Dudley Desreen Raphael, McCloskey Kathy, Kustron Debora A
J Aggress Maltreat Trauma. 2008;17(1):80-102. doi: 10.1080/10926770802251031.
More than a decade ago, Hansen, Harway, and Cervantes (1991) and Harway and Hansen (1993) conducted a research study examining mental health providers' ability to accurately perceive violence within couples presenting for therapy and to intervene in a manner in which to reduce the risk of danger to couples. The results were alarming, with 40% of therapists sampled failing to perceive intimate partner violence (IPV) and virtually no therapists intervening to reduce the risk of lethality. Harway and colleagues questioned how well-trained and informed therapists were in assessing IPV. The present study replicates Harway and colleagues' study with the expectation that, over a decade later, therapists are better prepared to accurately identify IPV issues and intervene effectively to reduce the risk of lethality. Reproducing the two main procedures used in the original study, 111 psychologists, clinical social workers, and marriage and family therapists were asked to respond to a survey. Results show that therapists have indeed improved their ability to identify IPV issues. Twenty percent of therapists predicted an increase in conflict, compared to 4% in the original sample. However, almost no therapists accurately predicted lethality in either study. Implications concerning IPV training for therapists are discussed.
十多年前,汉森、哈韦和塞万提斯(1991年)以及哈韦和汉森(1993年)开展了一项研究,考察心理健康服务提供者准确识别前来接受治疗的夫妻间暴力行为以及以降低夫妻面临危险风险的方式进行干预的能力。结果令人震惊,抽样的治疗师中有40%未能识别亲密伴侣暴力(IPV),而且几乎没有治疗师进行干预以降低致命风险。哈韦及其同事质疑治疗师在评估亲密伴侣暴力方面的训练程度和了解程度。本研究重复了哈韦及其同事的研究,期望在十多年后,治疗师能更好地准备好准确识别亲密伴侣暴力问题并有效干预以降低致命风险。重复原始研究中使用的两个主要程序,111名心理学家、临床社会工作者以及婚姻和家庭治疗师被要求回答一项调查。结果表明治疗师确实提高了识别亲密伴侣暴力问题的能力。20%的治疗师预测冲突会增加,而原始样本中的这一比例为4%。然而,在两项研究中几乎没有治疗师能准确预测致命性。文中讨论了对治疗师进行亲密伴侣暴力培训的相关影响。