University:
Boston University
Course:
SAR HP 151 | Introduction to Health Professions
Academic year:

2020
Views:

440

Pages:

22
Author:

Ireland Marshall

WHO ATTENDS EMERGE? Abuser Education Program 45 40 35 30 25 20 15 10 5 0 % Clients Courts Child Welfare Self/Other Agency WHO ATTENDS EMERGE? Responsible Fatherhood Program 50 45 40 35 30 25 20 15 10 5 0 % Clients Courts Child Welfare Self/Other Agency How do abusive partners present in medical settings? 1) 2) 3) 4) 5) Angry at staff (patient ‘advocate’) Angry at partner Hovering Helpful Lurking/Covert (remains in background); using remote control 6) Is another patient (claiming victim status) 7) None of the above Myth 1: 1) Abusive men are easy to identify: - Come across as angry, hot tempered, “macho” or having a criminal record Reality Most abusers are never identified Most project a different persona outside the family Only a small proportion are arrested Only ¼ are generally violent Translation: 14-year old boy: “I am not going to judge him for his actions since he gave me my life, but he is irresponsible” Myth 2: 2) Abusers have a problem with anger Reality Domestic Violence is more about control than anger Myth 3 3) Batterers lack skills - anger management skills - communication skills - conflict resolution - psychological awareness Reality Abusiveness is a skill, encompassing - control - manipulation - image maintenance Manipulation Manipulation tactics often include, - discrediting victim - blaming victim - divide and conquer family/friends - undermining - bargaining - minimizing and denying Myth 4 4) Abusers often suffer from low self esteem Reality Narcissism is the more common issue White and Gondolf (2000) 50% on narcissistic spectrum vs 26% on insecure/dependent spectrum Myth 5 5) The majority of abusers have mental health problems Reality Most do not have mental health problems. Gondolf (2000) Personality Profiles White and Gondolf (2000) MCMI-III profiles of 100 abusers attending batterer intervention: • 59% had low personality dysfunction • 23 % had moderate personality dysfunction • 18% had severe dysfunction Personality Profiles (con’t) White and Gondolf (2000) Low Personality Dysfunction (59% of total): Subgroups 1) Narcissistic/conforming style 34% 2) Avoidant/depressive style 22% 3) Atypical style 3% Personality Profiles (con’t) White and Gondolf (2000) Moderate Personality Dysfunction (23% overall): Subgroups 1) Antisocial disorder 12% 2) Narcissistic disorder 6% 3) Atypical disorder 5% Personality Profiles (con’t) White and Gondolf (2000) Severe Personality Dysfunction (18% overall): Subgroups 1) Paranoid disorder 8% 2) Borderline disorder 4% 3) Thought disorder 4% 4) Atypical disorder 2% Personality Profiles (con’t) White and Gondolf (2000) Overall Personality Profiles 1) Narcissistic/conforming (low) 2) Avoidant/depressive (low) 3) Antisocial Disorder (mod) 4) Paranoid Disorder (severe) 5) Narcissistic Disorder (mod) 6) Borderline Disorder (severe) 7) Thought Disorder (severe) 34% 22% 12% 8% 6% 4% 4% Myth 5 5) Abusers who express remorse are more likely to change