Abuser in Intimate Partner Violence

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Abuser in Intimate Partner Violence The 9th NSFP Stockholm, 24- 26.8.2011 Hannu Säävälä et al Oulu University Hospital, Department of Psychiatry

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Abuser in Intimate Partner Violence. Hannu Säävälä et al Oulu University Hospital, Department of Psychiatry. The 9th NSFP Stockholm, 24-26.8.2011. Abuser in Intimate Partner Violence. Hannu Säävälä 1&2 , MD, PhD, forensic psychiatrist Riitta Hannus 2 , Social Worker - PowerPoint PPT Presentation

Transcript of Abuser in Intimate Partner Violence

Page 1: Abuser in Intimate Partner Violence

Abuser in Intimate Partner Violence

The 9th NSFPStockholm, 24-

26.8.2011

Hannu Säävälä et al

Oulu University Hospital, Department of

Psychiatry

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Abuser in Intimate Partner Violence Hannu Säävälä1&2, MD, PhD, forensic

psychiatrist Riitta Hannus2, Social Worker Tuija Korhonen2, Psychologist Riitta Pohjoisvirta2, Social Worker Santtu Salonen2, Social Worker

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1Oulu University Hospital, Department of Psychiatry

2Oulu Mother and Child Home and Shelter

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Abuser in Intimate Partner Violence

Oulu Mother and Child Home and Shelter

Outpatient and shelter

Services for the victim, the abuser and the children

Population base appr 200 000

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Integrated framework

Theoretical socio-cultural: Gendered violence Psychiatric: Individual psychology Systemic: Family dynamics

Practical Individual work Family work Team work

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Study data

All Client-cases during 2003-5, N=447

Shelter 62%, outpatient 38% Statistical analysis, 154 variables Abuser 97% male Victim’s violence in 22% of cases

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Selection of Study Subjects

All client cases

N=447 victim identifN=431

perp identifN=425

16 cases omitted

6 cases omitted

victim partnerN=383

partner casesN=374

42 cases omitted

9 cases omitted

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Aims of the study

Is it possible to differenciate between serious and less serious violence?

What are the differences in serious and less serious violence?

Violence: Problem of the abuser or Culturally determined?

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Assessment of violence (Johnson 1995)

Intimate terrorism (IT)

Controlling Serious physical

attacks or traumatizing effect on the victim

Common coupleviolence

(CCV) Non-controlling Non-serious

physical attacks and non-traumatizing effect on the victim

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In terror the size matters

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Mental traumatization is central to seriousness of violence

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Classification of cases(% of all, N=235)

Common couple violence (CCV) 75%

Intimate terrorism (IT) 25%

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Intimate terrorism

Abuser’s violence more frequentlyIn previous relationship (N=79, p=0.032)

Lead to previous convictions (N=87, p<0.00)

From the start of the present relationship (N=157, p=0.008)

Towards children (N=146, p<0.00)

Also outside home (N=137, p<0.00)

Unilaterally (N=144, p<0.00)

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Intimate terrorismAbuser’s mental problems: More often

Dominant traits (N=168, p<0.00)Labile affective traits (N=176 p<0.00)Paranoid traits (N=157, p<0.00)Dissociative symptoms (N=123, p=0.036)No depressive traits (N=131, p=0.004)Problems with intoxicants (N=178, p=0.001)Violent also when sober (N=124, p=0.027)

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Intimate terrorism is a mental problem of the

abuserDutton 2007

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Intimate terrorism

The Attitudes of the Abuser:More often patriarchal (N=152, p=0.002)

Did not take responsibility of his/her actions (N=150, p<0.00)

Was not motivated to strive for non-violence (N=163, p<0.00)

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Intimate terrorism is a culturally determined phenomenon

Walker 1989, Archer 2006

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Problems of the Study

Standardization Reliability of classifications Missing info of clients Generalizability of results

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Conclusions of the study

IPV is not a uniform phenomenon We need integrated approaches to

tackle the problem of IPV It is possible to assess IPV

Helps to plan Safety measures Suitable working methods