Jack, Joseph, and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA.
School of Social Work, University at Buffalo, Buffalo, NY, USA.
Trauma Violence Abuse. 2020 Oct;21(4):691-705. doi: 10.1177/1524838018791268. Epub 2018 Jul 30.
Intimate partner violence (IPV) is a significant public health problem affecting women, men, and children across the United States. Batterer intervention programs (BIPs) serve as the primary intervention for men who use violence, employing three primary modalities: psychoeducation, cognitive-behavioral therapy (CBT), and other forms of group therapy such as alcohol or drug treatment. However, research indicates that program effectiveness of the primary BIP modalities is limited, due, in part, to the theoretical underpinnings guiding intervention such as learned behavior (psychoeducation), patriarchy as the root cause (Duluth model), and "dysfunctional" thinking (CBT). Considering the mental, physical, and economic toll of IPV on families and the limited effectiveness of current intervention approaches, an assessment of the strengths and weaknesses of current modalities and an incorporation of the latest science addressing violence prevention and cessation are paramount. This article draws upon existing theories of trauma and the etiologies of violence perpetration and proposes an alternative model of care for men with IPV histories. Experiences of childhood adversity and trauma have well-established associations with a range of negative sequelae, including neurological, cognitive, behavioral, physical, and emotional outcomes. Childhood trauma is also associated with later violence and IPV perpetration. Thus, incorporating trauma-informed care principles and trauma interventions into programming for IPV perpetrators warrants further investigation. Practice and policy implications of a trauma interventions for men with IPV histories, as well as areas for future research, are discussed.
亲密伴侣暴力（IPV）是一个严重的公共卫生问题，影响着美国各地的妇女、男子和儿童。施虐者干预计划（BIP）是针对使用暴力的男性的主要干预措施，采用三种主要模式：心理教育、认知行为疗法（CBT）和其他形式的团体治疗，如酒精或药物治疗。然而，研究表明，主要 BIP 模式的计划效果有限，部分原因是指导干预的理论基础，如习得行为（心理教育）、父权制是根本原因（Duluth 模式）和“功能失调”思维（CBT）。考虑到 IPV 对家庭造成的心理、身体和经济损失，以及当前干预方法的效果有限，评估当前模式的优缺点，并结合最新的暴力预防和制止科学是至关重要的。本文借鉴了现有的创伤理论和暴力行为的病因学理论，并为有 IPV 史的男性提出了一种替代的护理模式。儿童期逆境和创伤的经历与一系列负面后果密切相关，包括神经、认知、行为、身体和情绪方面的后果。儿童期创伤也与后来的暴力和 IPV 行为有关。因此，将创伤知情护理原则和创伤干预纳入针对 IPV 犯罪者的方案值得进一步研究。讨论了针对有 IPV 史的男性的创伤干预措施的实践和政策影响，以及未来研究的领域。
