Batterer intervention providers, anger management counselors, mental health professionals, and research scholars dedicated to evidence-based practice worldwide.
In response to research finding batterer intervention programs to be limited overall in their ability to reduce rates of recidivism, stakeholders in the field of domestic violence have been calling for more evidence-based treatment models. Meanwhile, because of the limitations of state standards, lack of information and other factors, providers are often polarized and confused. The recent literature review by Julia Babcock and colleagues on what works in batterer intervention indicates that while there are some serious conceptual flaws to gendered models of treatment, such as Duluth (including the unsupported focus on the power and control motive and patriarchy as a major risk factor for violence), outcome studies have not found CBT to always be more effective, and that certain approaches (e.g., developing a strong facilitator-client relationship) may in fact account for successful interventions regardless of the program’s stated philosophy.
Based on this common factor research, discussions with facilitators and clients from various programs, and a comparison of my own program with observations of a gender-based model in action, I have put together a training for treatment providers, with suggestions on how to reduce polarization among providers and increase treatment effectiveness. Let me know if you want to know more. Meanwhile, I highly recommend the second edition of the book, The Great Psychotherapy Debate, by B. Wampold and Z. Imel (Routledge, 2015). The book showcases a new psychotherapy meta-model, the Contextual Model, that nicely accounts for findings from recent RAC batterer intervention outcome studies on the importance of the facilitator-client relationship and the value of Motivational Interviewing.
The UK mirrors the US and Canada in a lot of the research and practice that occurs in intimate partner violence (IPV). In the current review, (that will be published in Partner Abuse next year) myself and my colleagues sought to explore what IPV perpetrator programmes were provided within the UK. This was part of the wider review being conducted and organised by John Hamel.
We sought approval through the UK National Offender Management Service and moved forward with an edited version of the questionnaire that was being used in the US. We contacted prisons, probation services, charities and other organisations we found through online searches. One of the most interesting findings from this was the reluctance of some organisations to take part. In the paper (Bates, Graham-Kevan, Bolam & Thornton, in press) there is a quote from one such organisation; on finding out about my collaborators and my previous publications they decided: “Now I know the source of the research I do not wish to respond”. This was representative of a suspicion of our motives, agenda and how we would use the data. As a consequence we had quite a low response rate, at approximately 10%, although it was comparable with colleagues in other nations.
We found that the majority of provision was still aimed at men who had abused their female partners. There were still some strong influences of the Duluth/feminist model, often mixed with some CBT approaches too. We chose to supplement our findings with a review of the current accreditation procedures to give a better picture of the current state of provision within the UK. There are two methods for gaining accreditation; the first is through the UK Criminal Justice System which had currently four accredited programmes. Each has some feminist influences and each is only appropriate for heterosexual men.
Within the UK there is a further level of accreditation that some seek to achieve, that of the feminist organisation Respect. Respect (2012) and their accreditation standard applied to “all organisations providing domestic violence prevention programs (DVPPs) working with men who use intimate partner violence (IPV), and also providing integrated safety services (ISS) for partners and ex-partners of these perpetrators” (p.1). They are a very powerful organisation within the UK and hold a lot of political sway in lobbying the Government and influencing policy (Dixon et al., 2012). Their accreditation standards are firmly grounded in the feminist model and they accredit programmes that hold men truly accountable for their violence towards women. This of course ignores the wealth of literature that details that IPV is not just a unilateral problem of men hitting women (e.g. Bates, Graham-Kevan & Archer, 2014). The research team attempted to engage with Respect through email and social media to get up to date versions of their mission statement but we received no response.
There are few evaluations of Respect accredited programmes but one particularly well-known one in the UK is Project Mirabel (Kelly & Westmarland, 2015). The authors sought to challenge previous evaluations by creating a new, methodologically rigorous version but there were significant issues including no pre-post inferential statistical analysis and a comparison of effect using all starters and the completers – so 99 vs. 52 men.
Within this review, we as a team concluded that the Duluth model is still very influential within practice in the UK. It is something that is significantly impeding practice moving forward in terms of reducing IPV offending. We call for more evidence based practice within the area and an end to the “immunity” the model seems to have from needing to answer to any external empirical evaluation (Corvo, Dutton & Chen, 2008; p.112).
Bates, E. A., Graham-Kevan, N., & Archer, J. (2014) Testing predictions from the male control theory of men’s partner violence. Aggressive Behavior, 40(1) 42-55. doi: 10.1002/ab.21499
Bates, E.A., Graham-Kevan, N., Bolam, L. T. & Thornton, A. J. V. (in press) Review of Domestic Violence Perpetrator Programs in the UK. Partner Abuse.
Corvo, K., Dutton, D. G. & Chen, W. Y. (2008) Towards evidence-based practice with domestic violence perpetrators. Journal of Aggression, Maltreatment and Trauma, 16 (2), 111-130. doi: 10.1080/10926770801921246
Dixon, L., Archer, J. & Graham-Kevan, N. (2012) Perpetrator programs for partner violence: Are they based on ideology or evidence? Legal and Criminological Psychology, 17, 196-215. doi: 0.1111/j.2044-8333.2011.02029.x
Kelly, L. & Westmarland, N. (2015) Domestic Violence Perpetrator Programmes: Steps Towards Change. Project Mirabal Final Report. London and Durham: London Metropolitan University and Durham University
Pence, E. & Paymar, M. (1993) Education groups for men who batter: The Duluth Model. New York, US: Springer Publishing
The Association of Domestic Violence Intervention Programs (ADVIP) 2016 International Conference was held July 10 at the Portsmouth Sheraton Hotel, Portsmouth, New Hampshire, in conjunction with the International Family Violence and Child Victimization Conference and the Family Research Laboratory. ADVIP is the only international organization of mental health professionals, batterer intervention providers, and research scholars dedicated to evidence-based practice worldwide (www.domesticviolenceintervention.net)
This was a historic event, featuring presentations on domestic violence perpetrator treatment programs in the United States, Canada, Latin America, the U.K., and Africa, and representing a number of perspectives and solutions.
OVERALL FINDINGS:
Domestic violence is a worldwide problem, and consists of physical, emotional and sexual forms of interpersonal abuse.
The causes, characteristics and consequences of domestic violence in some ways differ across countries and regions, but in other ways quite similar.
Outside of the United States, and particularly in underdeveloped countries, where laws against domestic violence either do not exist or remain unenforced, domestic violence intervention programs are scant, and underfunded.
There is a consensus that the causes of domestic violence can best be understood according to an Ecological Model, which acknowledges the importance of societal, neighborhood, family, and individual factors.
Interventions should be delivered within a cultural context. There should be a comparatively greater emphasis on social factors, such as the general oppression of women, in more patriarchal countries, but psychological, developmental and relationship factors have been found to be relevant everywhere.
These findings will be of enormous help in establishing more promising evidence-based policies for perpetrator programs throughout the world.
RECOMMENDATIONS FOR NATIONAL STANDARDS IN THE UNITED STATES:
Holding offenders accountable requires a multi-system response, including effective policing, prosecution, incarceration, judicial monitoring, and/or treatment.
Perpetrator treatment is one part of a coordinated community response that includes law enforcement, victim advocates, mental health professionals and other social service agencies.
Regardless of a perpetrator’s legal status, treatment should be based on the needs of that individual and the extent to which he or she presents a threat to current and future victims.
Treatment should be delivered by providers with substantial and accurate knowledge of partner abuse, including prevalence rates, abuser characteristics, causes and contributing factors, dynamics, and the negative impact on victims and families.
Perpetrator treatment plans should be determined through a thorough psychosocial assessment that includes, but is not limited to, known PA risk factors.
Treatment should be based on current best practices informed by empirical research on treatment outcome, treatment engagement, and risk factors for PA recidivism.
Although group is the most popular from of treatment, there is no empirical support for the wholesale prohibition of any particular modality.
Complete conference findings will be published in three special issues of the peer-reviewed journal, Partner Abuse: volume 7 (2016), issues number 3-4; and volume 8 (2017), issue number 1, and will include papers not presented at the conference – for example, on perpetrator programs in South Asia (www.springerpub.com/pa).
NIMH called the 1990’s “the decade of the brain”. The NIMH strategic plan reads, in part, “This is a time of great scientific excitement in mental health research. Building on new discoveries from genetics, neuroscience, and behavioral science, we are better poised to understand how the brain, behavior, and the environment interact to lead to mental disorders. Mental illnesses are now studied as brain disorders, specifically as disorders of brain circuits.” [italics added]. Along with rapid development in understanding of the neuropsychology of mental disorders has come greater understanding of the neuropsychology of violence. I have written three papers* in the last two years on the links between neuropsychological factors and domestic violence and in so doing have discovered new avenues for possible interventions and rediscovered some of the same resistance to change endemic in this field. The current policy/practice paradigm, as maintained at the federal level by the National Institute of Justice, and at the state and local levels by various domestic violence “certifying agencies” and “batterer” intervention providers, excludes from consideration a host of known perpetration risk factors. Recent research on neurochemical, neuroanatomical and neuropsychological risk for violence suffers the same fate as older research on addiction and mental health issues – deliberately misinterpreted or ignored. Admittedly, neuropsychological risk factors present to judges, and the general criminal justice system in general, complications regarding culpability, accountability, and the proper role of corrections. These complications are magnified in the area of domestic violence perpetration where even the basics of forensic mental have been deliberately excluded from policy and practice for decades. Whether research into the links between neuropsychological anomalies and domestic violence can be manipulated or misused to mitigate the personal responsibility of perpetrators should not influence whether or not such research is undertaken or respected. Domestic violence research must better incorporate the new and rapidly expanding research on neuroscience and neurochemistry into its theoretical framing of perpetration or continue to languish in scientific backwaters.
I just finished reading Emotions Revealed, by Paul Ekman (Henry Holt & Company, 2003). Initially, I was looking for more information about his famous research on the trans-cultural nature of emotions, and how the basic emotions of fear, sadness, anger, disgust, contempt, surprise, and happiness appear to be hard-wired into the human brain. I was pleasantly surprised to find a great deal of very practical information and advice on how to identify and mange emotions, including anger, from a combined evolutionary/cognitive-behavioral approach. It is the best book on emotions I have ever read, and directly relevant to the work we do with domestic violence perpetrators. Our clients not only have difficulties managing strong emotions, but also correctly reading other people’s emotions and other social cues. I would love to hear feedback from other ADVIP members who are familiar with Ekman’s work.
Currently, we are conducting the National Survey for Domestic Violence Intervention Programs, the largest survey of its kind into the demographics, philosophy, and structure of batterer intervention programs across the U.S. and Canada. The aim of this study is to ascertain what domestic violence batterer intervention programs are like across the country. In order to determine this, we have developed a survey that investigates facilitator demographics, client demographics, facilitator insights, and program logistics. By doing so, we will be better able not only to understand how batterer intervention programs operate on the ground but also to develop more accurate policy recommendations in order to improve interventions.
Batterer intervention programs have become the most likely type of intervention after a domestic violence plea or conviction. An exhaustive review of the literature on batterer intervention programs found that some studies have resulted in mixed findings, due in part to flawed research design, but that some recent studies have shown cautious optimism about the positive intervention some batterer intervention programs provide (Eckhardt et al. 2013). Given these findings, such a study as ours is crucial to understanding how effective batterer intervention programs are across the nation and what can be done to improve them in order to reduce instances of intimate partner violence. In their study on leadership, philosophy, and structure of 276 batterer intervention programs in 45 states, Price and Rosenbaum (2009) found that although batterers are not a homogenous group, interventions are based on a “one size fits all” model. Given their findings, we propose to expand the case base to 3,500 batterer intervention programs across the U.S. and Canada. We also aim to study not only the philosophy and structure of these programs, but also the demographics of both facilitators and clients. Once the survey is completed, we intend to use them to publish journal articles about what we find as well as use them to create evidence based arguments for policy changes (assuming any are needed).
Violence against women is a serious social and mental health problem and human rights abuse worldwide. It is an extremely complex phenomenon, deeply rooted in gender based power relations, sexuality, self-identity, and social institutions that pose a serious threat to women”s mental health. This paper discusses the various factors behind violence against women with some cases and its consequences on women”s mental health and wellbeing. The paper suggests that recognizing violence against women as a mental health issue is an essential first step which requires concerted and multi-sector responses backed by strong political commitment aimed at ending discrimination and violence against women.
I provide our courts Domestic Violence Evaluations upon request. As part of the evaluation I use the MCMI-III. I am seeing a high number of individuals suffering from Axis II PD’s. Does anyone have any recent research showing such a corralation?
For those of you interested in research on domestic violence in countries outside of the United States, you might want to read the literature review by Esquivel-Santovena, Lambert and Hamel (2012). The full reference is: Esquivel-Santovena, E., Lambert, T., & Hamel, J. (2013). Partner abuse worldwide. Partner Abuse, 4(1), 6-75. This article is part of the Partner Abuse State of Knowledge Project (PASK), and is available for free to anyone who is interested. Just go to www.domesticviolenceresearch.org. On the left side, under PASK, click on “17 Full PASK Manuscripts and Tables of Summarized Studies.” This will take you to all of the PASK literature reviews, including the one by Esquivel-Santovena et al. A list of international researchers and thier contact information can be found on the left side of the home page by clicking on “INTERNATIONAL RESEARCH.”
Two articles on the effectiveness of intervention programs in Europe can be found on the ADVIP website, in the “articles” page under “research.”