20 years of research into violence and trauma: past and future developments

This reflection on major developments in the past, present, and future of the wider field of violence and trauma is a personal (and probably biased) sampling of what the authors hold to be important. The authors reviewed advances for victims and perpetrators of violence separately. For victims, the authors note that empirical research has established the potential traumatic impact of violence as well as various predictors of what makes persons vulnerable to adverse psychological consequences. The authors also note that the definitions of violence and trauma have evolved to include such behavioral patterns as stalking. Finally, encouraging evidence regarding the efficacy of exposure-based treatments for victims of violence is reviewed, as well as discouraging evidence regarding the efficacy of single-session debriefing following trauma. For the perpetrators, the importance of individual assessment in planning interventions is underscored, and advances in explicit and implicit assessment techniques are discussed.     

Violence and trauma: the past 20 and next 10 years

The issues of violence and trauma over the past 20 years have generated a significant amount of research. However, the development of each field has remained, for the most part, exclusive from the other. Therefore, the goal of this article is to address this shortcoming within the literature by responding to three important questions: (a) What is the most important thing we have learned about violence and trauma in the past 20 years? (b) What is the most important thing we need to learn in the next 10 years? and (c) What is the most promising methodological innovation in the past 20 years for the study or treatment of trauma or interpersonal violence? This article concludes that by increasing the discourse between the two fields, both research fields may be better able to develop conceptually, methodologically, and empirically.     

Reflections on 20 years of research on violence and trauma

This article is part of a special issue reflecting on what people have learned about violence and trauma over the past 20 years and where we need to go in the next 10 years. The author emphasizes the importance of learning to communicate in order to form effective community partnerships. Evidence-based research is noted as a methodological innovation for policy research. Looking to the future, the author suggests that it will be important for crime prevention researchers to not just rely on Internet-based library searches so that they may avoid problems of innumeracy and ahistoricism.     

Lessons learned from the last twenty years of sexual violence research

The present article attempts to answer important questions about the most important thing learned from the past 20 years of research on sexual violence, the most important thing to be learned about sexual violence over the next 10 years, and the most promising methodological innovation in the study of sexual violence from the last 20 years. It is hoped that discussion of such important questions might further stimulate researchers and mental health professionals to continue making progress in our understanding of, as well as the struggle against, sexual violence.     

The past and the future of violence against women

The most important thing we have learned about violence against women over the past 20 years is that violence is gendered and learned and can only be understood in the context of gender inequality. Most violence is male, and although some violence is done by females, it is far from equal and often done for very different reasons. Among other major findings is that children from violent households tend to grow up to be problematic, which means that a major method of curbing juvenile delinquency in 10 years is to stop violence against women today.     

Reflections on partner violence: 20 years of research and beyond

The authors reflect on past research and technology as well as their hopes for future innovations within the field of intimate partner violence. They review work that has contributed to current conceptual definitions of partner violence, particularly those that have shaped the field's broadened perspective. They discuss technological and measurement innovations that have contributed to more accurate assessments of violence prevalence. The authors believe that via these technologies, the true extent of violence within the home has been made known. In conclusion, the authors argue that to reduce violence between partners, there is an overwhelming need for future researchers to build on past data, develop improved theories, and apply those ideas to prevention and intervention techniques and programs. Furthermore, they believe that it is imperative for current and future programs to be extensively evaluated and tested for their effectiveness.     

Preventing violence and trauma in the next generation

Research in recent times has clearly demonstrated that violence is predictable and preventable; however, the primary prevention of abusive and violent behavior will not occur without personal, interpersonal, and social change. This article reviews the empirical research supporting hypotheses for primary prevention of many risks associated with children becoming abusive.     

The relationship between trauma and violence in a jail inmate sample

Research suggests there is a link between trauma and violence, although the nature of the relationship is rather equivocal. This study explored this relationship by examining self-reported trauma as a predictor of self-reported violence in 93 jail inmates. Ninety-six percent of the sample reported experiencing a traumatic event, and 67% reported having been violent during the year preceding incarceration. Inmates reporting trauma were more than twice as likely to report having been violent than nonviolent. Stepwise multiple regression analyses suggested traumatic events, as a combined model, significantly contributed to violence perpetration. In addition, witnessing serious violence predicted perpetration of violence. Implications and limitations of the present study are discussed.     

Advances in violence and trauma: toward comprehensive ecological models

The most important things learned about violence and trauma in the past 20 years are that interpersonal violence is prevalent, with different forms co-occurring, and that victims' reactions are complex. Researchers are called to consider models that include the ecological context within which victims experience violence and trauma to gain a better understanding of the variation seen in psychological outcomes. Multivariate data-analytic techniques such as structural equation modeling and cluster analysis are suggested as promising ways to explore questions framed by comprehensive models. These recommendations are predicted to provide comprehensive and individualized ways to intervene and prevent interpersonal violence.     

Twenty years of progress in the study of trauma

In this article, the authors argue that studies investigating the nature of traumatic memory have made the greatest contribution to trauma research in the past 20 years. Neuroimaging studies provide empirical support for the diagnosis of posttraumatic stress disorder and have important implications for the treatment of trauma survivors. In the future, the authors hope to see an empirically derived model of trauma that incorporates both mediating and moderating factors to predict outcome.     

Violent marriages: Gender differences in levels of current violence and past abuse

Military couples mandated for marital violence treatment (n=199) self-reported pretreatment levels of marital violence. This sample is unique in that data from both partners in severely violent marriages were available. Spouses were interviewed conjointly about past and current marital violence, childhood victimization, type of parental violence witnessed, and subjective impressions of childhood emotional and/or physical abuse. Results suggest that in the majority of these couples both husbands and wives reported engaging in acts of current marital violence (83%). However, significant gender differences were found such that husbands were more likely to use severely violent tactics, less likely to receive a marital violence injury, and less likely to report being afraid during the last incident of marital violence than wives. Surprisingly, wives were more likely than husbands to blame themselves for the first incidence of violence in the marriage. Husbands and wives did not differ in the prevalence of witnessing parental aggression, but wives were more likely than husbands to report being beaten as children and to perceive themselves as abused. For both genders, victimization from mother predicted marital perpetration, whereas victimization from father predicted marital victimization.     

Advances and future directions in the study of children's neurobiological responses to trauma and violence exposure

One of the most exciting developments to emerge from the field in the past 20 years is the increasing attention to neurobiological responses to violence and trauma exposure. Although researchers have yet to identify a consensual pattern of neurobiological response to violence and trauma exposure, it does appear that some type of alteration in the hypothalamic pituitary adrenal (HPA) axis is likely. This article briefly reviews the multiple moderating factors that help account for the divergent patterns in HPA function as well as methodological advances that will continue to improve the assessment of HPA function in youth exposed to violence and trauma.     

"It's the little things": women, trauma, and strategies for healing

Women recover and heal from traumatic violent experiences in many different ways. This study, which is part of the Franklin County Women and Violence Project, explores the healing experiences of 18 women who have histories of violence, substance abuse, and involvement in the mental health and/or substance abuse treatment system. Ethnographic interviews suggest that while professional intervention can be beneficial, it may not be adequate. In fact, it can be retruamatizing. The means of service delivery and treatment by individuals, service providers and others, may be more important than the actual service. Often women find that caring individuals and a safe environment yield the greatest benefit. It is not so much what people do to help, but how they do it.     

Participation in prevention programs for dating violence: beliefs about relationship violence and intention to participate

This study utilizes the Health Belief Model (HBM) to examine the factors related to the intention to participate in prevention programming for dating violence. Perceptions of susceptibility to future violence and the benefits of prevention programming appear to be the strongest predictors of participation in prevention programs. Perceptions of the severity of dating violence do not appear to be related to intentions to participate. There were no differences in intention between those reporting psychological or physical violence in their dating relationship, although some of the HBM factors were associated with a history of violence. Contrary to hypotheses, psychological and physical violence did not moderate the impact of the HBM factors on intention. Implications of these findings are discussed and recommendations for recruiting participants for primary and secondary prevention programs are offered.     

Possibilities of the positive following violence and trauma: informing the coming decade of research

The effects of trauma and violence may be better understood by taking a broader perspective that includes resilience and recovery as well as damage and symptomatology. Based on this broader view, this article describes three interrelated, cutting-edge trends in mental health research: (a) the positive psychology movement, (b) the recognition of the role of spirituality and religion in health and well-being, and (c) stress-related growth. The integration of these trends into mainstream studies of trauma and violence will provide a counterbalance to the predominant orientation of victimization and pathology currently evidenced in the literature. All three have important implications for survivors of violence and trauma.     

HCR-20 violence risk assessments as a guide for treating and managing violence risk in a forensic psychiatric setting

Abstract

Over the past decades there has been a vast development in the research into risk factors for violence and the development of risk assessment instruments. One instrument that has been given special attention is the HCR-20 violence risk assessment scheme. However, little attention has been paid to the clinical applicability of this tool, i.e. how does this assessment scheme perform when utilized in clinical practice as a tool to guide intervention and management in order to alleviate risk of violent behaviour? The present study was a true prospective study into the utilization of the HCR-20 as a clinical routine. Data on forensic psychiatric patients (n = 81) from a forensic unit in Denmark are presented. As part of a clinical routine all patients were assessed for risk of future violence utilizing the structured professional judgement model, the HCR-20. Outcome measures were aggressive episodes during hospitalization and new convictions post discharge. The predictive validity of the HCR-20 was lower compared with previous findings. It is argued that this does not necessarily indicate poor predictive accuracy of the HCR-20. Rather, it may indicate that the HCR-20 is suitable for guiding risk management in order to prevent violent behaviour.     

Predicting violence among forensic-correctional populations: the past 2 decades of advancements and future endeavors

Research on violence prediction during the past 2 decades has evolved appreciably in terms of depicting determinants of violence and developing psychometrically sound actuarial measures to predict the probability of future violent behavior. This article provides a brief synopsis of information on predicting violence gained in the past 2 decades, the methodological advances evolved, and finally significant gaps in violence prediction that still exist for future research endeavors.