Domestic violence
Encyclopedia
Domestic violence, also known as domestic abuse, spousal abuse, battering, family violence, and intimate partner violence (IPV), is broadly defined as a pattern of abusive behaviors by one or both partners in an intimate relationship
Intimate relationship
An intimate relationship is a particularly close interpersonal relationship that involves physical or emotional intimacy. Physical intimacy is characterized by romantic or passionate love and attachment, or sexual activity. The term is also sometimes used euphemistically for a sexual...

 such as marriage, dating, family, or cohabitation. Domestic violence, so defined, has many forms, including physical aggression (hitting, kicking, biting, shoving, restraining, slapping, throwing objects), or threats thereof; sexual abuse
Sexual abuse
Sexual abuse, also referred to as molestation, is the forcing of undesired sexual behavior by one person upon another. When that force is immediate, of short duration, or infrequent, it is called sexual assault. The offender is referred to as a sexual abuser or molester...

; emotional abuse
Psychological abuse
Psychological abuse, also referred to as emotional abuse or mental abuse, is a form of abuse characterized by a person subjecting or exposing another to behavior that may result in psychological trauma, including anxiety, chronic depression, or post-traumatic stress disorder...

; controlling or domineering; intimidation
Intimidation
Intimidation is intentional behavior "which would cause a person of ordinary sensibilities" fear of injury or harm. It's not necessary to prove that the behavior was so violent as to cause terror or that the victim was actually frightened.Criminal threatening is the crime of intentionally or...

; stalking
Stalking
Stalking is a term commonly used to refer to unwanted and obsessive attention by an individual or group to another person. Stalking behaviors are related to harassment and intimidation and may include following the victim in person and/or monitoring them via the internet...

; passive/covert abuse (e.g., neglect
Neglect
Neglect is a passive form of abuse in which a perpetrator is responsible to provide care for a victim who is unable to care for himself or herself, but fails to provide adequate care....

); and economic deprivation
Economic abuse
Economic abuse is a form of abuse when one intimate partner has control over the other partner's access to economic resources, which diminishes the victim's capacity to support him/herself and forces him/her to depend on the perpetrator financially....

. Alcohol consumption and mental illness
Mental illness
A mental disorder or mental illness is a psychological or behavioral pattern generally associated with subjective distress or disability that occurs in an individual, and which is not a part of normal development or culture. Such a disorder may consist of a combination of affective, behavioural,...

 can be co-morbid with abuse
Abuse
Abuse is the improper usage or treatment for a bad purpose, often to unfairly or improperly gain benefit. Abuse can come in many forms, such as: physical or verbal maltreatment, injury, sexual assault, violation, rape, unjust practices; wrongful practice or custom; offense; crime, or otherwise...

, and present additional challenges in eliminating domestic violence.

Awareness, perception, definition and documentation of domestic violence differs widely from country to country, and from era to era.

Definitions

According to the Merriam-Webster dictionary definition, domestic violence is: "the inflicting of physical injury by one family or household member on another; also: a repeated or habitual pattern of such behavior."

The term "intimate partner violence" (IPV) is often used synonymously with domestic abuse/domestic violence. Family violence is a broader definition, often used to include child abuse
Child abuse
Child abuse is the physical, sexual, emotional mistreatment, or neglect of a child. In the United States, the Centers for Disease Control and Prevention and the Department of Children And Families define child maltreatment as any act or series of acts of commission or omission by a parent or...

, elder abuse
Elder abuse
Elder abuse is a general term used to describe certain types of harm to older adults. Other terms commonly used include: "elder mistreatment," "senior abuse," "abuse in later life," "abuse of older adults," "abuse of older women," and "abuse of older men."...

, and other violent acts between family members. Wife abuse, wife beating, and battering are descriptive terms that have lost popularity recently for at least two reasons:
  • There is acknowledgment that many victims are not actually married to the abuser, but rather cohabiting or in other arrangements.
  • Abuse can take other forms than physical abuse. Other forms of abuse may be constantly occurring, while physical abuse happens occasionally.
  • Males as well as females are victims of domestic violence.

These other forms of abuse have the potential to lead to mental illness
Mental illness
A mental disorder or mental illness is a psychological or behavioral pattern generally associated with subjective distress or disability that occurs in an individual, and which is not a part of normal development or culture. Such a disorder may consist of a combination of affective, behavioural,...

, self-harm
Self-harm
Self-harm or deliberate self-harm includes self-injury and self-poisoning and is defined as the intentional, direct injuring of body tissue most often done without suicidal intentions. These terms are used in the more recent literature in an attempt to reach a more neutral terminology...

, and even attempts at suicide
Suicide
Suicide is the act of intentionally causing one's own death. Suicide is often committed out of despair or attributed to some underlying mental disorder, such as depression, bipolar disorder, schizophrenia, alcoholism, or drug abuse...

.

Governmental definitions

The U. S. Office on Violence Against Women
Office on Violence Against Women
The Office on Violence Against Women , a component of the U.S. Department of Justice, provides national leadership in developing the nation's capacity to reduce violence against women through the implementation of the Violence Against Women Act ....

 (OVW) defines domestic violence as a "pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power
Power (communication)
Power can be described as the capacity of an individual or a group to exert their will over another or others or influence the goals of a relationship. Power is not a characteristic of any one individual, rather, it is defined in terms of relationships and transactions between people...

 and control over another intimate partner". The definition adds that domestic violence "can happen to anyone regardless of race, age, sexual orientation, religion, or gender", and can take many forms, including physical abuse, sexual abuse, emotional, economic, and psychological abuse.

The Children and Family Court Advisory and Support Service in the United Kingdom
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...

 in its "Domestic Violence Policy" uses domestic violence to refer to a range of violent and abusive behaviours, defining it as:

Classification

All forms of domestic abuse have one purpose: to gain and maintain control over the victim. Abusers use many tactics to exert power over their spouse or partner: dominance, humiliation
Humiliation
Humiliation is the abasement of pride, which creates mortification or leads to a state of being humbled or reduced to lowliness or submission. It can be brought about through bullying, intimidation, physical or mental mistreatment or trickery, or by embarrassment if a person is revealed to have...

, isolation
Solitude
Solitude is a state of seclusion or isolation, i.e., lack of contact with people. It may stem from bad relationships, deliberate choice, infectious disease, mental disorders, neurological disorders or circumstances of employment or situation .Short-term solitude is often valued as a time when one...

, threats
Coercion
Coercion is the practice of forcing another party to behave in an involuntary manner by use of threats or intimidation or some other form of pressure or force. In law, coercion is codified as the duress crime. Such actions are used as leverage, to force the victim to act in the desired way...

, intimidation
Intimidation
Intimidation is intentional behavior "which would cause a person of ordinary sensibilities" fear of injury or harm. It's not necessary to prove that the behavior was so violent as to cause terror or that the victim was actually frightened.Criminal threatening is the crime of intentionally or...

, denial
Denial
Denial is a defense mechanism postulated by Sigmund Freud, in which a person is faced with a fact that is too uncomfortable to accept and rejects it instead, insisting that it is not true despite what may be overwhelming evidence.The subject may use:* simple denial: deny the reality of the...

 and blame
Blame
Blame is the act of censuring, holding responsible, making negative statements about an individual or group that their action or actions are socially or morally irresponsible, the opposite of praise. When someone is morally responsible for doing something wrong their action is blameworthy...

.

The form and characteristics of domestic violence and abuse may vary in other ways. Michael P. Johnson argues for three major types of intimate partner violence. The typology is supported by subsequent research and evaluation by Johnson and his colleagues, as well as independent researchers.

Distinctions need to be made regarding types of violence, motives of perpetrators, and the social and cultural context. Violence by a person against their intimate partner is often done as a way for controlling "their partner", even if this kind of violence is not the most frequent. Other types of intimate partner violence also occur, including violence between gay and lesbian couples, and by women against their male partners.

Distinctions are not based on single incidents, but rather on patterns across numerous incidents and motives of the perpetrator. Types of violence identified by Johnson:
  • Common couple violence
    Common couple violence
    Common couple violence is a type of domestic violence identified by researcher Michael Johnson as a relationship dynamic "in which conflict occasionally gets ‘out of hand,’ leading usually to ‘minor’ forms of violence, and rarely escalates into serious or life-threatening forms of violence.”...

     (CCV)
    is not connected to general control behavior, but arises in a single argument where one or both partners physically lash out at the other. Intimate terrorism is one element in a general pattern of control by one partner over the other. Intimate terrorism is more common than common couple violence, more likely to escalate over time, not as likely to be mutual, and more likely to involve serious injury.
  • Intimate terrorism (IT) may also involve emotional and psychological abuse.
  • Violent resistance (VR), sometimes thought of as "self-defense", is violence perpetrated by victims against their abusive partners.
  • Mutual violent control (MVC) is rare type of intimate partner violence occurs when both partners act in a violent manner, battling for control.


Another type is situational couple violence, which arises out of conflicts that escalate to arguments and then to violence. It is not connected to a general pattern of control. Although it occurs less frequently in relationships and is less serious than intimate terrorism, in some cases it can be frequent and/or quite serious, even life-threatening. This is probably the most common type of intimate partner violence and dominates general surveys, student samples, and even marriage counseling samples.

Types of male batterers identified by Holtzworth-Munroe and Stuart (1994) include "family-only", which primarily fall into the CCV type, who are generally less violent and less likely to perpetrate psychological and sexual abuse. IT batterers include two types:
"Generally-violent-antisocial" and "dysphoric-borderline". The first type includes men with general psychopathic and violent tendencies. The second type are men who are emotionally dependent on the relationship. Support for this typology has been found in subsequent evaluations.

Others, such as the US Centers for Disease Control, divide domestic violence into two types: reciprocal violence, in which both partners are violent, and non-reciprocal violence, in which one partner is violent.

Physical

Physical abuse is abuse involving contact intended to cause feelings of intimidation, pain, injury, or other physical suffering or bodily harm.

Physical abuse includes hitting, slapping, punching, choking, pushing, and other types of contact that result in physical injury to the victim. Physical abuse can also include behaviors such as denying the victim of medical care when needed, depriving the victim of sleep or other functions necessary to live, or forcing the victim to engage in drug/alcohol use against his/her will. It can also include inflicting physical injury onto other targets, such as children or pets, in order to cause psychological harm to the victim.

Sexual

Sexual abuse is any situation in which force or threat is used to obtain participation in unwanted sexual activity. Coercing a person to engage in sex, against their will, even if that person is a spouse or intimate partner with whom consensual sex has occurred, is an act of aggression and violence.

Sexual violence
Sexual violence
Sexual violence occurs throughout the world, although in most countries there has been little research conducted on the problem. Due to the private nature of sexual violence, estimating the extent of the problem is difficult...

 is defined by World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

 as:
  • any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic, or otherwise directed, against a person’s sexuality using coercion
    Consent (criminal)
    In criminal law, consent may be used as an excuse and prevent the defendant from incurring liability for what was done. For a more general discussion, see Dennis J. Baker, "The Moral Limits of Consent as a Defense in the Criminal Law," 12 New Criminal Law Review ; Dennis J...

    , by any person regardless of their relationship to the victim, in any setting, including but not limited to home and work.


Marital rape, also known as spousal rape, is non-consensual
Consent
Consent refers to the provision of approval or agreement, particularly and especially after thoughtful consideration.- Types of consent :*Implied consent is a controversial form of consent which is not expressly granted by a person, but rather inferred from a person's actions and the facts and...

 sex in which the perpetrator is the victim's spouse. As such, it is a form of partner rape, of domestic violence, and of sexual abuse
Sexual abuse
Sexual abuse, also referred to as molestation, is the forcing of undesired sexual behavior by one person upon another. When that force is immediate, of short duration, or infrequent, it is called sexual assault. The offender is referred to as a sexual abuser or molester...

. In the US spousal rape is illegal in all 50 states; the first state to outlaw it was South Dakota
South Dakota
South Dakota is a state located in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux American Indian tribes. Once a part of Dakota Territory, South Dakota became a state on November 2, 1889. The state has an area of and an estimated population of just over...

 in 1975, and the last North Carolina
North Carolina
North Carolina is a state located in the southeastern United States. The state borders South Carolina and Georgia to the south, Tennessee to the west and Virginia to the north. North Carolina contains 100 counties. Its capital is Raleigh, and its largest city is Charlotte...

 in 1993.

Categories of sexual abuse include:
  1. Use of physical force to compel a person to engage in a sexual act against his or her will, whether or not the act is completed;
  2. Attempted or completed sex act involving a person who is unable to understand the nature or condition of the act, unable to decline participation, or unable to communicate unwillingness to engage in the sexual act, e.g., because of underage immaturity, illness, disability, or the influence of alcohol or other drugs, or because of intimidation or pressure.

Emotional

Emotional abuse (also called psychological abuse or mental abuse) can include humiliating the victim privately or publicly, controlling what the victim can and cannot do, withholding information from the victim, deliberately doing something to make the victim feel diminished or embarrassed, isolating the victim from friends and family, implicitly blackmail
Blackmail
In common usage, blackmail is a crime involving threats to reveal substantially true or false information about a person to the public, a family member, or associates unless a demand is met. It may be defined as coercion involving threats of physical harm, threat of criminal prosecution, or threats...

ing the victim by harming others when the victim expresses independence or happiness, or denying the victim access to money or other basic resources and necessities.

Emotional abuse can include verbal abuse and is defined as any behavior that threatens, intimidates, undermines the victim’s self-worth or self-esteem, or controls the victim’s freedom. This can include threatening the victim with injury or harm, telling the victim that they will be killed if they ever leave the relationship, and public humiliation. Constant criticism, name-calling, and making statements that damage the victim’s self-esteem are also common verbal forms of emotional abuse. Often perpetrators will use children to engage in emotional abuse by teaching them to harshly criticize the victim as well.
Emotional abuse includes conflicting actions or statements which are designed to confuse and create insecurity in the victim
Gaslighting
Gaslighting is a form of psychological abuse in which false information is presented with the intent of making a victim doubt his or her own memory and perception...

. These behaviors also lead the victim to question themselves, causing them to believe that they are making up the abuse or that the abuse is their fault
Victim blaming
Victim blaming occurs when the victim of a crime, an accident, or any type of abusive maltreatment are held entirely or partially responsible for the transgressions committed against them. Blaming the victim has traditionally emerged especially in racist and sexist forms...

.

Emotional abuse includes forceful efforts to isolate the victim, keeping them from contacting friends or family. This is intended to eliminate those who might try to help the victim leave the relationship and to create a lack of resources for them to rely on if they were to leave. Isolation results in damaging the victim’s sense of internal strength, leaving them feeling helpless and unable to escape from the situation.

People who are being emotionally abused often feel as if they do not own themselves; rather, they may feel that their significant other has nearly total control over them. Women or men undergoing emotional abuse often suffer from depression, which puts them at increased risk for suicide
Suicide
Suicide is the act of intentionally causing one's own death. Suicide is often committed out of despair or attributed to some underlying mental disorder, such as depression, bipolar disorder, schizophrenia, alcoholism, or drug abuse...

, eating disorder
Eating disorder
Eating disorders refer to a group of conditions defined by abnormal eating habits that may involve either insufficient or excessive food intake to the detriment of an individual's physical and mental health. Bulimia nervosa, anorexia nervosa, and binge eating disorder are the most common specific...

s, and drug
Drug abuse
Substance abuse, also known as drug abuse, refers to a maladaptive pattern of use of a substance that is not considered dependent. The term "drug abuse" does not exclude dependency, but is otherwise used in a similar manner in nonmedical contexts...

 and alcohol abuse
Alcohol abuse
Alcohol abuse, as described in the DSM-IV, is a psychiatric diagnosis describing the recurring use of alcoholic beverages despite negative consequences. Alcohol abuse eventually progresses to alcoholism, a condition in which an individual becomes dependent on alcoholic beverages in order to avoid...

.

Verbal

Verbal abuse is a form of emotionally abusive behavior involving the use of language. It may include profanity
Profanity
Profanity is a show of disrespect, or a desecration or debasement of someone or something. Profanity can take the form of words, expressions, gestures, or other social behaviors that are socially constructed or interpreted as insulting, rude, vulgar, obscene, desecrating, or other forms.The...

 but can occur with or without the use of expletives
Expletive attributive
Expletive comes from the Latin verb explere, meaning "to fill", via expletivus, "filling out". It was introduced into English in the seventeenth century to refer to various kinds of padding—the padding out of a book with peripheral material, the addition of syllables to a line of poetry for...

.

Verbal abuse may include aggressive actions such as name-calling, blaming, ridicule, disrespect, and criticism, but there are also less obviously aggressive forms of verbal abuse. Statements that may seem benign on the surface can be thinly veiled attempts to humiliate; falsely accuse; or manipulate others to submit to undesirable behavior; make others feel unwanted and unloved; threaten others economically; or isolate victims from support systems.

In Jekyll and Hyde behaviors, the abuser may fluctuate between sudden rages
Rage (emotion)
Rage is a feeling of intense anger. It is associated with the Fight-or-flight response and oftentimes activated in response to an external cue, such as the murder of a loved one. The phrase, 'thrown into a fit of rage,' expresses the immediate nature of rage that occurs before deliberation. If left...

 and false joviality toward the victim; or may simply show a very different "face" to the outside world than to the victim. While oral communication is the most common form of verbal abuse, it includes abusive communication in written form.

Economic

Economic abuse is a form of abuse when one intimate partner has control over the other partner's access to economic resources. Economic abuse may involve preventing a spouse from resource acquisition, limiting the amount of resources to use by the victim, or by exploiting economic resources of the victim. The motive behind preventing a spouse from acquiring resources is to diminish victim's capacity to support him/herself, thus forcing him/her to depend on the perpetrator financially, which includes preventing the victim from obtaining education, finding employment, maintaining or advancing their careers, and acquiring assets.
In addition, the abuser may also put the victim on an allowance, closely monitor how the victim spends money, spend victim's money without his/her consent and creating debt, or completely spend victim's savings to limit available resources

On children

3.3 million children witness domestic violence each year in the US. There has been an increase in acknowledgment that a child who is exposed to domestic abuse during their upbringing will suffer in their developmental and psychological welfare. Due to the awareness of domestic violence that some children have to face, it also generally impacts how the child develops emotionally, socially, behaviorally as well as cognitively. Some emotional and behavioral problems that can result due to domestic violence include increased aggressiveness, anxiety, and changes in how a child socializes with friends, family, and authorities. Depression, as well as self-esteem issues, can follow due to traumatic experiences. Problems with attitude and cognition in schools can start developing, along with a lack of skills such as problem-solving. Correlation has been found between the experience of abuse and neglect in childhood and perpertrating domestic violence and sexual abuse in adulthood. Additionally, in some cases the abuser will purposely abuse the mother in front of the child to cause a ripple effect, hurting not one but two of his victims. It has been found that children who witness mother-assault are more likely to exhibit symptoms of posttraumatic stress disorder (PTSD).

Family Violence prevention in Australia and other countries has begun to focus on breaking intergenerational cycles, according to the National (Aust) Standards for Working with Children Exposed to Family Violence it is important to acknowledge that exposing children to Family Violence is child abuse. Some of the effects of Family Violence on children are highlighted in the Queensland Government and SunnyKids
Sunnykids
SunnyKids is an Australian children's charitable organisation. Established in 1999 as a domestic and family violence service on the Sunshine Coast, Queensland, Australia, the service initially partnered with government and the community to build and purchase a series of properties in the region to...

 awareness raising campaign.

Physical

Bruises, broken bones, head injuries, lacerations, and internal bleeding are some of the acute effects of a domestic violence incident that require medical attention and hospitalization.
Some chronic health conditions that have been linked to victims of domestic violence are arthritis, irritable bowel syndrome, chronic pain, pelvic pain, ulcers, and migraines.
Victims who are pregnant during a domestic violence relationship experience greater risk of miscarriage, pre-term labor, and injury to or death of the fetus.

Psychological

Among victims who are still living with their perpetrators, high amounts of stress, fear, and anxiety are commonly reported. Depression is also common, as victims are made to feel guilty
Guilty
Guilty commonly refers to the feeling of guilt, an experience that occurs when a person believes that they have violated a moral standard.Guilty or The Guilty may also refer to:-Law:*Guilty plea, a formal admission of legal culpability...

 for ‘provoking’ the abuse and are constantly subjected to intense criticism
Criticism
Criticism is the judgement of the merits and faults of the work or actions of an individual or group by another . To criticize does not necessarily imply to find fault, but the word is often taken to mean the simple expression of an objection against prejudice, or a disapproval.Another meaning of...

. It is reported that 60% of victims meet the diagnostic criteria for depression, either during or after termination of the relationship, and have a greatly increased risk of suicidality. In addition to depression, victims of domestic violence also commonly experience long-term anxiety
Anxiety
Anxiety is a psychological and physiological state characterized by somatic, emotional, cognitive, and behavioral components. The root meaning of the word anxiety is 'to vex or trouble'; in either presence or absence of psychological stress, anxiety can create feelings of fear, worry, uneasiness,...

 and panic
Panic
Panic is a sudden sensation of fear which is so strong as to dominate or prevent reason and logical thinking, replacing it with overwhelming feelings of anxiety and frantic agitation consistent with an animalistic fight-or-flight reaction...

, and are likely to meet the diagnostic criteria for Generalized Anxiety Disorder and Panic Disorder
Panic disorder
Panic disorder is an anxiety disorder characterized by recurring severe panic attacks. It may also include significant behavioral change lasting at least a month and of ongoing worry about the implications or concern about having other attacks. The latter are called anticipatory attacks...

. The most commonly referenced psychological effect of domestic violence is Post-Traumatic Stress Disorder
Post-traumatic stress disorder
Posttraumaticstress disorder is a severe anxiety disorder that can develop after exposure to any event that results in psychological trauma. This event may involve the threat of death to oneself or to someone else, or to one's own or someone else's physical, sexual, or psychological integrity,...

 (PTSD). PTSD (as experienced by victims) is characterized by flashbacks, intrusive images, exaggerated startle response, nightmares, and avoidance of triggers that are associated with the abuse. These symptoms are generally experienced for a long span of time after the victim has left the dangerous situation. Many researchers state that PTSD is possibly the best diagnosis for those suffering from psychological effects of domestic violence, as it accounts for the variety of symptoms commonly experienced by victims of trauma.

Financial

Once victims leave their perpetrator, they can be stunned with the reality of the extent to which the abuse has taken away their autonomy. Due to economic abuse and isolation, the victim usually has very little money of their own and few people on whom they can rely when seeking help. This has been shown to be one of the greatest obstacles facing victims of DV, and the strongest factor that can discourage them from leaving their perpetrators.

In addition to lacking financial resources, victims of DV often lack specialized skills, education, and training that are necessary to find gainful employment, and also may have several children to support. In 2003, thirty-six major US cities cited DV as one of the primary causes of homelessness in their areas. It has also been reported that one out of every three homeless women are homeless due to having left a DV relationship. If a victim is able to secure rental housing, it is likely that her apartment complex will have “zero tolerance” policies for crime; these policies can cause them to face eviction even if they are the victim (not the perpetrator) of violence. While the number of shelters and community resources available to DV victims has grown tremendously, these agencies often have few employees and hundreds of victims seeking assistance which causes many victims to remain without the assistance they need.

Long-term

Domestic violence can trigger many different responses in victims, all of which are very relevant for any professional working with a victim. Major consequences of domestic violence victimization include psychological/mental health issues and chronic physical health problems. A victim’s overwhelming lack of resources can lead to homelessness and poverty.

Vicarious trauma

Due to the gravity and intensity of hearing victims’ stories of abuse, professionals (police, counselors, therapists, advocates, medical professionals) are at risk themselves for secondary or vicarious trauma (VT), which causes the responder to experience trauma symptoms similar to the original victim after hearing about the victim’s experiences with abuse. Research has demonstrated that professionals who experience vicarious trauma show signs of exaggerated startle response, hypervigilance
Hypervigilance
Hypervigilance is an enhanced state of sensory sensitivity accompanied by an exaggerated intensity of behaviors whose purpose is to detect threats. Hypervigilance is also accompanied by a state of increased anxiety which can cause exhaustion. Other symptoms include: abnormally increased arousal, a...

, nightmares, and intrusive thoughts
Intrusive thoughts
Intrusive thoughts are unwelcome involuntary thoughts, images, or unpleasant ideas that may become obsessions, are upsetting or distressing, and can be difficult to manage or eliminate. Most people experience these thoughts...

 although they have not experienced a trauma personally and do not qualify for a clinical diagnosis of PTSD. Researchers concluded that although clinicians have professional training and are equipped with the necessary clinical skills to assist victims of domestic violence, they may still be personally affected by the emotional impact of hearing about a victim’s traumatic experiences. Iliffe et al. found that there are several common initial responses that are found in clinicians who work with victims: loss of confidence in their ability to help the client, taking personal responsibility for ensuring the client’s safety, and remaining supportive of the client’s autonomy if they makes the decision to return to their perpetrator. It has also been shown that clinicians who work with a large number of victims may alter their former perceptions of the world, and begin to doubt the basic goodness of others. Iliffe et al. found that clinicians who work with victims tend to feel less secure in the world, become “acutely aware” of power and control issues both in society and in their own personal relationships, have difficulty trusting others, and experience an increased awareness of gender-based power differences in society.

The best way for a clinician to avoid developing VT is to engage in good self-care practices. These can include exercise, relaxation techniques, debriefing with colleagues, and seeking support from supervisors. Additionally, it is recommended that clinicians make the positive and rewarding aspects of working with domestic violence victims the primary focus of thought and energy, such as being part of the healing process or helping society as a whole. Clinicians should also continually evaluate their empathic responses to victims, in order to avoid feelings of being drawn in to the trauma that the victim experienced. It is recommended that clinicians practice good boundaries
Personal boundaries
Personal boundaries are guidelines, rules or limits that a person creates to identify for him- or herself what are reasonable, safe and permissible ways for other people to behave around him or her and how he or she will respond when someone steps outside those limits.'Personal boundaries define...

, and find a balance in expressing empathic responses to the victim while still maintaining personal detachment from their traumatic experiences.

Burnout

Vicarious trauma can lead directly to burnout, which is defined as “emotional exhaustion resulting from excessive demands on energy, strength, and personal resources in the work setting”. The physical warning signs of burnout include headaches, fatigue, lowered immune function, and irritability. A clinician experiencing burnout may begin to lose interest in the welfare of clients, be unable to empathize or feel compassion for clients, and may even begin to feel aversion toward the client. If the clinician experiencing burnout is working with victims of domestic violence, the clinician risks causing further great harm through re-victimization of the client. It should be noted, however, that vicarious trauma does not always directly lead to burnout and that burnout can occur in clinicians who work with any difficult population – not only those who work with domestic violence victims.

Cause

There are many different theories as to the causes of domestic violence. These include psychological theories that consider personality traits and mental characteristics of the perpetrator, as well as social theories which consider external factors in the perpetrator's environment, such as family structure, stress, social learning. As with many phenomena regarding human experience, no single approach appears to cover all cases.

Whilst there are many theories regarding what causes one individual to act violently towards an intimate partner or family member there is also growing concern around apparent intergenerational cycles of domestic violence. In Australia where it has been identified that as many as 75% of all victims of domestic violence are children Domestic violence services such as Sunnykids
Sunnykids
SunnyKids is an Australian children's charitable organisation. Established in 1999 as a domestic and family violence service on the Sunshine Coast, Queensland, Australia, the service initially partnered with government and the community to build and purchase a series of properties in the region to...

 are beginning to focus their attention on children who have been exposed to domestic violence.

Responses that focus on children suggest that experiences throughout life influence an individuals' propensity to engage in family violence (either as a victim or as a perpetrator). Researchers supporting this theory suggest it is useful to think of three sources of domestic violence: childhood socialization, previous experiences in couple relationships during adolescence, and levels of strain in a person's current life. People who observe their parents abusing each other, or who were themselves abused may incorporate abuse into their behaviour within relationships that they establish as adults. (Kalmuss & Seltzer 1984)

Psychological

Psychological theories focus on personality traits and mental characteristics of the offender. Personality traits include sudden bursts of anger
Anger
Anger is an automatic response to ill treatment. It is the way a person indicates he or she will not tolerate certain types of behaviour. It is a feedback mechanism in which an unpleasant stimulus is met with an unpleasant response....

, poor impulse control, and poor self-esteem
Self-esteem
Self-esteem is a term in psychology to reflect a person's overall evaluation or appraisal of his or her own worth. Self-esteem encompasses beliefs and emotions such as triumph, despair, pride and shame: some would distinguish how 'the self-concept is what we think about the self; self-esteem, the...

. Various theories suggest that psychopathology and other personality disorders are factors, and that abuse experienced as a child leads some people to be more violent as adults. Correlation has been found between juvenile delinquency and domestic violence in adulthood. Studies have found high incidence of psychopathy
Psychopathy
Psychopathy is a mental disorder characterized primarily by a lack of empathy and remorse, shallow emotions, egocentricity, and deceptiveness. Psychopaths are highly prone to antisocial behavior and abusive treatment of others, and are very disproportionately responsible for violent crime...

 among abusers.

For instance, some research suggests that about 80% of both court-referred and self-referred men in these domestic violence studies exhibited diagnosable psychopathology
Psychopathology
Psychopathology is the study of mental illness, mental distress, and abnormal/maladaptive behavior. The term is most commonly used within psychiatry where pathology refers to disease processes...

, typically personality disorders. "The estimate of personality disorders in the general population would be more in the 15-20% range [...] As violence becomes more severe and chronic in the relationship, the likelihood of psychopathology
Psychopathology
Psychopathology is the study of mental illness, mental distress, and abnormal/maladaptive behavior. The term is most commonly used within psychiatry where pathology refers to disease processes...

 in these men approaches 100%."
Dutton has suggested a psychological profile of men who abuse their wives, arguing that they have borderline personalities
Borderline personality disorder
Borderline personality disorder is a personality disorder described as a prolonged disturbance of personality function in a person , characterized by depth and variability of moods.The disorder typically involves unusual levels of instability in mood; black and white thinking, or splitting; the...

 that are developed early in life. However, these psychological theories are disputed: Gelles suggests that psychological theories are limited, and points out that other researchers have found that only 10% (or less) fit this psychological profile. He argues that social factors are important, while personality traits, mental illness, or psychopathy are lesser factors.

Jealousy

Many cases of domestic violence against women occur due to jealousy
Jealousy
Jealousy is a second emotion and typically refers to the negative thoughts and feelings of insecurity, fear, and anxiety over an anticipated loss of something that the person values, particularly in reference to a human connection. Jealousy often consists of a combination of presenting emotions...

 when the woman is either suspected of being unfaithful or is planning to leave the relationship. An evolutionary psychology
Evolutionary psychology
Evolutionary psychology is an approach in the social and natural sciences that examines psychological traits such as memory, perception, and language from a modern evolutionary perspective. It seeks to identify which human psychological traits are evolved adaptations, that is, the functional...

 explanation such cases of domestic violence against women are that they represent to male attempts to control female reproduction and ensure sexual exclusivity for himself through violence or the threat of violence.

Behavioral

Behavioral theories draw on the work of behavior analysts. Applied behavior analysis
Applied Behavior Analysis
Applied behavior analysis is a science that involves using modern behavioral learning theory to modify behaviors. Behavior analysts reject the use of hypothetical constructs and focus on the observable relationship of behavior to the environment...

 uses the basic principles of learning theory
Learning theory (education)
In psychology and education, learning is commonly defined as a process that brings together cognitive, emotional, and environmental influences and experiences for acquiring, enhancing, or making changes in one's knowledge, skills, values, and world views . Learning as a process focuses on what...

 to change behavior. Behavioral theories of domestic violence focus on the use of functional assessment with the goal of reducing episodes of violence to zero rates. This program leads to behavior therapy. Often by identifying the antecedents and consequences of violent action, the abusers can be taught self control
Self control
Self control is the ability to control one's emotions, behavior and desires in order to obtain some reward later. In psychology it is sometimes called self-regulation...

. Recently more focus has been placed on prevention and a behavioral prevention theory.

Social theories

Looks at external factors in the offender's environment, such as family structure, stress, social learning, and includes rational choice
Rational choice theory (criminology)
In criminology, the rational choice theory adopts a utilitarian belief that man is a reasoning actor who weighs means and ends, costs and benefits, and makes a ra...

 theories.

Resource theory

Resource theory was suggested by William Goode (1971). Women who are most dependent on the spouse for economic well being (e.g. homemakers/housewives, women with handicaps, the unemployed), and are the primary caregiver to their children, fear the increased financial burden if they leave their marriage. Dependency means that they have fewer options and few resources to help them cope with or change their spouse's behavior.

Couples that share power equally experience lower incidence of conflict, and when conflict does arise, are less likely to resort to violence. If one spouse desires control and power in the relationship, the spouse may resort to abuse. This may include coercion and threats, intimidation, emotional abuse, economic abuse, isolation, making light of the situation and blaming the spouse, using children (threatening to take them away), and behaving as "master of the castle".

Social stress

Stress may be increased when a person is living in a family situation, with increased pressures. Social stresses, due to inadequate finances or other such problems in a family may further increase tensions. Violence is not always caused by stress, but may be one way that some people respond to stress. Families and couples in poverty may be more likely to experience domestic violence, due to increased stress and conflicts about finances and other aspects. Some speculate that poverty may hinder a man's ability to live up to his idea of "successful manhood", thus he fears losing honor and respect. Theory suggests that when he is unable to economically support his wife, and maintain control, he may turn to misogyny
Misogyny
Misogyny is the hatred or dislike of women or girls. Philogyny, meaning fondness, love or admiration towards women, is the antonym of misogyny. The term misandry is the term for men that is parallel to misogyny...

, substance abuse
Substance abuse
A substance-related disorder is an umbrella term used to describe several different conditions associated with several different substances .A substance related disorder is a condition in which an individual uses or abuses a...

, and crime
Crime
Crime is the breach of rules or laws for which some governing authority can ultimately prescribe a conviction...

 as ways to express masculinity.

Social learning theory

Social learning theory
Social learning theory
-Theory:Social learning theory is derived from the work of Albert Bandura which proposed that social learning occurred through four main stages of imitation:* close contact* imitation of superiors* understanding of concepts* role model behavior...

 suggests that people learn from observing and modeling after others' behavior. With positive reinforcement, the behavior continues. If one observes violent behavior, one is more likely to imitate it. If there are no negative consequences (e. g. victim accepts the violence, with submission), then the behavior will likely continue. Often, violence is transmitted from generation to generation in a cyclical manner.

Power and control

In some relationships, violence is posited to arise out of a perceived need for power and control, a form of bullying and social learning of abuse.

Abusers' efforts to dominate their partners have been attributed to low self-esteem or feelings of inadequacy, unresolved childhood conflicts, the stress of poverty, hostility and resentment toward women (misogyny
Misogyny
Misogyny is the hatred or dislike of women or girls. Philogyny, meaning fondness, love or admiration towards women, is the antonym of misogyny. The term misandry is the term for men that is parallel to misogyny...

), hostility and resentment toward men (misandry
Misandry
Misandry is the hatred or dislike of men or boys.Misandry comes from Greek misos and anēr, andros . Misandry is the antonym of philandry, the fondness towards men, love, or admiration of them...

), personality disorders, genetic tendencies and sociocultural influences, among other possible causative factors. Most authorities seem to agree that abusive personalities result from a combination of several factors, to varying degrees.

A causalist
Causality
Causality is the relationship between an event and a second event , where the second event is understood as a consequence of the first....

 view of domestic violence is that it is a strategy to gain or maintain power and control over the victim. This view is in alignment with Bancroft's "cost-benefit" theory that abuse rewards the perpetrator in ways other than, or in addition to, simply exercising power over his or her target(s). He cites evidence in support of his argument that, in most cases, abusers are quite capable of exercising control over themselves, but choose not to do so for various reasons.

An alternative view is that abuse arises from powerlessness and externalizing
Externalization
Externalization means to put something outside of its original borders, especially to put a human function outside of the human body. The opposite of externalization is internalization....

/projecting
Psychological projection
Psychological projection or projection bias is a psychological defense mechanism where a person subconsciously denies his or her own attributes, thoughts, and emotions, which are then ascribed to the outside world, usually to other people...

 this and attempting to exercise control of the victim. It is an attempt to 'gain or maintain power and control over the victim' but even in achieving this it cannot resolve the powerlessness driving it. Such behaviours have addictive aspects leading to a cycle of abuse
Cycle of abuse
The cycle of abuse is a social cycle theory developed in the 1970s by Lenore Walker to explain patterns of behavior in an abusive relationship....

 or violence
Cycle of violence
The term cycle of violence refers to repeated and dangerous acts of violence as a cyclical pattern, associated with high emotions and doctrines of retribution or revenge. The pattern, or cycle, repeats and can happen many times during a relationship...

. Mutual cycles develop when each party attempts to resolve their own powerlessness in attempting to assert control.

Questions of power and control are integral to the widely utilized Duluth Domestic Abuse Intervention Project
Duluth Domestic Abuse Intervention Project
The Duluth Model or Domestic Abuse Intervention Project is a program developed to reduce domestic violence. The Duluth model was developed by Minnesota Program Development, Inc., a nonprofit agency in Duluth, Minnesota. The program was largely founded by social activist Ellen Pence...

. They developed a "Power and Control Wheel" to illustrate this: it has power and control at the center, surrounded by spokes (techniques used), the titles of which include: coercion and threat
Threat
Threat of force in public international law is a situation between states described by British lawyer Ian Brownlie as:The 1969 Vienna convention on the Law of Treaties notes in its preamble that both the threat and the use of force are prohibited...

s, intimidation
Intimidation
Intimidation is intentional behavior "which would cause a person of ordinary sensibilities" fear of injury or harm. It's not necessary to prove that the behavior was so violent as to cause terror or that the victim was actually frightened.Criminal threatening is the crime of intentionally or...

, emotional abuse, isolation
Solitude
Solitude is a state of seclusion or isolation, i.e., lack of contact with people. It may stem from bad relationships, deliberate choice, infectious disease, mental disorders, neurological disorders or circumstances of employment or situation .Short-term solitude is often valued as a time when one...

, minimizing
Minimisation (psychology)
Minimisation is a type of deception involving denial coupled with rationalisation in situations where complete denial is implausible. It is the opposite of exaggeration....

, denying
Denial
Denial is a defense mechanism postulated by Sigmund Freud, in which a person is faced with a fact that is too uncomfortable to accept and rejects it instead, insisting that it is not true despite what may be overwhelming evidence.The subject may use:* simple denial: deny the reality of the...

 and blaming, using children, economic abuse, male privilege.

The model attempts to address abuse by challenging the misuse of power by the perpetrator.

The power wheel model is not intended to assign personal responsibility, enhance respect for mutual purpose or assist victims and perpetrators in resolving their differences. It is an informational tool designed to help individuals understand the dynamics of power operating in abusive situations and identify various methods of abuse.

Critics of this model argue that it ignores research linking domestic violence to substance abuse and psychological problems.

Mental illness

Psychiatric disorders are sometimes associated with domestic violence, such as borderline personality disorder
Borderline personality disorder
Borderline personality disorder is a personality disorder described as a prolonged disturbance of personality function in a person , characterized by depth and variability of moods.The disorder typically involves unusual levels of instability in mood; black and white thinking, or splitting; the...

, antisocial personality disorder
Antisocial personality disorder
Antisocial personality disorder is described by the American Psychiatric Association's Diagnostic and Statistical Manual, fourth edition , as an Axis II personality disorder characterized by "...a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood...

, bipolar disorder
Bipolar disorder
Bipolar disorder or bipolar affective disorder, historically known as manic–depressive disorder, is a psychiatric diagnosis that describes a category of mood disorders defined by the presence of one or more episodes of abnormally elevated energy levels, cognition, and mood with or without one or...

, schizophrenia
Schizophrenia
Schizophrenia is a mental disorder characterized by a disintegration of thought processes and of emotional responsiveness. It most commonly manifests itself as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is accompanied by significant social...

, drug abuse
Drug abuse
Substance abuse, also known as drug abuse, refers to a maladaptive pattern of use of a substance that is not considered dependent. The term "drug abuse" does not exclude dependency, but is otherwise used in a similar manner in nonmedical contexts...

, and alcoholism
Alcoholism
Alcoholism is a broad term for problems with alcohol, and is generally used to mean compulsive and uncontrolled consumption of alcoholic beverages, usually to the detriment of the drinker's health, personal relationships, and social standing...

. It is estimated that at least one-third of all abusers have some type of mental illness.

Gender aspects of abuse

The relationship between gender
Gender
Gender is a range of characteristics used to distinguish between males and females, particularly in the cases of men and women and the masculine and feminine attributes assigned to them. Depending on the context, the discriminating characteristics vary from sex to social role to gender identity...

 and domestic violence is a controversial topic. There continues to be debate about the rates at which each gender is subjected to domestic violence and whether abused men should be provided the same resources and shelters that exist for women victims. In particular, some studies suggest that men are less likely to report being victims of domestic violence due to social stigmas. Other sources, however, argue that the rate of domestic violence against men is often inflated due to the practice of including self-defense as a form of domestic violence.

Women are subjected to domestic violence more often and more severely than are men. According to a report by the United States Department of Justice
United States Department of Justice
The United States Department of Justice , is the United States federal executive department responsible for the enforcement of the law and administration of justice, equivalent to the justice or interior ministries of other countries.The Department is led by the Attorney General, who is nominated...

, a survey of 16,000 Americans showed 22.1 percent of women and 7.4 percent of men reported being physically assaulted by a current or former spouse, cohabiting partner, boyfriend or girlfriend, or date in their lifetime. A 2010 survey of over 21,000 residents of England and Wales by the UK Home Office
Home Office
The Home Office is the United Kingdom government department responsible for immigration control, security, and order. As such it is responsible for the police, UK Border Agency, and the Security Service . It is also in charge of government policy on security-related issues such as drugs,...

 showed that six percent of women and three percent of men were victims of partner abuse in the last year. Women were four times more likely than men to have been the victim of serious sexual assault.

Women are more likely than men to be murdered by an intimate partner. Of those killed by an intimate partner about three quarters are female and about a quarter are male. In 1999 in the United States 1,218 women and 424 men were killed by an intimate partner, and 1181 females and 329 males were killed by their intimate partners in 2005. In England and Wales
England and Wales
England and Wales is a jurisdiction within the United Kingdom. It consists of England and Wales, two of the four countries of the United Kingdom...

 about 100 women are killed by partners or former partners each year while 21 men were killed in 2010. In 2008, in France
France
The French Republic , The French Republic , The French Republic , (commonly known as France , is a unitary semi-presidential republic in Western Europe with several overseas territories and islands located on other continents and in the Indian, Pacific, and Atlantic oceans. Metropolitan France...

, 156 women and 27 men were killed by their intimate partner.

The UN Declaration on the Elimination of Violence against Women (1993) states that “violence against women
Violence against women
Violence against women is a technical term used to collectively refer to violent acts that are primarily or exclusively committed against women...

 is a manifestation of historically unequal power relations between men and women, which has led to domination over and discrimination against women by men and to the prevention of the full advancement of women, and that violence against women is one of the crucial social mechanisms by which women are forced into a subordinate position compared with men.”

In their study of severely violent couples, Neil Jacobson and John Gottman conclude that the frequency of violent acts is not as crucial as the impact of the violence and its function, when trying to understand spousal abuse; specifically, they state that the purpose of domestic violence is typically to control and intimidate, rather than just to injure.

Both men and women have been arrested and convicted of assaulting their partners in both heterosexual and homosexual relationships. The bulk of these arrests have been men being arrested for assaulting women. However, in the case of reciprocal violence, frequently only the male perpetrator is arrested. Determining how many instances of domestic violence actually involve male victims is difficult. Male domestic violence victims may be reluctant to get help for a number of reasons. Another study has demonstrated a high degree of acceptance by women of aggression against men.

Some researchers have found a relationship between the availability of domestic violence services, improved laws and enforcement regarding domestic violence, increased access to divorce, and higher earnings for women with declines in intimate partner homicide by women. Murders of female intimate partners by men have dropped, but not nearly as dramatically. Men kill their female intimate partners at about four times the rate that women kill their male intimate partners. Research by Jacquelyn Campbell, PhD RN FAAN has found that at least two thirds of women killed by their intimate partners were battered by those men prior to the murder. She also found that when males are killed by female intimates, the women in those relationships had been abused by their male partner about 75 percent of the time.

A problem in conducting studies that seek to describe violence in terms of gender is the amount of silence, fear and shame that results from abuse within families and relationships. Another is that abusive patterns can tend to seem normal to those who have lived in them for a length of time. Similarly, subtle forms of abuse can be quite transparent even as they set the stage for further abuse seeming normal. Finally, inconsistent definition of what constitutes domestic violence makes definite conclusions difficult to reach when compiling the available studies.

Theories that women are as violent as men have been dubbed "gender symmetry" theories.

Straus and Gelles found that in couples reporting spousal violence, 27 percent of the time the man struck the first blow; in 24 percent of cases, the woman initiated the violence. The rest of the time, the violence was mutual, with both partners brawling. The results were the same even when the most severe episodes of violence were analyzed. In order to counteract claims that the reporting data was skewed, female-only surveys were conducted, asking females to self-report, and the data was the same. The simple tally of physical acts is typically found to be similar in those studies that examine both directions, but some studies show that male violence may be more serious. Male violence may do more damage than female violence; women are more likely to be injured and/or hospitalized. Wives are more likely to be killed by their husbands than the reverse (59 percent to 41 percent per Dept of Justice study), and women in general are more likely to be killed by their spouses than by all other types of assailants combined.

Martin S. Fiebert of the Department of Psychology at California State University, Long Beach
California State University, Long Beach
California State University, Long Beach is the second largest campus of the California State University system and the third largest university in the state of California by enrollment...

, has compiled an annotated bibliography of research relating to spousal abuse by women on men. This bibliography examines 275 scholarly investigations: 214 empirical studies and 61 reviews and/or analyses appear to demonstrate that women are as physically aggressive, or more aggressive, than men in their relationships with their spouses or male partners. The aggregate sample size in the reviewed studies exceeds 365,000. In a Los Angeles Times
Los Angeles Times
The Los Angeles Times is a daily newspaper published in Los Angeles, California, since 1881. It was the second-largest metropolitan newspaper in circulation in the United States in 2008 and the fourth most widely distributed newspaper in the country....

article about male victims of domestic violence, Fiebert suggests that "...consensus in the field is that women are as likely as men to strike their partner but that—as expected—women are more likely to be injured than men." However, he noted, men are seriously injured in 38 percent of the cases in which "extreme aggression" is used. Fiebert additionally noted that his work was not meant to minimize the serious effects of men who abuse women.

Women are far more likely to use weapons in their domestic violence, whether throwing a plate or firing a gun.

In a review of the research however Michael Kimmel found that violence is instrumental in maintaining control and that more than 90 percent of "systematic, persistent, and injurious" violence is perpetrated by men. He points out that most of the empirical studies that Fiebert reviewed used the same empirical measure of family conflict, i.e., the Conflict Tactics Scale
Conflict Tactics Scale
The conflict tactics scale , created by Murray A. Straus in 1979, is the "most widely used research method for identifying intimate partner violence." There are two versions of the CTS, the CTS2 and CTSPC. As of 2005, the CTS has been used in about 600 peer reviewed scientific or scholarly papers,...

 (CTS) as the sole measure of domestic violence and that many of the studies noted by Fiebert discussed samples composed entirely of single people younger than 30, not married couples. Kimmel argues that among various other flaws, the CTS is particularly vulnerable to reporting bias because it depends on asking people to accurately remember and report what happened during the past year. However, men tend to under-estimate their use of violence, while women tend to over-estimate their use of violence. Simultaneously men tend to over-estimate their partner's use of violence while women tend to under-estimate their partner's use of violence. Thus, men will likely over-estimate their victimization, while women tend to underestimate theirs.

Similarly, the National Institute of Justice
National Institute of Justice
The National Institute of Justice is the research, development and evaluation agency of the United States Department of Justice. NIJ, along with the Bureau of Justice Statistics , Bureau of Justice Assistance , Office of Juvenile Justice and Delinquency Prevention , Office for Victims of Crime ,...

 states that studies finding equal or greater frequency of abuse by women against men are based on data compiled through the Conflict Tactics Scale
Conflict Tactics Scale
The conflict tactics scale , created by Murray A. Straus in 1979, is the "most widely used research method for identifying intimate partner violence." There are two versions of the CTS, the CTS2 and CTSPC. As of 2005, the CTS has been used in about 600 peer reviewed scientific or scholarly papers,...

. This survey tool was developed in the 1970s and may not be appropriate for intimate partner violence research because it does not measure control, coercion, or the motives for conflict tactics; it also leaves out sexual assault and violence by ex-spouses or partners and does not determine who initiated the violence. Furthermore, the NIJ contends that national surveys supported by NIJ, the Centers for Disease Control and Prevention
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...

, and the Bureau of Justice Statistics that examine more serious assaults do not support the conclusion of similar rates of male and female spousal assaults. These surveys are conducted within a safety or crime context and clearly find more partner abuse by men against women.

In a Meta-analysis, John Archer, Ph. D., from the Department of Psychology, University of Central Lancashire, UK, writes:

The present analyses indicate that men are among those who are likely to be on the receiving end of acts of physical aggression. The extent to which this involves mutual combat or the male equivalent to “battered women” is at present unresolved. Both situations are causes for concern. Straus (1997) has warned of the dangers involved—especially for women—when physical aggression becomes a routine response to relationship conflict. “Battered men”—those subjected to systematic and prolonged violence—are likely to suffer physical and psychological consequences, together with specific problems associated with a lack of recognition of their plight (George and George, 1998). Seeking to address these problems need not detract from continuing to address the problem of “battered women."


Gender roles and expectations can and do play a role in abusive situations, and exploring these roles and expectations can be helpful in addressing abusive situations. Likewise, it can be helpful to explore factors such as race, class, religion, sexuality and philosophy. However, studies investigating whether sexist attitudes are correlated with domestic violence have shown conflicting results.

Estimates show that 248 of every 1,000 females and 76 of every 1,000 males are victims of physical assault and/or rape committed by their spouses. A 1997 report says significantly more men than women do not disclose the identity of their attacker. There is no evidence however that male victims are more likely to under-report than female victims. In fact, men tend to over-estimate their partner’s violence and under-estimate their own, while women do the reverse. A 2009 study showed that there was greater acceptance for abuse perpetrated by females than by males. Several studies have confirmed that women’s physical violence towards intimate male partners is often in self-defense (DeKeseredy et al. 1997; Hamberger et al. 1994; Swan & Snow 2002, 301; Muelleman & Burgess 1998, 866).

Same-sex relationships

Domestic violence also occurs in same-sex relationships. Gay or bisexual relationships have been identified as a risk factor for abuse in certain populations. In an effort to be more inclusive, many organizations have made an effort to use gender-neutral terms when referring to perpetratorship and victimhood.

Historically, domestic violence has been seen as a family issue and little interest has been directed at violence in same-sex relationships. It has not been until recently, as the gay rights movement has brought the issues of gay and lesbian people into public attention, when research has been conducted on same-sex relationships. A 1999 analysis of nineteen studies of partner abuse concluded that "[r]esearch suggests that lesbians and gay men are just as likely to abuse their partners as heterosexual men," although the study also noted the uncertain nature of much of the contemporary research in the area. Gays and lesbians, however, face special obstacles in dealing with the issues that some researchers have labeled "the double closet". A recent Canadian study by Mark W. Lehman suggests similarities include frequency (approximately one in every four couples); manifestations (emotional, physical, financial, etc.); co-existent situations (unemployment, substance abuse, low self-esteem); victims' reactions (fear, feelings of helplessness, hypervigilance); and reasons for staying (love, can work it out, things will change, denial). At the same time, significant differences, unique issues and deceptive myths are typically present. Lehman points to added discrimination and fear gays and lesbians can face; dismissal by police and some social services; a lack of support from peers who would rather keep quiet about the problem in order not to attract negative attention toward the gay community
Gay community
The gay community, or LGBT community, is a loosely defined grouping of LGBT and LGBT-supportive people, organizations and subcultures, united by a common culture and civil rights movements. These communities generally celebrate pride, diversity, individuality, and sexuality...

; the impacts of HIV status or AIDS in keeping partners together, due to health care insurance/access, or guilt; outing used as a weapon; and encountering supportive services that are targeted and/or structured for the needs of heterosexual women and which may not meet the needs of gay men or lesbians.

Marital conflict disorder

The American Psychiatric Association
American Psychiatric Association
The American Psychiatric Association is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the most influential worldwide. Its some 38,000 members are mainly American but some are international...

 planning and research committees for the forthcoming DSM-5
DSM-5
The next edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders , commonly called DSM-5 , is currently in consultation, planning and preparation...

 (2012) have canvassed a series of new Relational disorder
Relational disorder
According to Michael First, MD, of the DSM-5 working committee the locus of a relational disorder, in contrast to other DSM-IV disorders, "is on the relationship rather than on any one individual in the relationship."...

s which include Marital Conflict Disorder Without Violence or Marital Abuse Disorder (Marital Conflict Disorder With Violence). Couples with marital disorders sometimes come to clinical attention because the couple recognize long-standing dissatisfaction with their marriage
Marriage
Marriage is a social union or legal contract between people that creates kinship. It is an institution in which interpersonal relationships, usually intimate and sexual, are acknowledged in a variety of ways, depending on the culture or subculture in which it is found...

 and come to the clinician on their own initiative or are referred by an astute health care professional. Secondly, there is serious violence
Violence
Violence is the use of physical force to apply a state to others contrary to their wishes. violence, while often a stand-alone issue, is often the culmination of other kinds of conflict, e.g...

 in the marriage which is -"usually the husband battering the wife".

In these cases the emergency room or a legal authority often is the first to notify the clinician. Most importantly, marital violence "is a major risk factor for serious injury and even death and women in violent marriages are at much greater risk of being seriously injured or killed (National Advisory Council on Violence Against Women
National Advisory Council on Violence Against Women
In 1995, HHS and DOJ created the National Advisory Council on Violence Against Women, consisting of experts from law enforcement, media, business, sports, health and social services, and victim advocacy...

 2000)." The authors of this study add that "There is current considerable controversy over whether male-to-female marital violence is best regarded as a reflection of male psychopathology
Psychopathology
Psychopathology is the study of mental illness, mental distress, and abnormal/maladaptive behavior. The term is most commonly used within psychiatry where pathology refers to disease processes...

 and control or whether there is an empirical base and clinical utility for conceptualizing these patterns as relational."

Recommendations for clinicians making a diagnosis of Marital Relational Disorder should include the assessment of actual or "potential" male violence as regularly as they assess the potential for suicide
Suicide
Suicide is the act of intentionally causing one's own death. Suicide is often committed out of despair or attributed to some underlying mental disorder, such as depression, bipolar disorder, schizophrenia, alcoholism, or drug abuse...

 in depressed patients. Further, "clinicians should not relax their vigilance after a battered wife
Wife
A wife is a female partner in a marriage. The rights and obligations of the wife regarding her spouse and others, and her status in the community and in law, varies between cultures and has varied over time.-Origin and etymology:...

 leaves her husband
Husband
A husband is a male participant in a marriage. The rights and obligations of the husband regarding his spouse and others, and his status in the community and in law, vary between cultures and has varied over time...

, because some data suggest that the period immediately following a marital separation is the period of greatest risk for the women. Many men will stalk
Stalking
Stalking is a term commonly used to refer to unwanted and obsessive attention by an individual or group to another person. Stalking behaviors are related to harassment and intimidation and may include following the victim in person and/or monitoring them via the internet...

 and batter
Battery (crime)
Battery is a criminal offense involving unlawful physical contact, distinct from assault which is the fear of such contact.In the United States, criminal battery, or simply battery, is the use of force against another, resulting in harmful or offensive contact...

 their wives in an effort to get them to return or punish them for leaving. Initial assessments of the potential for violence in a marriage can be supplemented by standardized interviews and questionnaires, which have been reliable and valid aids in exploring marital violence more systematically."

The authors conclude with what they call "very recent information" on the course of violent marriages which suggests that "over time a husband's battering may abate somewhat, but perhaps because he has successfully intimidated his wife. The risk of violence remains strong in a marriage in which it has been a feature in the past. Thus, treatment is essential here; the clinician cannot just wait and watch." The most urgent clinical priority is the protection of the wife because she is the one most frequently at risk, and clinicians must be aware that supporting assertiveness by a battered wife may lead to more beatings or even death.

Cycle of abuse

Frequently, domestic violence is used to describe specific violent and overtly abusive incidents, and legal definitions will tend to take this perspective. However, when violent and abusive behaviours happen within a relationship, the effects of those behaviours continue after these overt incidents are over. Advocates and counsellors will refer to domestic violence as a pattern of behaviours, including those listed above.

Lenore Walker presented the model of a Cycle of abuse
Cycle of abuse
The cycle of abuse is a social cycle theory developed in the 1970s by Lenore Walker to explain patterns of behavior in an abusive relationship....

 which consists of three basic phases:

Tension Building Phase: Characterized by poor communication, tension, fear of causing outbursts. During this stage the victims try to calm the abuser down, to avoid any major violent confrontations.
Violent Episode: Characterized by outbursts of violent, abusive incidents. During this stage the abuser attempts to dominate his/her partner(victim), with the use of domestic violence.
Honeymoon Phase: Characterized by affection, apology, and apparent end of violence. During this stage the abuser feels overwhelming feelings of remorse and sadness. Some abusers walk away from the situation, while others shower their victims with love and affection.

Although it is easy to see the outbursts of the Acting-out Phase as abuse, even the more pleasant behaviours of the Honeymoon Phase serve to perpetuate the abuse.

Many domestic violence advocates believe that the cycle of abuse theory is limited and does not reflect the realities of many men and women experiencing domestic violence.

Management

The response to domestic violence is typically a combined effort between law enforcement, social services, and health care. The role of each has evolved as domestic violence has been brought more into public view.

Domestic violence historically has been viewed as a private family matter that need not involve the government or criminal justice
Criminal justice
Criminal Justice is the system of practices and institutions of governments directed at upholding social control, deterring and mitigating crime, or sanctioning those who violate laws with criminal penalties and rehabilitation efforts...

. Police officer
Police officer
A police officer is a warranted employee of a police force...

s were often reluctant to intervene by making an arrest
Arrest
An arrest is the act of depriving a person of his or her liberty usually in relation to the purported investigation and prevention of crime and presenting into the criminal justice system or harm to oneself or others...

, and often chose instead to simply counsel the couple and/or ask one of the parties to leave the residence for a period of time. The courts were reluctant to impose any significant sanctions on those convicted of domestic violence, largely because it was viewed as a misdemeanor
Misdemeanor
A misdemeanor is a "lesser" criminal act in many common law legal systems. Misdemeanors are generally punished much less severely than felonies, but theoretically more so than administrative infractions and regulatory offences...

 offense.

Medical response

Medical professionals can make a difference in the lives of those who experience abuse. Many cases of spousal abuse are handled solely by physicians and do not involve the police. Sometimes cases of domestic violence are brought into the emergency room, while many other cases are handled by family physician
General practitioner
A general practitioner is a medical practitioner who treats acute and chronic illnesses and provides preventive care and health education for all ages and both sexes. They have particular skills in treating people with multiple health issues and comorbidities...

 or other primary care
Primary care
Primary care is the term for the health services by providers who act as the principal point of consultation for patients within a health care system...

 provider. Subspecialist physicians are also increasingly playing an important role. For example, HIV physicians are ideally suited to play an important role in managing abuse given the association between abuse and HIV infection as well as their often life-long relationships with patients.

Medical professionals are in position to empower people, give advice, and refer them to appropriate services. The health care professional has not always met this role, with uneven quality of care, and in some cases misunderstandings about domestic violence.

Washaw (1993) suggests that many doctors prefer not to get involved in people's "private" lives. Clifton, Jacobs, and Tulloch (1996) found that training for general practitioners in the United States about domestic violence was very limited or they had no training. Abbott and Williamson found that knowledge and understanding of domestic violence was very limited among health care professionals in a Midlands
English Midlands
The Midlands, or the English Midlands, is the traditional name for the area comprising central England that broadly corresponds to the early medieval Kingdom of Mercia. It borders Southern England, Northern England, East Anglia and Wales. Its largest city is Birmingham, and it was an important...

, United Kingdom
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...

 county, and that they do not see themselves as being able to play a major role in helping women in regards to domestic violence. Furthermore, in the biomedical model of health care, injuries are often just treated and diagnosed, without regard for the causes. As well, there is substantial reluctance for victims to come forward and broach the issue with their physicians. On average, women experience 35 incidents of domestic violence before seeking treatment.

In the U. S., the Institute of Medicine recognized the shortcomings of the health care system in its 2002 report entitled Confronting Chronic Neglect and attributed some of the problems cited to a lack of adequate training among health professionals. Health professionals have an ethical responsibility to recognize and address exposure to abuse in their patients, in the health care setting. For example, the American Medical Association's code of medical ethics states that "Due to the prevalence and medical consequences of family violence, physicians should routinely inquire about physical, sexual, and psychological abuse as part of the medical history. Physicians must also consider abuse in the differential diagnosis for a number of medical complaints, particularly when treating women."

Duluth model

In 1981, the Duluth Domestic Abuse Intervention Project became the first multi-disciplinary program designed to address the issue of domestic violence. This experiment, conducted in Duluth, Minnesota
Duluth, Minnesota
Duluth is a port city in the U.S. state of Minnesota and is the county seat of Saint Louis County. The fourth largest city in Minnesota, Duluth had a total population of 86,265 in the 2010 census. Duluth is also the second largest city that is located on Lake Superior after Thunder Bay, Ontario,...

, frequently referred to as the "Duluth Project."

It coordinated agencies dealing with domestic situations, drawing together diverse elements of the system, from police officers on the street, to shelters for battered women and probation officer
Probation officer
Parole officers and probation officers play a role in criminal justice systems by supervising offenders released from incarceration or sentenced to non-custodial sanctions such as community service...

s supervising offenders.

This program has become a model for other jurisdictions seeking to deal more effectively with domestic violence. Corrections/probation agencies in many areas are supervising domestic violence offenders more closely, and are also paying closer attention to the victim's needs and safety issues.

There has been controversy as the Duluth framework depends on a strict "patriarchal
Patriarchy
Patriarchy is a social system in which the role of the male as the primary authority figure is central to social organization, and where fathers hold authority over women, children, and property. It implies the institutions of male rule and privilege, and entails female subordination...

 violence" model and presumes that all violence in the home and elsewhere has a male perpetrator and female victim. Also evidence of success of the model is limited, with scholarly analysis and critique.

Many victims leave their abusers, only to return. Research has shown that a major factor in helping a victim to establish lasting independence from the abusive partner is her or his ability to get legal assistance. Economists at the Brennan Center for Justice analyzed Bureau of Justice Statistics data to determine what accounted for the nationwide reduction in reported abuse. Their findings revealed that one significant factor was the availability of legal services to assist abuse victims. Another major study by economists at Colgate University and the University of Arkansas flatly stated that the only public service that reduces domestic violence in the long term is legal aid. Legal assistance can provide essential safety planning, buttress a family’s economic position through child or spousal support, allay fears planted by the batterer about loss of custody, and help victims to secure needed government benefits.

Law enforcement

In the 1970s, it was widely believed that domestic disturbance calls were the most dangerous type for responding officers, who arrive to a highly emotionally charged situation. This belief was based on FBI statistics which turned out to be flawed, in that they grouped all types of disturbances together with domestic disturbances, such as brawls at a bar. Subsequent statistics and analysis have shown this belief to be false.

Statistics on incidents of domestic violence, published in the late 1970s, helped raise public awareness of the problem and increase activism
Activism
Activism consists of intentional efforts to bring about social, political, economic, or environmental change. Activism can take a wide range of forms from writing letters to newspapers or politicians, political campaigning, economic activism such as boycotts or preferentially patronizing...

. A study published in 1976 by the Police Foundation found that the police had intervened at least once in the previous two years in 85% of spouse homicide
Homicide
Homicide refers to the act of a human killing another human. Murder, for example, is a type of homicide. It can also describe a person who has committed such an act, though this use is rare in modern English...

s. In the late 1970s and early 1980s, feminists
Feminism
Feminism is a collection of movements aimed at defining, establishing, and defending equal political, economic, and social rights and equal opportunities for women. Its concepts overlap with those of women's rights...

 and battered women's advocacy groups were calling on police to take domestic violence more seriously and change intervention strategies. In some instances, these groups took legal action against police departments, including in Oakland, California
Oakland, California
Oakland is a major West Coast port city on San Francisco Bay in the U.S. state of California. It is the eighth-largest city in the state with a 2010 population of 390,724...

 and New York City, to get them to make arrests in domestic violence cases. They claimed that police assigned low priority to domestic disturbance calls.

The Minneapolis Domestic Violence Experiment
Minneapolis Domestic Violence Experiment
The Minneapolis Domestic Violence Experiment was a study done in 1981-1982, led by Lawrence W. Sherman, to evaluate the effectiveness of various police responses to domestic violence calls in Minneapolis, Minnesota. The study was performed with cooperation from the Police Foundation and the...

 was a study done in 1981-1982, led by Lawrence W. Sherman
Lawrence W. Sherman
Lawrence W. Sherman is an academic criminologist. In 2006, he was elected Wolfson Professor of Criminology at the Cambridge Institute of Criminology at Cambridge University, where he was appointed founding director of the Jerry Lee Centre for Experimental Criminology in 2008...

, to evaluate the effectiveness of various police
Police
The police is a personification of the state designated to put in practice the enforced law, protect property and reduce civil disorder in civilian matters. Their powers include the legitimized use of force...

 responses to domestic violence calls in Minneapolis, Minnesota
Minneapolis, Minnesota
Minneapolis , nicknamed "City of Lakes" and the "Mill City," is the county seat of Hennepin County, the largest city in the U.S. state of Minnesota, and the 48th largest in the United States...

, including sending the abuser away for eight hours, giving advice and mediation for disputes, and making an arrest. Arrest was found to be the most effective police response. The study found that arrest reduced the rate by half of re-offending
Recidivism
Recidivism is the act of a person repeating an undesirable behavior after they have either experienced negative consequences of that behavior, or have been treated or trained to extinguish that behavior...

 against the same victim within the following six months. The results of the study received a great deal of attention from the news media, including The New York Times
The New York Times
The New York Times is an American daily newspaper founded and continuously published in New York City since 1851. The New York Times has won 106 Pulitzer Prizes, the most of any news organization...

and prime-time news coverage on television.

Many U. S. police departments responded to the study, adopting a mandatory arrest policy for spousal violence cases with probable cause
Probable cause
In United States criminal law, probable cause is the standard by which an officer or agent of the law has the grounds to make an arrest, to conduct a personal or property search, or to obtain a warrant for arrest, etc. when criminal charges are being considered. It is also used to refer to the...

. By 2005, 23 states and the District of Columbia had enacted mandatory arrest for domestic assault, without warrant, given that the officer has probable cause and regardless of whether or not the officer witnessed the crime. The Minneapolis study also influenced policy in other countries, including New Zealand
New Zealand
New Zealand is an island country in the south-western Pacific Ocean comprising two main landmasses and numerous smaller islands. The country is situated some east of Australia across the Tasman Sea, and roughly south of the Pacific island nations of New Caledonia, Fiji, and Tonga...

, which adopted a pro-arrest policy for domestic violence cases.

However, the study was subject of much criticism, with concerns about its methodology, as well as its conclusions. The Minneapolis study was replicated in several other cities, beginning in 1986, with some of these studies having different results; one of which being the fact that the deterrent effect observed in the Minneapolis experiment was largely localized. In the replication studies which were far more broad and methodologically sound in both size and scope, arrest seemed to help in the short run in certain cases, but those arrested experienced double the rate of violence over the course of one year.

Criminologists do not fully understand the reasons why deterrent effects do not last over time. But they suggest that abusers who are employed and have ties to the community may initially fear punishment, though many cases do not make it all the way through the criminal justice process. If the victim is uncooperative during investigation, the prosecutor
Prosecutor
The prosecutor is the chief legal representative of the prosecution in countries with either the common law adversarial system, or the civil law inquisitorial system...

 may choose not to pursue the case. If the case is pursued through the criminal justice system, sometimes the resulting sentence
Sentence (law)
In law, a sentence forms the final explicit act of a judge-ruled process, and also the symbolic principal act connected to his function. The sentence can generally involve a decree of imprisonment, a fine and/or other punishments against a defendant convicted of a crime...

 is minor. Subsequently, any fear that the abuser has of punishment may have diminished.

Each agency and jurisdiction within the United States has its own Standard Operating Procedures (SOP) when it comes to responding and handling domestic calls. Generally, it has been accepted that if the understood victim has visible (and recent) marks of abuse, the suspect is arrested and charged with the appropriate crime. However, that is a guideline and not a rule. Like any other call, domestic abuse lies in a gray area. Law enforcement officers have several things to consider when making a warrantless arrest:
  • Are there signs of physical abuse?
  • Were there witnesses?
  • Is it recent?
  • Was the victim assaulted by the alleged suspect?
  • Who is the primary aggressor?
  • Could the victim be lying?
  • Could the suspect be lying?


Along with protecting the victim, law enforcement officers have to ensure that the alleged abusers' rights are not violated. Many times in cases of mutual combatants, it is departmental policy that both parties be arrested and the court system can establish truth at a later date. In some areas of the nation, this mutual combatant philosophy is being replaced by the primary abuser philosophy in which case if both parties have physical injuries, the law enforcement officer determines who the primary aggressor is and only arrests that one. This philosophy started gaining momentum when different government/private agencies started researching the effects. It was found that when both parties are arrested, it had an adverse affect on the victim. The victims were less likely to call or trust law enforcement during the next incident of domestic abuse.

In Spain, the 2004 "The Organic Act on Integrated Protection Measures against Gender Violence" established Courts of "Violence against Women." Spanish Courts may allow to hear the case behind closed doors and that proceedings should not be made public, order a person accused of gender violence to leave the abode he shared with his victim, suspend the alleged perpetrator of acts of gender violence from exercising parental authority, custody or guardianship with regard to the minors he or she specifies, and may order the suspension of the right to possess weapons.

It was announced on April 13, 2011 that all homicides resulting from domestic abuse in England and Wales will be subject to a multi-agency review involving the police and health services, local authorities, probation, voluntary groups and any other bodies connected to a victim. Director of Public Prosecutions Keir Starmer
Keir Starmer
Keir Starmer, QC, is a barrister in England and Wales. He became the fourteenth Director of Public Prosecutions and the sixth head of the Crown Prosecution Service on 1 November 2008...

 pointed out that the survey shows young women between the ages of sixteen and nineteen at highest risk of domestic abuse, saying "What that tends to show is that there may be a next generation of domestic violence waiting in the wings. Domestic violence is serious and pernicious. It ruins lives, breaks up families and has a lasting impact." In England and Wales there is no specific offence of domestic violence and incidents are prosecuted under generally applicable legislation. However, when an offence is committed in a domestic context, specific aggravating factors commonly arise.

Counseling for person affected

Due to the extent and prevalence of violence in relationships, counselors and therapists should assess every client for domestic violence (both experienced and perpetrated). If the clinician is seeing a couple for couple’s counseling, this assessment should be conducted with each individual privately during the initial interview, in order to increase the victim’s sense of safety in disclosing DV in the relationship. In addition to determining whether DV is present, counselors and therapists should also make the distinction between situations where battering may have been a single, isolated incident or an ongoing pattern of control. The therapist must, however, consider that domestic violence may be present even when there has been only a single physical incident as emotional/verbal, economic, and sexual abuse may be more insidious.

Another important issue in assessing clients for DV lies in differing definitions of abuse – the therapist’s definition may differ from that of the client, and paying close attention to the way the client describes their experiences is crucial in developing effective treatment plans. The therapist must determine if it is in the best interest of the client to explain that some behaviors (such as emotional abuse) are considered domestic violence, even if the client did not previously consider them as such.

If it becomes apparent to the therapist that domestic violence is taking place in a client’s relationship, there are several statements the clinician can make that have been shown to be effective in rapport-building and immediate crisis intervention with clients. Firstly, it is essential that the therapist believe the victim’s story and validate their feelings. It is recommended that the therapist acknowledge them for taking a risk in disclosing this information, and assure them that any ambivalent feelings they may be having are normal. The therapist should emphasize that the abuse they have experienced is not their fault, but should keep their feelings of ambivalence in mind and refrain from blaming their partner or telling them what to do. It is unreasonable for the therapist to expect that a victim will leave their perpetrator solely because they disclosed the abuse, and the therapist should respect the victim’s autonomy and allow them to make their own decisions regarding termination of the relationship. Finally, the therapist must explore options with the client (such as emergency housing in shelters, police involvement, etc.) in order to uphold their obligation to protect the welfare of the client.

Lethality assessment

A lethality assessment is a tool that can assist in determining the best course of treatment for a client, as well as helping the client to recognize dangerous behaviors and more subtle abuse in their relationship. In a study of victims of attempted domestic violence-related homicide, only about one-half of the participants recognized that their perpetrator was capable of killing them, as many domestic violence victims minimize the true seriousness of their situation. Thus, lethality assessment is an essential first step in assessing the severity of a victim’s situation.

Safety planning

Safety planning allows the victim to plan for dangerous situations they may encounter, and is effective regardless of their decision on whether remain with their perpetrator. Safety planning usually begins with determining a course of action if another acute incident occurs in the home. The victim should be given strategies for their own safety, such as avoiding confrontations in rooms where there is only one exit and avoiding certain rooms that contain many potential weapons (such as kitchens, bathrooms, etc.).

Counseling for offenders

The main goal for treatment for offenders of domestic violence is to minimize the offender’s risk of future domestic violence, whether within the same relationship or a new one. Treatment for offenders should emphasize minimizing risk to the victim, and should be modified depending on the offender’s history, risk of reoffending, and criminogenic needs. The majority of offender treatment programs are 24–36 weeks in length and are conducted in a group setting with groups not exceeding 12 participants. Groups are also standardized to be gender specific (male offenders only or female offenders only). It has been demonstrated that domestic violence offenders maintain a socially acceptable façade to hide abusive behavior, and therefore accountability is the recommended focus of offender treatment programs. Successful completion of treatment is generally associated with old age, higher levels of education, lower reported drug use, non-violent criminal histories, and longer intimate relationships. Anger management
Anger management
The term anger management commonly refers to a system of psychological therapeutic techniques and exercises by which someone with excessive or uncontrollable anger & aggression can control or reduce the triggers, degrees, and effects of an angered emotional state...

 alone has not been shown to be effective in treating domestic violence offenders, as domestic violence is based on power and control and not on problems with regulating anger responses. Anger management is recommended as a part of an offender treatment curriculum that is based on accountability, along with topics such as recognizing abusive patterns of behavior and re-framing communication skills. Treatment of offenders involves more than the cessation of abusive behaviour; it also requires a great deal of personal change and the construction of a self-image that is separate from former behaviour while still being held accountable for it. Any corresponding problems should also be addressed as part of domestic violence offender treatment, such as problems with substance abuse or other mental illness.

Prevention and Intervention

There are many community organisations which work to prevent domestic violence by offering safe shelter
Women's shelter
A women's shelter is a place of temporary refuge and support for women escaping violent or abusive situations, such as rape, and domestic violence....

, crisis intervention
Crisis intervention
Crisis Intervention can be defined as emergency psychological care aimed at assisting individuals in a crisis situation to restore equilibrium to their biopsychosocial functioning and to minimise the potential for psychological trauma...

, advocacy, and education and prevention programs. Community screening for domestic violence can be more systematic in cases of animal abuse, healthcare settings, emergency departments, behavioral health settings and court systems. Tools are being developed to facilitate domestic violence screening such as mobile apps.

Domestic violence and pregnancy

Pregnancy
Pregnancy
Pregnancy refers to the fertilization and development of one or more offspring, known as a fetus or embryo, in a woman's uterus. In a pregnancy, there can be multiple gestations, as in the case of twins or triplets...

, when coupled with Domestic violence, may amplify health risks. Abuse during pregnancy, whether physical, verbal or emotional, produces adverse effects for both the mother and fetus. Domestic violence during pregnancy is categorized as abusive behavior towards a pregnant woman, where the pattern of abuse can often change in terms of severity and frequency of violence. Abuse may be a long-standing problem in a relationship that continues after a woman becomes pregnant or it may commence in pregnancy. Although female-to-male partner violence occurs in these settings, the overwhelming form of domestic violence is perpetrated by men against women.

Domestic abuse can be triggered by pregnancy for a number of reasons. Pregnancy itself can be used a form of coercion and the phenomenon of preventing one’s reproductive choice is referred to as birth control sabotage
Birth control sabotage
Birth control sabotage, or reproductive coercion, refers to efforts to manipulate another person's use of birth control or to undermine efforts to prevent an unwanted pregnancy. Examples include replacing birth control pills with fakes, puncturing condoms and diaphragms, or threats and violence to...

, or reproductive coercion. Studies on the birth control sabotage performed by males against female partners have indicated a strong correlation between domestic violence and birth control sabotage. Pregnancy can also lead to a hiatus of domestic violence when the abuser does not want to harm the unborn child. The risk of domestic violence for pregnant women is greatest immediately after childbirth
Childbirth
Childbirth is the culmination of a human pregnancy or gestation period with the birth of one or more newborn infants from a woman's uterus...

.

Prognosis

New research illustrates that there are strong associations between exposure to domestic violence and abuse in all their forms and higher rates of many chronic conditions. The strongest evidence comes from the Adverse Childhood Experiences' series of studies which show correlations between exposure to abuse or neglect and higher rates in adulthood of chronic conditions, high risk health behaviors and shortened life span. Evidence of the association between physical health and violence against women has been accumulating since the early 1990s. Moreover, it is important to consider the effect of domestic violence and its psychophysiologic sequelae on women who are mothers of infants and young children. Several studies have shown that maternal interpersonal violence-related posttraumatic stress disorder (PTSD) can, despite traumatized mother's best efforts, interfere with their child's response to the domestic violence and other traumatic events. Thus, practitioners and service agencies addressing the needs of domestic violence victims should assess the victim-as-parent and evaluate the safety and well-being of children in the home.

More recently work by such researchers as Corso have begun to quantify the economic impact of exposure to violence and abuse. A recent publication, Hidden Costs in Health Care: The Economic Impact of Violence and Abuse, makes the case that such exposure represents a serious and costly public health issue that should be addressed by the health care system.

Epidemiology

Domestic violence occurs across the world, in various cultures, and affects people of all economic statuses. According to one study, the percentage of women who have reported being physically abused by an intimate partner vary from 69% to 10% depending on the country.

In the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

, according to the Bureau of Justice Statistics in 1995 women reported a six times greater rate of intimate partner violence than men. The National Crime Victimization Survey
National Crime Victimization Survey
The National Crime Victimization Survey , administered by the Bureau of Justice Statistics, is a national survey of approximately 49,000 to 77,400 households twice a year in the United States, on the frequency of crime victimization, as well as characteristics and consequences of victimization...

 (NCVS) indicates that in 1998 about 876,340 violent crimes were committed in the U.S. against women by their current or former spouses, or boyfriends. According to the Centers for Disease Control
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...

, in the United States 4.8 million women suffer intimate partner related physical assaults and rapes and 2.9 million men are victims of physical assault from their partners. However studies have found that men are much less likely to report victimization in these situations. According to some studies, less than 1 percent of domestic violence cases are reported to the police. In the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

 10-35% of the population will be physically aggressive towards a partner at some point in their lives where in heterosexual couplings women are slightly more likely to have ever been physically aggressive towards a partner and commit such acts more frequently than men although they also sustain the majority of injuries, approximately two thirds. As abuse becomes more severe women become increasingly overrepresented as victims..
Fighting the prevalence of domestic violence in Kashmir
Kashmir
Kashmir is the northwestern region of the Indian subcontinent. Until the mid-19th century, the term Kashmir geographically denoted only the valley between the Great Himalayas and the Pir Panjal mountain range...

 has brought Hindu
Hindu
Hindu refers to an identity associated with the philosophical, religious and cultural systems that are indigenous to the Indian subcontinent. As used in the Constitution of India, the word "Hindu" is also attributed to all persons professing any Indian religion...

 and Muslim
Muslim
A Muslim, also spelled Moslem, is an adherent of Islam, a monotheistic, Abrahamic religion based on the Quran, which Muslims consider the verbatim word of God as revealed to prophet Muhammad. "Muslim" is the Arabic term for "submitter" .Muslims believe that God is one and incomparable...

 activists together. Additionally, aspects of Islamic law
Sharia
Sharia law, is the moral code and religious law of Islam. Sharia is derived from two primary sources of Islamic law: the precepts set forth in the Quran, and the example set by the Islamic prophet Muhammad in the Sunnah. Fiqh jurisprudence interprets and extends the application of sharia to...

 have been criticized for promoting domestic violence One study found that half of Palestinian
Palestinian people
The Palestinian people, also referred to as Palestinians or Palestinian Arabs , are an Arabic-speaking people with origins in Palestine. Despite various wars and exoduses, roughly one third of the world's Palestinian population continues to reside in the area encompassing the West Bank, the Gaza...

 women have been the victims of domestic violence. 80% of women surveyed in rural Egypt
Egypt
Egypt , officially the Arab Republic of Egypt, Arabic: , is a country mainly in North Africa, with the Sinai Peninsula forming a land bridge in Southwest Asia. Egypt is thus a transcontinental country, and a major power in Africa, the Mediterranean Basin, the Middle East and the Muslim world...

 said that beatings were common and often justified, particularly if the woman refused to have sex with her husband. The Human Rights Watch found that up to 90% of women in Pakistan
Pakistan
Pakistan , officially the Islamic Republic of Pakistan is a sovereign state in South Asia. It has a coastline along the Arabian Sea and the Gulf of Oman in the south and is bordered by Afghanistan and Iran in the west, India in the east and China in the far northeast. In the north, Tajikistan...

 were subject to some form of maltreatment, within their own homes. Unofficial statistics estimate that 97% of Indian women experience violence at some point in their lives. Up to two-thirds of women in certain communities in Nigeria
Nigeria
Nigeria , officially the Federal Republic of Nigeria, is a federal constitutional republic comprising 36 states and its Federal Capital Territory, Abuja. The country is located in West Africa and shares land borders with the Republic of Benin in the west, Chad and Cameroon in the east, and Niger in...

's Lagos State
Lagos State
Lagos State is an administrative division of Nigeria, located in the southwestern part of the country. The smallest in area of Nigeria's states, Lagos State is the most populous state in Nigeria and arguably the most economically important state of the country and west Africa, containing Lagos, the...

 say they are victims to domestic violence. In Turkey
Turkey
Turkey , known officially as the Republic of Turkey , is a Eurasian country located in Western Asia and in East Thrace in Southeastern Europe...

 42% of women over 15 have suffered physical or sexual violence.

Statistics published in 2004, show that the rate of domestic violence victimisation for Indigenous
Indigenous Australians
Indigenous Australians are the original inhabitants of the Australian continent and nearby islands. The Aboriginal Indigenous Australians migrated from the Indian continent around 75,000 to 100,000 years ago....

 women in Australia
Australia
Australia , officially the Commonwealth of Australia, is a country in the Southern Hemisphere comprising the mainland of the Australian continent, the island of Tasmania, and numerous smaller islands in the Indian and Pacific Oceans. It is the world's sixth-largest country by total area...

 may be 40 times the rate for non-Indigenous women.

In Turkey
Turkey
Turkey , known officially as the Republic of Turkey , is a Eurasian country located in Western Asia and in East Thrace in Southeastern Europe...

 42% of women over 15 have suffered physical or sexual violence.

Results of studies which estimate the prevalence of domestic violence vary significantly, depending on specific wording of survey questions, how the survey is conducted, the definition of abuse or domestic violence used, the willingness or unwillingness of victims to admit that they have been abused and other factors. For instance, Straus (2005) conducted a study which estimated that the rate of minor assaults by women in the United States was 78 per 1,000 couples, compared with a rate for men of 72 per 1,000 and the severe assault rate was 46 per 1,000 couples for assaults by women and 50 per 1,000 for assaults by men. Neither difference is statistically significant. He claimed that since these rates were based exclusively on information provided by women respondents, the near-equality in assault rates could not be attributed to a gender bias in reporting.

One analysis found that "women are as physically aggressive or more aggressive than men in their relationships with their spouses or male partners". However, studies have shown that women are more likely to be injured. Archer's meta-analysis found that women in the United States suffer 65% of domestic violence injuries. A Canadian study showed that 7% of women and 6% of men were abused by their current or former partners, but female victims of spousal violence were more than twice as likely to be injured as male victims, three times more likely to fear for their life, twice as likely to be stalked, and twice as likely to experience more than ten incidents of violence. However, Straus notes that Canadian studies on domestic violence have simply excluded questions that ask men about being victimized by their wives.

Some studies show that lesbian relationships have similar levels of violence as heterosexual relationships,

History

Prior to the mid 1800s, most legal systems accepted wife beating as a valid exercise of a husband's authority over his wife. One exception, however, was the 1641 Body of Liberties of the Massachusetts Bay colonists
Massachusetts Body of Liberties
The Massachusetts Body of Liberties was the first legal code established by European colonists in New England. Compiled by the Puritan minister Nathaniel Ward, the laws were established by the Massachusetts General Court in 1641...

, which declared that a married woman should be "free from bodilie correction or stripes by her husband."

Political agitation during the nineteenth century led to changes in both popular opinion and legislation regarding domestic violence within the United Kingdom
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...

 and the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

. In 1850, Tennessee became the first state in the United States to explicitly outlaw wife beating. Other states soon followed suit. In 1878, the Matrimonial Causes Act
Matrimonial Causes Act
The Matrimonial Causes Act is a stock short title used for legislation in the United Kingdom relating to marriage law.-List:* The Matrimonial Causes Act 1857* The Matrimonial Causes Act 1858* The Matrimonial Causes Act 1859* The Matrimonial Causes Act 1860...

 made it possible for women in the UK to seek separations from abusive husbands. By the end of the 1870s, most courts in the United States were uniformly opposed to the right of husbands to physically discipline their wives. By the early twentieth century, it was common for police to intervene in cases of domestic violence in the United States, but arrests remained rare.

Modern attention to domestic violence began in the women's movement of the 1970s, particularly within feminism
Feminism
Feminism is a collection of movements aimed at defining, establishing, and defending equal political, economic, and social rights and equal opportunities for women. Its concepts overlap with those of women's rights...

 and women's rights
Women's rights
Women's rights are entitlements and freedoms claimed for women and girls of all ages in many societies.In some places these rights are institutionalized or supported by law, local custom, and behaviour, whereas in others they may be ignored or suppressed...

, as concern about wives being beaten by their husbands gained attention. The first known use of the expression "domestic violence" in a modern context, meaning "spouse abuse, violence in the home" was in an address to the Parliament of the United Kingdom
Parliament of the United Kingdom
The Parliament of the United Kingdom of Great Britain and Northern Ireland is the supreme legislative body in the United Kingdom, British Crown dependencies and British overseas territories, located in London...

 in 1973. Some short months later the world's first domestic violence services federation (Women's Aid
Women's Aid
Women's Aid is a group of feminist charities across the United Kingdom. There are four main Women's Aid Federations, one for each country. Its aim is to end domestic violence against women and children...

) was set up in 1974, providing practical and emotional support as part of a range of services to women and children experiencing violence in England. With the rise of the men's movement
Men's movement
The men's movement is a social movement that includes a number of philosophies and organizations that seek to support men, change the male gender role and improve men's rights in regard to marriage, child access and victims of domestic violence...

 of the 1990s, the problem of domestic violence against men has also gained significant attention.

See also

Further reading


External links


  • CONNECT family and sexual abuse network is a collaboration of services and support systems for anyone dealing with family or sexual violence in Calgary and surrounding areas. CONNECT is there to answer questions surrounding healthy and unhealthy relationships - without judgment, and will link you to any support resources needed.
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