Screening for Physical Violence in Couple Therapy: Methodological, Practical, and Ethical Considerations

Etiony Aldarondo · Murray A. Straus

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Intimate Partner and Family Violence Child Abuse and Trauma Counseling, Therapy, and Family Dynamics

Abstract

Over two-thirds of clients in family therapy clinics engage in some form of physical violence against their partners within the year prior to the initiation of therapy. However, family therapists are aware of only a small proportion of these cases. The purpose of this article is to enhance the ability of family therapists to detect marital violence. We examine client and therapist reasons for why physical violence is not detected. We then review various methods to screen for the presence of physical violence, especially the Conflict Tactics Scales. Finally, indicators of life-threatening violence are presented to help family therapists detect cases that require immediate intervention to protect the partner whose life may be in danger.

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References

1979Measuring Intrafamily Conflict and Violence: The Conflict Tactics (CT) Scales 1979Mind and Nature: A Necessary Unity 1982Behind Closed Doors: Violence in the American Family.1989Feminist Perspectives on Wife Abuse 1990Physical Violence in American Families: Risk Factors and Adaptations to Violence in 8,145 Families 1992Development of the severity of violence against women scales 1981The Assessment of Spouse Abuse: Two Quantifiable Dimensions 1989Prevalence and stability of physical aggression between spouses: A longitudinal analysis.

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1998Atrocities exposure in Vietnam combat veterans with chronic posttraumatic stress disorder: Relationship to combat exposure, symptom severity, guilt, and interpersonal violence 2005Evidence-based approaches to assessing couple distress.1998Adult Attachment Styles and Aggressive Behavior within Dating Relationships 1997INTIMATE JUSTICE: CONFRONTING ISSUES OF ACCOUNTABILITY, RESPECT, AND FREEDOM IN TREATMENT FOR ABUSE AND VIOLENCE 2017A critique of the revised Conflict Tactics Scales-2 (CTS-2)

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