scholarly journals Intimate Partner Violence (IPV) in Bhutan: Understanding Women’s Responses to IPV Using the Transtheoretical Model of Behavior Change

2021 ◽  
pp. 088626052110358
Author(s):  
Phuntsho Choden ◽  
Kerry Armstrong ◽  
Marguerite C. Sendall

Intimate partner violence is highly prevalent in Asian region. It is largely committed by male against their female intimate partner. This is often associated with the region’s unique social and cultural norms which subordinate women throughout their lives. IPV is an ongoing concern in Bhutan. The country’s age-old traditions and customs are closely related to culture of silence among women experiencing IPV. This study examined women’s responses to intimate partner violence (IPV) in Bhutan. Semi-structured interviews were conducted to explore sensitising concepts such as how and when women recognised IPV and how they responded to it. Fifteen women who had sought supportive services at the institution `RENEW’ (Respect, Educate, Nurture, Empower Women) as a result of IPV participated in the interview. The Trans-theoretical model of behaviour change (TTM) was used as a theoretical framework to understand women’s cognitive, affective and behavioural change processes. The interviews were audio-recorded and transcribed. Thematic analysis was used to identify the patterns of women’s responses. From the analysis, women’s experiences of IPV and their responses were located within the four stages of change, including contemplation, preparation, action and maintenance. Women used nine traditional processes of change among which consciousness raising and helping relationships were critical and appeared across all four stages of change. This study provides important insights of Bhutanese women’s cognitive and behavioural responses to IPV. The appearance of consciousness raising and helping relationships across all the stages of change represents a potential opportunity for intervention to initiate and promote changes in women’s response to IPV in the early stages.

2009 ◽  
Vol 24 (1) ◽  
pp. 36-51 ◽  
Author(s):  
Jessica Griffin Burke ◽  
Patricia Mahoney ◽  
Andrea Gielen ◽  
Karen A. McDonnell ◽  
Patricia O’Campo

Recent research suggests that the transtheoretical model of behavior change is a promising approach for interventions addressing women’s experiences of intimate partner violence. This study explores the distribution of abused women across the stages of change for (a) staying safe from intimate partner violence and (b) leaving an abusive relationship. It explores the relationship between stage assignment and other indicators of a woman’s stage (i.e., safety behaviors and desire for services). Quantitative surveys were conducted with 96 low-income, urban abused women recruited from six health care clinics. The findings call into question the appropriateness of using a staging algorithm that uses one “global” question about keeping safe and suggest that staging questions focused on a single action stage (e.g., leaving) are also problematic. In conclusion, additional work remains to be done to develop and validate quantitative measures of stages of change for survivors of intimate partner violence and to design, implement, and evaluated stage-based, tailored intimate partner violence interventions.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cinzia Albanesi ◽  
Carlo Tomasetto ◽  
Veronica Guardabassi

Abstract Purpose Intimate Partner Violence (IPV) is one of the most common forms of domestic violence, with profound implication for women's physical and psychological health. In this text we adopted the Empowerment Process Model (EPM) by Cattaneo and Goodman (Psychol Violence 5(1):84–94) to analyse interventions provided to victims of IPV by a Support Centre for Women (SCW) in Italy, and understand its contribution to women’s empowerment. Method We conducted semi-structured interviews with ten women who had been enrolled in a program for IPV survivors at a SCW in the past three years. The interviews focused on the programs’ aims, actions undertaken to reach them, and the impact on the women’s lives, and were analysed using an interpretative phenomenological approach. Results Results showed that the interventions provided by the SWC were adapted according to women's needs. In the early phases, women’s primary aim was ending violence, and the intervention by the SCW was deemed as helpful to the extent it provided psychological support, protection and safe housing. Women’s aims subsequently moved to self-actualisation and economic and personal independence which required professional training, internships, and social support. Although satisfying the majority of the women’s expectations, other important needs (e.g., economic support or legal services) were poorly addressed, and cooperation with other services (e.g., police or social services) was sometimes deemed as critical. Conclusions By evaluating a program offered by a SCW to IPV survivors through the lens of the EPM model, we found that women deemed the program as effective when both individual resources and empowerment processes were promoted. Strengths, limitations and implications are discussed.


2021 ◽  
Author(s):  
◽  
Annette Levine

<p>This qualitative study explored how women in New Zealand experienced the process of intimate partner violence in relationships with men, which were characterised by bi-directional aggression. Using thematic analysis, semi-structured interviews with 11 women who experienced bi-directionally aggressive relationships were analysed and four themes were identified that encompassed 1) the foundations of bi-directional aggression; 2) the nature of bi-directional aggression within the relationship; 3) how the women were stuck in the relationship, and; 4) moving forward. The findings indicate how the vulnerabilities to bi-directional aggression can develop from early life and perpetuate and exacerbate over time in the context of the relationship dynamic. This highlights the need to implement preventive action to support adaptive self-regulation development in young people and families, provide education about bi-directional aggression and widespread access to support and treatment resources for all genders. Further implications and future directions for policy, research and practice regarding bi-directional aggression are discussed.</p>


2001 ◽  
Vol 43 (2) ◽  
pp. 211-217 ◽  
Author(s):  
Pamela Y Frasier ◽  
Lisa Slatt ◽  
Vicki Kowlowitz ◽  
Patricia T Glowa

2008 ◽  
Vol 23 (4) ◽  
pp. 411-431 ◽  
Author(s):  
Kelly H. Burkitt ◽  
Gregory L. Larkin

The transtheoretical model of behavior change (TTM) has been extended to describe the process of change in victims of intimate partner violence (IPV); however, it has not been validated over time or in a population of women experiencing IPV who are not currently in shelter. This article examines the process of change in IPV victims longitudinally and identifies factors that may relate to staging and stage progression. Fifty-three women were enrolled on presentation to an emergency department for health care treatment and completed follow-up at 3 to 4 months. Measures of TTM staging, use of community resources, ongoing abuse, mental health, and social support were collected. Cluster analyses were conducted, and descriptive summaries of clusters and significant demographic, abuse, and outcome variables related to cluster membership are presented. A five-cluster solution was selected on the basis of parsimony, theory, and overall coherence with the data. Forward progression through the stages over time was related to both the use of community resources and ending the IPV relationship.


2020 ◽  
pp. 088626052092631
Author(s):  
Alison Fogarty ◽  
Karli Treyvaud ◽  
Priscilla Savopoulos ◽  
Amanda Jones ◽  
Allison Cox ◽  
...  

Intimate partner violence (IPV) affects more than one in four children worldwide. Despite the growing evidence base for interventions addressing children’s IPV exposure, little is known about what assists families to engage with services. The current study sought to explore women’s perceptions of barriers and facilitators to accessing an intervention for their children following IPV. A total of 16 mothers who had engaged in a community-based, dyadic intervention for children exposed to IPV participated in the study. The Brief Relational Intervention and Screening (BRISC) is an evidenced informed program designed by Berry Street (Australia). A pilot of the intervention was implemented across one metropolitan and one regional site. In-depth semi-structured interviews were conducted with 16 mothers who had completed BRISC. Transcripts were analyzed in NVivo using thematic analysis. Key facilitators to initial engagement included strong referral pathways, clear information about the program, and initial phone contact from the service. Difficulty trusting services were identified as a key barrier to initial engagement. Facilitators of continued engagement included flexibility in service delivery, consistent and direct communication between sessions, and the therapeutic approach. Key barriers to sustained intervention engagement included children’s continued contact with their father, mothers’ experiences of guilt and blame, and the need for additional support for mothers’ own mental health. These findings highlight how service and clinician factors such as flexibility, therapeutic approaches, and communication can facilitate engagement for families affected by IPV. In addition, the study highlights the importance of including the voices of women in research to improve the acceptability of services for consumers.


2020 ◽  
pp. 088626052095962
Author(s):  
Carly O’Connor-Terry ◽  
Danielle Burton ◽  
Tejasvi Gowda ◽  
Adrianne Laing ◽  
Judy C. Chang

Title X is a federally funded family planning initiative that provides low-cost and confidential reproductive health services to its clients. In recent years, Title X has been the subject of debate as its core tenants have been revised by the current administration. Though advocates have fought against these changes, the voices of survivors on intimate partner violence are absent from this conversation. This study was designed to elicit the opinions and experiences on survivors of intimate partner violence on reproductive decision-making, their access to care, and their opinions about political efforts to restrict this access. Twenty-six semi-structured interviews were conducted with women who were seeking services for intimate partner violence. These interviews were audio-recorded, transcribed, and coded. Codes were then organized into themes. Participants endorsed the need for confidential services due to experiences of coercion from their partners and the fear of retaliation against them. Participants largely supported accessible contraception but reported the need for contraception to be reliable. Participants addressed pregnancy and its many complexities and advocated for nondirective options-counseling. Overall, participants spoke about their challenges with reproductive health care and their opinions on how best to service survivors of intimate partner violence. This study asserts the need for advocates for survivors to advocate for the preservation of Title X and establishes the need for future studies on the prevalence of intimate partner violence in Title X clinics.


2020 ◽  
pp. 107780122095216
Author(s):  
Qinglu Wu ◽  
Ling Wang ◽  
Anna Wai-Man Choi

Forgiveness is known to play an important role in recovery studies of female intimate partner violence (IPV) survivors. However, survivors’ understanding of forgiveness remains unclear. This study explored forgiveness through semi-structured interviews with 25 Chinese women. The results indicate that forgiveness is an unintended process that comprises the alleviation of a grudge held against former partners and a reframed understanding of them. It does not involve reconciliation. Moreover, establishment of clear boundaries is a precondition for forgiveness. The findings supplement knowledge on forgiveness and the importance of cognitive reframing, emotion regulation, and establishing clear boundaries in forgiveness and recovery.


2019 ◽  
pp. 088626051988100
Author(s):  
Iris Manor-Binyamini ◽  
Michal Schreiber-Divon

The purpose of this study was to examine how Bedouin women perceived and interpreted seeing a doctor for help in the aftermath of intimate partner violence. In the phenomenological study, 38 semi-structured interviews were conducted at two different points in time. The first interview took place before the first appointment with the doctor, and the second took place about 3 months after seeing the doctor. The findings revealed two main themes: an act of resistance against the prevailing social norms and empowerment out of crisis. The study found that doctors and other professionals working in the field of domestic violence in community clinics provide a reliable first source of support for women within a limiting social space. This brings into focus the centrality of the role of the doctor/health care professionals within the framework of the community clinic and is intended to direct, train, and deepen the insights of the medical staff that work with women affected by intimate partner violence and to create uniformity in the interventions for these women.


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