Abstract
Treatment programs for intimately abusive men seek to stop and prevent partner and family violence by applying a variety of methods based on different disciplinary premises. For professionals working with this particular group of clients, the challenge is to combine therapeutic understanding and support with adequate efforts to make clients stop and reconsider their behavior. This qualitative study investigated conversations within a Finnish abuser treatment program in which an integrative treatment approach was applied. A detailed study of videotaped conversations within a 15-week therapy program was conducted through Dialogical Investigations, a method specifically designed for studying interactions in multiple-actor settings. The findings demonstrate how dialogical investigations can assist in evaluations of the efficacy of abuser treatment programs. Consideration is also given to facilitators’ working style, and some examples of how the two dominant approaches in abuser treatment can be successfully combined are provided.
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References
Adams, D., & Cayouette, S. (2002). Programs for men who batter: Intervention and prevention strategies in a diverse society (pp. 4.1–4.32). Kingston: Civic Research Institute.
Adams, P., Towns, A., & Gavey, N. (1995). Dominance and entitlement: the rhetoric men use to discuss their violence towards women. Discourse and Society, 6(3), 387–406.
Alhabib, S., Nur, U., & Joner, R. (2010). Domestic violence against women: systematic review of prevalence studies. Journal of Family Violence, 25(4), 369–382.
Andersen, T. (1995). Reflecting processes: Acts of informing and forming. In S. Friedman (Ed.), The reflecting team in action (pp. 11–37). New York: Guilford.
Anderson, H., & Goolishian, H. (1988). Human systems as linguistic systems: preliminary and evolving ideas about the implications for clinical theory. Family Process, 27(4), 371–393.
Atkinson, J. M., & Heritage, J. (Eds.). (1984). Structures of social action: Studies in conversation analysis. Cambridge: Cambridge University Press.
Auburn, T., Drake, S., & Willig, C. (1995). “You punched him, didn’t you?”: versions of violence in accusatory interviews. Discourse and Society, 6(3), 353–386.
Babcock, J. C., Green, C. E., & Robie, C. (2004). Does batterers’ treatment work? A meta-analytic review of domestic violence treatment. Clinical Psychological Review, 23(8), 1023–1053.
Bakhtin, M. (1986). The problem of speech genres. In C. Emerson & M. Holquist (Eds.), Speech genres and other late essays (pp. 60–102). Austin: University of Texas Press.
Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16(3), 252–260.
Brown, P. D., & O’Leary, K. D. (2000). Therapeutic alliance: predicting continuance and success in group treatment for spouse abuse. Journal of Consulting and Clinical Psychology, 68(2), 340–345.
Cavanagh, K., Dobash, R., Dobash, R., & Lewis, R. (2001). Remedial work: men’s strategic responses to their violence against intimate female partners. Sociology, 35(3), 695–714.
Daniels, J. W., & Murphy, C. M. (1997). Stages and processes of change in batterers’ treatment. Cognitive and Behavioral Practice, 4(1), 123–145.
Davies, L., Holmes, M., Lundy, C., & Urquhart, L. (1995). Re-education for abusive men: The effect on the lives of women partners. Ottawa: Family Violence Prevention Division, Health Canada.
Day, A., Chung, D., O’Leary, P., & Carson, E. (2009). Programs for men who perpetrate domestic violence: an examination of the issues underlying the effectiveness of intervention programs. Journal of Family Violence, 24(2), 203–212.
Dutton, D. G. (2006). Rethinking domestic violence. Vancouver: University of British Columbia Press.
Dutton, D. G., & Corvo, K. (2006). Transforming a flawed policy: a call to revive psychology and science in domestic violence research and practice. Aggression and Violent Behavior, 11(5), 457–483.
Edley, N., & Wetherell, M. (1997). Jockeying for position: the construction of masculine identities. Discourse and Society, 8(2), 203–217.
Featherstone, B., & Peckover, S. (2007). Letting them get away with it: fathers, domestic violence and child welfare. Critical Social Policy, 27(2), 181–202.
Feder, L., & Wilson, D. B. (2005). A meta-analytic review of court mandated batterer intervention programs: can courts affect abusers’ behavior? Journal of Experimental Criminology, 1(2), 39–262.
Ferencik, M. (1990). The supportive and remedial interchange in group therapy. Small Group Research, 21(3), 360–373.
Ganley, A. L. (1981). Counseling programs for men who batter: elements of effective programs. RESPONSE to Victimization of Women and Children, 4(1), 3–4.
Gondolf, E. W. (2007). Theoretical and research support for the Duluth Model: a reply to Dutton and Corvo. Aggression and Violent Behavior, 12(6), 644–657.
Good, G. E., Thomson, D. A., & Brathwaite, A. D. (2005). Men and therapy. Critical concepts, theoretical frameworks, and research recommendations. Journal of Clinical Psychology, 61(6), 699–711.
Goodrum, S., Umberson, D., & Anderson, K. (2001). The batterer’s view of the self and others in domestic violence. Sociological Inquiry, 71(2), 221–240.
Guregaard, S. (2009). Open dialogue across cultures: Establishing a therapeutic relationship with the refugee family. Doctoral dissertation, University of East London in conjunction with the Tavistock Clinic. Göteborg, Sweden: Nordbok International.
Hamel, J. (2008). Beyond ideology: Therapies for domestic violence. In J. Hamel (Ed.), Intimate partner and family abuse. A casebook of gender-inclusive therapy (pp. 3–25). New York: Springer.
Hearn, J. (1998). The violences of men: How men talk about and how agencies respond to men’s violence to women. London: Sage.
Hill, C. E., Thompson, B. J., & Nutt-Williams, E. (1997). A guide to conducting consensual qualitative research. The Counseling Psychologist, 25(4), 517–572.
Holma, J. M., Partanen, T., Wahlstrom, J., Laitila, A., & Seikkula, J. (2006). Narratives and discourses in groups for male batterers. In M. Lipshitz (Ed.), Domestic violence and its reverberations (pp. 59–83). New York: Nova.
Holtzworth-Munroe, A. (2001). Standards for batterer treatment programs: how can research inform our decisions? Journal of Aggression, Maltreatment & Trauma, 5(2), 165–180.
Jacobs, E. E., Masson, R. L., & Harvill, R. L. (2009). Group counseling: Strategies and skills. Pacific Grove: Brooks/Cole.
Jennings, J. (1987). History and issues in the treatment of battering men: a case for unstructured group therapy. Journal of Family Violence, 2(3), 193–213.
Johnson, J., & Kanzler, D. (1993). Treating domestic violence: evaluating the effectiveness of a domestic violence diversion program. Studies in Symbolic Interaction, 15, 271–289.
Jones, A. D., D’Agostino, R. B., Gondolf, E. W., & Heckert, D. A. (2004). Assessing the effect of batterer program completion on reassault using propensity scores. Journal of Interpersonal Violence, 19(9), 1002–1020.
Kistenmacher, B. R., & Weiss, R. L. (2008). Motivational interviewing as a mechanism for change in men who batter: a randomized controlled trial. Violence and Victims, 23(5), 558–570.
Kurri, K., & Wahlstrom, J. (2001). Dialogical management of morality in domestic violence counseling. Feminism and Psychology, 11(2), 187–208.
Langhinrichsen-Rohling, J. (2010). Controversies involving gender and intimate partner violence in the United States. Sex Roles, 62(3–4), 179–193.
Levesque, D. A., Driskell, M.-M., Prochaska, J. M., & Prochaska, J. A. (2008). Acceptability of a stage-matched expert system intervention for domestic violence offenders. Violence and Victims, 23(4), 432–445.
Linell, P. (2009). Rethinking language, mind, and world dialogically. Charlotte: Information Age Publishing.
Mankowski, E. S., Haaken, J., & Silvergleid, C. S. (2002). Collateral damage: an analysis of the achievements and unintended consequences of batterer intervention programs and discourse. Journal of Family Violence, 17(2), 167–184.
Markova, I., Linell, P., Grossen, M., & Orvig, A. S. (2007). Dialogue in focus groups: Exploring socially shared knowledge. London: Equinox.
Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. Journal of Consulting and Clinical Psychology, 68(3), 438–450.
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York: Guilford.
Moylan, C. A., Herrenkohl, T. I., Sousa, C., Tajima, E. A., Herrenkohl, R. C., & Russo, M. J. (2010). The effects of child abuse and exposure to domestic violence on adolescent internalizing and externalizing behavior problems. Journal of Family Violence, 25(1), 53–63.
Mullaney, J. L. (2007). Telling it like a man: masculinities and battering men’s accounts of their violence. Men and Masculinities, 10(2), 222–247.
Murphy, C., & Eckhardt, C. (2005). Treating the abusive partner: An individualized cognitive-behavioral approach. New York: Guilford.
Murphy, C. M., & Ting, L. A. (2010). Interventions for perpetrators of intimate partner violence: A review of efficacy research and recent trends. Partner Abuse, 1(1), 26–44.
Musser, P. H., Semiatin, J. N., Taft, C. T., & Murphy, C. M. (2008). Motivational interviewing as a pregroup intervention for partner-violent men. Violence and Victims, 23(5), 539–557.
Norcross, J. C. (2002). Empirically supported therapy relationships. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients. New York: Oxford University Press.
Partanen, T., Wahlstrom, J., & Holma, J. (2006). Loss of self-control as excuse in group-therapy conversations for intimately violent men. Communication & Medicine, 3(2), 171–183.
Pence, E. (2002). The Duluth domestic abuse intervention project. In E. Aldarondo & F. Mederos (Eds.), Programs for men who batter: Intervention and prevention strategies in a diverse society (pp. 6.1–6.47). Kingston: Civic Research Institute.
Piaget, J. (1962). Play, dreams and imitation in childhood. New York: Norton (Original work published 1945).
Pirog-Good, M., & Stets-Kealey, J. (1985). Male batterers and battering prevention programs: a national survey. RESPONSE to the Victimization of Women and Children, 8(3), 8–12.
Raakil, M. (2002). A Norwegian integrative model for the treatment of men who batter. Family Violence & Sexual Assault Bulletin, 18(1), 8–14.
Richards, L. (2005). Handling qualitative data: A practical guide. London: Sage.
Rolling, E., & Brosi, M. W. (2010). A multi-leveled and integrated approach to assessment and intervention of intimate partner violence. Journal of Family Violence, 25(3), 229–236.
Rondeau, G., Brodeur, N., Brochu, S., & Lemire, G. (2001). Dropout and completion of treatment among spouse abusers. Violence and Victims, 16(2), 127–143.
Rooney, J., & Hanson, R. K. (2001). Predicting attrition from treatment programs for abusive men. Journal of Family Violence, 16(2), 131–149.
Ruuskanen, E., & Aromaa, K. (2008). Administrative data collection on domestic violence in Council of Europe member states. European Institute for Crime Prevention and Control, affiliated with the United Nations (HEUNI). Retrieved on 5/15/10 from http://www.coe.int/t/dc/files/themes/violence_femmes/admin_data.pdf
Saunders, D. G. (2008). Group interventions for men who batter: a summary of program description and research. Violence and Victims, 23(2), 156–172.
Scott, K. L., & Wolfe, D. A. (2000). Change among batterers: examining men’s success stories. Journal of Interpersonal Violence, 15(8), 827–842.
Scott, K. L., & Wolfe, D. A. (2003). Readiness to change as a predictor of outcome in batterer treatment. Journal of Consulting and Clinical Psychology, 71(5), 879–889.
Scully, D., & Marolla, J. (1993). “Riding the bull at Gilley’s”: Convicted rapists describe the rewards of rape. In P. B. Bart & E. G. Moran (Eds.), Violence against women: The bloody footprints (pp. 26–46). Thousand Oaks: Sage.
Seikkula, J. (2002). Open dialogues with good and poor outcomes for psychotic crises: examples from families with violence. Journal of Marital and Family Therapy, 28(3), 263–274.
Seikkula, J. (2008). Inner and outer voices in the present moment of family and network therapy. Journal of Family Therapy, 30(4), 478–491.
Sonkin, D. J., & Dutton, D. (2003). Treating assaultive men from an attachment perspective. Journal of Aggression, Maltreatment and Trauma, 7(1), 105–133.
Stamp, G. H., & Sabourin, T. C. (1995). Accounting for violence: an analysis of male spousal abuse narratives. Journal of Applied Communication Research, 23(4), 284–307.
Stordeur, R. A., & Stille, R. (1989). Ending men’s violence against their partners: One road to peace. Newbury Park: Sage.
Taft, C. T., & Murphy, C. M. (2007). The working alliance in intervention for partner violence perpetrators: recent research and theory. Journal of Family Violence, 22(1), 11–18.
Vygotsky, L. S. (1962). THOUGHT AND LANGUAGE (E. Hanfmann & G. Vaker, Trans.). Cambridge: MIT Press. (Original work published 1934.)
Wetherell, M., & Potter, J. (1989). Narrative characters and accounting for violence. In J. Shotter & K. J. Gergen (Eds.), Texts of identity (pp. 206–219). London: Sage.
WWP—Work with Perpetrators of Domestic Violence in Europe (2008). Daphne II Project 2006–2008. Retrieved on 5/15/10 from http://www.work-with-perpetrators.eu/en/documents/country_summaries_wwp_2008.pdf
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Appendices
Appendix 1
Transcription Symbols
The transcription notation system for data segments presented here was developed by Gail Jefferson (see Atkinson and Heritage 1984, pp. ix–xvi).
Description of symbols used in the transcription:
- ::
-
Colon(s): Extended or stretched sound, syllable, or word.
- _:
-
Underlining: Vocalic emphasis.
- (.):
-
Micropause: Brief pause of less than (0.2).
- (1):
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Timed Pause: Intervals occurring within and between same or different speaker’s utterances
- (( )):
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Double Parentheses: Scenic details.
- ( ):
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Single Parentheses: Transcriptionist doubt.
- ↑ ↓:
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Arrows: Pitch resets; marked rising and falling shifts in intonation.
- =:
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Equal Signs: Latching of contiguous utterances, with no interval or overlap.
- [ ]:
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Brackets: Speech overlap.
- [[:
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Double Brackets: Simultaneous speech orientations to prior turn.
- -:
-
Hyphens: Halting, abrupt cut off of sound or word.
- CAPS::
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Extreme loudness compared with surrounding talk.
- ° °:
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Degree Signs: A passage of talk noticeably softer than surrounding talk.
- .hhh:
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Audible outbreaths
- hhh:
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Audible inhalations
Appendix 2
(IX, 1366–1383)
Heikki: (1) it just comes into my mind that (.) it could be that for a child it could also be a positive learning experience that it somehow (.) sees violence with the (3) seriousness of violence (which) I mean in those circumstances where (.) violence has negative consequences (then) people sort of (1) feel sorry about it and (.) try to (2) with discussion and (.) morality (.) to put the situation right Sam: mmm (2) I see it (.) as good that (.) my children they (.) they speak really openly to me about violence that they .hhh they could [just] be [quiet and] (2) but each of them (.) they speak to me openly about it F2: .hhh well there (1) can say that research shows that family violence is- (.) is not in a way [that] good a learning experience as regards violence.
Appendix 3
(III, 1639–1679)
F2: (3) well we have to (1) finish soon how’s this time felt (3) does anybody feel that (.) he has talked too much or
Heikki: (3) no-o I guess that bit by bit one starts to get to the topic here hhh perhaps
F2: mmm
Marko: yeah one starts to get to know the group (1) dares to start talking too
F2: is there (1) in this group enough (2) confidence that everybody dares to talk
Esa: (3) I do
Matti: (yeah) me too (I do) ((talks quietly))
F2: (1) mmm (2) so that there isn’t (.) this kind of (.) lack of confidence
Heikki: (3) no lack of confidence but I still have a some sort of a (1) unsure feeling about how much one dares (.) about oneself ((laughs))
Esa: last time we just talked about (.) what one thinks after leaving here (.) did I talk more than
Heikki: yeah, one starts to think about one’s own story and (.) forgets that there’re any others here (.) cases
F2: so that one doesn’t take up too much space (.) is it (2) have you felt now that you take up too much space
Heikki: no no (.) [and] I think I’ve kept ((laughs)) my mouth (.) quite well
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Rasanen, E., Holma, J. & Seikkula, J. Dialogical Views on Partner Abuser Treatment: Balancing Confrontation and Support. J Fam Viol 27, 357–368 (2012). https://doi.org/10.1007/s10896-012-9427-3
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DOI: https://doi.org/10.1007/s10896-012-9427-3