Tailored integrated interventions for intimate partner violence and substance use are urgently needed

Gilchrist, Gail; Hegarty, Kelsey

doi:10.1111/dar.12526

Cited by 28 publications

(35 citation statements)

References 47 publications

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“…This is a particular challenge in practice where the actual partners are not brought into the room with perpetrators but research and structures of accountability with women's services can fill this gap. Our findings support the need for interventions for such men that concurrently address the complex interconnections of IPV with substance use (E. Gilchrist et al, 2003;G. Gilchrist & Hegarty, 2017) and services for women that are informed by an understanding of how dependence and withdrawal frame disputes.…”

Section: Discussionsupporting

confidence: 70%

What Role Does Substance Use Play in Intimate Partner Violence? A Narrative Analysis of In-Depth Interviews With Men in Substance Use Treatment and Their Current or Former Female Partner

Radcliffe

Gadd

Henderson

et al. 2019

J Interpers Violence

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Few studies have examined intimate partner violence (IPV) in relationships where one or both partners are in treatment for substance use, from the perspectives of both members of a couple. This study used thematic and narrative analysis of the accounts of 14 men recruited from substance use services and 14 women who were their current or former intimate partners. Separate researchers interviewed men and women from the same dyad pair. The psychopharmacological effects of substance use (including intoxication, craving, and withdrawal) were rarely the only explanation offered for IPV. Violence was reported to be primed and entangled with sexual jealousy, with perceptions of female impropriety and with women’s opposition to male authority. Both partners reported adversities and psychological vulnerabilities that they considered relevant to conflict and abuse. Male participants were more likely to describe IPV as uncharacteristic isolated events that arose from specific disputes—either aggravated by intoxication or withdrawal or about substance use and its resourcing—whereas women described enduring patterns of abusive behavior often linked to intoxication, craving, withdrawal, and to disputes linked to raising funds for substances. In relationships where both partners used substances, men described the need to protect their partners from addiction and from unscrupulous others while women described highly controlling behavior. In relationships where women were not dependent substance users, they reported the combined effects of psychological and financial abuse often linked to recurring patterns of substance use and relapse. These findings highlight the challenges faced by practitioners working with male perpetrators who use substances as well as the need of those working with women who have been abused to engage with the ways in which hesitance to leave male abusers can be complicated by shared drug dependency.

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Section: Discussionsupporting

confidence: 70%

What Role Does Substance Use Play in Intimate Partner Violence? A Narrative Analysis of In-Depth Interviews With Men in Substance Use Treatment and Their Current or Former Female Partner

Radcliffe

Gadd

Henderson

et al. 2019

J Interpers Violence

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“…The findings highlight the need for interventions that directly address the role of alcohol consumption in FDV. There are only a small number of evidence‐based programs shown to be effective in mitigating the role of substance use in FDV, and this study adds to the call for further research into effective interventions .…”

Section: Discussionmentioning

confidence: 89%

Alcohol use in family, domestic and other violence: Findings from a cross‐sectional survey of the Australian population

Curtis

Vandenberg

Mayshak

et al. 2019

Drug and Alcohol Review

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Introduction and Aims. The link between alcohol and experience of violence is well-documented, but there is a paucity of empirical research on the role of alcohol specifically in family and domestic violence (FDV) in Australia. The aim of the current study was to describe the relationship between alcohol use and FDV in the Australian population, and to examine key differences between three different types of violence: family violence, intimate partner violence (IPV) and other violence. Design and Methods. An online panel survey was conducted using a stratified random sampling design. Results. In total, 5118 respondents were included, of whom 44.5% reported experiencing violence in their lifetime, and 6.0% reported recent (past year) experience of violence. Recent violent incidents were comprised of IPV (41.8%), family violence (13.1%) and other violence (45.1%). Approximately one-third of all violent incidents experienced (either as a victim or perpetrator) were alcoholrelated, and 37.8% of respondents who experienced IPV and 27.8% of those who experienced family violence reported past year heavy-episodic drinking. Alcohol use was associated with higher rates of physical violence and injury at IPV incidents. Alcohol consumed at IPV incidents was most often purchased from a supermarket liquor store (37.0%) and consumed at the respondent's home, regardless of the distance between the purchase location and incident location. Discussions and Conclusions. This study found that alcohol is frequently involved in FDV incidents, particularly IPV. Alcohol use was associated with a higher chance of physical violence and of injury at IPV incidents. [Curtis A, Vandenberg B, Mayshak R, Coomber K, Hyder S, Walker A, Liknaitzky P, Miller PG. Alcohol use in family, domestic and other violence: Findings from a cross-sectional survey of the Australian population. Drug Alcohol Rev 2019;38:349-358]

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“…Research shows that substance use is associated with higher rates of intimate partner abuse perpetration, with dependent use a stronger correlate of intimate partner abuse perpetration for males than substance use alone (Cafferky et al, 2018). There remains a need to conduct qualitative research to better understand intimate partner abuse within the context of substance dependency (Cafferky et al, 2018) to inform tailored interventions for this group (Gilchrist & Hegarty, 2017). Despite studies exploring intimate partner abuse within the context of substance use, no previous studies had involved qualitative dyad interviews where both partners were interviewed in-depth about their relationships (Gilchrist et al, 2019).…”

Section: The Complex Interplay Of Substance Use In Intimate Partner Amentioning

confidence: 99%

The Challenges of Conducting Qualitative Research on “couples” in Abusive Intimate Partner Relationships Involving Substance Use

et al. 2020

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Undertaking qualitative dyad or couple interviews involving intimate partner abuse and substance use presents considerable ethical, safeguarding, and theoretical challenges throughout the research process from recruitment to conducting interviews and analysis. These challenges and how they were managed are outlined using the experience from a qualitative study of 14 heterosexual “couples” that explored the complex interplay between intimate partner abuse and substance use. Managing these challenges for participants, their families, and researchers included the use of safeguarding protocols and procedures to manage risk and the provision of clinical support for experienced researchers. Researchers often felt drawn into the conflicts and complex dynamics of opposing accounts from the male and females’ relationship which could be emotionally and methodologically taxing. Researchers discussing their analysis and felt experiences with each other provided a reflexive space to manage emotions and stay close to the theoretical underpinnings.

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Tailored integrated interventions for intimate partner violence and substance use are urgently needed

Cited by 28 publications

References 47 publications

What Role Does Substance Use Play in Intimate Partner Violence? A Narrative Analysis of In-Depth Interviews With Men in Substance Use Treatment and Their Current or Former Female Partner

What Role Does Substance Use Play in Intimate Partner Violence? A Narrative Analysis of In-Depth Interviews With Men in Substance Use Treatment and Their Current or Former Female Partner

Alcohol use in family, domestic and other violence: Findings from a cross‐sectional survey of the Australian population

The Challenges of Conducting Qualitative Research on “couples” in Abusive Intimate Partner Relationships Involving Substance Use

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