Dichter Melissa E, Thomas Kristie A, Crits-Christoph Paul, Ogden Shannon N, Rhodes Karin V
Center for Health Equity Research and Promotion, U.S. Department of Veterans Affairs, Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania.
School of Social Work, Simmons College.
Psychol Violence. 2018 Sep;8(5):596-604. doi: 10.1037/vio0000158. Epub 2018 Jan 11.
The objective of this study was to better understand the experience of coercive control as a type of IPV by examining associations between coercive control and women's experiences of particular forms of violence, use of violence, and risk of future violence.
As part of a larger research study, data were collected from 553 women patients at two hospital emergency departments who had experienced recent IPV and unhealthy drinking. Baseline assessments, including measures of coercive control, danger, and experience and use of psychological, physical, and sexual forms of IPV in the prior three months were analyzed.
Women experiencing coercive control reported higher frequency of each form of IPV, and higher levels of danger, compared to women IPV survivors who were not experiencing coercive control. There was no statistically significant association between experience of coercive control and women's use of psychological or sexual IPV; women who experienced coercive control were more likely to report using physical IPV than women who were not experiencing coercive control.
Findings contribute to knowledge on the relationship between coercive control and specific forms of violence against intimate partners. A primary contribution is the identification that women who experience coercive control may also use violence, indicating that a woman's use of violence does not necessarily mean that she is not also experiencing severe and dangerous violence as well as coercive control. In fact, experience of coercive control may increase victims' use of physical violence as a survival strategy.
本研究的目的是通过考察强制控制与女性特定形式暴力经历、暴力使用情况以及未来暴力风险之间的关联,更好地理解作为亲密伴侣暴力一种形式的强制控制的体验。
作为一项更大规模研究的一部分,从两家医院急诊科的553名女性患者收集数据,这些女性近期经历过亲密伴侣暴力和不健康饮酒。对基线评估进行分析,包括强制控制、危险程度以及过去三个月中心理、身体和性方面亲密伴侣暴力的经历和使用情况的测量。
与未经历强制控制的亲密伴侣暴力幸存者相比,经历强制控制的女性报告每种形式亲密伴侣暴力的频率更高,且危险程度更高。强制控制经历与女性使用心理或性方面亲密伴侣暴力之间没有统计学上的显著关联;经历强制控制的女性比未经历强制控制的女性更有可能报告使用身体方面的亲密伴侣暴力。
研究结果有助于了解强制控制与针对亲密伴侣的特定形式暴力之间的关系。一个主要贡献是确定经历强制控制的女性也可能使用暴力,这表明女性使用暴力并不一定意味着她没有同时经历严重和危险的暴力以及强制控制。事实上,强制控制的经历可能会增加受害者将身体暴力作为一种生存策略的使用。