Treatment for Partner Abuse: Time for a Paradigm Shift.

Richard B. B. Stuart

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Intimate Partner and Family Violence Substance Abuse Treatment and Outcomes Elder Abuse and Neglect

Abstract

The standard approach of arresting abusers and mandating their participation in short-term group treatment produces mixed results at best. Six problematic assumptions compromise the outcome of this I-size-fits-all intervention. A review of these assumptions suggests the need for a paradigmatic shift toward the need to identify abusers who can and cannot be helped. For those amenable to treatment, intervention should include the assessment of both partners and their interaction as well as the provision of individualized, 4-step multidimensional services for both abusers and their victims. Activism, research, and skill-building are all required to promote the vitally needed changes. Partner abuse is a major worldwide problem: Between 10% and 50% of all women report having been abused by their intimate partners sometime during their lives (World Health Organization, 2001). In the United States, partner abuse is reported each year by more than 1.5 million women (Centers for Disease Control and Prevention, 1998) and 800,000 men (Gondolf & Jones, 2002). There are doubtless many other instances of abuse that are not reported to police, health care workers. or even epidemiological researchers. Victimization may be kept secret because of embarrassment, fear of retaliation, the wish to avoid legal intrusions in their lives, or the belief that it is universal and unavoidable. When abuse is revealed, mental health professionals generally offer the standard, but somewhat flawed, approach to intervention known as the Duluth model (Pence & Paymar, 1993). The major limitations of this approach are discussed as a preface to the presentation of a four-step alternative model that is more in keeping with the basic tenets of sound psychological practice.

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References

2000“Ethical Principles of Psychologists and Code of Conduct”1970Forms of Intellectual and Ethical Development in the College Years; A Scheme 2000Sex differences in aggression between heterosexual partners: A meta-analytic review.1995Patriarchal Terrorism and Common Couple Violence: Two Forms of Violence against Women 1970Forms of intellectual and ethical development in the college years.1980Criminal Justice and Behavior 2001Research summary on the therapeutic relationship and psychotherapy outcome.2003Risk Factors for Femicide in Abusive Relationships: Results From a Multisite Case Control Study

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2009Strengths-Based Batterer Intervention: A New Paradigm in Ending Family Violence 2014Outcomes From a Duluth Model Batterer Intervention Program at Completion and Long Term Follow-Up 2006Substance abuse and intimate partner violence: treatment considerations 2011A Proximal Change Experiment Testing Two Communication Exercises With Intimate Partner Violent Men 2008Valoración del riesgo de violencia contra la pareja por medio de la SARA

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