Characteristics of men and women completing cognitive/behavioral spouse abuse treatment

Although abuse in relationships is widespread and often escalates without intervention, the scant extant data indicate that people in abusive relationships often fail to complete treatment programs. We compared demographic characteristics, Male-Female Relations Inventory scores (MFRI), and selected MilIon Clinical Multiaxial Inventory I (MCMI-I) scale scores of men and women who did and did not complete an 8-session 4-week cognitive/behavioral group treatment program. The 16 completer men had lower scores on MCMI-I scales related to drug abuse as compared with the 18 noncompleter men. Court-referred men completed more often than other men. The 23 completer women also had lower scores on MCMI-I scales related to drug abuse than the 17 noncompleter women. Fewer of the completer women were employed and fewer had children than the noncompleter women. Scores on the MFRI were not different for completer or noncompleter men or women. Implications for interventions are discussed.     

A COUPLES ANALYSIS OF PARTNER ABUSE WITH IMPLICATIONS FOR ABUSE-PREVENTION POLICY*

Research Summary: We studied a representative sample of 360 young-adult couples from a birth cohort. We found abuse was a dyadic process; both partners’ personal characteristics increased abuse risk, and both sexes participated in abuse, particularly in clinical abusive couples having injury and/or official agency intervention. Treating only men may not reduce risk completely for most young couples. Policy Implications: If replicated, the findings would suggest policy encouraging development and evaluation of programs to reduce physical abuse by women. Prevention programs could aim to reduce abusive behavior by both sexes and promote victim safety among both sexes. Policies against treating women in abusive couples may act counter to prevention.     

Pre-program attrition in batterer programs

The outcome of batterer programs has become a topic of research and clinical concern in recent years. There has been little assessment, however, of the input of these programs and its implications. This study analyzes the records of 200 inquirers to a batterer program during 1989–1990 to determine the attrition rates based on the initial number of inquirers. The attrition from inquiry to intake is 73%, from inquiry to counseling attendance is 86%, and from inquiry to 12 counseling sessions is 93%. Only 1% actually completed the contracted 8 months of counseling sessions. The only background and protocol variable significantly associated with intake attrition was marital status. Those inquirers referred from informal referral sources and paying high monthly fees were more likely to attend over 12 counseling sessions. The 1990 inquiry-to-counseling attrition rates were higher than the program rates in the early 80s and higher than a comparable program with no separate intake session. The implications of these findings for pre-program protocol are discussed.     

Attitudes toward Wife Abuse of Police Officers and Judiciary Members in Turkey: Profession,Gender, Ambivalent Sexism and Sex Roles

This study examined the attitudes of police officers and judiciary members toward wife abuse in Turkey and the relation between these attitudes and profession, ambivalent sexism (hostile/benevolent sexism), gender, and gender roles. The following instruments were used for the analyses: The Attitudes Toward Wife Abuse Scale (AWAS), the Ambivalent Sexism Inventory (ASI), and the Bem Sex Role Inventory. The participants were 300 police officers and 150 judiciary members selected from different regions of Turkey. Results showed that compared to judiciary members, police officers are more tolerant of physical and verbal abuse of women in marriage, but less tolerant of the idea of the victim leaving an abusive marriage partner. Similarly, men were more tolerant than women of those husbands who physically and verbally abuse their wives, but less supportive of the wife leaving the abusive partner. Profession and ambivalent sexism (hostile/benevolent sexism) were found to be the strongest predictors of attitudes toward wife abuse.     

Stage of Change as a Predictor of Attrition Among Men in a Batterer Treatment Program

This study assessed the contribution of the men's stage of change to the prediction of attrition among men attending a batterer treatment program. As outlined by the transtheoretical model of change, men were classified into the precontemplation, contemplation, or action stage based on their level of change motivation and behavior. It was hypothesized that men in the precontemplation stage would dropout of treatment at higher rates than men in later stages of change. Participants were 308 men who enrolled in a batterer treatment program over the course of 1 year, 61.4% of whom dropped out of treatment. Counselor rated, but not self-rated stage of change significantly predicted treatment completion once traditionally used demographic, contextual, and personality variables were taken into account. Specifically, men identified by counselors as being in the precontemplation stage were 2.3 times as likely as men rated in the contemplation stage and 8.8 times as likely as men rated in the action stage to dropout of treatment. Referral source, age, and history of arrest also made significant contributions to the prediction of attrition. The best combination of predictors led to the successful classification of 72% of the cases, 98% of the dropouts but only 19% of the completers. Discussion focuses on the limitations of current findings and their implications for the use of the transtheoretical model to predict attrition from batterer treatment.     

Predictors of Attrition in Two Types of Group Programs for Men Who Batter

This study examines the predictors of precounseling attrition, incounseling attrition, and duration of attendance in 2 group programs for men who batter. Predictors of precounseling attrition were a history of child abuse, being non-White, and having more self-reported anger. Younger age and antisocial personality were significant predictors of attrition during counseling in both logit and Zero Inflated Poisson regression analyses. We further identified predictors of attrition by type of group treatment. In cognitive–behavioral groups, younger age, no reports of violence in childhood, and antisocial personality were significantly related to attrition. In process-psychodynamic groups, low income was related to attrition. Program and research implications of these findings are discussed.     

Antecedents of abusive personality and abusive behavior in wife assaulters

One hundred and forty men referred for wife assault and 45 demographically matched controls were assessed for psychological variables associated with abusive personality (anger, cyclical (borderline) personality organization (BPO) and chronic experience of trauma symptoms) and abusive behaviors (both physical and emotional) as reported by their female partners. Predictor variables for these abuse measures included the EMBU which assesses recollections of parental warmth and rejection and the Conflict Tactics Scale which assesses physical abuse in the family of origin. A composite of BPO, anger, trauma symptoms and fearful attachment called Abusive Personality (ABP) correlated .42 with wives reports of emotionally abusive behaviors. ABP was positively and significantly correlated with recollections of negative parental treatment by the abuse perpetrator. A compositive of parental rejection and verbal and physical abuse by parents correlated .41 with ABP. A discriminant function of high and low ABP found that ABP was predicted by paternal rejection, physical abuse, and absence of maternal warmth. Physical abuse by either parent correlated significantly with all subscales and total scores on the ABP measure. When combined with data showing ABP to correlate significantly with frequency of use of violence by wife assaulters (Dutton, 1995b, Dutton and Starzomski, 1993), the current study suggests a personality syndrome of assaultive males that has antecedents in the early experiences of these men. The present data suggest that family of origin experiences may have effects beyond modeling of abusive behaviors. These effects include development of a specific personality form associated with abusiveness.     

Predictors of Attrition in a Treatment Program for Battering Men

This study examines factors associated with the high attrition rate in treatment programs for men who batter. In accord with past research, we expected demographic variables of age, race, employment status, relationship status, and socioeconomic status to predict attrition. We also hypothesized that attitudinal and personality variables, as well as contextual/program variables, might account for attrition more parsimoniously. Specifically, we hypothesized that attrition would be predicted by frequency and severity of violence, denial of a problem with violence, rigidity of thinking, low levels of self-disclosure, and higher anxiety and constriction in social situations. In addition, we predicted attrition would relate to dependency, maladaptive personality styles, and expectations regarding group counseling (e.g., whether treatment is perceived as aversive). Finally, we proposed that attrition would relate to whether batterer participation in treatment was self-motivated or the result of external pressures. Participants were 61 men enrolled in a batterer treatment program in a mid-sized city. Analyses of variance and discriminant analyses indicated that program attrition was unrelated to demographic, attitudinal, or personality variables. Only the contextual/program variables of mileage traveled to attend and external monitoring of attendance significantly differentiated treatment rejecters, drop-outs, and treatment continuers. Findings are discussed with regard to intrinsic and extrinsic motivational factors. Future directions for exploration are discussed.     

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.     

Perceived control and emotional status in abusive college student relationships: an exploration of gender differences

The authors assessed perceived control, dysphoria, hopelessness, self-esteem, and optimism in 280 college students involved in abusive and nonabusive relationships. Women reported higher levels of dysphoria and lower levels of self-esteem and optimism than men. Women in abusive relationships reported more psychological symptoms than men in abusive relationships. After controlling for gender differences in emotional status, participants in abusive relationships showed more psychological symptoms than those in nonabusive relationships. Women showed lower perceived control of relationship conflicts than men. Men experiencing high levels of abuse reported higher perceived control of relationship conflict than females experiencing low levels of abuse. Perceived control was affected more by gender than emotional status, abuse level, and gender-affected emotional status. The authors discuss the results in terms of their implications for future investigations of emotional reactions to abuse.     

The Social Context of Woman-to-Woman Intimate Partner Abuse (WWIPA)

Forty women who had been in abusive adult, intimate relationships with other women were interviewed. Their life experiences leading up to these abusive relationships were qualitatively examined to determine how heterosexism created a social context in which women were left vulnerable to abuse and dependent on their abusers. Childhood abuse, negative coming out experiences, lack of a queer community, and substance/alcohol abuse contributed to survivors’ vulnerability to abuse by making them socially isolated from a support system and dependent on their partners to reconstruct a sense of family.     

Development of a Marketing Campaign to Recruit Non-adjudicated and Untreated Abusive Men for a Brief Telephone Intervention

Although voluntary enrollment by abusive men in domestic violence perpetrator treatment programs occurs, most men enter treatment only after they have injured a partner or family member and have been arrested, convicted and sentenced. This leaves a serious gap for those who engage in abusive behavior but who have not been served by the legal or social service systems. To address this gap, the researchers applied social marketing principles to recruit abusive men to a telephone-delivered pre-treatment intervention (the Men’s Domestic Abuse Check-Up—MDACU), designed to motivate non-adjudicated and untreated abusive men who are concurrently using alcohol and drugs to enter treatment voluntarily. This article discusses recruitment efforts in reaching perpetrators of intimate partner violence, an underserved population. Informed by McGuire’s communication and persuasion matrix, the researchers describe three phases of the MDACU’s marketing campaign: (1) planning, (2) early implementation, and (3) revision of marketing strategies based on initial results. The researchers’ “lessons learned” conclude the paper. This project is supported by a grant from the National Institute on Drug Abuse, 1 RO1 DA017873.     

Youth violence: an exploratory study of a treatment program in a central Illinois county

A local treatment provider has developed an OPTIONS program to prevent adolescent aggression. The program is designed for youths who displayed threatening or abusive behaviors, particularly toward family members. This study described the characteristics of juveniles and their families who were referred to the program and if the program participation helped reduce the severity of violence and improve the communication skills among program participants. Referrals came from law enforcement, juvenile court services, school resource officers, and parents. Information on 100 juveniles and their families were provided by the counselors of the program. The findings showed that a large percentage of juveniles came from unstable families with a family history of criminal convictions, substance abuse, or mental illness. Program participants showed an improvement in communication skills and reduction in their levels of dangerousness.     

Attitude and Behavior Change of Correctional Clientele

Fifty offenders incarcerated in a minimum security provincial institution participated in a variety of group programs with community volunteers. Inmates were randomly assigned to one of four treatment regimes or to a control group condition. The experiment subjects participated in community group discussions with either trained or untrained volunteers, and a concurrent activity, either a self-control program or a recreational group. A test battery was administered in a pre/post fashion and follow-up recidivism was monitored. Two-by-two factorial analyses of the treatment programs revealed a significant interaction between activities. Inmates who had participated in discussion groups with trained volunteers and in a self-control program showed the most improvement on the test battery variables. This treatment effect generalized to inmates'institutional behavior, as measured by staff ratings and disciplinary offences. However, program participation was not related to postrelease success. Nonetheless, correlations between attitude change during the period of incarceration and recidivism were found. Among offenders who increased in their identification with the delinquent subculture, those who also increased in self-esteem experienced less follow-up success than those who decreased in self-esteem. These results are discussed in terms of the complex relation between client characteristics, treatment, and other program services that must be considered in evaluating correctional programs.     

The Comparability of Male Violent Substance Abusers in Violence or Substance Abuse Treatment

The abuse of alcohol is strongly associated with violent behavior in general and domestic violence in particular. The present study examined the compara-bility of dual-problem (i.e., substance abuse and conjugal violence) men in substance abuse and violence treatment milieus. Thirty males in substance abuse treatment and 33 men in violence treatment were identified as being dual-problematic and were administered the Addiction Severity Index (ASI) to assess psychosocial and substance abuse status, the Conflict Tactics Scale (CTS) for the frequency and type of abusive behavior, the Symptoms Checklist-90 (SCL-90) for psychological distress, and the 16 Personality Factor (16PF) for personality attributes. When dual-problem men from each milieu were compared on these measures, men in the substance abuse-milieu reported not only significantly more severe substance abuse problems, but also more frequent partner sexual abuse. Few other differences emerged. Thus, while current referral procedures may be appropriate in identifying and directing more severe substance abuse problems to the appropriate treatment setting, violent men with difficulties comparable to those seen in violence treatment may also be found in substance abuse treatment. These findings emphasize the need for: (1) routine objective screening for family violence and substance abuse in these two treatment milieus; (2) informed and up-to-date staff in both settings who are sufficiently prepared for the therapeutic challenges such men may present, and (3) more study of how treatment for dual-problem men may be coordinated by the violence and substance abuse treatment communities to optimize their outcome.     

Predicting batterer recidivism five years after community intervention

The purpose of this study was to examine batterer recidivism rates 5 years after community intervention and to determine differences that discriminate between recidivists and nonrecidivists. Of the 100 men included in the sample, 40% were identified as recidivists because they were either convicted of domestic assault, the subject of an order for protection, or a police suspect for domestic assault. A discriminant analysis was conducted using a variety of background and intervention variables. Five variables were selected that significantly discriminated between recidivists and nonrecidivists and correctly classified 60.6% of the cases. Men who had been abusive for a shorter duration prior to the program, court ordered to have a chemical dependency evaluation, in chemical dependency treatment, abused as children, and previously convicted for nonassault crimes were more likely to be recidivists. Variables relating to intervention did not significantly predict recidivism. Implications for community intervention programs 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.     

Top 10 greatest "hits": important findings and future directions for intimate partner violence research

In this article, the author highlights her choice of the 10 most important recent findings from the intimate partner violence research literature, which include (a) the creation of the Conflict Tactics Scale; (b) the finding that violent acts are most often perpetrated by intimates; (c) a series of findings that indicate that women also engage in intimate partner violence; (d) the finding that intimate partner violence typically evolves out of relationship dissatisfaction; (e) the finding that there are different subtypes of domestically violent men; (f) physiological measures that have added to our knowledge of intimate partner violence; (g) the evolving intergenerational transmission of violence theory; (h) the finding that verbal abuse, neglect, and psychological abuse need to be studied alongside physical violence; (i) research on leaving abusive relationships that may inform policy about sheltering battered women; and (j) the finding that alcohol plays an important role in the production of intimate partner violence. In the conclusion, the author describes a dyadic cycle of violence that may characterize some abusive couples. She also argues for a multimodal theory that links findings obtained from individual, relationship, intergenerational, gender-specific, and cultural perspectives.     

Effects of Motivational Enhancement on Immediate Outcomes of Batterer Intervention

This article presents results of a quasi-experimental trial of a 6 week motivation enhancing intervention for batterers highly resistant to intervention. One hundred and forty one (29%) highly resistant batterers were identified from a consecutive sample of 486 men referred to a large batterer intervention program. Resistant batterers attended either standard intervention (16 weeks) or a specialized 6 week motivation enhancing group followed by 10 weeks of standard intervention. Observation of counselor behaviors confirmed significant differences in rates of confrontation across groups. Analyses of immediate program outcomes provide some support for the value of motivation enhancing intervention. Resistant batterers who attended specialized intervention completed intervention at a significantly higher rate (84.2%) than both resistant clients in standard intervention (46.5%) and non-resistant clients (61.1%). Differences were maintained even after controlling for demographic and lifestyle related predictors of attrition. Advantages of specialized intervention did not extend to counselor-rated success at meeting core treatment goals. Discussion focuses on the implications of these results for the use of motivation enhancing intervention strategies to improve attendance at batterer intervention programs.