Author:
Crane Cory A.,Oberleitner Lindsay M.S.,Easton Caroline J.
Abstract
PurposeWith an established association between post‐traumatic stress disorder (PTSD) and the perpetration of intimate partner violence (IPV), evaluating the effectiveness of emerging integrated treatments for dual substance use and partner violent behavior in individuals with a significant trauma history may serve to improve treatment outcomes for clients with axis I psychopathology. The purpose of this paper is to examine the association between sub‐clinical trauma, treatment compliance, and recidivism in a sample of male, substance dependent IPV offenders.Design/methodology/approachThe described investigation utilized violence perpetration, substance use, and trauma data collected during a larger, randomized control treatment evaluation study. Data were collected from 56 participants at four time points throughout treatment.FindingsParticipants with a significant trauma history comprised 33.9 percent of the sample and demonstrated poorer treatment attendance, as well as heightened partner violence recidivism throughout treatment, as compared to participants who denied experiencing a significant trauma. This finding held across participants receiving substance treatment only and combined treatment addressing substance use and violence.Practical implicationsIPV perpetrators often have a trauma history themselves. The association between sub‐clinical trauma symptomatology and poor treatment outcomes calls for the adaptation of current partner violence intervention models to accommodate the large subset of clients who suffer from either sub‐clinical or clinically significant trauma.Originality/valueThis paper is the first to address the potential influence of sub‐clinical trauma on the integrated treatment of substance use and partner violence within a forensic sample. Suggestions are offered to adapt existing treatment models to accommodate dual diagnosed clients.
Subject
Psychiatry and Mental health,Pshychiatric Mental Health
Reference38 articles.
1. American Psychiatric Association (2000), Diagnostic and Statistical Manual of Mental Disorders, 4th ed., American Psychiatric Association, Washington, DC, text rev.
2. Babcock, J., Green, C. and Robie, C. (2004), “Does batterers' treatment work? A meta‐analytic review of domestic violence treatment outcome research”, Clinical Psychology Review, Vol. 23, pp. 1023‐53.
3. Bell, K. and Orcutt, H. (2009), “Posttraumatic stress disorder and male‐perpetrated intimate partner violence”, Journal of the American Medical Association, Vol. 302 No. 5, pp. 562‐4.
4. Benish, S., Imel, Z. and Wampold, B. (2008), “The relative efficacy of bona fide psychotherapies for treating post‐traumatic stress disorder: a meta‐analysis of direct comparisons”, Clinical Psychology Review, Vol. 28, pp. 746‐58.
5. Carrillo, R. and Zarza, M. (2008), “Fire and firewater: a co‐occurring clinical treatment model for domestic violence, substance abuse, and trauma”, in Carrillo, R. and Tello, J. (Eds), Family Violence and Men of Color, Springer, New York, NY, pp. 61‐84.
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