The Trials and Tribulations of Testing Couples-Based Interventions for Intimate Partner Violence

This article considers the risks and benefits of couples’ interventions for intimate partner violence (IPV). Because current batterers’ treatment programs have been shown to be largely ineffective in stopping recidivism, there is clearly a need to experiment with novel approaches to establish empirically supported treatments for IPV. Previous studies testing the efficacy of conjoint therapy for couples experiencing situational violence have demonstrated promising results. However, most states mandate prohibiting testing these couples’ interventions in court-mandated samples. In this article, we describe a randomized clinical trial of the Creating Healthy Relationships Program (Cleary Bradley, Friend, & Gottman, 2011) for situationally violent couples in a court-mandated sample and the difficulties in conducting such an experiment within an established coordinated community response.

Nonfatal Gun Use in Intimate Partner Violence: A Systematic Review of the Literature

Guns figure prominently in the homicide of women by an intimate partner. Less is known, however, about their nonfatal use against an intimate partner. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched eight electronic databases and identified 10 original research articles that reported the prevalence of the nonfatal use of firearms against an intimate partner. Results indicate that (1) there is relatively little research on the subject of intimate partners’ nonfatal gun use against women. (2) The number of U.S. women alive today who have had an intimate partner use a gun against them is substantial: About 4.5 million have had an intimate partner threaten them with a gun and nearly 1 million have been shot or shot at by an intimate partner. Whether nonfatal gun use is limited to the extreme form of abuse (battering) or whether it occurs in the context of situational violence remains to be seen. Regardless, when it comes to the likely psychological impact, it may be a distinction without a difference; because guns can be lethal quickly and with relatively little effort, displaying or threatening with a gun can create a context known as coercive control, which facilitates chronic and escalating abuse. Implications for policy, practice, and research are discussed, all of which include expanding an implicit focus on homicide to include an intimate partner’s nonfatal use of a gun.