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寻求治疗的客户中的身体伴侣暴力和家庭暴力:识别因素与预测因素

Physical Couple and Family Violence Among Clients Seeking Therapy: Identifiers and Predictors.

作者信息

Zahl-Olsen Rune, Gausel Nicolay, Zahl-Olsen Agnes, Bertelsen Thomas Bjerregaard, Haaland Aashild Tellefsen, Tilden Terje

机构信息

Sørlandet Hospital, Kristiansand, Norway.

Faculty of Health and Welfare, Østfold University College, Fredrikstad, Norway.

出版信息

Front Psychol. 2019 Dec 17;10:2847. doi: 10.3389/fpsyg.2019.02847. eCollection 2019.

Abstract

INTRODUCTION

Couple violence (CV) affects many, and the consequences of those actions are grave, not only for the individual suffering at the hand of the perpetrator but also for the other persons in the family. Violence often happens among more than just the adults within one family. Even if CV has been thoroughly investigated in the general population very few studies have investigated this objective on a clinical sample, and none of these have included family violence.

AIM

This article identifies and describes the group of clients that have issues of physical couple and family violence. It analyses a model that can help to discover physical violence and help therapists to assess what actions to take in therapy to prevent further physical violence.

METHODOLOGY

Descriptive analysis, -tests, and structural equation modeling (SEM) are used on a sample of clients receiving couple and family therapy (CFT) in Norway ( = 830). Family violence is modeled by the partner's expectations toward each other, levels of anger, sexual satisfaction, and self-control.

RESULTS

One-in-five clients experienced physical CV in their current relationship and one-in-four experienced physical family violence. The group of clients who experienced CV differed from those without such experiences in having lower income, more prior experience with psychotherapy, more experience with alcohol abuse in childhood, and far more physical family violence in their current family. Our model predicting physical couple and family violence explained as much as 53% of family violence and had three positive, significant predictors (expectation, anger, and sexual satisfaction) and one, significant negative predictor (self-control). Somewhat unexpected, sexual satisfaction was a positive, and not a negative, predictor of violence.

CONCLUSION

Our study identified one-in-four clients in CFT experience physical CV. Unreasonable expectation from one partner toward the other, anger and sexual satisfaction were positive predictors of physical violence, while self-control was found to be a negative predictor of physical violence. Implications for therapeutic work and the prevention of physical violence are discussed.

摘要

引言

伴侣暴力(CV)影响着许多人,这些行为的后果是严重的,不仅对遭受施暴者伤害的个人如此,对家庭中的其他成员也是如此。暴力往往不仅发生在一个家庭的成年人之间。尽管在普通人群中对伴侣暴力进行了深入研究,但很少有研究在临床样本中探讨这一问题,而且这些研究都没有涵盖家庭暴力。

目的

本文识别并描述了存在身体伴侣暴力和家庭暴力问题的客户群体。它分析了一个模型,该模型有助于发现身体暴力,并帮助治疗师评估在治疗中应采取何种行动以防止进一步的身体暴力。

方法

对挪威接受伴侣和家庭治疗(CFT)的客户样本(n = 830)进行描述性分析、t检验和结构方程建模(SEM)。家庭暴力通过伴侣对彼此的期望、愤怒程度、性满意度和自我控制来建模。

结果

五分之一的客户在当前关系中经历过身体伴侣暴力,四分之一的客户经历过身体家庭暴力。经历过伴侣暴力的客户群体与未经历过此类暴力的客户群体不同,前者收入较低、有更多接受心理治疗的既往经历、童年时有更多酗酒经历,且当前家庭中存在更多身体家庭暴力。我们预测身体伴侣暴力和家庭暴力的模型解释了高达53%的家庭暴力情况,有三个正向、显著的预测因素(期望、愤怒和性满意度)和一个显著的负向预测因素(自我控制)。有点出乎意料的是,性满意度是暴力的正向而非负向预测因素。

结论

我们的研究发现,接受伴侣和家庭治疗的客户中有四分之一经历过身体伴侣暴力。一方对另一方的不合理期望、愤怒和性满意度是身体暴力的正向预测因素,而自我控制是身体暴力的负向预测因素。文中讨论了对治疗工作和预防身体暴力的启示。

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