Weber T, Bouman Yvonne H A
Radboud University Nijmegen, The Netherlands.
Pompe Foundation, Nijmegen, The Netherlands.
J Interpers Violence. 2020 Feb;35(3-4):1012-1034. doi: 10.1177/0886260517692994. Epub 2017 Feb 13.
The division of batterers into subtypes is hardly ever used, neither to describe the type of perpetrator nor to indicate in the clinical decision-making process what treatment should be offered. In this study, a sample of male perpetrators of intimate partner violence (IPV) who had been advised to seek treatment at a community-based Dutch forensic psychiatric facility ( = 110), either voluntarily or mandatorily, have been divided into four subtypes based on a model reported by Holtzworth-Munroe and Stuart (1994). The four subtypes are Family-Only (FO), Borderline-Dysphoric (BD), Generally Violent Antisocial (GVA), and Low-Level Antisocial (LLA). The aim of the study was to identify the subtypes and to compare the different groups on descriptive dimensions and treatment allocation. In the first part of the study, aside from identifying the batterer subtypes, important differences between the subtypes were encountered in the nature of the violence (structural vs. incidental). The characteristics of the BD subtype were found to be similar to the model except for the psychopathological dimension. Differences in allocation of treatment types between batterer subtypes were not substantial raising questions about the correspondence between typological subtypes and the judgment of clinicians. These results do suggest that more attention should be paid to the heterogeneity of the batterer population, which could improve treatment and advance our understanding of IPV.
将施暴者划分为不同亚型的做法几乎从未被采用过，既不用来描述犯罪者的类型，也不在临床决策过程中用以指示应提供何种治疗。在本研究中，选取了一组男性亲密伴侣暴力（IPV）犯罪者样本，他们已被建议在荷兰一家社区法医精神病学机构接受治疗（n = 110），这些人要么是自愿的，要么是被强制要求的，并根据Holtzworth-Munroe和Stuart（1994年）报告的模型将其分为四种亚型。这四种亚型分别是仅针对家人型（FO）、边缘性烦躁型（BD）、一般暴力反社会型（GVA）和低水平反社会型（LLA）。该研究的目的是识别这些亚型，并在描述性维度和治疗分配方面对不同组进行比较。在研究的第一部分，除了识别施暴者亚型外，还在暴力性质（结构性与偶发性）方面发现了各亚型之间的重要差异。除了心理病理学维度外，BD亚型的特征与模型相似。施暴者亚型之间治疗类型分配的差异并不显著，这引发了关于类型学亚型与临床医生判断之间对应关系的问题。这些结果确实表明，应更多地关注施暴者群体的异质性，这可能会改善治疗效果，并增进我们对亲密伴侣暴力的理解。
