FEMALE VICTIMS OF DOMESTIC VIOLENCE Lourdes S. Levy Florida International University.
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Transcript of FEMALE VICTIMS OF DOMESTIC VIOLENCE Lourdes S. Levy Florida International University.
FEMALE VICTIMS OFDOMESTIC VIOLENCELourdes S. Levy Florida International University
Client background
Hispanic female 55 years old Born in Dominican Republic United States resident Working on commission as a sales
representative Currently residing with adult nephew in
sister’s home Previously married – one adult son Sleeping problems History of asthma Focus on spirituality
Presenting challenge
Partner threatened to choke her Client abandoned home Did not report incident to police Ambiguous feelings towards partner Partner verbally abusive Unemployed Diagnosed with prostrate cancer Does not value his life Smokes marijuana
Symptoms
Fearful Loss of interest
Anxious Guilt
Sleep disturbances Low self-esteem
Uncontrollable worries Sadness
Difficulty concentrating
Discouragement
Fear of disapproval Poor self-image
Ecology factors
Financial insecurities Acculturation Age Language barrier Traditional gender role
Strengths and Risk factors
Strengths RisksSought help Minimal support system
Intelligent History of verbal abuse
Educated Pessimistic outlook
Committed Low self-esteem
Coping skills
Listens to spiritual talk shows Visits son Provides emotional support to sisters Takes pride in helping customers Employs defense mechanisms
Denial Rationalization
Theoretical model
Crisis Theory
Effectiveness of practice for battered women is limited and controversial in nature. The referenced articles reviewed suggested the possibilities of utilizing a combination of different techniques when addressing the complex aspects faced by females exposed to domestic violence.
Theory driven problem statement
Crisis
Assessment
Crisis intervention -Triage Assessment Form
Planning
Goals Develop safety plan Restore client’s equilibrium Establish timeframe Reduce overall anxiety:
frequency/intensity/duration Modify self-focus Elevate self-esteem Alleviate depressed mood
Planning – cont.
Objectives: Implement details of safety plan Connect with client by demonstrating acceptance,
empathy and reassurance (optimism/hope) Teach calming skills to reduce and manage
anxiety symptoms Explore client’s schema and self-talk; assist in
replacing distorted messages with positive self-talk
Discuss incidents of abuse-how they have impacted feelings about herself
Engage client in activities that provide pleasant results
Intervention models
Intervention strategies
Ego support techniques Exploration/ventilation Sustainment Person-situation reflection Education Direct influence Partializing
Intervention strategies – cont. Cognitive-behavioral techniques
Cognitive modification Systematic desensitization Positive and negative reinforcement Assertiveness training Relaxation techniques Stress management Problem solving
Evaluation
Scales
Conflict Tactics Scale Observation
Ways of Coping Questionnaire Journaling
Clinical Anxiety Scale Domestic Violence Survivor Assessment
Beck Depression Inventory Outcome Rating Scale
Attribution Questionnaire Session Rating Scale
Outcome
Stabilization – provided safe & supportive environment Establishment of trusting relationship – encouraged
client to narrate her story demonstrating empathy and authenticity.
Relaxation techniques- practiced abdominal breathing, progressive muscle relaxation. Encouraged use of soothing music and lavender scent in bedroom.
Working on: identifying maladaptive automatic thoughts and cognitive schemas “I am a failure because I cannot have a successful
relationship ” “How can I be so stupid to fall in love with same type of
men” “I am unable to study because I cannot concentrate” “What will my friends and family think of me ?” “Cannot stop worrying about what will happen if….”
Conclusion
Lessons learned The power of empathic listening Resilience of women Importance of critical thinking
Enjoyed Possibilities of empowering clients
Personal challenges Recognizing/trusting my strengths
References
Abel, E.M. (2000). Psychosocial Treatments for Battered Women: A Review of Empirical Research. Research on Social Work Practice, Vol. 10 No. 1, p. 55-77
Antony, M.M., Orsillo, S.M., & Roemer, L. (2001). Practitioner’s Guide to Empirically Based Measures of Anxiety. NY: Plenum
Briere, J. & Jordan, C.E. (2004) Violence Against Women Outcome Complexity and Implications for Assessment and Treatment. Journal of Interpersonal Violence, Vol. 19 No. 11, November 2004 1252-1276
Burke, J.G., Denison, J.A., Gielen, A.C., McDonnell, K.A., & O’Campo, P. (2004). Ending Intimate Partner Violence: An Application of the Transtheoretical Model. American Journal of Health Behavior, 28(2): 122-133. Campbell, A., & Hemsley, S. (2009). Outcome Rating Scale and Session Rating Scale in Pyschological Practice: Clinical utitlity of ultra-brief measures . Clinical Psychologist, Vol. 13, No. 1, p.1-9
Carlson, B.E. (1997). A Stress and Coping Approach to Intervention with Abused Women. Family Relations, Vol 46, No. 3
References (cont.)
Dienemann, J., Glass, N., Hanson, G., & Lunsford, K. (2007). The Domestic Violence Survivor Assessment (DVSA): A Tool for Individual Counseling with Women Experiencing Intimate Partner Violence. Issues in Mental Health Nursing, 28:913–925
Leichsenring, F. (2006). Cognitive-Behavioral Therapy and Psychodynamic Psychotherapy: Techniques, Efficacy and Indications. American Journal of Psychotherapy , Vol. 60, 3, p.233-259
Myer. R. A. & Conte, C. (2006). Assessment for Crisis Intervention. Journal or Clinical Psychology: in Session, Vol. 62(8), 959–970
Van Ingen, D.J., Freiheit, S.R., & Vye, C.S. (2009). From the Lab to the Clinic: Effectiveness of Cognitive-Behavioral Treatments for Anxiety Disorders. Professional Psychology: Research and Practice. Vol. 40, No. 1, p. 69–74
Walsh, J. (2006). Theories for Direct Social Work Practice. CA:Brooks/Cole Cengage Learning