The impact of severe stalking experienced by acutely battered women: an examination of violence, psychological symptoms and strategic responding

Stalking has been relatively understudied compared to other dimensions of intimate partner violence. The purpose of this article was to examine concurrent and subsequent intimate partner abuse, strategic responses and symptomatic consequences of severe stalking experienced by battered women. Thirty-five battered women classified as "relentlessly stalked" and 31 infrequently stalked battered women were compared. Compared to infrequently stalked battered women, relentlessly stalked battered women reported: (a) more severe concurrent physical violence, sexual assault and emotional abuse: (b) increased post-separation assault and stalking; (c) increased rates of depression and PTSD; and (d) more extensive use of strategic responses to abuse. Results underscore the scope and magnitude of stalking faced by battered women and have implications for assessment and intervention strategies.     

Intimate partner violence & depression: a deadly comorbidity

(1) Clients exposed to intimate partner violence (IPV) are at considerable risk for depression, suicide, and homicide. (2) Disclosure of IPV should be accompanied by nonjudgmental, careful, clear documentation of physical and emotional findings by nurses, including direct statements in clients' own words. (3) Frequent, consistent support of clients experiencing IPV from their families and friends (including nonjudgmental listening, unconditional acceptance, discussion of options, and exploring decisions) is of considerable importance and can facilitate the buffering effects of such support against suicidal ideation and suicidal attempts.     

Intimate partner violence, women, and work: coping on the job

Intimate partner violence is a significant health problem for women, with consequences extending to work as well as society at large. This article describes workplace interference tactics, how women cope with violence at work, and workplace supports for a sample of recently employed women with domestic violence orders (DVO; n = 518). Results indicate that violent partners used a wide range of work interference tactics, that women were more likely to tell someone at work about the victimization than they were to hide the information, and that coworkers and supervisors provided a range of supports to women who did disclose their situation. Implications for further research and practice are discussed.     

A pattern of violence: analyzing the relationship between intimate partner violence and stalking

As the literature on stalking has grown, several studies have proposed a relationship between stalking and intimate partner violence (IPV). This study examines a clinical sample of intimate partner batterers to assess the stalking-related behaviors committed against the participants' intimate partners. The study examined the levels of severity between stalking-related behaviors and IPV, as well as identified differences between batterers who exhibited stalking-related behaviors and those who did not. A significant relationship between stalking-related behavior and IPV was found, with more severe stalking related to higher levels of IPV and more extreme psychopathology.     

Intimate partner violence: An application of attachment theory

ABSTRACT

Attachment theory has gained increased prominence over the past several decades in the fields of psychiatry, psychology, and social work. Attachment theory, however, has not been systematically applied to intimate partner violence (IPV), a phenomenon that disproportionately affects women in poverty. This article provides an overview of IPV as a social problem, reviews existing literature related to the application of attachment theory to IPV, discusses the theory’s strengths and limitations in understanding and resolving IPV, and considers areas for future knowledge development.     

Intimate partner violence,health, sexuality,and academic performance among a national sample of undergraduates

ABSTRACT

Objective: To determine the association between intimate partner violence (IPV) and academic performance among heterosexual and sexual minority undergraduates, including whether health mediates this relationship. Participants: A national sample of undergraduate students aged 18–24 years old who completed the 2011–2014 National College Health Assessment IIb (N = 85,071). Methods: We used structural equation modeling to create a latent variable of IPV victimization (stalking, physical, sexual, and emotional violence) in order to test its relationship with health (physical and mental) and two indicators of academic performance (GPA and perceived academic difficulties), according to participants’ sexual identity (heterosexual, lesbian, gay, bisexual, and unsure). Results: Regardless of sexual identity, undergraduates who reported IPV were more likely to have lower GPA and increased academic difficulties. Health mediates this relationship, such that IPV reduces health, which negatively affects performance. Conclusions: IPV poses a serious threat to undergraduates’ health and educational success. Findings warrant universal prevention and intervention.     

Intimate partner violence and child abuse: a child‐centred perspective

A substantial body of literature assessing the impact of intimate partner violence on children and associations between intimate partner violence and child abuse now exists. Central to knowledge about these areas of practice and research is a robust, child‐centred consideration of some of the more challenging conceptual issues they give rise to. In this paper, we aim to stimulate debate by presenting a critical, child‐centred perspective on the intersection between intimate partner violence and child abuse. Initially, we provide the context for the review by presenting a brief overview of the literature. We then consider three central issues from a child‐centred perspective. We discuss the language used to describe children forced to live with intimate partner violence, and the importance of hearing children's perspectives on their experiences of such conflict. Finally, we consider similarities and differences between the intimate partner violence and child abuse fields from a child‐centred viewpoint. We conclude that increasing conceptual clarity around these issues will enhance research in the field, and ultimately improve interventions designed to protect children forced to live with intimate partner violence. Copyright © 2009 John Wiley & Sons, Ltd.     

Patterns of intimate partner violence: correlates and outcomes

Battered women experience different constellations of violence and abusive behavior characterized by various combinations of physical violence, sexual violence, psychological abuse, and stalking. The goals of the current study were to determine whether it was possible to identify empirically derived and meaningful patterns of intimate partner violence (IPV) and to examine correlates and outcomes of the IPV patterns. Three IPV patterns were identified using cluster analysis. Pattern 1 was characterized by moderate levels of physical violence, psychological abuse, and stalking but little sexual violence. Pattern 2 was characterized by high levels of physical violence, psychological abuse, and stalking but low levels of sexual violence. Pattern 3 was characterized by high levels of all violence types. IPV Pattern 3 was associated with the highest prevalence of posttraumatic stress disorder and depression, and IPV Pattern 2 had the highest levels of revictimization during the year following recruitment. The clinical and policy implications of the findings are discussed.     

Domestic violence laws: the voices of battered women

This article reports the findings from an exploratory survey of battered women's views about mandatory arrest, mandatory reporting by doctors and nurses, no-drop policies, confidentiality laws, privilege laws, court-victim advocate programs, and specialized domestic violence courts. Although there was general support for the adoption of these laws, some variation based on demographic and situational circumstance was found. These findings raise questions about the universalistic nature of polices developed to address the problem of domestic violence. Battered women are not a homogeneous group, and public policy may be better designed to accommodate the individual needs of victims.     

Intimate partner violence and PTSD: the moderating role of emotion-focused coping

Intimate partner violence (IPV) affects millions of women every year, often resulting in posttraumatic stress disorder (PTSD). The strength of the relationship between IPV and PTSD has been shown to be affected by factors such as the amount of violence exposure and the style of coping in which the individual engages. For example, emotion-focused coping has been shown to be strongly related to IPV exposure and the expression of PTSD symptoms. This topic was explored in IPV survivors, with the finding that more frequent use of emotion-focused coping was associated with both higher violence exposure and heightened PTSD symptoms. Regression analyses revealed that emotion-focused coping moderated the relationship between IPV exposure and PTSD symptoms. More specifically, the results suggest that while individuals low on emotion-focused coping had fewer PTSD symptoms than women who frequently used emotion-focused coping, these individuals reported higher PTSD symptoms in the presence of frequent violence exposure. For individuals who frequently engaged in emotion-focused coping, violence exposure was less strongly associated with symptoms of PTSD.     

Intimate partner violence and Hurricane Katrina: predictors and associated mental health outcomes

This study sought to establish the prevalence and correlates of intimate partner violence (IPV) victimization in the 6 months before and after Hurricane Katrina. Participants were 445 married or cohabiting persons who were living in the 23 southernmost counties of Mississippi at the time of Hurricane Katrina. Data for this study were collected as part of a larger, population-based, representative study. The percentage of women reporting psychological victimization increased from 33.6% prior to Hurricane Katrina to 45.2% following Hurricane Katrina (p < .001). The percentage of men reporting psychological victimization increased from 36.7% to 43.1% (p = .01). Reports of physical victimization increased from 4.2% to 8.3% for women (p = .01) but were unchanged for men. Significant predictors of post-Katrina victimization included pre-Katrina victimization, age, educational attainment, marital status, and hurricane-related stressors. Reports of IPV were associated with greater risk of post-Katrina depression and posttraumatic stress disorder. Data from the first population-based study to document IPV following a large-scale natural disaster suggest that IPV may be an important but often overlooked public health concern following disasters.     

Typology of reactions to intimate partner violence among men and women arrested for partner violence

This study examined behavioral and emotional responses to partner-initiated violence reported by men and women court-ordered to domestic violence counseling. Respondents provided Likert-type ratings of behavioral and emotional responses to their partners' initiated violence. Cluster analysis to determine heterogeneity of emotional and behavioral responses resulted in a three-cluster solution. The profile for Cluster 1, predominantly male, showed no specific behavioral or emotional reaction pattern. Cluster 2 respondents, evenly split between males and females, but comprising a high proportion of all of the female participants, reported frequently doing what the partner wanted and attempting to escape. Emotional responses experienced by Cluster 2 respondents were anger, insult, and fear. Cluster 3, predominantly male, reported a frequent tendency to use force in response and escape when their partners initiated physical violence. Emotionally, Cluster 3 participants reported experiencing high levels of anger and insult, and relatively low levels of fear and low levels of amusement. Implications of these findings for development of gender-based intervention strategies will be discussed.     

Social inequalities in intimate partner violence: a study of women in Kenya

This study examines social inequalities in intimate partner violence (IPV) among women of reproductive age in Kenya. A sample comprising 3,696 women was retrieved from the Kenyan Demographic and Health Survey of 2003. The study design was cross-sectional. Chi-square tests and logistic regression were used to analyze the data. Results indicated that while high education among women reduced the risk of IPV exposure, both being employed and having a higher education/occupational status than her partner increased a woman's vulnerability to IPV. Age differences between the partners, illiteracy, and lack of autonomy and access to information increased the likelihood of IPV. Finally, being in polygamous relationships was associated with IPV exposure. The findings indicate demographic, social, and structural differences in exposure to IPV with important implications for interventions.     

Female-perpetrated intimate partner violence and romantic attachment style in a college student sample

The frequency, severity, and reciprocity of female-perpetrated intimate partner violence and its consequences (i.e., injuries) were investigated in a college sample of women (N = 457). Participants were classified into one of the following four groups on the basis of self-reported physical assault perpetration and victimization against their relationship partners: nonviolent, perpetrator-only, victim-only, and bidirectionally violent. Results showed that females in the bidirectionally violent group had a reportedly higher occurrence (although not always statistically significant) of perpetration and victimization than those in the perpetrator-only and victim-only groups. Additionally, a similar degree of reciprocity was indicated by females in bidirectionally violent relationships in terms of violence severity and the occurrence of injury. Adult romantic attachment style was also examined among a subset of females (N = 328), and bidirectionally violent females were found to have the highest reported levels of attachment anxiety. Further, females high in attachment anxiety and low in attachment avoidance were more likely to report perpetrating violence than females high in both styles. Implications for prevention are discussed.     

Intimate partner violence: prevalence and risk factors for men in Cape Town, South Africa

This study examined the prevalence of and risk factors for intimate partner physical violence against women. Interviews were conducted with a sample of 1,378 men working in Cape Town municipalities. An average of 42.3% (95% CI: 39.6, 44.8) reported physical violence against a partner of the last 10 years, and 8.8% (95% CI: 7.3, 10.3) reported physical violence in the past year. After adjustment for age, occupational group, and race, the factors associated with use of violence against partners of the last 10 years were having no post-school training (OR = 2.10), witnessing parental violence in childhood (OR = 1.87), involvement in fights at work (OR = 2.73) and in communities (OR = 1.54), drug use (OR = 1.99), problem alcohol use (OR = 1.98), perceiving hitting women to be acceptable (OR = 4.54), frequent conflict (OR = 2.40), women's alcohol use (OR = 2.25), conflict about sex (OR = 2.16), and conflict about his infidelity (OR = 2.81). The study shows that ideas supportive of gender inequality and normative use of violence in different settings are major underlying factors for men's violence against partners.     

Association between physical partner violence, posttraumatic stress, childhood trauma, and suicide attempts in a community sample of women

Our objective was to estimate the prevalence of intimate partner violence (IPV) and to explore its association with childhood maltreatment, substance misuse, posttraumatic stress, and suicidal behavior in a representative community sample of women. IPV was operationalized as a "physical attack or beating by a spouse, boyfriend, or live-in partner." We surveyed 637 women in Memphis, Tennessee, by telephone survey. Sixteen percent reported ever experiencing IPV by a male partner, and 75% endorsed multiple assaultive acts. Of abused women, 5.9% met current PTSD diagnostic criteria, and an additional 11.8% were assessed with subthreshold symptoms. Abused women were more likely than other women to be divorced, to have less than 13 years education, to endorse high levels of childhood victimization, to have abused drugs and alcohol, and to have attempted suicide. Twenty-three percent of IPV+ (abused) women reported a suicide attempt at some time in their lives compared with 3% of IPV- (nonabused) women (p < .0001). Further, multiple logistic regression analysis showed that childhood sexual and emotional abuse and low educational attainment were the only significant predictors of IPV. These results suggest that in women who endorse IPV, careful inquiry of past abuse, trauma-related symptoms, suicidal behavior, and drug use may be important, so that interventions can be both timely and appropriate.     

Factors associated with attitudes toward intimate partner violence: a study of women in Zambia

Demographic, social, and empowerment factors associated with attitudes toward intimate partner violence (IPV) were investigated in a random sample of women (n = 5,029) aged 15-49 years in Zambia. Data was retrieved from the Zambia Demographic and Health Survey 2001-2002 (2003). The findings indicated demographic, social, and structural differences in attitudes toward IPV. Married/previously married and less educated women, employees in the agricultural sector, and women with a history of IPV were more likely to tolerate IPV. In addition, structurally disempowered women (i.e., women lacking access to information and autonomy in household decisions) were more likely to justify IPV than more-empowered peers. Most variables remained significant even when possible confounding was adjusted for using a logistic regression. The findings are discussed and implications for prevention as well as methodological issues considered.     

Examining the correlates of engagement and disengagement coping among help-seeking battered women

This study examined several potential correlates of engagement and disengagement coping, including abuse-related factors, socioeconomic and social coping resources, and childhood trauma variables among a sample of battered women (N = 388). Relationship abuse frequency, particularly psychological aggression, and peritraumatic dissociation were the strongest positive predictors of the use of disengagement coping. Social coping resources, including tangible support and appraisals of social support and belonging, were associated with higher engagement coping and lower disengagement coping. A positive association was also found between interparental domestic violence and disengagement coping, and negative associations were found between both childhood physical and sexual abuse and engagement coping. Results suggest that coping strategies used by battered women are multidetermined and deserve further exploration.     

Nonlethal intimate partner violence: examining race, gender, and income patterns

The correlation between race of victim and intimate partner violence (IPV) is examined. Previous research showing a relationship between Black victims and higher levels of violence were based on uni-variate examinations and often do not consider other important factors. This paper presents national estimates of IPV by victim's race using the National Crime Victimization Survey (NCVS), 1993-1999. The estimates based only on race are then disaggregated to account for the victim's gender and household income. Uni-variate findings demonstrate that victim's race is significantly related to rates of intimate partner violence. However, after controlling for both victim's gender and annual household income, the victim's race is no longer significant. The importance of understanding intimate partner violence through a person's socioeconomic status rather than race is discussed.     

Gender, partner violence, and perceived family functioning among a sample of Vietnam veterans

This study examined partner violence and perceived family functioning among a sample of 298 male veterans and their female partners. Partner violent men were higher than partner violent women on measures of partner violence severity, although differences did not reach statistical significance. Among couples experiencing unidirectional violence, female victims of partner violence reported significantly poorer family functioning than male victims of partner violence. Data appear to suggest that the effects of male-perpetrated partner violence on perceived family functioning may be larger than that of female-perpetrated partner violence.