Injury patterns and associated demographics of intimate partner violence in men presenting to U.S. emergency departments.

Research suggests that there are differences between sexes in physical intimate partner violence (IPV) victimization that could lead to different injury patterns. In addition, research shows that men under-report their injuries yet may suffer grave consequences. It is, thus, vital to establish physical injury patterns in male IPV victims. A retrospective review of prospectively collected data was performed using the National Electronic Injury Surveillance System-All Injury Program data from 2005 to 2015 for all IPV-related injuries in both male and female patients. Sex differences by demographics, mechanism, anatomic location, and diagnoses of IPV injuries were analyzed using statistical methods accounting for the weighted stratified nature of the data. IPV accounted for 0.61% of all emergency department visits; 17.2% were in males and 82.8% in females. Male patients were older (36.1% vs. 16.8% over 60 years), more likely to be Black (40.5% vs. 28.8%), sustained more injuries due to cutting (28.1% vs. 3.5%), more lacerations (46.9% vs. 13.0%), more injuries to the upper extremity (25.8% vs. 14.1%), and fewer contusions/abrasions (30.1% vs. 49.0%), compared to female IPV patients (p < .0001). There were also more hospitalizations in men (7.9% vs. 3.7% p = .0002). Knowledge of specific IPV-related injury characteristics in men will enable healthcare providers to counteract underreporting of IPV.

Emotion Regulation Mediates Posttraumatic Growth and Cluster B Personality Traits After Childhood Trauma.

OBJECTIVES: Cluster B personality disorder traits and positive psychological change, known as posttraumatic growth (PTG), are both possible outcomes following childhood trauma. However, existing research has not yet explored whether emotion regulation difficulties can simultaneously explain these negative and positive changes. METHOD: A sample of childhood trauma survivors (N = 223) provided responses to an online survey, with findings assessed using structural equation modeling techniques. RESULTS: Emotion regulation difficulties were found to mediate between childhood trauma severity and cluster B traits (ab cs = -.05), and between childhood trauma severity and PTG (abcs = .13), with small to medium indirect effects. The final model accounted for more variance in cluster B traits (56%) than PTG (10%). CONCLUSIONS: Emotion regulation is therefore a key mediator of positive and negative psychological changes and should be the focus of intervention efforts among childhood trauma survivors.

Rumination, event centrality, and perceived control as predictors of post-traumatic growth and distress: The Cognitive Growth and Stress model.

OBJECTIVES: The Cognitive Growth and Stress (CGAS) model draws together cognitive processing factors previously untested into a single model. Intrusive rumination, deliberate rumination, present and future perceptions of control, and event centrality were assessed as predictors of post-traumatic growth (PTG) and post-traumatic stress (PTS). METHOD: The CGAS model is tested on a sample of survivors (N = 250) of a diverse range of adverse events using structural equation modelling techniques. RESULTS: Overall, the best fitting model was supportive of the theorized relations between cognitive constructs and accounted for 30% of the variance in PTG and 68% of the variance in PTS across the sample. CONCLUSIONS: Rumination, centrality, and perceived control factors are significant determinants of positive and negative psychological change across the wide spectrum of adversarial events. In its first phase of development, the CGAS model also provides further evidence of the distinct processes of growth and distress following adversity. PRACTITIONER POINTS: Clinical implications People can experience positive change after adversity, regardless of life background or types of events experienced. While growth and distress are possible outcomes after adversity, they occur through distinct processes. Support or intervention should consider rumination, event centrality, and perceived control factors to enhance psychological well-being. Cautions/limitations Longitudinal research would further clarify the findings found in this study. Further extension of the model is recommended to include other viable cognitive processes implicated in the development of positive and negative changes after adversity.

Do the same risk and protective factors influence aggression toward partners and same-sex others?

The current studies examined whether several risk and protective factors operate similarly for intimate partner violence (IPV) and same-sex aggression (SSA) in the same sample, and to assess whether they show similar associations for men and women. Study 1 (N = 345) tested perceived benefits and costs, and instrumental and expressive beliefs about aggression: perceived costs predicted IPV and SSA for both men and women. Expressive beliefs predicted IPV (more strongly for women), and instrumental beliefs predicted SSA. Study 2 (N = 395) investigated self-control, anxiety and empathy, finding that self-control strongly predicted both types of aggression in both sexes. Study 3 (N = 364) found that primary psychopathy (involving lack of anxiety) was associated with IPV for men and SSA in both sexes, whereas secondary psychopathy (involving lack of self-control) was associated with IPV and SSA in both sexes. Overall there were both similarities and differences in the risk factors associated with IPV and SSA, and for men and women. The implications of the findings for theoretical debates about the study of IPV are discussed. Aggr. Behav. 43:163-175, 2017. © 2016 Wiley Periodicals, Inc.

Intimate partner violence: Are the risk factors similar for men and women, and similar to other types of offending?

We studied intimate partner violence (IPV) within a framework of other violent and nonviolent offending, to explore whether the risk factors for offending were similar across the different offense categories, and also for men and women. A comprehensive measure of offending behavior was administered to 184 men and 171 women, together with measures of anger, self-control, and psychopathic traits. The measure, the nonviolent and violent offending behavior scale (NVOBS), assesses IPV, general violence, and nonviolent offending behavior. Men perpetrated higher levels of general violence and nonviolent offenses than women, whereas women perpetrated significantly more IPV than men. Regression analyses showed that the predictors of offending behavior are generally similar for men and women, with the exception of IPV, where self-control was a better predictor of IPV for men and anger was a better predictor of IPV for women. Limitations of the present sample and suggestions for future work are discussed. Aggr. Behav. 42:404-412, 2016. © 2015 Wiley Periodicals, Inc.

The CAT: A Gender-Inclusive Measure of Controlling and Abusive Tactics.

Research has consistently found that partner violence, defined as physical abuse between married, cohabitating, or dating partners, is not the only type of abuse with long-term deleterious effects on victims. Male and female victims alike report that emotional abuse, along with controlling behaviors, are often as or more traumatic. Existing instruments used to measure emotional abuse and control have either been limited to male-perpetrated behaviors, as conceived in the well-known Duluth "Power and Control" wheel, or field tested on dating or general population samples. This study discusses the genesis and evolution of a gender-inclusive instrument, the Controlling and Abusive Tactics (CAT) Questionnaire, which was field tested on males and females with both a clinical and general population sample. For perpetration, a preliminary comparison across gender found no significant differences across gender for the great majority of items, with women reporting significantly higher rates on 9 items, and men reporting significantly higher rates on 6 items. Women reported higher rates of received abuse than men on 28 of 30 items in which gender differences were found to be significant, but both males and females reported higher victimization than perpetration rates on all items. Exploratory and confirmatory factor analyses resulted in the CAT-2, a valid and reliable instrument appropriate for clinical use by treatment providers as well as for research purposes.

Testing predictions from the male control theory of men's partner violence.

The aim of this study was to test predictions from the male control theory of intimate partner violence (IPV) and Johnson's [Johnson, M. P. (1995). Journal of Marriage and the Family, 57, 282-294] typology. A student sample (N = 1,104) reported on their use of physical aggression and controlling behavior, to partners and to same-sex non-intimates. Contrary to the male control theory, women were found to be more physically aggressive to their partners than men were, and the reverse pattern was found for aggression to same-sex non-intimates. Furthermore, there were no substantial sex differences in controlling behavior, which significantly predicted physical aggression in both sexes. IPV was found to be associated with physical aggression to same-sex non-intimates, thereby demonstrating a link with aggression outside the family. Using Johnson's typology, women were more likely than men to be classed as "intimate terrorists," which was counter to earlier findings. Overall, these results do not support the male control theory of IPV. Instead, they fit the view that IPV does not have a special etiology, and is better studied within the context of other forms of aggression.

Development and confirmatory factor analysis of the non-violent and violent offending behavior scale (NVOBS).

The purpose of this research was to develop a psychometrically sound measure of violent and non-violent offending, suitable for both male and female participants in general (non-forensic) samples. Potential items were selected from existing measures. A sample of 653 British university students completed all items, and their responses were analyzed using exploratory factor analysis and validated with confirmatory factor analysis. There were five separate factors (general violence, drug-related offenses, partner violence, theft, and criminal damage), which were confirmed with acceptable fit indices. The five-factor model applied to both males and females. Each subscale demonstrated good internal consistency, with alphas for each factor ranging from moderate to good. This new measure is a potentially valuable research tool for investigating people's involvement in violent and non-violent offending. The importance of examining the psychometric properties of scales, and confirming the category groupings using CFA of the items is outlined.

Relational practice in health, education, criminal justice, and social care: a scoping review.

BACKGROUND: Establishing and maintaining relationships and ways of connecting and being with others is an important component of health and wellbeing. Harnessing the relational within caring, supportive, educational, or carceral settings as a systems response has been referred to as relational practice. Practitioners, people with lived experience, academics and policy makers, do not yet share a well-defined common understanding of relational practice. Consequently, there is potential for interdisciplinary and interagency miscommunication, as well as the risk of policy and practice being increasingly disconnected. Comprehensive reviews are needed to support the development of a coherent shared understanding of relational practice. METHOD: This study uses a scoping review design providing a scope and synthesis of extant literature relating to relational practice focussing on organisational and systemic practice. The review aimed to map how relational practice is used, defined and understood across health, criminal justice, education and social work, noting any impacts and benefits reported. Searches were conducted on 8 bibliographic databases on 27 October 2021. English language articles were included that involve/discuss practice and/or intervention/s that prioritise interpersonal relationships in service provision, in both external (organisational contexts) and internal (how this is received by workers and service users) aspects. RESULTS: A total of 8010 relevant articles were identified, of which 158 met the eligibility criteria and were included in the synthesis. Most were opinion-based or theoretical argument papers (n = 61, 38.60%), with 6 (3.80%) critical or narrative reviews. A further 27 (17.09%) were categorised as case studies, focussing on explaining relational practice being used in an organisation or a specific intervention and its components, rather than conducting an evaluation or examination of the effectiveness of the service, with only 11 including any empirical data. Of the included empirical studies, 45 were qualitative, 6 were quantitative, and 9 mixed methods studies. There were differences in the use of terminology and definitions of relational practice within and across sectors. CONCLUSION: Although there may be implicit knowledge of what relational practice is the research field lacks coherent and comprehensive models. Despite definitional ambiguities, a number of benefits are attributed to relational practices. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42021295958.

Investigating violence and control dyadically in a help-seeking sample from Mozambique.

A sample of 1442 women attending a Forensic Healthcare Service provided information on their own and their partners' use of controlling behaviors, partner violence, and sexual abuse, as well as their own experiences of childhood abuse. Using Johnson's typology, the relationships were categorized as Nonviolent, Intimate Terrorism, or Situational Couple Violence. Findings suggest that help-seeking women's experiences of intimate violence may be diverse, with their roles ranging from victim to perpetrator.

Media depictions of physical and relational aggression: connections with aggression in young adults' romantic relationships.

Various studies have found that viewing physical or relational aggression in the media can impact subsequent engagement in aggressive behavior. However, this has rarely been examined in the context of relationships. Accordingly, the aim of this study was to examine the connection between viewing various types of aggression in the media and perpetration of aggression against a romantic partner. A total of 369 young adults completed a variety of questionnaires asking for their perpetration of various forms of relationship aggression. Participants' exposure to both physical and relational aggression in the media was also assessed. As a whole, we found a relationship between viewing aggression in the media and perpetration of aggression; however, this depended on the sex of the participant and the type of aggression measured. Specifically, exposure to physical violence in the media was related to engagement in physical aggression against their partner only for men. However, exposure to relational aggression in the media was related to romantic relational aggression for both men and women.

Adaptive and maladaptive personality traits as predictors of violent and nonviolent offending behavior in men and women.

The aim of this study was to assess both violent and nonviolent offending behavior in a single, mixed-sex population. The rationale for this is that the two types of offending are usually researched separately, despite evidence that they overlap. A comprehensive measure of general violence, intimate partner violence (IPV), and nonviolent offending behavior was administered to 116 men and 181 women, together with measures of personality and personality disorder (PD) traits, to investigate whether predictors of violent and nonviolent offending were similar or different for men and women. Men were found to perpetrate higher levels of general violence and nonviolent offenses than women, but women perpetrated significantly more IPV than men. Cluster B PD traits predicted all three offense types for women and also men's general violence and nonviolent offending. Women's general violence and men's non-violence also had one unique risk factor each, low agreeableness, and low conscientiousness, respectively. The main difference was for IPV, where men's IPV was predicted by cluster A PD traits, indicating that men's and women's risk factors for IPV may be different, although their risk factors for the other offense types were fairly consistent.

Trauma characteristics and posttraumatic growth: The mediating role of avoidance coping, intrusive thoughts, and social support.

OBJECTIVE: Previous research suggests trauma characteristics can impact on posttraumatic growth (PTG). The current study considers whether previously identified predictors of PTG may produce different outcomes dependent on the characteristics of the trauma experienced. METHOD: Active coping, avoidant coping, emotional coping, intrusive thoughts, social support, and spirituality were examined as potential mediators of relationships between trauma characteristics (interpersonal trauma, number of trauma types, and childhood trauma) and PTG. The responses of 268 adults exposed to multiple and wide-ranging stressors were used to generate three multiple mediation models. RESULTS: Intrusive thoughts and social support exerted small but significant indirect effects in all three multiple mediation models. Avoidant coping mediated associations between the number of trauma types and PTG, and the relationship between childhood trauma to PTG. CONCLUSION: Relationships between trauma characteristics and PTG appear to be explained through the presence of avoidant coping strategies, intrusive thoughts, and the individual's social environment, which could be the focus of intervention efforts to promote positive change. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Evaluating the Chinese Revised Controlling Behaviors Scale.

The present study evaluated the utility of the Chinese version of the Revised Controlling Behaviors Scale (C-CBS-R) as a measure of controlling behaviors in violent Chinese intimate relationships. Using a mixed-methods approach, in-depth, individual interviews were conducted with 200 Chinese women survivors to elicit qualitative data about their personal experiences of control in intimate relationships. The use of controlling behaviors was also assessed using the C-CBS-R. Interview accounts suggested that the experiences of 91 of the women were consistent with the description of coercive control according to Dutton and Goodman's conceptualization of coercion. Using the split-half validation procedure, a receiver operating characteristics (ROC) curve analysis was conducted with the first half of the sample. The area under the curve (AUC) for using the C-CBS-R to identify high control was .99, and the cutoff score of 1.145 maximized both sensitivity and specificity. Applying the cutoff score to the second half gave a sensitivity of 96% and a specificity of 95%. Overall, the C-CBS-R has demonstrated utility as a measure of controlling behaviors with a cutoff score for distinguishing high from low levels of control in violent Chinese intimate relationships.

Intimate terrorism and common couple violence. A test of Johnson's predictions in four British samples.

This study sought to both replicate and considerably extend the findings of Johnson (1999) that there are two distinct subgroups of physical aggression within relationships: intimate terrorism and common couple violence. The present sample consisted of women residing at Women's Aid shelters and their partners (N=86), male and female students (N=208), men attending male treatment programs for domestic violence and their partners (N=8), and male prisoners and their partners (N=192). Respondents completed measures on physical aggression, injuries sustained, escalation of physical aggression, and controlling behaviors. Cluster analysis was employed to categorize relationships as either intimate terrorism or common couple violence. Frequency analysis showed broad support for Johnson's findings.

Physical aggression and control in heterosexual relationships: the effect of sampling.

This study investigated the proposition by Johnson (1995) that there are distinct patterns of physical aggression within relationships, characterized as common couple violence and patriarchal terrorism. The present samples comprised students (N = 113), women from a domestic violence refuge (N = 44), and male prisoners (N = 108). Participants completed measures of physical aggression, controlling behavior, fear of injuries, and injuries. Reports of these measures were entered into a Discriminant Function Analysis (DFA). With the exception of self-reported use of controlling behavior, the variables showed univariately significant differences between the groups. The DFA produced two significant functions which together correctly classified 75% of cases. These results support the view that there are distinct patterns of aggressive relationships corresponding to those identified by Johnson (1995).

Prevalence of women's violent and nonviolent offending behavior: a comparison of self-reports, victims' reports, and third-party reports.

This study assessed women's violent and nonviolent offending, using data from two online student samples (men and women: n = 344), reporting on either being a perpetrator and witness (women) or being a victim and witness (men). A comprehensive measure of general violence, intimate partner violence (IPV), and nonviolent offending was collected. From women's self-reports, 59.9% reported perpetrating general violent offenses, 58.1% reported perpetrating IPV offenses and 85.6% reported perpetrating nonviolent offenses. Correlations showed that women were involved in a variety of offenses and demonstrated the interrelatedness of general violence and IPV, and of violent and nonviolent offenses. Regression analysis confirmed the close association between partner and general violence, and found that drug offenses were also related to the former and criminal damage to the latter. Overall, the prevalence data demonstrated women's involvement in all types of offending, and a similar pattern of offending was supported across data sources. Limitations of the sampling method and measures are discussed.

Understanding the nature and etiology of intimate partner violence and implications for practice and policy.

Theoretical perspectives underlying hypotheses about the nature and etiology of intimate partner violence are important as they inform professionals how they should best respond to reduce or eliminate this social problem. Therefore, it is crucial that practice led initiatives are driven by theory that is supported by good quality empirical evidence. This review aims to provide a synthesis of methodologically sound research to understand how intimate partner violence is best conceptualized, and what the implications of this evidence based theory hold for practice and policy. A wealth of evidence supporting the need to further explore and respond to the spectrum of partner violence from a gender inclusive perspective is demonstrated. Implications of the evidence for multidisciplinary work, prevention, assessment, treatment, and policy related to intimate partner violence are discussed.