Domestic Violence Treatment: What Every Therapist & Advocate Should Know

1. Domestic Violence Treatment: What Every Therapist & Advocate Should Know Ron J. Llewelyn Psy.D. Affiliations: The University of Phoenix, Valley Behavioral Health, The Center for Christian Therapy & Living Waters Counseling LLC. Penny Stewart CCM Valley Behavioral Health

2. Objectives

3. Regulations

4. Domestic violence treatment programs shall comply with generally accepted practices in the current domestic violence literature and the following requirements: Maintain and document cooperative working relationships with domestic violence shelters, treatment programs, referring agencies, custodial parents when the consumer is a minor and local domestic violence coalitions. If the consumer is a perpetrator, contact with victims, current partner, and the criminal justice referring agencies is also required, as appropriate. Treatment sessions for each perpetrator, not including orientation and assessment interviews, shall be provided for at least one hour per week for a minimum of sixteen weeks. Treatment sessions for children and victims shall offer a minimum of 10 sessions for each consumer not including intake or orientation. R501-21 (4/2014)

5. What I am not saying…

6. Outcomes Research

7. A Cautionary Note

8. Findings

9. Assessment

11. Forms of Abuse

12. Dimensional Nature of Abuse Jim and Sally are driving to the mall. Sally, laughing and not paying attention, cut someone off in traffic. Jim, being angry at Sally, grabs the wheel, and reaches his foot over pushing on the accelerator. Screaming at Sally, as the two careen down the road, “See what it’s like, you tried to kill me you stupid *****.” To scare Sally even more, he keeps swerving towards the oncoming traffic. • Jim and Sally are driving to the mall. Sally, laughing and not paying attention, cut someone off in traffic. Jim looks to her and says, “you know, you are one of the worst drivers I have ever seen.” Unfortunately Jim says this far too often, knowing that Sally is self conscious. Jim believes that these types of remarks will help Sally learn to be more responsible. • Jim and Sally are driving to the mall. Sally, laughing and not paying attention, cut someone off in traffic. Jim looks at her and calls her a stupid *****, and forces her to pull over. He takes the keys out of the ignition, and walks to the other side of the car. Jim makes Sally get out of the driver’s seat and into the passenger’s side, all the while making a scene in front of onlookers.

13. Differences/Typologies

14. Perpetrator Typologies(Gondolf, 1988, Hamberger & Hastings, 1986, Saunders, 1992, Munroe & Stuart, 1994, Waltz, Babcock, Jacobson & Gottman, 2000; Lawson, Brossart, & Shefferman, 2010)

15. Good Reality Contact Defensive Functioning Uncovering Therapy Supportive & Expressive Therapies Permeable Boundaries Borderline Rigid Boundaries Supportive & Expressive Therapies Supportive Therapies Poor Reality Contact

16. Reaction Formation & Projective Identification

17. Offender Types Kelly, J., Johnson, M. (2008) Differentiation between types of intimate partner violence: Research update and implications for intervention. Family Court Review, 46, 3.

18. Typologies

19. Recent Findings on Typology(Lawson, Brossart, & Shefferman, 2010)

20. Prochaska & DiClemente

21. Treatment

22. The Soapbox

23. Interesting Finding?

24. Factors that improve success… • Assigning the proper treatment (which requires a thorough assessment) • A clients “readiness for change,” & Motivation • Ability to develop a “working alliance.” • The ability to establish a moral code • Accurate Attribution • Improving Autonomic Nervous System Control • Multi-agency involvement and wrap around services • Strengthening the Survivor ***

25. Stages of Change

26. Motivational Enhancement

27. Addressing attributionWallach & Sela (2008) Causal Value

29. What do abusers have more often than non-abusers? • Poor impulse control • Poor stress response • Pro-offending attitude • Previous Antisocial Behavior patterns

30. What does a Tame Man have that a Wild & Trained Man does not? • A fairly accurate attributional style • Empathic responsiveness • Other centeredness • Strong faith • Better Impulse control • Superego • Accountability partners/non-isolation

32. Severe A Matter of Intent Types Of Behaviors Clients Intention Treatment Issues Impulsive types of behaviors , or less mature methods to solve conflict Actions that will increase the persons dominance (holding hostage, complete isolation, punishment… Poor Social Skills Resolution of Conflict Resolution of Internal Conflict Through Reaction Formation Moderate Severe Boundary Violations Intimidation, and impulsive actions listed in Mild. Poor Social Skills, Dependency, insecurity, etc… Resolution of Internal & External Conflict Mild

33. The transference neurosis with the survivor is often her and a representative past. With the offender, it is him and his split self. There is often little identified (superego) influence, or even externalized influence.

34. Projective Identification

35. Role of the Survivor in Treatment?

36. Potential roles of the survivor in treatment…

37. Benefit of treatment involvement for the survivor. Remember: Involvement may include Vicarious Consultation Participation

38. Building the Vicarious Voice(Why do they stay?)

39. Couples Counseling?

40. Thank you! Contact Information Ron J. Llewelyn Psy.D. ronllewelyn@Hotmail.com livingwaterscounselingllc.com Penny Stewart CCM pennys@vmh.com