Types of Domestic Violence Implications for Policy Michael P. Johnson, Ph.D. Sociology, Women's Studies, and African & African American Studies Penn State Photos from Donna Ferrato, Living with the Enemy. New York: Aperture, 1991 Catholic Family Services of Peel Dufferin June 3, 2010 McKeesport, PA Types of Domestic Violence Implications for Policy Screening Primary prevention/education Intervention with perpetrators Intervention for survivors Law enforcement Custody and access issues Intimate Terrorism Coercive Control Violent Resistance Resisting the Intimate Terrorist Situational Couple Violence Situationally-provoked Violence Separation-instigated Violence No History of Violence or Control Mutual Violent Control Two Intimate Terrorists Screening Consider different models for different clients To screen, you need information on control and violence for both partners Safety first! Initially assume intimate terrorism and do all of the standard safety planning If SCV seems likely, try single-gender application of non-control-focused approaches As SCV and safety feel more certain over time, move to couple approaches with protections in place Coercive Control Scale Thinking about your husband [yourself], would you say he [you]… is jealous or possessive? tries to provoke arguments? tries to limit your contact with family and friends? insists on knowing who you are with at all times? calls you names or puts you down in front of others? makes you feel inadequate? shouts or swears at you? frightens you? prevents you from knowing about or having access to the family income even when you ask? *These are items from the 1995 National Violence Against Women Survey (Tjaden & Thoennes, 1998). They were adapted from the Canadian Violence Against Women Survey (Holly Johnson, 1996) and should be asked regarding both partner and self (adapted as appropriate). Danger Assessment 1. Has the physical violence increased in severity or frequency over the past year? 2. Does he own a gun? 3. Have you left him after living together during the past year? 4. Is he unemployed? 5. Has he ever used a weapon against you or threatened you with a lethal weapon? 6. Does he threaten to kill you? 7. Has he avoided being arrested for domestic violence? 8. Do you have a child that is not his? 9. Has he ever forced you to have sex when you did not wish to do so? 10. Does he ever try to choke you? 11. Does he use illegal drugs? 12. Is he an alcoholic or problem drinker? 13. Does he control most or all of your daily activities? 14. Is he violently and constantly jealous of you? 15. Have you ever been beaten by him while you were pregnant? 16. Has he ever threatened or tried to commit suicide? 17. Does he threaten to harm your children? 18. Do you believe he is capable of killing you? 19. Does he follow or spy on you, leave threatening notes or messages, destroy your property, or call you when you don’t want him to? 20. Have you ever threatened or tried to commit suicide? Campbell, J. C., Webster, D. W., & Glass, N. (2009). The Danger Assessment: Validation of a lethality risk assessment instrument for intimate partner femicide. Journal of Interpersonal Violence, 24(4), 653-674. DOVE Scale Ellis, D., & Stuckless, N. (2006). Domestic violence, DOVE, and divorce mediation. Family Court Review. Special Issue: The Family Law Education Reform Project, 44(4), 658-671. Primary Prevention/Education Intimate terrorism Equality Violent and respect resistance Dangers of violent resistance Safety planning Entrapment/escape issues Situational Sources couple violence of conflict Communication and conflict management Anger management tactics Substance abuse Primary Prevention/Education Programs for young people—most offered through shelters and women’s groups Middle school and high school http://new.vawnet.org/category/Documents.php?docid=849&category_id=10 Programs for adults—most offered by churches, government-funded programs, and public health agencies Marriage http://www.prepinc.com/main/docs/overview_prep.pdf Healthy marriage/relationship programs http://www.healthymarriageinfo.org/ Public preparation courses health approaches http://new.vawnet.org/category/Documents.php?docid=1313&category_id=10 Intervention with Perpetrators Intimate terrorism (mostly men) Individual control-focused education Perhaps different tactics for sub-types Violent resistance (mostly women) Alternatives to violence/Safety planning Neutralize entrapment Situational Anger couple violence (both genders) management individual counseling Substance abuse individual counseling Couple sources of conflict Couple communication and conflict management Intervention with Perpetrators Hold them all accountable in the criminal justice system to provide an essential motivation for change PAR Control-focused education More eclectic than often acknowledged Couples counseling (screened) Couple communication and conflict management Couple approaches that focus specifically on violence Restorative justice (screened) Includes multiple stakeholders Focus on healing Substance abuse Combine violence counseling with substance abuse intervention PAR Success by Type Outcomes of Duluth-type Batterer Intervention Program (Thirteen Months Post-adjudication) SCV Dependent IT Antisocial IT Completed program 77% 38% 9% No re-arrest 82% 62% 54% No re-assault 45% 38% 12% Adapted from Eckhardt, C. I., Holtzworth-Munroe, A., Norlander, B., Sibley, A., & Cahill, M. (2008). Readiness to change, partner violence subtypes, and treatment outcomes among men in treatment for partner assault. Violence and Victims, 23(4), 446-477. PAR: A Better Criterion? Outcomes of Four Duluth-type Batterer Intervention Programs No Re-assault Ever No Re-assault in Previous Year 30 months 55% 80% 48 months 52% 90% Adapted from pp. 115, 122 of Gondolf, E. W. (2002). Batterer Intervention Systems: Issues, Outcomes, and Recommendations. Thousand Oaks, CA: Sage. Couples Counseling Screening Victim preference, violence level, fear Continuous monitoring Safety monitoring Initial screening Constant monitoring for violence and fear Staging Six weeks of gender-specific treatment Power and control education Safety planning, screening Twelve weeks of conjoint treatment Each session begins with a 15-minute separate gender session Flexible—future and goal-oriented, solution focused Effectiveness of Couples Counseling (Violent Couples in a Family Counseling Setting) No re-assault No treatment Individual couples Groups of couples 6 months 33% 67% 75% Two years 50% 100% 87% Adapted from Stith, S. M., Rosen, K. H., McCollum, E. E., & Thomsen, C. J. (2004). Treating intimate partner violence within intact couple relationships: Outcomes of multi-couple versus individual couple therapy. Journal of Marital & Family Therapy. Special Issue: Implications of Research with Diverse Families, 30(3), 305-318. Restorative Justice Peacemaking or Healing Circles Screening Only for situational couple violence Only if the victim prefers it Safety monitoring Initial social compact (no violence, other treatment) Continuous screening by facilitators Assigned safety monitor Circles The couple, extended family, and community members Focus on acknowledgement, understanding, responsibility, and healing Structured by a facilitator and a “talking piece” that moves from person to person Effectiveness of Restorative Justice Nogales, Arizona Evaluation Misdemeanor cases only. Partners participate only voluntarily. Random assignment of 152 domestic violence offenders (intimate partner and family violence) into PAR or Circles of Peace. Circles of Peace involved 26 weekly conferences with offenders, participating victims, extended family members, and trained community members. Encourage dialogue about the history of violence in this case and develop a social compact with the offender. Circles of Peace participants have lower arrest recidivism two years post-random assignment than PAR participants. Linda Mills, personal communication, February 16, 2010 Substance Abuse/Violence Counseling Individual and couples versions About six months of weekly sessions First half: one-hour sessions with individual couples Second half: two-hour sessions with groups Daily sobriety contract, safety planning, communication and negotiation skills, instigation of positive couple and family activities Antabuse and/or 12-step programs for most Effectiveness of Couples Substance Abuse/Violence Counseling No violence One year before counseling First year after counseling Second year after counseling Alcoholic men 40% 76% 82% Female partners 36% 71% 85% Adapted from O'Farrell, T. J., Murphy, C. M., Stephan, S. H., Fals-Stewart, W., & Murphy, M. (2004). Partner Violence Before and After Couples-Based Alcoholism Treatment for Male Alcoholic Patients: The Role of Treatment Involvement and Abstinence. Journal of Consulting and Clinical Psychology, 72(2), 202-217. Intervention for Survivors Intimate terrorism Long-term support Alternatives to violent resistance Empowerment to leave (neutralize entrapment) Transitional support Situational couple violence Anger management individual counseling Substance abuse individual counseling Couple sources of conflict Couple communication and conflict management Law Enforcement Moving away from an incident-focused perspective The law Coercive control as a liberty crime (Stark, 2007) Coordinated risk assessment and service provision Arrest Collecting the necessary information Bail Risk level and credibility for different types Prosecution Empowering the victim and keeping her safe Sentencing Alternative sentencing for different types Coordinated Risk Assessment Risk assessment team (I-TRAC, Alberta) Police members write the threat assessment Prosecutor, child protection expert, family law expert, consulting psychologist and psychiatrist Request for assessment Police, prosecutor, or children and youth Others submit through police services Information used All police reports, including Family Violence Investigative Report and History Evaluation Assessment Tool Criminal records, corrections/parole/probation, children and youth, accused and victim/witness statements Submitted to police, courts, corrections, children/youth Assist. Director: john.ratcliff@police.edmonton.ab.ca Coordinated Service Provision Family Justice Centers Coordinated victim assistance from police officers, prosecutors, civil legal service providers, and community-based advocates There are currently 55 centers in the US and three international Centers, including Waterloo, Canada www.familyjusticecenter.com/ www.ovw.usdoj.gov/docs/family_justice_center_overview_12_07.pdf http://www.mosaiconline.ca/wps/portal/cfcc/FVP MOSAIC, Waterloo Services such as police trained to deal with family violence, personal counseling for adults and children, assistance with developing safety plans, shelters, crisis/medical support for sexual assault, financial counseling, children's services, support groups, outreach services to the community, legal services, specialized elder abuse services, rural outreach services and specialized programs - all under one roof. Custody and Access Issues (Jaffe et al., 2008) Separation-instigated violence Manipulative accusations Resources for thorough evaluation Custody/access options Joint custody/Co-parenting Parallel parenting, minimal couple contact Supervised exchanges Supervised access No contact Different types of partner violence have… Different causes Different developmental trajectories Different effects Different successful intervention strategies We make big mistakes if we don’t make big distinctions. Fals-Stewart, W., Klostermann, K., & Clinton-Sherrod, M. (2009). Substance abuse and intimate partner violence. In K. D. O'Leary (Ed.), Psychological and physical aggression in couples: Causes and interventions. (pp. 251-269). Washington, DC American Psychological Association. Gondolf, E. W. (2002). Batterer Intervention Systems: Issues, Outcomes, and Recommendations. Thousand Oaks, CA: Sage. Gondolf, E. W. (2007). Theoretical and research support for the Duluth Model: A reply to Dutton and Corvo. Aggression and Violent Behavior, 12(6), 644-657. Hannah, M.T. & Goldstein, B. (2010). Domestic violence, abuse, and child custody. Kingston, NJ: Civic Research Institute. Hilton, N. Z., Harris, G. T., & Rice, M. E. (Eds.). (2010). Risk assessment for domestically violent men: Tools for criminal justice, offender intervention, and victim services. Washington, DC: American Psychological Association. Jaffe, P. G., Johnston, J. R., Crooks, C. V., & Bala, N. (2008). Custody disputes involving allegations of domestic violence: Toward a differentiated approach to parenting plans. Family Court Review, 46(3), 500-522. Johnson, M. P. (2008). A Typology of Domestic Violence: Intimate Terrorism, Violent Resistance, and Situational Couple Violence. Boston: Northeastern University Press. Mills, L. G. (2008). Violent Partners: A Breakthrough Plan for Ending the Cycle of Abuse. New York, NY: Basic Books. Strang, H., & Braithwaite, J. (Eds.). (2002). Restorative Justice and Family Violence. Cambridge: Cambridge University Press. Stark, E. (2007). Coercive Control: The Entrapment of Women in Personal Life. New York: Oxford University Press. Stith, S. M., & McCollum, E. E. (2009). Couples treatment for psychological and physical aggression. In K. D. O'Leary (Ed.), Psychological and Physical Aggression in Couples: Causes and Interventions (pp. 233-250). Washington, DC: American Psychological Association. Support Your Local Women’s Shelter Safety Support Information Advocacy Philadelphia, PA A Few Useful References Fals-Stewart, W., & Clinton-Sherrod, M. (2009). Treating intimate partner violence among substance-abusing dyads: The effect of couples therapy. Professional Psychology: Research and Practice, 40(3), 257-263. Fals-Stewart, W., Klostermann, K., & Clinton-Sherrod, M. (2009). Substance abuse and intimate partner violence. In K. D. O'Leary (Ed.), Psychological and physical aggression in couples: Causes and interventions. (pp. 251-269). Washington, DC American Psychological Association. Gondolf, E. W. (2002). Batterer Intervention Systems: Issues, Outcomes, and Recommendations. Thousand Oaks, CA: Sage. Gondolf, E. W. (2007). Theoretical and research support for the Duluth Model: A reply to Dutton and Corvo. Aggression and Violent Behavior, 12(6), 644-657. Gondolf, E. W. (2008). Implementation of case management for batterer program participants. Violence Against Women, 14(2), 208-225. Mills, L. G. (2008). Violent Partners: A Breakthrough Plan for Ending the Cycle of Abuse. New York, NY: Basic Books. Stith, S. M., & McCollum, E. E. (2009). Couples treatment for psychological and physical aggression. In K. D. O'Leary (Ed.), Psychological and Physical Aggression in Couples: Causes and Interventions (pp. 233-250). Washington, DC: American Psychological Association. Stith, S. M., McCollum, e. E., Rosen, K. H., & Locke, L. D. (2002). Multicouple group therapy for domestic violence. In F. W. Kaslow (Ed.), Comprehensive Handbook of Psychotherapy: Integrative/eclectic (Vol. 4, pp. 499-520). Hoboken, NJ: John Wiley & Sons. Stith, S. M., Rosen, K. H., McCollum, E. E., & Thomsen, C. J. (2004). Treating intimate partner violence within intact couple relationships: Outcomes of multi-couple versus individual couple therapy. Journal of Marital & Family Therapy. Special Issue: Implications of Research with Diverse Families, 30(3), 305-318. Pittsburgh, 1978 (Frieze) Married women from shelters and courts, matched with married women living on the same block (n=272) 86% White; 14% Black Data on self and husband, reported by wives Incident data on most violent incident United States, 1995-96 (NVAW, Tjaden & Thoennes) National random sample; subsample=4967 married women 83% White; 10% Black; 8% Hispanic (all races) Data on current husbands, reported by wife Incident data on most recent incident Chicago, 1995 (Lloyd) Random sample of women in a poor neighborhood (n=596) 5% White; 54% Black; 41% Hispanic Data on male partners, reported by female partner No incident data Pittsburgh Control Scale (High>2.74; 40%m; 10%w) When you and your husband go places together, who decides where you will go? If you disagree [about people you like], which people do the two of you spend more time with? Does your husband know where you are when you are not together? Are there places you might like to go but don’t because you feel your husband wouldn’t want you to? How often does this happen? Do you generally do what your husband asks you to do? Who decides how the family money will be spent in terms of major expenses? [How often} does he try to get what he wants by doing any of the following?…emotionally withdraws? …restricts your freedom? …stops having sex with you? …threatens to leave you? Has your husband ever pressured you to have sexual relations? Pittsburgh: Other Items “Has your husband ever gotten angry and threatened to use physical force with you?” followed by the item that is actually used: Has he ever actually slapped or pushed you or used other physical force with you? Can you estimate how many times, in total, he was violent with you? Did he become more violent over time? How badly were you hurt [the time your husband was most violent with you]? Frieze codes: severe, severe superficial, severe trauma, and extreme permanent. Were you afraid he would be violent again? Already “very frightened” at the first violent incident. How would you rate the happiness of your marriage on a scale from 1-Not at all to 10-Very happy? Low=1-4, 32% Is sex ever unpleasant for you? Do you and your husband have a good time when you go out together? Chicago Items Items: In the past 12 months, when you’ve had an argument, how often did your husband/boyfriend… Control …say something to spite you? ...insult you, swear at you, or call you out of your name? ...accuse you of being with another man? ...try to control your every move? ...withhold money, make you ask for money or take yours? …threaten you with a knife or gun? ...threaten to kill you? ...threaten to hurt your family or friends? Pittsburgh-cutoff 67% severe 72% escalated 37% mutual 1/25 couples 29% severe 29% escalated 74% mutual 1/8 couples NVAWS Control Scale (High = 3 or more) “Thinking about your current husband, would you say he is jealous or possessive?” “…tries to limit your contact with family and friends?” “…insists on knowing who you are with at all times?” “…calls you names or puts you down in front of others?” “…makes you feel inadequate?” “…shouts or swears at you?” “…prevents you from knowing about or having access to the family income even when you ask?” ---------------------------------------------------------------------------------- “…insists on changing residences even when you don’t want or need to?” “…prevents you from working outside the home?” Control Scale “Thinking about your current husband, would you say he is jealous or possessive?” “…tries to limit your contact with family and friends?” “…insists on knowing who you are with at all times?” “…calls you names or puts you down in front of others?” “…makes you feel inadequate?” “…shouts or swears at you?” “…prevents you from knowing about or having access to the family income even when you ask?” NVAWS The Great Gender Debate Distinguishing among types of partner violence resolves it A Control-based Typology of Partner Violence The three major types Gender differences and sampling biases Other differences Implications for Research and Theory Everything we “know” has to be re-assessed Need a standard operationalization Tricky sampling problems Need for differentiated theory Implications for Intervention Screening/triage Intervention with perpetrators Intervention for survivors Custody and access issues General Surveys Indicate That Women Are as Violent as Men Heterosexual intimate partner violence by gender Data Source Men Women NFVS,1975 NSFH, 1988 51% 53% 49% 47% 8th & 9th Grade, NC, 1994 35% 65% U. Maine students, 1997 New Zealand, 2002 39% 39% 61% 61% But Agency Studies Indicate That Men Are the Batterers Heterosexual intimate partner violence by gender Data Source Men Women Divorce Court, Cleveland, 1966 Family Court, Ontario, 1982 92% 94% 8% 6% Police, Santa Barbara, CA, 1983 94% 6% Emergency Rooms, U.K., 1988 83% 17% U.S., FBI, 1996-2001 Spousal Homicide, Canada, 1995-2005 75% 82% 25% 18% A Small Theory that Reconciles the Contradiction There is more than one type of violence The different types are differently gendered Both major sampling plans are biased General survey studies are biased toward situationally-provoked violence, which women are as likely to perpetrate as are men Agency studies are biased toward coercive controlling violence, perpetrated almost entirely by men Table 2: Ex-Spouse Violence by Gender Violence Type Intimate Terrorism Situational Couple Non-violent (n) Violence Ex-husband 22.0% 7.4% 70.5% (2413) Ex-wife 5.4% 3.9% 90.7% (2051) The Great Gender Debate Distinguishing among types of partner violence resolves it A Control-based Typology of Partner Violence The three major types Gender differences and sampling biases Other differences Implications for Research and Theory Everything we “know” has to be re-assessed Need a standard operationalization Tricky sampling problems Need for differentiated theory Implications for Intervention Screening/triage Intervention with perpetrators Intervention for survivors Custody and access issues Need a Standard Operationalization Problems with cluster analysis Extremely sensitive to sample Not comparable across studies Need a standard operationalization NVAWS items Tolman: Psychological Maltreatment of Women Inventory Graham-Kevan & Archer: Controlling Behaviors Scale Dutton & Goodman: Coercive control Need for Differentiated Theory Intimate terrorism Coercive control theory Gender theory Theories of paternalism Violent Resistance Coping Entrapment Situational Family couple violence conflict theory Communication Anger management Substance abuse The Great Gender Debate Distinguishing among types of partner violence resolves it A Control-based Typology of Partner Violence The three major types Gender differences and sampling biases Other differences Implications for Research and Theory Everything we “know” has to be re-assessed Need a standard operationalization Tricky sampling problems Need for differentiated theory Implications for Intervention Screening/triage Intervention with perpetrators Intervention for survivors Custody and access issues A Control-based Typology of Partner Violence The three major types (plus one or two) Gender differences and sampling biases Some other basic differences We need to re-assess everything we thought we knew Implications for Intervention Screening/triage Primary prevention/education Intervention with perpetrators Intervention for survivors Custody and access issues Domestic Violence/Intimate Terrorism Subtypes: Emotionally dependent; Antisocial Gender Symmetry/Asymmetry by Type of Violence (1970s Pittsburgh: Violent husbands and wives) Husbands Intimate terrorism 97% Wives 3% N 97 Violent resistance 4% 96% 77 Situational couple violence 56% 44% 146 2000s Britain: IT 87% male; VR 10% male; SCV 45% male The Biases of Major Sampling Plans (Violent men: Pittsburgh & Britain) General Shelter Court Sample Sample* Sample (n = 37, 73) (n = 34) (n = 50, 41) Intimate terrorism 14%, 12% 68% 78%, 88% Violent resistance 0%, 4% 0% 2%, 0% 29% 18%, 10% Situational couple violence 86%, 75% *Pittsburgh only Sampling Problem: General Surveys Probability of Violence Current Spouses-NVAWS 0.14 0.12 Men Women 0.1 0.08 0.06 0.04 0.02 0 0 Felson & Outlaw, 2007 1 2 Control Score 3 4 Sampling Solution: General Surveys Probability of Violence Former Spouses-NVAWS 0.14 0.12 Men Women 0.1 0.08 0.06 0.04 0.02 0 0 Felson & Outlaw, 2007 1 2 Control Score 3 4 Spousal Violence Type by Gender General Survey Data Intimate Terrorism Situational Couple Violence Non-violent (n) Husband 0.7% 3.9% 95.3% (4846) Wife 0.5% 1.7% 97.9% (5126) Ex-husband 22.0% 7.4% 70.5% (2413) Ex-wife 5.4% 3.9% 90.7% (2051) Data from NVAWS, Johnson, Leone, & Xu, 2008 Pittsburgh data 76% severe 75% escalated 29% mutual 1/25 couples 28% severe 28% escalated 69% mutual 1/8 couples British data 43% severe 78% escalated 15% mutual 13% severe 20% escalated 87% mutual Women’s Health Outcomes by Type of Male Violence Pittsburgh SCV 56% IT 94% *** NVAWS 13% 32% *** Pittsburgh 28% 76% *** NVAWS 2% 5% * General health Chicago Good to Very Good Fair to Good * Post-traumatic stress+ NVAWS 37% 79% *** Any Injury Severe injury + Percent above the median for female victims of partner violence *.05 **.01 ***.001 Relationship Outcomes by Type of Male Violence Situational Couple Intimate Violence Terrorism Low marital happiness Pittsburgh 13% 50% *** Left more than once Rarely a good time Sex often unpleasant ***.001 Pittsburgh 26% 74% *** NVAWS 7% 29% *** Pittsburgh Pittsburgh 3% 9% 20% 23% *** *** Need to Re-assess Everything Various Studies Intergenerational “transmission” SCV d = .11; IT d = .35 SCV odds ratio = 2.40; IT odds ratio = 7.51 Marriage SCV b = -.62; IT b = .58 Gender traditionalism or hostility toward women Traditionalism: SCV d = -.14; IT d = .80 Hostility: non-viol., SCV, IT, IT = 154, 153, 135, 131 Gender, frequency, severity, escalation, mutuality, impact on victim, impact on children, etc. Differential Success of Intervention Strategies by IT Sub-type (Percent non-violent two years after completing treatment) Dependent Antisocial Feminist cognitive-behavioral 48% 65% Process-psychodynamic 67% 49% Adapted from Saunders, D. G. (1996). Feminist-cognitive-behavioral and processpsychodynamic treatments for men who batter: Interactions of abuser traits and treatment model. Violence and Victims, 4(4), 393-414.