test this expectation, a quasi-experimental evaluation of a case management project was conducted for both “intention-to-treat” and “received-treatment.” The case management included brief assessment at batterer program intake, referral to relevant services, and follow-up calls from batterer program staff. Re-assault and re-arrests during a 12-month follow-up, along with program dropout from the 16 required sessions of the batterer program, were compared for 202 African-American program participants under case management and a sample of 482 African-American participants previously in the batterer program. In both bivariate and confirmatory multivariate analyses, neither the case management nor actual service contact significantly improved outcomes. However, the small portion of men contacting drug and alcohol treatment did tend toward better program outcomes. Poor implementation of the case management procedures may have contributed to the overall weak effects.     

Consistency and Accuracy of Batterer Typology Identification

Researchers in the field of domestic violence have derived “typologies” to better conceptualize the differences found among batterers (e.g., Holtzworth-Monroe and Stuart [1994]. Psychol. Bull. 116: 476–497). Efforts have since been made to evaluate clinicians' accuracy in classifying batterers into subtypes (Langhinrichsen-Rohling, Huss, and Ramsey [2000]. J. Fam. Violence 15: 37–53). The present study investigated the accuracy and consistency with which experienced clinicians could sort profiles into an empirically derived MCMI-based batterer typology (Hamberger, Lohr, Bonge, and Tolin [1996] Violence Vict. 11: 277–292). Seven PhD level psychologists with experience in the field of domestic violence were asked to sort 36 MCMI profiles into three piles. Each pile was represented by each of the three prototypical cluster types described in Hamberger et al. (1996) using the Basic 8 MCMI subscales. Overall, expert raters were able to sort most profiles into the three clusters accurately. However, the expert raters had the most difficulty correctly sorting some of the “nonpathological” profiles, as 40% were placed into the antisocial cluster and (6%) were sorted into the negativistic-dependent cluster. There are a number of possible explanations for the lower accuracy in sorting the nonpathological cluster. Results suggest that psychologists with domestic violence training can accurately sort MCMI profiles of batterers into the main three subtypes derived from empirically-based typology research. Clinical implications for typology assessment are discussed.     

How shelter counselors' views about responsibility for wife abuse relate to services they provide to battered women

A survey of shelter counselors found their views of responsibility for wife abuse were significantly related to their: (a) support of a battered woman's decision to remain married, and (b) belief that battering husbands can stop being abusive. Counselors who viewed the husband and wife as equally responsible for wife abuse were the most supportive of a woman's decision to remain married and were most likely to believe that batterers are able to stop being abusive. Counselors who viewed the batterer as completely responsible for wife abuse were more likely to encourage battered women who want to remain married to end their marriage, and believe batterers are unable to stop being abusive.     

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.     

Collateral Damage: An Analysis of the Achievements and Unintended Consequences of Batterer Intervention Programs and Discourse

This paper reviews and critiques two prevailing program models for batterer intervention in order to highlight both their valuable achievements and attendant costs and consequences. We analyze these batterer intervention program models at 3 levels. First, we describe the historical development and basic program components of the intervention models. Second, we trace differences in the models to their grounding in different psychological assumptions and theories about behavior change, masculinity, and violence. Third, differences between the models are mapped onto contrasting approaches to the regulation of human deviance in the criminal justice and mental health systems. Based on this analysis, we conclude that further attention to structural and contextual factors, such as class, race, economic stress, and substance abuse in explanations of domestic violence is needed, together with alternative approaches to collaboration between victim advocates and batterer intervention providers.     

Attachment, Emotional Regulation, and the Function of Marital Violence: Differences Between Secure, Preoccupied, and Dismissing Violent and Nonviolent Husbands

The purpose of this study was to investigate behavioral differences among nonviolent, unhappily married husbands and violent husbands with different attachment classifications on the Adult Attachment Interview (AAI; Main and Goldwyn, 1994). Twenty-three Domestically Violent (DV) husbands and 13 maritally distressed but non-violent (DNV) husbands were interviewed using the AAI. Violent husbands (74%) were more likely than the distressed/nonviolent husbands (38%) to be classified into one of the insecure categories on the AAI. As predicted, during laboratory arguments with their wives, dismissing husbands were the most controlling and distancing, and preoccupied husbands the least distancing, during marital interactions. Secure husbands were significantly more defensive than the two insecure types. Sequential analyses of reports of violent arguments at home revealed different patterns among different types of batterers. For the preoccupied batterers only, wife withdrawal was a significant predictor of husband violence. For the dismissing batterer only, wife defensiveness was a significant precursor to husband violence. It is theorized that preoccupied batterers' violence and emotional abuse is related to expressive violence in response to abandonment fears; whereas dismissing batterers use instrumental violence to assert their authority and to control their wives. The overlap between this and other typologies of violent men is explored.Deceased     

Personality correlates of men who abuse their partners: A cross-validation study

The present study was designed to replicate a previous investigation of personality profiles of men who abused their partners. The initial study found personality profiles reflecting general categories related to schizoidal /borderline, narcissistic/anti-social, and dependent/compulsive personality disorders. Cross-validation revealed a nearly identical replication of the initial findings. Further, as with the initial study, only about 12% of the subjects in the present effort showed no discernable psychopathology. It was concluded that (1) there is no unitary “batterer profile”, (2) the vast majority of batterers examined evidenced personality disordered profiles, and (3) personality and psychopathological processes must be considered as part of the constellation of psychosocial factors related to spouse abuse.