Treating the Effects of Interpersonal Violence: A Comparison of Two Group Models

Surveys have shown that one in four women in the United States experiences intimate partner violence in her lifetime. Interpersonal violence has demonstrated negative effects on a victim's health and well-being. Yet research on interventions aimed at treating the psychosocial effects of this experience is limited. The purpose of the research reported here is to deepen our understanding of the impact of group-based interventions for treating this population. Specifically, this study looks at two different group models to determine their effectiveness in treating two widely recognized effects of intimate partner violence: increased depression and lowered self-esteem.     

Intimate Partner Violence Survivors’ Unmet Social Service Needs

ABSTRACT

Women who have experienced intimate partner violence (IPV) victimization are at risk for physical and mental health problems, as well as social and economic challenges. In this cross-sectional study, 173 adult, English-speaking women who had experienced police response to IPV completed a self-report questionnaire about their use of, interest in, and need for various social services and whether or not each type of service helped (or would help) them to feel safer. More than three quarters of the participants reported a current need for health and economic support services. There was less interest in traditional IPV resources: law enforcement and domestic violence counseling or shelter. Expanding services to meet survivors’ needs for health care and economic independence may facilitate long-term safety. Recommendations for further research in this area are provided.     

Poverty,Partner Abuse,and Women's Mental Health: New Knowledge for Better Practice

ABSTRACT.

To better understand how poverty and poor mental health impact women who are abused by intimate partners, a convenience sample of 300 abused women using shelters or justice services for the 1st time were interviewed. The 300 women were categorized as having no income, being above poverty, and being below poverty according to U.S. Poverty Guidelines. Results indicated that no direct effect of income on poor mental health was noted; however, an interaction between type and severity of abuse and income level had an impact on poor mental health. Abused women who were above poverty with the highest incomes reported the highest levels of depression in the presence of high physical and sexual abuse. In contrast, women reporting no income reported no significant effect of severity or type of abuse on depression scores. Women just above the poverty level who experienced severe abuse were at highest risk for mental health problems. Poverty impacts the mental health of abused women according to the degree of poverty and type and severity of abuse. More research is needed to specify programs to maximize the mental health functioning and economic solvency of abused women.     

Factors Associated with Suicidal Ideation Among Women Abused in Intimate Partner Relationships

This study examines factors associated with suicidal ideation among women abused in intimate partner relationships. Data were collected from the case records of 95 women screened upon in‐person contact with admissions workers in a domestic violence shelter in one Midwestern state. Forty‐three percent of the women reported suicidal ideation as significantly associated with childhood sexual abuse, childhood physical abuse, and adulthood intimate partner abuse lasting fewer than 12 months in duration. The results have policy and practice implications for those interested in the mental health needs of women abused in childhood and adulthood. Implications for research are presented that more precisely identify how the effects of past and current traumatic experiences intersect and contribute to suicidal ideation among women abused in intimate relationships.     

Examining the Relationship between Domestic Violence and Depression among Koreans: The Role of Self‐esteem and Social Support as Mediators

Domestic violence is a prevalent social issue in Korea affecting a significant number of people every day. It is thus important to examine how the experience of domestic violence affects their mental health to better address their needs. Using stress‐coping theory as a theoretical framework, this study examines the domestic violence and depression relationship among Korean men and women. Two aspects of self‐esteem and informal and formal social support are examined as potential mediators of this relationship. The data was the first wave of Korean Welfare Panel Study data including 2477 individuals with experiences of abuse. Structural equation modeling procedures were used for analyses. Domestic violence was significantly associated with self‐worth, self‐deprecation, and depression. The experiences of violence eroded self‐worth while reinforcing self‐deprecation and those with more exposure to violence showed a higher level of depression. Self‐deprecation played a significant role in mediating the effect of domestic violence on depression. However, different findings were yielded for social support. While informal social support was significantly associated with domestic violence, formal social support was not associated with domestic violence. Findings suggest for mental health interventions targeting self‐esteem, particularly the diminution of self‐deprecation in working with the victims. Suggestions for future research and implications for social work are also discussed.     

Intimate partner violence and women's experiences of grief

A greater understanding of women's emotional and behavioural responses to intimate partner violence (IPV) may be aided by an examination of the grief course. Women going through the process of leaving their abusers, like women leaving non‐violent partners, experience grief during and at the termination of their relationship, even if they feel relief at the cessation of violence. Through qualitative interviews with 14 female survivors of IPV, we critically examine the utility of Kubler‐Ross' grief model to understand how women come to terms with their experiences of violence and the end of their violent relationships. Results suggest that Kubler‐Ross' model helps explain the emotional reactions and decision‐making of IPV survivors in regard to staying, leaving and returning to their partners. While a model developed to explain grief due to death may not entirely explain the reactions of IPV survivors going through the process of leaving abusive partners, and does not account for psychological reactions to trauma, social workers and mental‐health professionals can use this grief model as a framework to better tailor services to survivors of IPV.     

Six-Month Follow-Up Changes for TANF-Eligible Clients Involved in Kentucky's Targeted Assessment Program

ABSTRACT

Welfare reform has been successful in helping clients achieve self-sufficiency. However, some individuals experience problems associated with basic needs, physical health, mental health, substance abuse, and intimate partner violence (IPV) that can impede transitioning from welfare to work and/or interfere with parental responsibilities. The Targeted Assessment Program (TAP) was created more than a decade ago to identify and address these problems and help clients move off the welfare rolls in Kentucky. Self-reported interview data were used to examine changes and effect sizes between baseline assessment and 6-month follow-up from a sample (n = 322) of Temporary Assistance for Needy Families-eligible clients participating in Kentucky's TAP. Using McNemar's test for correlated proportions, paired-sample t-tests, and measures of effect size, significant changes with varied effect sizes were found for selected basic needs, as well as physical health, mental health, substance use, and IPV barriers. Findings suggest that social service practitioners could incorporate strengths-based case management and motivational interviewing into their practice. Further research is suggested utilizing longitudinal and controlled studies on evidence-based practice that address pretreatment and assessment strategies involving case management and motivational interviewing.     

The Public Perception of Female and Male Violence in Marital Relationships

Most studies dealing with intimate partner violence (IPV) investigate situations where the man is the aggressor. The present study examines the participants’ social perception of IPV and the connection between social perception and the severity of the violent act and its justification when carried out by men against women and vice versa. The research is based on a structured, self-reported anonymous questionnaire answered by 240 participants. The questionnaire examined demographic variables, attitudes toward IPV, the severity of the violent act, and its justification. Findings indicate that violent behavior of women is perceived as more justified than that of men and that men’s violent behavior is perceived as more severe by women than by men, but women’s violent behavior is perceived to be equally severe by men and women. The study raises awareness of the lack of gender boundaries in violence and of gender discrimination against males.     

Social Policy, Feminism, and Research on Violence in Close Relationships

The history of research on intimate partner violence is reviewed, with a special focus on how my own work in this area has evolved. The role of researcher values in the research process is highlighted. Some of the issues emerging from this review are the need for better measures of intimate partner violence, reasons why women's violence has been ignored by many researchers, and a discussion of the conditions under which women display violence. Policy implications of this research are discussed .     

Intimate Partner Violence as an Obstacle to Employment Among Mothers Affected by Welfare Reform

Welfare policies in the United States now make benefits contingent on employment outside the home. Yet violence from intimate partners and aspects of the mothering role may impede low-income women's ability to sustain employment. This article presents results of a longitudinal study conducted over a three-year period of 965 Illinois mothers who had received public assistance. Results suggest that recent (but not past) intimate partner violence is associated with women working fewer months. Associations over time between obstacles to employment and women's ability to maintain work highlight the need for longitudinal studies of employment among low-income women.     

A Review of Research on Welfare and Domestic Violence

In this article we review the growing body of research literature on domestic violence and welfare. We summarize and critique the existing research on domestic violence and welfare in several areas: prevalence of domestic violence among women receiving welfare; the relationship of domestic violence to theiremployment; and physical health and mental health, child support, andevaluations of policies and programs. We also raise some methodological concerns that can inform interpretation of existing data. We examine the relevance of the research for practice and policy, particularly for the implementation of the Family Violence Option. This review includes published research as well as unpublished studies presented at recent conferences.     

Domestic Violence and the Exemption from Seeking Child Support: Providing Safety or Legitimizing Ongoing Poverty and Fear

This article examines the experience of low‐income women on welfare in Australia and the process of seeking child support from a violent ex‐partner, contrasting this with research from the United States and the United Kingdom. Women in Australia who fear ongoing or renewed abuse as a result of seeking child support are eligible for an exemption. However, the exemption policy does not necessarily provide the intended protection of women and children from ongoing abuse and poverty. The exemption policy route also produces an unintended outcome whereby the perpetrators of violence are financially rewarded as they do not have to pay child support. These outcomes are shaped by a complex interaction of personal, cultural and structural forces that make the process of seeking child support for women who have experienced violence extremely problematic. The article demonstrates how in Australia, as in the US and UK policy contexts, the needs of women and their children are compromised by the details of policy specification and the way policies are implemented within the different systems.     

Women’s Strategic Responses to Intimate Partner Violence: A Study in a Rural Community of Bangladesh

The objective of this study was to explore women’s strategic responses to physical violence perpetrated by an intimate partner. Twenty women from a rural area of the Narshingdi district in the Dhaka division of Bangladesh who experienced physical violence at home participated in the study. Development of the interview protocol and data analysis were carried out by applying the consensual qualitative research (CQR) method. The results showed that several themes, such as women’s responses to intimate partner violence, arose from the data. First, coping strategies to pre‐violent events included three themes: (i) leaving the scene; (ii) trying to divert attention; and (iii) preparing to protest. Women’s strategic responses to violent events consisted of four themes: (i) leaving the scene; (ii) remaining silent or no giving response; (iii) seeking help from others; and (iv) protesting against the violence. Lastly, women’s strategic responses to post‐violent events consisted of three themes: (i) temporary abstinence; (ii) verbally abusive behavior to family members; and (iii) going to the parental home. Given the findings of this study, we conclude by suggesting that more work is needed to better understand effective strategies and to draw women to institutional services to prevent violence to a greater extent.     

Assessing PTSD and resilience for females who during childhood were exposed to domestic violence

This study examined 68 females, who as children were exposed to domestic violence, to explore childhood risk and protective factors and their relationship to adult levels of post‐traumatic stress disorder (PTSD) and resilience. Independent sample t‐tests indicated significant differences in PTSD levels between participants with and without police involvement during childhood. There were also significant differences in PTSD levels between participants who reported their mothers had mental‐health problems with those who did not. Additionally, participants whose mothers had full‐time steady employment had significantly higher resilience than those with mothers who did not work or worked inconsistently. Implications include advancing ecological theory and conceptual insights regarding childhood risk and protective factors and their association to adult psychological distress and hardiness for daughters exposed to their mothers' intimate partner violence.     

Depressive Symptoms and Economic Outcomes of Low-Income Women: A Review of the Social Causation, Social Selection, and Interactionist Hypotheses

We review research that connects depression and depressive symptoms to employment and economic factors for low-income women. Women who have low incomes and are unemployed or underemployed are vulnerable to mental health distress. The strain of balancing work and family life can be exacerbated by poor psychological health or nonsufficient economic resources. Research on the barriers that impede self-sufficiency can lead to policies that improve the economic and psychological health of low-income populations.
The discussion is framed by contrasting evidence for three theoretical perspectives: the social causation, social selection, and interactionist (bidirectional) hypotheses. The only causal relation reported is an effect of increased income on reduced depressive symptoms. Yet strong associations are found among psychological distress, earnings, employment stability, income, and job characteristics. The effects of programs to increase employment and the benefits of (and barriers to) depression treatment are also discussed. A bidirectional or interactionist perspective best conceptualizes the relationship between depression and economic factors. The reported negative effects of both poor mental well-being and low-quality employment suggest the need for stronger policies in the areas of mental health and work supports. We present policy recommendations addressing mental health treatment and outreach, employment placement, and workplace flexibility.     

State Gender Inequality,Socioeconomic Status and Intimate Partner Violence (IPV) in India: A Multilevel Analysis

While a growing body of literature has investigated the health impact of intimate partner violence (IPV), less has been written on the social determinants of IPV. The authors use multilevel modeling methods to analyze data from a sample of 83,627 women in India to examine the socioeconomic and demographic patterning of the state‐ and neighborhood‐level variation in, and the state‐ and/or neighborhood‐level characteristics related to, IPV. This study finds social gradients in IPV in which women who are uneducated, from marginalized castes, and living in poor households have higher likelihood of reporting IPV than those living in advantaged circumstances. The results also show differences in IPV between neighborhoods and between states that are partially explained by state levels of gender inequality. The results suggest that changing cultural norms to promote the status of women and increasing the educational and economic opportunities for all people could decrease the prevalence of IPV.     

Is there gender symmetry in intimate partner violence?

‘Gender symmetry’ is one of the most topical and controversial debates in the contemporary domestic violence literature. National survey data, particularly from the USA, has been utilized to support the concept of gender symmetry of violence between intimate partners. Both these statistics and the reliability of the methodologies used to obtain this data have been the focus of fierce criticism in the domestic violence literature. These debates have spread into the general media and now influence social workers' and students' understanding of violence between intimate partners. Recent work, however, has suggested helpful typologies for a better understanding of intimate partner violence (IPV), and research has explored their validity. A comprehensive understanding of the implications of these debates is important for safe social work interventions as assessments and interventions must be based on an accurate understanding of the aetiology, dynamics and consequences of violence between intimate partners. It is important that practitioners are aware of the background to and complexity of these debates and the ongoing work on typologies of violence, as such understanding will enhance assessments and thereby ensure more appropriate social work interventions. This paper traces the debates and outlines the new developments, which can enhance assessments and understanding of IPV.     

Stability and Change in the Experience of Partner Violence Among Low‐Income Women*

Objective. In this analysis we identify factors associated with the dynamics of partner violence among low‐income women. Methods. Using two waves of the Welfare, Children and Families Study (1999–2001), we examine the multivariate predictors of ever having experienced abuse, as well as factors associated with the initiation, resumption, and discontinuation of violence between the two interviews. Results. Over half the women who reported violence at Wave 1 reported no violence at Wave 2. These women were older, had experienced less severe violence, and reported less financial strain than women for whom violence continued or began. For 11 percent of the sample, violence began or resumed by the second interview. These women were younger, less educated, had weaker social networks, and were less likely to be Hispanic than those who never experienced violence. Conclusions. Partner abuse appears to be highly dynamic and a fuller understanding of the phenomenon requires a longitudinal focus.     

Participation in Income-Generating Activities and Help-Seeking for IPV in Bangladesh – Results from a National Survey of Women

Abstract

The present study examined whether there was an association between microfinance participation (i.e. microentrepreneurship) and help-seeking social networks and employment and help-seeking social networks of women who experienced intimate partner violence (IPV) in Bangladesh. The study is a secondary analysis of a subsample of 805 women (24.1% of the representative sample) who experienced IPV from the 2007 Bangladesh Demographic and Health Survey (BDHS) between the ages of 16 and 49?years. Results indicate that among the subsample of 805 respondents, 29.3% sought help for IPV. Multivariate logistic regression revealed that women who were employed all year round were significantly more likely and microfinance participants were marginally more to seek help for IPV than women who were not engaged in income-generating activities. Implications are discussed.