Problems addressed

Effectiveness

Mixed Evidence

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Mixed Evidence

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Description

Among the intervention models for domestic violence perpetrators, the two best known are the "Duluth Model" and "Cognitive Behavioral Therapy" (CBT).

Originating from the Domestic Abuse Intervention Project implemented in Duluth (Minnesota, USA) in 1981, this intervention model is based on the understanding that the main cause of domestic violence is the prevalence of a patriarchal social and cultural ideology that has historically allowed men to control women, either through the exercise of power or through direct violence. Based on this theoretical formulation, the Duluth Model advocates a feminist psycho-pedagogical approach that includes group exercises aimed at modifying the abusive and threatening behavior of men involved in cases of domestic violence.

On the other hand, cognitive-behavioral therapy interventions applied to perpetrators of domestic violence were developed by psychologists as a way to treat violent behavior. These interventions interpret violence as a behavior that is learned by individuals and, consequently, assume that nonviolence can also be learned by perpetrators involved in domestic violence cases. This model focuses on identifying the thought processes and beliefs that contribute to violence, and aims to promote transformations in the violent behavior of perpetrators. In therapy sessions (which may be individual or in small groups), men who have practiced such physical abuse are encouraged to reflect on their conception of violence and to change their thinking, as well as to examine the circumstances surrounding their practice and interrupt violent attitudes and behaviors in domestic settings, especially against women.

Country of application
  • Canada
  • Brazil
  • Ecuador
  • United States
  • Ghana
  • Mexico
  • South Africa
  • Tanzania
  • Uganda
Evidence

The efficacy of interventions to interrupt intimate partner violence has been a controversial topic. Although there is evidence that cognitive-behavioral therapy interventions are not effective and that the Duluth model was only able to produce small to medium effects on women's domestic violence victimization [1][2], more recently, a meta-analysis reported that both types of intervention produce statistically significant reductions in violence against women, with better results for cognitive-behavioral therapy [3].

According to the findings of this latest systematic review, the effect of these interventions was null when considering cases in which recidivism was measured through partner reports, whereas it was positive and significant in reducing recidivism when measured through official records. In addition, short interventions (less than 16 sessions/4 months) were not effective in reducing recidivism (measured in official records) and may have negative effects (increased recidivism), whereas longer interventions (more than 16 weeks/4 months of sessions) were effective in reducing the recidivism rate [3].

De acordo com os achados desta última revisão sistemática, o efeito dessas intervenções foi nulo quando considerados os casos em que a reincidência foi medida através de relatos dos casais, enquanto que foi positiva e significativa para a redução da reincidência quando mensurada por registros oficiais. Ademais, as intervenções curtas (menos de 16 sessões/4 meses) não foram eficazes em reduzir a reincidência (medida em registros oficiais) e podem ter efeitos negativos (aumento da reincidência), enquanto que intervenções mais longas (mais de 16 semanas/4 meses de sessões) foram eficazes na redução da taxa de reincidência [3].

Bibliography

[1] Babcock, J. C., Green, C. E., Robie, C. (2004). Does batterers' treatment work? A meta-analytic review of domestic violence treatment. Clinical Psychology Review, 23(8), 1023–1053. https://doi.org/10.1016/j.cpr.2002.07.001

[2] Smedslund, G., Dalsbø, T. K., Steiro, A. K., Winsvold, A., Clench-Aas, J. (2007). Cognitive behavioural therapy for men who physically abuse their female partner. The Cochrane Database of Systematic Reviews(3), CD006048. https://doi.org/10.1002/14651858.CD006048.pub2

[3] Arce, R., Arias, E., Novo, M., Fariña, F. (2020). Are Interventions with Batterers Effective? A Meta-analytical Review. Psychosocial Intervention, 29(3), 153–164. https://doi.org/10.5093/pi2020a11

Evaluated cases

Regional Treatment Centre High Intensity Sex Offender Treatment Program (Canada)

Acceptance and Commitment Therapy (ACT) for Partner Aggression

Second Responder Program for Men (Ontario, Canada)

Domestic Abuse Intervention Project (DAIP) - The Duluth Model

Stepping Stones Program (South Africa)

Stepping Stones and Creating Futures (South Africa)

Why might the cases evaluated have different levels of effectiveness in relation to their respective type of solution?
Click here to understand why.

Some cases were not included in the evidence bank due to deficiencies detected in the methodology of their impact evaluations.
Click here to see the list

 

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