Violent behavior of men in their intimate relationships, as they experience it

"Help Me Realize What I'm Becoming": Men's Views on Digital Interventions as a Way to Promote Early Help-Seeking for Use of Violence in Relationships

Intimate partner violence (IPV) is a major global issue with huge impacts on individuals, families, and communities. It is also a gendered problem, with the vast majority of IPV perpetrated by men. To date, interventions have primarily focused on victim/survivors; however, it is increasingly recognized that men's use of violence must also be addressed. Despite this, there remain limited options for doing this in practice. In most high-income countries, men's behavior change programs (MBCPs) or their equivalent are the typical referral pathway, with men often mandated to attend by the criminal justice system. Yet, these programs have limited evidence for their effectiveness and recidivism and dropouts are major challenges. Moreover, an entire subset of men-those uninvolved with criminal justice settings-remain under-serviced. It is clear that a critical gap remains around early engagement with men using violence in relationships. This study explores the potential for digital interventions (websites or apps) to fill this gap through qualitative analysis of data from focus groups with 21 men attending MBCPs in Victoria, Australia. Overall, we interpreted men's perceptions of digital interventions as being able to facilitate connection with the "better man inside," with four sub-themes: (a) Don't jump down my throat straight away; (b) Help me realize what I'm becoming; (c) Seeing a change in my future; and (d) Make it simple and accessible. The findings of this study suggest that there is strong potential for digital interventions to engage early with men using IPV, but also some key challenges. Websites or apps can provide a safe, private space for men to reflect on their behavior and its consequences; however, the lack of interpersonal interaction can make it challenging to balance non-judgmental engagement with accountability. These issues should be considered when designing digital interventions for men using violence in relationships.

Suspension of Criminal Proceedings for Perpetrators of Intimate Partner Violence Against Women: Impact on Re-Entries

Intimate partner violence (IPV) is one of the most prevalent crimes in our society, but the legal mechanisms to oppose it are recent. The Portuguese Provisional Suspension of Criminal Proceedings (PSCP) as a criminal justice system (CJS) response proposes an integrated consensual solution with the involved parties, to reduce offenders' recidivism. This article analyses the effect of PSCP on re-entries into the CJS. We examined 1,662 IPV police reports, exploring cases that underwent PSCP and re-entries of the same offender in the CJS. Results show that PSCP is applied in 17% of the cases. From all analyzed determinants, with a possible relation to the PSCP implementation, it was found that social violence and the age of both victims and defendants emerge as significantly associated with the request or acceptance of this legal mechanism. No variables tested moderated the relationship between PSCP and re-entry over 96months following the first police report. The article also examined variables that might moderate the decision to request this legal mechanism among victims and defendants.

Finding a Common Ground: Therapist Responsiveness to Male Clients Who Have Acted Violently Against Their Female Partner

Men in treatment for intimate partner violence (IPV) do often present with problem formulations that do not fit the therapeutic endeavor of personal change and may, therefore, challenge therapists in their effort to build an alliance. However, the therapist's initial contributions are also likely to influence whether the client finds it worthwhile to become involved in a working alliance. In a qualitative study of the in-session interactions between experienced therapists and men in IPV individual therapy, we looked for variations in therapist responsiveness to the client's initial invitations to identify whether and, eventually, how the two parties were able to reach common ground for working together. We studied therapist-client interactions in 20 therapy cases, including 10 completed cases with good outcomes and 10 dropout cases. Two sessions during the early phase of the therapy and the final session were audiotaped and transcribed verbatim. The transcriptions were analyzed following the guidelines of constructivist grounded theory. The analysis revealed three interactional patterns: co-creative exploration, pull-avoid repetitions, and tiptoeing softly around, each of which was associated with a distinctive set of therapist strategies. Clients participating in the co-creative pattern appeared to experience the most successful treatment. Our findings suggest that a model of therapist responses to client invitations is valuable for the conceptualization of the therapeutic alliance during the early sessions of psychotherapy. The findings also highlight the importance of clarifying and expanding upon the client's personal experience with his abuse to form a viable working alliance.

A Qualitative Study of Intimate Partner Violence From the Perpetrator's Perspective

Cognitive-behavioral treatment (CBT) has shown promising results in reducing aggression in intimate partner violence (IPV) relationships. A cornerstone of effective CBT is the assessment and measure of cognitions, behaviors, interactions, and conditions surrounding the violence. Unfortunately, there is limited perpetrator-based research that focuses on these aspects of IPV. The purpose of this study was to question perpetrators about the behaviors, interactions, cognitions, and conditions that precipitate and maintain abuse. Such information, along with similar data collected in a companion study of victims, is intended to assist in better understanding perpetrator violence, which can serve as the foundation of effective cognitive-behavioral (CB) IPV assessment, measurement, and treatment. Twelve heterosexual perpetrators receiving treatment for IPV completed structured audiotaped interviews focusing on CB phenomena, that is, the cognitions, behaviors, feelings, interactions, and conditions perpetrators have before, during, and after an IPV incident. Transcripts were coded and analyzed to develop a broad categorized list of discrete IPV phenomena over time. Among the findings relating to violent incidents was indication that despite the progression of abuse that compels perpetrators uncontrollably toward a violent episode, both partners simultaneously engage in numerous preventive attempts. The findings are ultimately intended to contribute to an instrument or treatment assessment method that can more accurately measure IPV phenomena emphasizing core CB concepts.

Braving the Elements: Ambivalence as Opportunities for Change in Individual Psychotherapy With Men Using Intimate Partner Violence

This study examines client utterances that can be understood as ambivalent in violence-focused therapy. The purpose is to enrich our scientific understanding of client contributions to therapy when they appear ambivalent to the therapeutic project and develop clinically relevant perspectives that enable us to help this and other client groups. Using constructivist grounded theory analysis of five completed therapies, we describe three categories of client ambivalence present throughout all five therapies: I am bad, but I am not that bad; I have tried and tried in vain; and I know it is wrong, but I have to, I have no choice. The categories are described and understood from a clinical perspective. They are developed on the basis of an interpretation of what seems to be at stake for the client in the here-and-now of therapy. Clinical implications are discussed.

Applying a Strengths-Based Psychoeducational Model of Rehabilitation to the Treatment of Intimate Partner Violence: Program Theory and Logic Model

In the United Kingdom, there is an increasing need to develop prevention programs for intimate partner violence and abuse (IPVA). However, this need has increased within a context of increasing financial pressure. Consequently, commissioners are expressing interest in models of prevention that are brief. This article first reviews the effectiveness of domestic violence (DV) prevention programs, including those from England and Wales. This article then describes the theoretical development of an emerging IPVA prevention program that combines solution-focused brief therapy (SFBT) and cognitive behavioral therapy (CBT) methods. The article addresses how CBT content is integrated within the SFBT approach and provides details of the intervention logic model.

From Resistance to Invitations: How Men Voluntarily in Therapy for Intimate Partner Violence May Contribute to the Development of a Working Alliance

The high drop-out rate and modest outcome for men in treatment for intimate partner violence (IPV) have highlighted the question of how therapists can establish an effective working alliance with these clients. The aim of this study was to conceptualize the variety of ways in which male clients using violence against a female partner might present themselves to form a working alliance that might appeal to them. We studied how 20 men voluntarily in individual IPV treatment contributed at the beginning of therapy to forming an alliance with therapists skilled in such treatment. The first therapy session in 10 drop-out and 10 completed cases was transcribed verbatim and analyzed qualitatively, following guidelines drawn from the constructionist grounded theory. The analysis resulted in a conceptual model of gateways and invitations to an alliance. Gateways are themes that have the potential to open a path toward collaboration on personal change. Each of the three gateways identified, comprised solide and weak invitations to an alliance: (a) presenting reasons for seeking treatment-as their own choice, as avoidance, or as a mistake; (b) presenting notions of change-as their own need to change their violent behavior, as ambivalence toward the project, or as a need to change the partner; and (c) disclosing and describing violence-as a personal narrative, as a scene, as a fragment of their life, or as something else. Implications for therapists' understanding of clients' motivational goals, negotiation of alliance, and disclosure of violence early in therapy are discussed.

The Process of Primary Desistance From Intimate Partner Violence

This study examined the interaction between structure and agency for individuals in the first or early phase of primary desistance (1 year offending free) from intimate partner violence (IPV). Narrative accounts of perpetrators, survivors, and IPV program facilitators were analyzed using Thematic Analysis. Changes in the self and the contexts, structures, and conditions were necessary to promote desistance. Perpetrators made behavioral and cognitive changes taking on different identities (agentic role) by removing external stressors and instability within the confines of a supportive environment (structural role). Findings provide a theoretical framework of desistance from IPV that integrates social processes and subjective change.

Sexual Safety Planning as an HIV Prevention Strategy for Survivors of Domestic Violence

Victims of domestic violence (DV) are not only subject to physical and emotional abuse but may also be at increased risk for less recognized dangers from infection with human immunodeficiency virus (HIV) and other sexually transmitted pathogens. Because of the close link between DV and sexual risk, women need to be educated about the consequences of acquiring a life-threatening sexually transmitted infection, risk reduction measures, and how to access appropriate HIV services for diagnosis and treatment. It is therefore critical for DV workers to receive sufficient training about the link between DV and HIV risk so that sexual safety planning can be incorporated into activities with their clients in the same way as physical safety plans. In this article, we discuss how the Many Hands Working Together project provides interactive training for workers in DV and DV-affiliated agencies to increase their knowledge about HIV and teach sexual safety planning skills to achieve HIV risk reduction.

Ethical issues in family violence research in healthcare settings

Research ethics is always important. However, it is especially crucial with sensitive research topics such as family violence. The aim of this article is to describe and discuss some crucial issues regarding intimate partner violence and child maltreatment, based on the authors’ own research experiences. We focus on and discuss examples concerning the definition of family violence, research design, ethical approval, participant recruitment and safety and data collection and processing. During the research process, the significance of teamwork is emphasized. Support provided by the participants to each other and support given by experienced researchers within the team is very important for high ethical standards.

Textual transformations of subjectivity in men’s talk of gender-based violence

This study examined how men accounted for their violent behaviours against their intimate female partners. In-depth qualitative interviews were conducted with 12 men from three men’s groups in Johannesburg, South Africa. All the men self-reported that they had committed acts of intimate partner violence previously, and the majority were from low-income, township settings. Dissociations, justifications and confessions featured as the predominant accounting forms that worked to transform participants’ subject positions from the ‘violent abuser’ to the ‘legitimately violent partner’ and even to the ‘changed man’. Attention is accorded to how gender ideologies and heteropatriarchal discourses legitimating male violence against women were reinforced, yet were at times challenged within their talk and through rhetorical devices. In line with a poststructuralist reading, the study highlights the complexities underpinning men’s varied meanings of violence. On the one hand, it reveals the agentic shifting of identities. On the other, it highlights the social discourses that are embedded in men’s talk and therefore inscribed into male subjectivities.

Turning points for perpetrators of intimate partner violence

Understanding why and how perpetrators of intimate partner violence (IPV) change their behavior is an important goal for both policy development and clinical practice. In this study, the authors investigated the concept of "turning points" for perpetrators of IPV by conducting a systematic review of qualitative studies that investigated the factors, situations, and attitudes that facilitated perpetrators' decisions to change their abusive behavior. Two literature databases were searched and six studies were found that met the inclusion criteria for the systematic review. Most included participants from batterer intervention programs (BIPs). The data indicate that community, group, and individual processes all contribute to perpetrators' turning points and behavioral change. These include identifying key incidents that precede change, taking responsibility for past behavior, learning new skills, and developing relationships within and outside of the BIP. By using a qualitative systematic review, the authors were able to generate a more complete understanding of the catalysts for and process of change in these individuals. Further research, combining quantitative and qualitative approaches, will be helpful in the modification of existing BIPs and the development of new interventions to reduce IPV.