Department of Psychiatry, University of Toronto; Toronto, Ontario, Canada.
Trauma Violence Abuse. 2012 Jan;13(1):30-40. doi: 10.1177/1524838011426016. Epub 2011 Nov 16.
Understanding why and how perpetrators of intimate partner violence (IPV) change their behavior is an important goal for both policy development and clinical practice. In this study, the authors investigated the concept of "turning points" for perpetrators of IPV by conducting a systematic review of qualitative studies that investigated the factors, situations, and attitudes that facilitated perpetrators' decisions to change their abusive behavior. Two literature databases were searched and six studies were found that met the inclusion criteria for the systematic review. Most included participants from batterer intervention programs (BIPs). The data indicate that community, group, and individual processes all contribute to perpetrators' turning points and behavioral change. These include identifying key incidents that precede change, taking responsibility for past behavior, learning new skills, and developing relationships within and outside of the BIP. By using a qualitative systematic review, the authors were able to generate a more complete understanding of the catalysts for and process of change in these individuals. Further research, combining quantitative and qualitative approaches, will be helpful in the modification of existing BIPs and the development of new interventions to reduce IPV.
了解亲密伴侣暴力（IPV）行为人的行为改变的原因和方式，是制定政策和临床实践的重要目标。本研究通过对定性研究进行系统综述，探讨了 IPV 行为人的“转折点”概念，这些研究调查了促成行为人的决定改变其虐待行为的因素、情况和态度。作者检索了两个文献数据库，找到了符合系统综述纳入标准的六项研究。大多数纳入的参与者来自施暴者干预项目（BIP）。研究数据表明，社区、团体和个人的过程都有助于施暴者的转折点和行为改变。这些过程包括确定导致改变的关键事件，对过去的行为负责，学习新技能，以及在 BIP 内外建立关系。通过使用定性系统综述，作者能够更全面地了解这些个体的变化催化剂和变化过程。结合定量和定性方法的进一步研究将有助于改进现有的 BIP 并开发新的干预措施以减少 IPV。
