Journal of Family Violence

, Volume 31, Issue 3, pp 271–287 | Cite as

How Can We End the Stigma Surrounding Domestic and Sexual Violence? A Modified Delphi Study with National Advocacy Leaders

  • Christine MurrayEmail author
  • Allison Crowe
  • Whitney Akers
Original Article


The purpose of this study was to use a modified Delphi methodology study to identify priority actions that can be taken at the individual, local, and national levels to eliminate the stigma surrounding domestic and sexual violence. An expert panel of national organizational leaders provided input about the nature of the stigma surrounding domestic and sexual violence, as well as strategies to end this stigma. The findings were organized into three themes: (a) the social context of the stigma surrounding domestic and sexual violence; (b) the impact of the stigma on resources for victims and survivors; and (c) strategies for eradicating the stigma surrounding domestic and sexual violence. Implications of the study’s findings for research, practice, and advocacy are discussed.


Stigma Domestic violence Intimate partner violence Sexual abuse Sexual assault 


  1. Black, M.C., Basile, K.C., Breiding, M.J., Smith, S.G., Walters, M.L., Merrick, M.T., Chen, J., & Stevens, M.R. (2011). The national intimate partner and sexual violence survey (NISVS): 2010 summary report. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. Retrieved from
  2. Bryant, S. A., & Spencer, G. A. (2003). University students’ attitudes about attributing blame in domestic violence. Journal of Family Violence, 18, 369–376.CrossRefGoogle Scholar
  3. Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment, 6, 65–72.CrossRefGoogle Scholar
  4. Chrisler, J. C., & Ferguson, S. (2006). Violence against women as a public health issue. Annals of the New York Academy of Sciences, 1087(1), 235–249. doi: 10.1196/annals.1385.009.CrossRefPubMedGoogle Scholar
  5. Cook, P. W. (2009). Abused men: The hidden side of domestic violence (2nd ed.). Westport, CT: Praeger.Google Scholar
  6. Crowe, A., & Murray, C. E. (2015). Stigma from professional helpers toward survivors of intimate partner violence. Partner Abuse, 6(2), 157–179.CrossRefGoogle Scholar
  7. Daire, A. P., Carlson, R. G., Barden, S. M., & Jacobson, L. (2014). An intimate partner violence (IPV) protocol readiness model. The Family Journal, 22, 170–178. doi: 10.1177/1066480713513708.CrossRefGoogle Scholar
  8. Davis, K. B. (2012). Understanding and addressing stigma and attachment insecurity in HIV-positive women who experience intimate partner violence: a model of medical and psychosocial care. Social Work in Health Care, 5, 213–231.Google Scholar
  9. Dawson, M. D., & Brucker, P. S. (2001). The utility of the Delphi method in MFT research. American Journal of Family Therapy, 29, 125–140.CrossRefGoogle Scholar
  10. Douglas, E. M., & Hines, D. A. (2011). The helpseeking experiences of men who sustain intimate partner violence: an overlooked population and implications for practice. Journal of Family Violence, 26(6), 473–485.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Gover, A. R., Paul, D. P., & Dodge, M. (2011). Law enforcement officers’ attitudes about domestic violence. Violence Against Women, 17, 619–636. doi: 10.1177/1077801211407477.CrossRefPubMedGoogle Scholar
  12. Haymore, L. B., Smith, P.H., Murray, C. E., & Morgan, M. Y. (2012). Through the eyes of a survivor: implementation and pilot evaluation of a photovoice-based support group for female survivors of family-based interpersonal violence. Family Violence Prevention and Health Practice, 12. Retrieved December 14, 2012 from
  13. Hsu, C.-C., & Sandford, B. A. (2007). The Delphi technique: making sense of consensus. Practical Assessment, Research, & Evaluation, 12, 18. Retrieved March 20, 2014, from
  14. Jenkins, D. A., & Smith, T. E. (1994). Applying Delphi methodology in family therapy research. Contemporary Family Therapy, 16, 411–430.CrossRefGoogle Scholar
  15. Kaur, R., & Garg, S. (2008). Addressing domestic violence against women: an unfinished agenda. Indian Journal of Community Medicine, 33(2), 73–76.CrossRefPubMedPubMedCentralGoogle Scholar
  16. Laffaye, C., Kennedy, C., & Stein, M. B. (2003). Post-traumatic stress disorder and health-related quality of life in female victims of intimate partner violence. Violence and Victims, 18(2), 227–238. doi: 10.1891/vivi.2003.18.2.227.CrossRefPubMedGoogle Scholar
  17. Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385.CrossRefGoogle Scholar
  18. Morrow-Howell, N., Burnette, D., & Chen, L.-M. (2005). Research priorities for gerontological social work: researcher and practitioner perspectives. Social Work Research, 29, 231–242.CrossRefGoogle Scholar
  19. Murray, C. E., Smith, P. H., & Avent, J. (2010). Solutions to the research-practice gap in domestic violence: a modified Delphi study with domestic violence coalition leaders. Journal of Aggression, Maltreatment & Trauma, 19, 424–449. doi: 10.1080/10926771003781354.CrossRefGoogle Scholar
  20. Murray, K. W., Bair-Merritt, M. H., Roche, K., & Cheng, T. L. (2012). The impact of intimate partner violence on mothers’ parenting practices for urban, low-income adolescents. Journal of Family Violence, 27(6), 573–583. doi: 10.1007/s10896-012-9449-x.CrossRefGoogle Scholar
  21. National Center for Injury Prevention and Control. (2003). Costs of intimate partner violence against women in the United States. Atlanta: Centers for Disease Control and Prevention. Retrieved from
  22. Overstreet, N. M., & Quinn, D. M. (2013). The intimate partner violence stigmatization model and barriers to help seeking. Basic and Applied Social Psychology, 35, 109–122.CrossRefPubMedPubMedCentralGoogle Scholar
  23. RAND Corporation (2014). Delphi method. Retrieved March 20, 2014, from
  24. Smith, A. L., & Cashwell, C. S. (2010). Stigma and mental illness: investigating attitudes of mental health and non mental health professionals and trainees. Journal of Humanistic Counseling, Education and Development, 49, 189–202.CrossRefGoogle Scholar
  25. Smith, A. L., & Cashwell, C. S. (2011). Social distance and mental illness: attitudes among mental health and non mental health professionals and trainees. Professional Counselor, 1(1), 13–20.CrossRefGoogle Scholar
  26. Stemler, S. (2001). An overview of content analysis. Practical Assessment, Research, & Evaluation, 7. Retrieved April 26, 2006, from
  27. Stone Fish, L., & Busby, D. M. (1996). The Delphi method. In D. H. Sprenkle & S. M. Moon (Eds.), Research methods in family therapy (pp. 469–482). New York: Guilford.Google Scholar
  28. Substance Abuse and Mental Health Services Administration (SAMHSA, 2014). Trauma-informed care and trauma services. Retrieved March 21, 2014, from
  29. Tsui, V., Cheung, M., & Leung, P. (2010). Help-seeking among male victims of partner abuse: men’s hard times. Journal of Community Psychology, 38(6), 769–780.CrossRefGoogle Scholar
  30. Vazquez-Ramos, R., Leahy, M., & Hernandez, N. E. (2007). The Delphi method in rehabilitation counseling research. Rehabilitation Counseling Bulletin, 50, 111–118.CrossRefGoogle Scholar
  31. West, A. (2011). Using Delphi technique: experience from the world of counselling and psychotherapy. Counselling and Psychotherapy Research, 11, 237–242. doi: 10.1080/14733145.2010.492429.CrossRefGoogle Scholar
  32. White, M. B., Edwards, S. A., & Russell, C. S. (1997). The essential elements of successful marriage and family therapy: a modified Delphi study. The American Journal of Family Therapy, 25, 213–231.CrossRefGoogle Scholar
  33. World Health Organization. (2005). WHO multi-country study on women’s health and domestic violence against women: Summary report of initial results on prevalence, health outcomes and women’s responses. Geneva, CH: World Health Organization. Retrieved from
  34. Yousuf, M. I. (2007). Using experts’ opinions through Delphi technique. Practical Assessment, Research, & Evaluation, 12, 18. Retrieved March 20, 2014, from
  35. Zarling, A., Taber-Thomas, S., Murray, A., Knuston, J. F., Lawrence, E., Valles, N., & Bank, L. (2013). Internalizing and externalizing symptoms in young children exposed to intimate partner violence: examining intervening processes. Journal of Family Psychology, 27(6), 945–955. doi: 10.1037/a0034804.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Christine Murray
    • 1
    Email author
  • Allison Crowe
    • 2
  • Whitney Akers
    • 1
  1. 1.Department of Counseling and Educational DevelopmentUniversity of North Carolina at GreensboroGreensboroUSA
  2. 2.East Carolina UniversityGreenvileUSA

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