VA Connecticut Healthcare System, West Haven, USA.
Yale School of Medicine, New Haven, CT, USA.
J Interpers Violence. 2020 Oct;35(19-20):4040-4060. doi: 10.1177/0886260517714439. Epub 2017 Jun 14.
A substantial proportion of partner-violent men reoffend subsequent to completing intimate partner violence (IPV) treatment. A critical step in enhancing treatment for IPV perpetration is to understand reoffense among those who recidivate following treatment completion. Investigating reoffenders' own perceptions regarding potential directions for treatment modification may improve overall treatment outcomes. Qualitative research examining the experiences of participants who utilize IPV treatment is limited. In the present study, we examined implications for treatment from an exploration of reoffenders' interpretation of their recidivist events and their beliefs regarding treatment effectiveness. A constructivist grounded theory approach was used to generate theory regarding behavior change, treatment perceptions, and recidivist processes among men who experience difficulty staying nonviolent. Emergent qualitative themes revealed reoffenders' perceptions of treatment and suggestions for treatment modification. Reoffenders identified program factors that they believed would have enhanced program effectiveness for themselves, and thus may have prevented their recidivist incidents. Treatment implications that emerged from reoffenders' narratives are organized along three key dimensions: modality-specific variables, which were relevant to treatment approach and effectiveness of group therapy; content-specific variables, which were relevant to skill acquisition and skill application; and participant-specific variables, which were relevant to intrapersonal characteristics of the participants themselves. Recommendations for treatment enhancement are discussed.
相当一部分有伴侣暴力行为的男性在完成亲密伴侣暴力(IPV)治疗后再次犯罪。提高针对 IPV 犯罪的治疗效果的关键步骤是了解那些在完成治疗后再次犯罪的人的再犯罪情况。研究犯罪者自身对潜在治疗方法修改的看法可能会提高整体治疗效果。针对使用 IPV 治疗的参与者的经验进行的定性研究是有限的。在本研究中,我们通过探讨再犯罪者对其再犯罪事件的解释以及他们对治疗效果的看法,探讨了治疗的意义。我们采用建构主义扎根理论方法,针对经历暴力行为难以改变的男性的行为改变、治疗看法和再犯罪过程生成理论。出现的定性主题揭示了再犯罪者对治疗的看法和对治疗修改的建议。再犯罪者确定了他们认为会增强自身项目效果的项目因素,从而可能防止他们再次犯罪。再犯罪者的叙述中出现的治疗影响沿着三个关键维度进行组织:特定模式变量,与治疗方法和团体治疗效果有关;特定内容变量,与技能获取和应用有关;以及特定参与者变量,与参与者自身的内在特征有关。讨论了增强治疗的建议。