Abstract
Previous research indicates a higher prevalence of victimization among severely mentally ill women. Few studies have either compared these levels across diagnostic categories or evaluated perpetration by the women. We report qualitative and quantitative findings regarding intimate partner violence perpetrated both against and by a sample of 53 Puerto Rican women diagnosed with major depression, bipolar disorder, or schizophrenia. Interviewers shadowed participants for a period of 2 years. Two-thirds of the women with serious mental illness had histories of victimization. However, 23% of the women also reported histories of violence towards their significant others. This was attributed to various reasons, such as anger, revenge, control, and self-defense. Participants described their personal conceptualization of the violence they received and perpetrated. This has implications for programs designed to prevent family violence, for health care professionals in general, and for psychiatrists, who may be called upon to address future risk of victimization or commission of violence.
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Alvidrez, J. (1999). Ethnic variations in mental health attitudes and service use among low-income African American, Latina, and European American young women. Community Mental Health Journal, 35, 515–530.
Bergman, B., Brismar, B., & Nordin, C. (1992). Utilization of medical care by abused women. BMJ, 305, 27–28.
Bland, R., & Orn, H. (1986). Family violence and psychiatric disorder. Canadian Journal of Psychiatry, 31, 129.
Caetano, R., Schafer, J., Field, C., et al. (2002). Agreements on reports of intimate partner violence among White, Black and Hispanic couples in the United States. Journal of Interpersonal Violence, 17, 1308–1322.
Campbell, J. C. (2002). Health consequences of intimate partner violence. Lancet, 359, 1331–1336.
Carmen, E. H., Rieker, P. P., & Mills, T. (1984). Victims of violence and psychiatric illness. American Journal of Psychiatry, 141, 378–383.
Cunradi, C. B., Caetano, R., & Schafer, J. (2002). Socioeconomic predictors of intimate partner violence among White, Black, and Hispanic couples in the United States. Journal of Family Violence, 17, 377–389.
Friedman, S. H., & Loue, S. (2007). Incidence and prevalence of intimate partner violence by and against women with severe mental illness: A review. Journal of Women’s Health, 16, 471–480.
Friedman, S. H., Stankowski, J. E., & Loue, S. (2008). Intimate partner violence and the clinician. In R. I. Simon & K. Tardiff (Eds.), Textbook of violence assessment, management. Washington, DC: American Psychiatric Publishing Inc.
Furst, I., & Furst, S. (2006). A 25-year-old woman presents for treatment with a chipped front tooth and a black eye. Should I ask about domestic violence and, if it is occurring, what should I do? Journal of Canadian Dental Association, 72, 534–535.
Galanti, G. A. (2003). The Hispanic family and male-female relationships: An overview. Journal of Transcultural Nursing, 14, 180–185.
Gearon, J. S., & Bellack, A. S. (1999). Women with schizophrenia and co-occurring substance use disorders: An increased risk for violent victimization and HIV. Community Mental Health Journal, 35, 401–419.
Goodman, L. A., Dutton, M. A., & Harris, M. (1995). Episodically homeless women with serious mental illness: Prevalence of physical and sexual assault. American Journal of Orthopsychiatry, 65, 468–478.
Hass, G. A., Dutton, M. A., & Orloff, L. E. (2000). Lifetime prevalence of violence against Latina immigrants: Legal and policy implications. International Review of Victimology, 7, 93–113.
Holtrop, T. G., Fischer, H., Gray, S. M., et al. (2004). Screening for domestic violence in a general pediatric clinic: Be prepared!. Pediatrics, 114, 1253–1257.
Kantor, G. K., Jasinski, J. L., & Aldarondo, E. (1994). Sociocultural status and incidence of marital violence in Hispanic families. Violence and Victims, 9, 207–222.
Kaplan, M. L., Asnis, G. M., Lipschitz, D. S., et al. (1995). Suicidal behavior and abuse in psychiatric outpatients. Comprehensive Psychiatry, 36, 229–235.
Lipsky, S., & Caetano, R. (2007). The role of race/ethnicity in the relationship between emergency department use and intimate partner violence: Findings from the 2002 National Survey on Drug Use and Health. American Journal of Public Health, 97, 2246–2252.
Lipsky, S., Caetano, R., Field, C. A., et al. (2005). The role of alcohol use and depression in intimate partner violence among black and Hispanic patients in an urban emergency department. American Journal of Drug Alcohol Abuse, 31, 225–242.
Lipsky, S., Caetano, R., Field, C. A., et al. (2006). The role of intimate partner violence, race, and ethnicity in help-seeking behaviors. Ethn Health, 11, 81–100.
Loue, S. (2001). Intimate partner violence. New York, NY: Kluwer Academic/Plenum Publishers.
Mattson, S., & Rodriguez, E. (1999). Battering in pregnant Latinas. Issues in Mental Health Nursing, 20, 405–422.
McFarlane, J., Malecha, A., Watson, K., et al. (2005). Intimate partner sexual assault against women: Frequency, health consequences, and treatment outcomes. Obstetrics and Gynecology, 105, 99–108.
Perilla, J. L. (1999). Domestic violence as a human rights issue: The case of immigrant Latinos. Hispanic Journal of Behavioral Sciences, 21, 107–133.
Post, R. D., Willett, A. B., Franks, R. D., et al. (1980). A preliminary report on the prevalence of domestic violence among psychiatric inpatients. American Journal of Psychiatry, 137, 974.
Swan, S. C., & Snow, D. L. (2006). The development of a theory of women’s use of violence in intimate relationships. Violence Against Women, 12, 1026–1045.
Torres, S. (1991). A comparison of wife abuse between two cultures: Perceptions, attitudes, nature, and extent. Issues Mental Health Nursing, 12, 113–131.
Vasquez, M. J. T. (1998). Latinos and violence: Mental health implications and strategies for clinicians. Cultural Diversity and Mental Health, 4, 319–334.
Weingourt, R. (1990). Wife rape in a sample of psychiatric patients. IMAGE: Journal of Nursing Scholarship, 22, 144–147.
West, C. M. (1998). Lifting the “political gag order”: Breaking the silence around partner violence in ethnic minority families. In Jasinski JL, Williams LM (ed.), Partner violence: A comprehensive review of 20 years of research.
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Supported in part by National Institutes of Mental Health grant R01 MH63016.
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Friedman, S.H., Loue, S., Goldman Heaphy, E.L. et al. Intimate Partner Violence Victimization and Perpetration by Puerto Rican Women with Severe Mental Illnesses. Community Ment Health J 47, 156–163 (2011). https://doi.org/10.1007/s10597-009-9270-z
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DOI: https://doi.org/10.1007/s10597-009-9270-z