Intimate Partner Violence
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INTIMATE PARTNER VIOLENCE About the Author Teresa Crowe, PhD, LICSW is a licensed clinical social worker in the District of Columbia and Maryland. She is a professor of social work at Gallaudet University and teaches practice, theory, and research in the MSW program. Her recent research focuses on deaf and hard of hearing populations, especially in the areas of behavioral health, intimate partner violence, telemental health, and help-seeking. Learning Objectives Upon completion of this learning activity, the reader will be able to: 1) Define the different types of intimate partner violence. 2) Recognize indicators of intimate partner violence for each type. 3) Identify different types of intimate partner violence prevention strategies. 4) Explain the value and procedures of screening, immediate intervention, and assessment for IPV. 5) Explain help seeking dynamics, reasons why many victims do not seek help, and the transtheoretical stages of change model. 6) List the components of a safety plan. 7) Recognize the multidimensional levels of trauma individuals exposed to intimate partner violence may experience. 8) Describe trauma-informed treatment and specific interventions for IPV survivors and families. 9) Analyze factors in IPV perpetration, IPV homicide, and perpetrator treatment. 10) Identify legal and mandatory reporting issues relevant to IPV intervention. 11) Recognize cultural considerations in treatment planning. 12) Explain specific intervention techniques and applications for individuals, children, and families. 13) Describe aspects of culture that shape varied meanings of IPV trauma. 14) Explain how minority stress theory applies to victims of IPV. 15) Identify IPV-related issues among survivors of varied cultural/ethnic groups. 16) Recognize special populations that are disproportionately affected by IPV and important factors related to their help seeking. ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com Syllabus Introduction Myths about IPV and the Truth Types, Terminology, and Definitions US Prevalence Estimates Physical Violence Sexual Violence Stalking IPV-related Homicide Indicators of IPV Perpetrator Traits Prevention Prevention at the Individual-Level Prevention at the Community-Level Prevention at the Society-Level Organizational Practices for Providers Universal Screening Screening Tools and Instruments Screening for Perpetration Risk Tips for Screening Immediate Intervention Crisis Hotlines Intake Assessments Assessment Challenges with “Leaving” Help Seeking Transtheoretical Stages of Change Model Factors Affecting Help-Seeking Behaviors Safety Planning Multidimensional Levels of Trauma Posttraumatic Stress Disorder and Other Problems Associated with IPV Subthreshold Symptoms of PTSD Coping Strategies Problems that May Be a Focus of Clinical Treatment Treatment Integrated or Trauma-Focused Cognitive Behavioral Therapy Concurrent Treatment of Post-Traumatic Stress Disorder and Substance Use with Prolonged Exposure (COPE) Perpetrators of IPV IPV-Related Homicide and Murder-Suicide Perpetrator Treatment Legal Issues Mandatory Reporting Cultural Considerations in Treatment Culture and Trauma ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com Cultural and Social Norms That Support Violence Child Maltreatment Community Violence Intimate Partner Violence Child Marriages and Genital Mutilation Cultural and Ethnic Diversity Among IPV Survivors Immigrants and Refugees Latino/a/x Americans African Americans Asian Americans Hawaiian Natives and Pacific Islanders American Indians and Alaska Natives Middle Eastern Americans (Western Asian Americans) Special Populations Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Individuals Adolescents and Young Adults Elders Persons with Disabilities Men Geographically Isolated Individuals Economically Disadvantaged Individuals Provider Self-Care Summary References INTRODUCTION Intimate partner violence (IPV) is indiscriminate; it occurs across gender, racial, ethnic, geographical, religious, and disability lines. The National Institute of Justice [NIJ] (2019) defines IPV as physical, sexual, or psychological harm inflicted on an individual by a partner or spouse. IPV, also sometimes called domestic violence (DV), can occur in various forms, including physical, verbal, emotional, psychological, economic, and sexual abuse. Survivors of IPV can experience immediate and long-term health, social, psychological, and economic consequences. The complexity of an IPV experience can affect a person across multiple domains, including individual, interpersonal, familial, community, and societal. Because of its broad scope, clinicians should be aware of the many facets of IPV. Chances are that practitioners will work with individuals who have past or current experiences with IPV either as perpetrators or survivors. The purpose of this learning material is to help practitioners learn about the prevalence of IPV, its indicators, and theories about how IPV occurs and why it is perpetuated. ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com MYTHS ABOUT IPV AND THE TRUTH Individuals, including IPV victims and perpetrators, may unwittingly believe that violence may be necessary at times to control someone’s behavior. Others who are on the outside of abuse may endorse particular prejudices about those who are abused and those who abuse them. These myths, when left unexamined or unchallenged, can perpetuate violence and inhibit some people from seeking help when needed. Common myths about IPV include: • It is a female-only problem, • It is only physical, • It only occurs among those who are poor and uneducated, • If a domestic abuse victim does not leave the situation, it must be tolerable, and • A person who abuses a partner or spouse is under a lot pressure and then just “snaps”. (Barger, 2019; Paisner, 2019) The truth about IPV is much more complicated and involves myriad perspectives of the underlying dynamics. Below are recent newspaper reports of domestic violence in various circumstances. These cases highlight the broad range of dynamics at play with issues of IPV. A 16-year old youth in Georgia choked his 19-year old sister to death after an argument over a wi-fi password. The brother had been playing an X-Box game when the internet speed slowed down. He then aggressively confronted his mother when she tried to remove the game from his room. When the youth’s sister intervened, he attacked and killed her (Woods, 2019). A 66-year old man from Texas murdered his 24-year old Filipino wife whom he had met online two years earlier. After showing a friend his deceased wife’s body, which he kept in a freezer, he then committed suicide (Miller, 2019). A celebrity star on the Teen Mom television program was arrested and charged with domestic battery with a deadly weapon against her boyfriend. Additional charges were filed because her violent acts were committed in the presence of her one-year old child (Bacardi, 2019). ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com A 57-year old British man shot and killed his wife and daughter before killing himself. The violent behavior had been going on for some time in a rural town in England. Investigators explained that certain rural sociocultural factors were at play in the small community that prevented intervention. Problems with males holding positions of power, limited availability of public services, such as transportation out of the village, and tight-knit communities that hide and protect perpetrators exacerbated the problem (Dodd, 2019). A prosecutor in Tennessee stated that he would not prosecute domestic assaults between gay or lesbian partners because he does not recognize their unions as a marriage. The prosecutor stated that the rights of LGBT individuals are not God- given rights and therefore, do not have the constitutional rights of married couples (Golgowski, 2019). A wife experienced emotional and psychological abuse when her husband accused her of not following the Bible. He yelled at her that she was a failure as a wife, a Christian, and as a mother because of her insubordination. He read to her: ‘Wives, submit to your own husbands, as to the Lord. For the husband is the head of the wife as Christ is the head of the church, his body, and is himself its Savior. Ephesians 5:22- 23’ (Baird & Gleeson, 2018). Singer Chris Brown reached a plea agreement for a felony charge for assault of his girlfriend and singer, Rihanna Fenty. Brown agreed to accept five years of supervised probation and 1,400 hours of community service (Brown & Surdin, 2009). These incidents illustrate the diverse circumstances under which domestic violence incidents can occur. Perpetrators and survivors can be anyone; they can be male or female, wealthy or poor, young or old; famous or not. Myths about IPV can have broad impact upon those who suffer from abuse. They perpetuate prejudice, oppression, and discrimination and can prevent survivors from seeking treatment. In order to combat the negative effect of these myths, the messages contained in the myths should be analyzed, but more importantly, their veracity should be thoroughly investigated. ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com Myth 1: IPV is a female-only problem Though some may assume that IPV is a female-only problem, the truth is that men can be the victims of IPV as well. Current data indicate that female victims more often