Treatment FAQ

what is conjoint treatment for domestic violence

by Miss Lera Leffler IV Published 2 years ago Updated 2 years ago
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Currently, Gender-Specific Treatment (GST) is the dominant approach to treating domestic violence. GST works separately with abusers and victims in same sex groups. Conjoint treatment, or couples therapy, is another treatment approach.

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What is this presentation about Conjoint Therapy and domestic violence?

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Does couple therapy work in violence recidivism?

Domestic violence is a common complaint encountered by counselling psychologists and other mental health professionals. Common psychological treatment …

What are the treatment options for intimate partner violence?

The presentation is based on Stith's book, "Couples Therapy for Domestic Violence: Finding Safe Solutions" (APA, 2011). The presentation addresses important questions about conjoint therapy and domestic violence and is an essential presentation for those providing domestic violence treatment services. Part of the Clinician's Corner category on ...

Does severity of violence affect the effectiveness of couple therapy?

Gender-specific group therapy ( Tolman & Edleson, 1995) is viewed as the standard treatment for IPV, even for couples experiencing situational violence (minor incidents initiated by both men and women), despite high drop-out rates ( Babcock & LaTaillade, 2000 ), uncertain efficacy, and emphasis on inherent male fault.

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What is conjoint treatment?

therapy in which the partners in a relationship or members of a family are treated together in joint sessions by one or more therapists, instead of being treated separately. Also called conjoint counseling.

What are the four phases of research on domestic violence?

There are four stages in the cycle of domestic violence: tension, incident, reconciliation, and calm.Mar 1, 2021

What are the three phases of intimate partner violence?

There are three phases in the cycle of violence: (1) Tension-Building Phase, (2) Acute or Crisis Phase, and (3) Calm or Honeymoon Phase. Without intervention, the frequency and severity of the abuse tends to increase over time.

What is the difference between IPV and domestic violence?

Domestic Violence (DV) can occur between a parent and child, siblings, or even roommates. Intimate Partner Violence (IPV) can only occur between romantic partners who may or may not be living together in the same household.Jan 5, 2021

What is the first stage of spousal abuse?

In the first phase, tension builds in the relationship. Victims report their partners becoming increasingly irritable, frustrated, and unable to cope with every-day stresses. The abuser may lash out at the victim at this time, but generally stops and becomes apologetic.

What makes someone an abuser?

Blame others for their own feelings and are very manipulative. An abusive person will often say "you make me mad", "you're hurting me by not doing what I ask", or "I can't help being angry". Often are alcohol or drug abusers. May have a family history of violence.

What is the honeymoon cycle?

The honeymoon phase is an early part of a couple's relationship where everything seems carefree and happy. It usually lasts from six months to two years and can be marked with lots of laughs, intimacy, and fun dates.Feb 2, 2021

How does domestic violence affect the victim?

Effects of Domestic Violence Domestic violence affects one's thoughts, feelings and behaviors and can significantly impact one's mental stability. Increased anxiety, post-traumatic stress disorder and depression symptoms are commonly observed among survivors of domestic violence.

What are 3 effects of abuse?

Maltreatment can cause victims to feel isolation, fear, and distrust, which can translate into lifelong psychological consequences that can manifest as educational difficulties, low self-esteem, depression, and trouble forming and maintaining relationships.

What are the two types of situational domestic violence cases?

To capture these two different paradigms of domestic violence, Johnson coined two categories: “Common Couple Violence” (later termed “Situational Couple Violence”) and “Patriarchal Terrorism” (later termed “Intimate Terrorism”).

How can intimate partner violence be reduced?

CDC's goal is to stop intimate partner violence from happening in the first place....Intimate Partner Violence: Prevention Strategies.Preventing Intimate Partner ViolenceStrategyApproachEngage influential adults and peersMen and boys as allies in prevention Bystander empowerment and education Family-based programs5 more rows

What causes intimate partner violence?

Poverty and associated stress are key contributors to intimate partner violence. Although violence occurs in all socioeconomic groups, it is more frequent and severe in lower groups across such diverse settings as the USA, Nicaragua, and India. Wife abuse among women of childbearing age in Nicaragua.Apr 20, 2002

What is the psychological perspective of domestic violence?

It puts forward a psychological perspective which is both critical of the traditional 'woman blaming' stance, as well as being at odds with the feminist position that men are wholly to bla me for domestic abuse and that violence in intimate relationships is caused by gender-power relations. It is rather argued that to neglect the emotions, experiences and psychological explanations for domestic violence is to fail those who suffer and thwart attempts to prevent future abuse. Paula Nicolson suggests that domestic violence needs to be discussed and understood on several levels: material contexts, including resources such as support networks as well as the physical impact of violence, the discursive , as a social problem or gendered analysis, and the emotional level which can be both conscious and unconscious. Drawing on the work of scholars including Giddens, Foucault, Klein and Winnicott, and using interview and survey data to illustrate its arguments, Domestic Violence and Psychology develops a theoretical framework for examining the context, intentions and experiences in the lives of women in abusive relationships, the men who abuse and the children who suffer in the abusive family. As such this book will be of great interest to those studying social and clinical psychology, social work, cultural studies, sociology and women's studies.

What is IPA in psychology?

Intimate partner abuse (IPA) is a significant social issue with diverse and complex risk factors. Recent attention, however, has been placed on the individual psychological and emotional factors associated with IPA, including deficits in the processing of emotions. The construct of alexithymia, which involves difficulties identifying and describing emotions, integrates some of these emotional deficits. Currently, no published research has examined the levels of alexithymia among Australian men who perpetrate IPA. The aim of the current study was to compare the alexithymia levels of IPA perpetrators (n = 31) with those of men from the general community (n = 34) using the 20-item Toronto Alexithymia Scale. IPA perpetrators were recruited from IPA intervention programs run by various organisations in Western Australia. The results showed that IPA perpetrators had significantly higher levels of alexithymia than community sample men. However, it was found that IPA perpetrators only scored higher than community men on subscales which measure difficulties identifying and difficulties describing emotions; the groups did not differ on the subscale which measures externally oriented thinking style. A post hoc analysis was then conducted comparing alexithymia scores of IPA perpetrators with incarcerated violent and non-violent offenders, which found that IPA perpetrators scored significantly lower than incarcerated offenders on externally oriented thinking style; no other differences were significant. The findings of this thesis suggest that alexithymia levels, particularly difficulties recognising and verbalising emotions, are higher among IPA perpetrators than the general community, and that these deficits may play an important role in IPA perpetration.

Why is domestic violence a problem?

Domestic violence has been a long time issue that has affected both men and women in all cultures. The reasons someone might be abused could be related to both internal and external factors. This project reviewed previous literature that examined factors of abuse, perpetuation of abuse, cultural differences and treatments. Factors found to be related included alcohol use, violence in family of origin, need for dominance, drug use, stress, low paying occupations, cultural norms, and emotional dependency. Research findings have indicated domestic violence are a result of many factors and needs to be examined differently among different cultures and sub cultures.

Is conjoint treatment effective?

A handful of clinical trials have conclude d that conjoint couples treatment for intimate partner violence is safe and at least as effective as conventional batterer intervention programs, yet very few researchers have explored couples' perspectives on conjoint treatment. Using qualitative narrative analysis methodology, the researchers conducted 48 client participant interviews and five staff interviews to better understand couples' experiences of a conjoint treatment program for intimate partner violence. Themes that recurred throughout participants' narratives included (a) perceptions of safety, (b) benefits received, (c) attitudinal change, (d) behavioral change, and (e) important learning. Research directions and training implications are discussed.

Does domestic violence reflect a distinct mental disorder?

Does the perpetration of domestic violence reflect a distinct mental disorder? This essay does not and cannot definitely answer that question. Rather it aims to prompt a discussion of the various indices for surmising a position on this issue. For example, batterer behavior and attitudes are associated with severe psychopathology. Batterers are treated in intervention programs for an unnamed condition. Ultimately, domestic violence is contextualized as abnormal behavior. This paper reviews research in the field of domestic violence to establish a forum for discussion and debate about the potential for an abnormal mental state to describe the psychology of a batterer. This review posits that at minimum, the field of psychiatry should consider a review of batterer characteristics to formally investigate the “abusive personality” as a categorization of a distinct mental disorder.

Is domestic violence a common complaint?

Domestic violence is a common complaint encountered by counselling psychologists and other mental health professionals. Common psychological treatment practices separate perpetrators and victims into individual intervention modalities. However, there is some research that has been emerging that suggests in some cases a couples treatment approach may be a useful adjunct to existing treatments. The present paper examines research and considerations in making the decision to employ a conjoint approach to treating domestic violence issues.

Why is quality important in meta-analysis?

The quality of the studies included in the meta-analysis because sometimes results of meta-analysis are used for recommendations. There are several validated scales that are used to measure quality, depending on the type of study undergoing data abstraction.

Why do we do systematic reviews?

A systematic review of the literature is conducted prior to conducting meta-analyses in order to reduce bias in the included studies. Researchers decide on the Populations, Interventions, Comparisons, Outcomes, Time and Settings (PICOTS) prior to the meta-analysis to prevent bias in the process.

Is intimate partner violence a public health problem?

Intimate partner violence is a serious public health problem accompanied by substantial morbidity and mortality. Despite its documented impact on health, there is no widely recognized treatment of choice.

Is conjoint treatment appropriate for IPV?

Some advocates who work with victims of violence believe that conjoint treatment is never appropriate if there has ever been IPV. Others take a more moderate position and believe that it may be appropriate for some couples after the offender has completed a comprehensive batterer intervention program. Because of these concerns, many IPV offender standards expressly prohibit the funding of any program that offers couples or family counseling. However, the case against couple's therapy may not be as simple as these standards suggest. Many couples choose to stay together after experiencing IPV. Enhancing these couples' abilities to resolve conflict non-violently may, rather than endanger victims, actually enhance safety of couples and children in these homes. In this paper we address the ideological, theoretical, empirical and practical foundations of the arguments in the controversy and the impact of the controversy on research, policy and practice. Finally, we suggest ways the controversy should be bridged and propose guidelines for selecting situations in which conjoint treatment most appropriately addresses IPV in a relationship.

Is there research on conjoint treatment for IPV?

the existence of state standards that prohibit the use of systemic interventions contributes to the lack of research that is accretive in this field. Research on conjoint treatment of IPV has been limited ( see Stith, Rosen, & McCollum, 2003 for a review of research programs). Some of the most promising research is in the area of behavioral couples treatment for substance abuse. Beginning with small scale pilot studies in the 1970s, the program has grown to include several large, federally-funded randomized controlled clinical trials with a strong body of evidence for the efficacy of BCT in reducing both substance abuse and IPV ( Fals-Stewart, O'Farrell, Birchler, Cordova, & Kelley, 2005 ). While state standards in the U.S. may place constraints around the types of intervention programs that may be used and researched, funding limitations also exist in this area, as the focus of federal funding in the U.S. has narrowed to the two areas of DSM diagnoses and prevention programs. We clearly need more research on the safety and effectiveness of conjoint treatment for IPV.

Why do therapists miss critical information?

Unfortunately, therapists often miss this critical information because they do not effectively assess for it. This book presents a safety-focused approach to assessment and treatment of couples who choose to remain together after one or both partners have been violent. Treatment options for intimate partner violence have evolved alongside ...

How to contact the order department at a therapist?

To place an order or to receive additional ordering information, please call the Order Department at 1-800-374-2721. Up to 65% of couples who seek therapy for marital problems have had at least one prior violent episode. Unfortunately, therapists often miss this critical information because they do not effectively assess for it.

What are the major tenets of solution focused therapy?

The major tenets of solution-focused therapy, such as underscoring even the smallest of successes, are emphasized throughout, as are the following special features: safety planning. mindfulness techniques for anger awareness and reduction. negotiated time-out procedures.

Where did Dr. John A. Johnson work?

He had a 15-year clinical career, including 12 years as a staff member of the Menninger Clinic in Topeka, Kansas, before beginning his academic career in 1989 as a faculty member in the marriage and family therapy doctoral program at Purdue University.

Who is Sandra Stith?

Sandra M. Stith, PhD, LCMFT, is a professor and director of the marriage and family therapy program at Kansas State University.

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