Domestic Violence

ABSTRACT

As our communities and families are faced with the growing problem of violence, more information is needed as to what women in abusive relationships see as challenges that prevent or delay leaving. To address the issue in the brief therapeutic environment, 14 women in counseling for abuse agreed to participate in three task groups and were asked to identify and rank-order the challenges they faced that could prevent them from leaving. Group one included women who had a desire to leave but were not sure they could. Group two consisted of women working on a case plan but who still had concerns; and, the third group contained women who had left the relationship and were expecting not to return. Overall, when analyzing and comparing these groups, all women (regardless of the stage of leaving) expressed similar challenges and concerns. Major themes presented in all groups included: limited resources (e.g., money, shelter, day-care and medical expenses), fears (e.g., fear of being killed, retaliation, being alone, making the wrong choices, the unknown), commitment to the relationship, concern for children, love for the abuser and other emotional issues. These challenges are discussed and specific applications to facilitate practice are made.     

Sexual Abuse in Cameroon: A Four-Year-Old Girl Victim of Rape in Buea Case Study

A young girl was brought to the emergency unit after suffering sexual abuse by an older male. Additional abuses against women and girls include physical beating, forced marriage, female genital mutilation, breast ironing, widow’s rites, psychological abuse, and discrimination in education, finance, employment, and legal access. Cameroon has adopted strategies aimed at eliminating violence against women, including ratification of international policies, penal codes, and support of local and international efforts that promote women; however, many of the laws remain in name only and are rarely enforced, given women’s lack of financial access to quality lawyers and an unsympathetic male-dominated police force. Underreporting and culturally accepted abuses remain a challenge, too, as the country seeks to understand the extent of abuses and how to effectively fight against them. A complete paradigm shift in cultural attitude toward the female gender is required for abuses to cease.     

Consequences of Male Partner Violence for Low‐Income Minority Women

The current study used a random sample of 563 low‐income women to test Johnson's (1995) theory that there are two major forms of male‐partner violence, situational couple violence and intimate terrorism, which are distinguished in terms of their embeddedness in a general pattern of control. The study examined the associations between type of violence experienced and respondents’ physical health, psychological distress, and economic well‐being. Analyses revealed three distinct patterns of partner violence: intimate terrorism, control/no threat, and situational couple violence. Compared to victims of control/no threat and situational couple violence, victims of intimate terrorism reported more injuries from physical violence and more work/activity time lost because of injuries. Compared to women who experienced no violence in the previous year, victims of intimate terrorism reported a greater likelihood of visiting a doctor, poorer health, more psychological distress, and a greater likelihood of receiving government assistance.     

Domestic Violence and Intergenerational Rates of Child Sexual Abuse: A Case Record Analysis

Using case review at a shelter for battered women and their children, this exploratory study investigated the association between physical abuse, exposure to domestic violence and intergenerational occurrence of child sexual abuse. The charts of 570 children were reviewed in an attempt to explore the relationship between the children's experiences with sexual abuse and their nonoffending parent's own history of having been sexually abused. Results indicated that a significant percentage of nonoffending parents who reported a history of child sexual abuse also had children who were sexually abused. Additionally, we found that most (93%) of the children studied had been exposed to domestic violence, and while the base rate of sexual abuse was relatively low (11%), the rate of physical abuse of the children was substantial (41%). Logistic regression results indicated that children of sexually abused nonoffending parents may be at heightened risk for sexual abuse. Implications for treatment and intervention are discussed.     

Childhood Sexual Abuse,Adult Psychiatric Morbidity,and Criminal Outcomes in Women Assessed by Medium Secure Forensic Service

There is little literature on childhood sexual abuse in women seen by forensic services. A cohort of 225 cases of women seen by forensic services in a medium secure unit in the UK were examined, and childhood sexual abuse and non–childhood sexual abuse cases were compared. Over half the sample had a history of childhood sexual abuse, and 5.6% of this group were victims of a subsequent sexual assault in adulthood. The perpetrators were all male. The majority of intrafamilial cases resulted in victims being raised in environments outside the family home. Childhood sexual abuse was associated with later relationship, educational, and occupational difficulties. Significant associations were also seen with personality disorder, self-harm, and substance misuse. Treating services need to recognize the potential importance of childhood sexual abuse in their models of care given the complexity of the association between childhood sexual abuse and psychosocial needs and its impact on successful rehabilitation.     

Persistent Complications of Child Sexual Abuse: Sexually Compulsive Behaviors,Attachment, and Emotions

ABSTRACT

Child sexual abuse has the potential to cause distress for the victim across the lifespan. Romantic relationships may be particularly difficult for victims of child sexual abuse. This retrospective study examined differences in adult romantic attachment, sexually compulsive behaviors, and emotion regulation by history of child sexual abuse in a large, nonclinical sample. Those with a history of child sexual abuse reported more attachment anxiety in romantic relationships and engaged in more sexually compulsive behaviors. Overall, males displayed more sexually compulsive behaviors than females regardless of history of sexual abuse. Males with a history of sexual abuse displayed the greatest number of sexually compulsive behaviors. Surprisingly, no differences were observed in emotion regulation or attachment avoidant behaviors by history of child sexual abuse. Future research should seek to replicate current findings and examine emotion regulation difficulties experienced as a result of trauma.     

Associations Between Psychological,Physical, and Sexual Intimate Partner Violence and Health Outcomes Among Women Veteran VA Patients

Women veterans experience high rates of lifetime intimate partner violence (IPV) and suffer a variety of trauma-related health conditions. The purpose of this study was to identify health status and health risk behaviors associated with experiences of psychological, physical, or sexual IPV among women veterans receiving care at a Veterans Affairs (VA) medical center. We conducted surveys with 249 women veteran patients and examined health factors associated with each form of violence. Sexual IPV victimization had the most pronounced associations with adverse health. In multivariate analysis, controlling for age, race, and income, women veterans who experienced sexual violence victimization were close to or more than three times as likely as those who experienced no IPV to report poor or fair overall health, a diagnosis of post-traumatic stress disorder or depression, bipolar disorder, or anxiety, difficulty sleeping, cigarette smoking, and problem drinking. Those who reported psychological violence only (without physical or sexual violence) also reported greater odds of self-rated poor or fair health. These findings are consistent with findings from studies with non-veteran populations and serve to further identify the unique contributions of sexual IPV to health outcomes. The integrated VA health care system offers opportunities for IPV identification and response including a coordinated team-based care model with social work integrated within primary care.     

The Effect of Severe Child Sexual Abuse and Disclosure on Mental Health during Adulthood

This study examined the relationship among severe child sexual abuse, disclosure, and mental health symptoms during adulthood. The sample consisted of 172 adults who were sexually abused in childhood. The multivariate model showed that respondents in their 30s and 40s who were abused by more than one abuser, who were injured by their abusers, who were abused by a biological relative, who told someone about the abuse when it occurred, and who did not discuss their abuse in depth within one year of the abuse had a greater number of mental health symptoms. Abuse severity and disclosure history should be assessed by professionals to identify clients who are at higher risk of mental health symptoms and to focus therapy.     

Criminality and violence in intra‐ and extra‐familial child sex abusers in a 2‐year cohort of convicted perpetrators

Men convicted of sexual abuse against children are an important but understudied population. In this study, based upon lifetime police records, of the criminality of convicted child sex abusers, we undertake the first British comparative analysis of the criminality of intra‐ and extra‐familial abusers. In a cohort of 374 convicted male child sex abusers, 50% had convictions for ‘sex only’ crimes; 26% for ‘sex and other’ offences; and 24% for ‘sex, other and violent’ crimes. There were three ‘relationship‐to‐victim’ subgroups: ‘biological relatives’, consisting of fathers and other biological relatives (18%); ‘non‐biological relatives’ — cohabitees or stepfathers (10%); and 72% who were ‘extra‐familial’ offenders, having no family relationship to the child. This atypical pattern of abusers indicates a filtering process, in which intra‐familial abusers are less likely to be prosecuted than extra‐familial offenders. The main findings were: (i) biological relatives were more often ‘sex only’ offenders, but averaged more sexual offences than the other groups; (ii) non‐biological abusers has more ‘other’ criminal and convictions for violence, and were more similar to the extra‐familial offenders than biologically related abusers; (iii) extra‐familial abusers consisted of more ‘other’ criminal and violent offenders than the non‐biological abusers; (iv) non‐biological offenders, however, had a pattern of criminality more like the extra‐familial group than the other intra‐familial abusers. The violent men, often with long histories of both sexual and non‐sexual offending, pose particular problems for the criminal justice and child protection services. Copyright © 2000 John Wiley & Sons, Ltd.     

Complexity of domestic violence in a South Asian context in Hong Kong: cultural and structural impact

With the dearth of empirical research related to the experiences of domestic violence among South Asian communities in Hong Kong, this study engages with migrant South Asian women’s subjective understanding and experience of domestic violence. Presenting women’s narratives of their experiences with domestic violence allow for a better understanding of the complexities that inform and shape women’s experiences and decision-making in the face of partner violence. This empirical study investigated South Asian women’s experience of domestic violence in the context of Hong Kong through in-depth interviews with 14 South Asian women who had experienced abuse and 6 helping professionals from 4 social service agencies. Analysis of the data revealed that the nature and context of abuse posed as a barrier in their help seeking. The findings highlight the importance of understanding the influence of cultural and structural conditions and the difficulties and complexities women face that increases women’s vulnerability to abuse. This paper offers an analysis of how structures thereby come to impact on women’s distress and vulnerability. The study also highlights the need for inclusive service provision for minority ethnic women experiencing domestic violence.     

Low-Income African-American Women Talk About Stress

This paper presents the results of a questionnaire of 12 South Asian agencies nationwide that work predominantly with domestic violence victims of South Asian origin. Based on the analysis of their responses to questions that compare their strengths, ideology, ethnic specific intervention approaches, and challenges they face, this article demonstrates their relevance and the role they play in meeting the needs of a growing number of women who seek help.     

Associations Between Sexual Abuse and Negative Health Consequences Among High-Risk Men Who Have Sex with Men

This study evaluated whether a history of sexual abuse could differentiate negative health consequences among men who have sex with men (MSM; N = 148) enrolled in a risk counseling program. More than half (51.4%) reported an experience of sexual abuse. A history of sexual abuse was associated with increased psychological distress, increased rates of alcohol (AOR = 2.91; p <.01) and/or drug abuse (AOR = 2; p <.01) treatment, increased risk of housing instability (AOR = 2.13; p <.05), and increased risk for suicidality (AOR = 4.3; p <.001). Findings demonstrate that screening for sexual abuse may be useful in determining the service needs of high-risk MSM.     

A Nonclinical Comparison of Transgender Identity and Sexual Orientation

Abstract

Multicultural counseling has emerged as the fourth force in American Psychology. To provide a nonclinical, multicultural framework with which to facilitate assessment and treatment of transgender (TG) clients, 73 North American TG respondents were compared to six groups. The comparison groups included 1,083 heterosexual females, 1,077 heterosexual males, 73 psychosocially matched females, 73 psycho-socially matched males, 256 homosexual females, and 356 homosexual males. Comparisons were made on psychosocial characteristics, past and present psychotherapy, past and present medication for a psychiatric condition, and past or present difficulties controlling potentially problematic behaviors. The TG respondents were more similar than different relative to lesbians and more different than similar in comparison to every other group. The similarities between TG respondents and lesbians suggest the dual influences of gender and sexual orientation minority status significantly compound the burden of adaptative functioning.     

Beyond Power and Control: Clinical Interventions with Men Engaged in Partner Abuse

Within the context of agency practice, most programs for abusive men are informed by the Duluth Model, suggesting that male violence against women is influenced by the dictates of patriarchy and sexism. Accordingly, this model promotes the importance of educational groups, which aim to debunk men’s stereotypical beliefs about women. Thus, men’s early abuse history, which also contributes to the use of violence, is omitted from service delivery. In contrast, this article explores the use of clinical interventions with men engaged in partner abuse with particular emphasis on a psychodynamic approach. The premise is that exposure to partner abuse during childhood as well as being the target of child abuse both shape the histories of these men in varying degrees, often manifesting in shame, depression, anxiety, and fear of abandonment, resulting in a poor self-image. Since environmental and socio-cultural influences inhibit them from expressing feelings associated with their experiences, clinical work, in contrast, encourages the development of insight and helps build skills that facilitate adaptive psychosocial functioning. This process unlocks suppression of affect by giving them ways to examine how certain events that occurred earlier in their lives contribute to the ways in which they treat their partners. Attachment, social learning and object relations theories all provide the theoretical frameworks. The case of Tom addresses partner abuse in the context of heterosexual relationships, demonstrating how psychodynamically informed psychotherapy can benefit abusive men.

Adverse Childhood Experiences and Healthcare Costs in Adult Life

ABSTRACT

The current study aims to present the prevalence of adverse childhood experiences and examine the healthcare costs associated with primary, allied, and specialist healthcare services. The Australian Longitudinal Study on Women’s Health is a general health survey of four nationally representative age cohorts. The current study uses 20 years of survey and administrative data (1996–2015) from the cohort born 1973–1978. Overall, 41% of women indicated at least one category of childhood adversity. The most commonly reported type of childhood adversity was having a household member with a mental illness (16%), with the most commonly reported ACES category being psychological abuse (17%). Women who had experienced adversity in childhood had higher healthcare costs than women who had not experienced adversity. The healthcare costs associated with experiences of adversity in childhood fully justify a comprehensive policy and practice review.     

The health consequences of trafficking in women in Mexico: findings from Monterrey city

There has been little research on the health consequences of trafficking in women in Mexico and this study examines the effects of trafficking in women. Twenty internally trafficked women were interviewed in Monterrey city, Mexico, during the years 2007 and 2008. Although the study found that trafficking of women in Mexico results from multi-causal factors, we found that in general trafficked women suffer a wide range of physical and sexual violence. This has direct consequences on their physical and mental health and in particular their sexual health.     

Frequency and Types of Partner Violence Among Mexican American College Women

Objective and Participants: The authors studied the prevalence of partner violence, by type, among Mexican American college women aged 18 to 35 years (N = 149; response rate = 85%). Results: Twelve percent of women who reported a dating partner in the past year were physically or sexually assaulted, 12.1% were stalked, and 9.1% scored as psychologically abused. Among those experiencing partner violence, almost half experienced stalking and 89% reported psychological abuse. Few women (25%) who experienced physical violence believed violence was a problem in their relationship. Conclusions: Partner violence was prevalent in this population, and participants experienced many forms of violence. Because few women experiencing physical violence report that violence is a problem in their relationship, interventions must address perceptions of violence and its impact on women's mental and physical health in college populations.     

Financial consequences of leaving violent men – women survivors of domestic violence and the social assistance system in Sweden

Being self-sufficient, having an economy of your own, does not only safeguard basic resources such as food and shelter but is also a prerequisite for ensuring full participation in society. Research shows that women subjected to domestic violence often suffer from economic abuse and experience economic hardship within and after their relationships. Without economic support it is harder for abused women to break up and the risk of returning to a violent partner increases. The aim of the article is to understand how survivors of domestic violence experience financial vulnerability and what implications these experiences have on social work within the social assistance system. Based on 13 in-depth interviews with women survivors, our study describes how debts and stolen money, together with difficulties on the labour market, affect their ability to have a reasonable economic standard (long) after breaking up. Several of the women describe how social workers in different ways have recognized them by giving emotional support, cognitive respect and social esteem. However, social workers have also mimicked patterns of abuse from their ex-partners.     

Childhood Coping Strategies and the Adult Adjustment of Female Sexual Abuse Victims

A sample of 66 college women's retrospective reports of childhood sexual abuse were examined in order to identify the coping strategies implemented by these women at the time of the abuse to deal with their victimization and the relationship between these coping efforts, their perceptions of control over the abuse, and their adult adjustment. Resuts indicated that victims attempt both to regulate their distress (with emotion-focused coping strategies) and to impact the actual abuse situation (using problem-focused coping strategies). However, victims report relying more heavily on the use of emotion-focused strategies. Results further suggest that adult symptomatology is most strongly related to level of emotion-focused coping implemented by victims, with greater use of these strategies associated with greater levels of dysfunction. The implications of these results are discussed with regard to prevention programs.     

Is Domestic Violence a Gender Issue,or a Human Issue?

Abstract

Domestic violence, like all violence, is a human issue. It is not merely a gender issue. Classifying spousal and partner violence as a women's issue, rather than a human issue, is erroneous. In domestic relations, women are as inclined as men to engage in physically abusive acts. Yet most reports appearing in the popular press, and in scholarly journals, have framed the issue as essentially a masculine form of assaultive behavior, thereby imbedding into the national consciousness a false and inaccurate view of the problem. This article presents the results of selected empirical studies that contradict the popular view of domestic violence, briefly focuses on the phenomenon as it relates to race, offers several elucidating case accounts, and suggests that the popular view of domestic violence not only contributes to men's increasing legal and social defenselessness, it also leads to social policies that obstruct efforts to address the problem of domestic violence successfully.