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. 2021 Jul 23:12:710294.
doi: 10.3389/fpsyg.2021.710294. eCollection 2021.

Changes in Violence and Clinical Distress Among Men in Individual Psychotherapy for Violence Against Their Female Partner: An Explorative Study

Ingunn Rangul Askeland  1   2 , Marianne Skogbrott Birkeland  1 , Bente Lømo  1   2 , Odd Arne Tjersland  3
Affiliations

Changes in Violence and Clinical Distress Among Men in Individual Psychotherapy for Violence Against Their Female Partner: An Explorative Study

Ingunn Rangul Askeland et al. Front Psychol. .

Abstract

Most interventions for men who have acted violently toward their partner have been conducted as group interventions within a criminal justice context. Therefore, few studies have examined individual psychotherapy and how such interventions may reduce partner violence. In this study, we aimed to describe changes in violence, and changes in clinical distress in men undergoing individual psychotherapy targeting their use of partner violence, at a clinic organized within a psychosocial health care context. This is a naturalistic prospective study of men voluntarily receiving individual psychotherapy for their use of violence against their female partner. Participants were 84 male clients, and data on their use of physical violence, physical controlling violence, property violence and psychological violence were collected pretreatment, posttreatment and at follow-up 1.5 years after treatment from both the men, and their partners (n = 58). The percentage of use of all types of violence during a typical month the last year decreased from pretreatment to follow-up, according to both the men, and their partners. Over the course of treatment, use of all types of self-reported violence during the last month was reduced, however, this was only partially confirmed by their partners. Number of sessions was associated with a lower risk of having used physical and physically controlling violence 1.5 years after treatment. Alcohol abuse or dependency, or qualifying for one or more psychiatric diagnoses, were not associated with levels or change in use of violence. On average, the men's clinical distress declined over the course of psychotherapy. The findings suggest that individual psychotherapy may be a promising and worthwhile intervention for intimate partner violence. Studies with more elaborate designs are needed to identify the core mechanisms of psychotherapy for violence, and to corroborate these results with higher levels of evidence.

Keywords: clinical distress; individual psychotherapy; partner violence; recidivism; treatment outcome.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flowcharts of participants.
See this image and copyright information in PMC

References

    1. Alexander P. C., Morris E. (2008). Stages of change in batterers and their response to treatment. Viol. Vict. 23, 476–492. 10.1891/0886-6708.23.4.476 - DOI - PubMed
    1. Arce R., Arias E., Novo M., Fariña F. (2020). Are interventions with batterers effective? A meta-analytical review. Psych. Interv. 29, 153–164. 10.5093/pi2020a11 - DOI
    1. Arias E., Arce R., Vilariño M. (2013). Batterer intervention programmes: a meta-analytic review of effectiveness. Psych. Interv. 22, 153–160. 10.5093/in2013a18 - DOI
    1. Armstrong T. G., Wernke J. Y., Medina K. L., Schafer J. (2002). Do partners agree about the occurrence of intimate partner violence? A review of the current literature. Traum. Viol. Abuse 3, 181–193. 10.1177/15248380020033002 - DOI
    1. Askeland I., Lømo B., Råkil M., Isdal P. (2020). Alternative to violence, a violence-focused psychotherapy for men using violence against their female partner, in Handbook of Interpersonal Violence and Abuse Across the Lifespan: A Project of the National Partnership to End Interpersonal Violence Across the Lifespan (NPEIV), eds Geffner R., Vieth V., Vaughan-Eden V., Hamberger L. K., Rosenbaum A., White J. (Springer International Publishing; ), 1–26. 10.1007/978-3-319-62122-7_297-2 - DOI

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