The CAT: A Gender-Inclusive Measure of Controlling and Abusive Tactics

Characteristics of people who report firearm suicidal ideation in the USA

OBJECTIVES

Firearms are the most common method of suicide, yet little is known about the attributes of people who contemplate firearm suicide. The objective of this study was to describe people who endorse firearm suicidal ideation (FASI) in terms of associations with gun ownership and experiences, mental health problems, substance use, antisocial behaviour and personality characteristics.

METHODS

Data were collected as part of a national online survey of adults living in the USA, the cross-sectional sample from wave 8 was analysed (N=1579). Logistic regression and analysis of variance models were fit to examine the associations between lifetime FASI and gun ownership and experience, and several mental health, substance use, antisocial behaviour and personality variables.

RESULTS

The rate of lifetime FASI was 10.2% (n=161). FASI was associated with gun ownership and more experience with firearms, as well as higher levels of depressed mood, anxiety, suicidal ideation, self-harm behaviours, past suicide attempts, alcohol and drug use, antisocial behaviour and intimate partner violence. In terms of personality traits, FASI was associated with greater negative emotions, desire for power but also feeling powerless, and lower agreeableness and conscientiousness.

CONCLUSIONS

While not common, FASI is not rare and has a profile characterised by higher-intensity mental health problems, substance use, antisocial behaviour and personality traits associated with severe externalising problems and suicide. Research on FASI as a distinct construct should continue given the high lethality of firearms as a method of suicide.

Who bought a gun during the COVID-19 pandemic in the United States?: Associations with QAnon beliefs, right-wing political attitudes, intimate partner violence, antisocial behavior, suicidality, and mental health and substance use problems

There was a large spike in gun purchases and gun violence during the first year of the COVID-19 pandemic in the United States. We used an online U.S. national survey (N = 1036) to examine the characteristics of people who purchased a gun between March 2020 and October 2021 (n = 103) and compared them to non-gun owners (n = 763) and people who own a gun but did not purchase a gun during the COVID-19 pandemic (n = 170). Compared to non-gun owners, pandemic gun buyers were younger and more likely to be male, White race, and to affiliate with the Republican party. Compared to non-gun owners and pre-pandemic gun owners, pandemic gun buyers exhibited extreme elevations on a constellation of political (QAnon beliefs, pro-gun attitudes, Christian Nationalism, approval of former President Donald Trump, anti-vax beliefs, COVID-19 skepticism; mean Cohen's d = 1.15), behavioral (intimate partner violence, antisocial behavior; mean d = 1.38), mental health (suicidality, depression, anxiety, substance use; mean d = 1.21), and personality (desire for power, belief in a dangerous world, low agreeableness, low conscientiousness; mean d = 0.95) characteristics. In contrast, pre-pandemic gun owners only endorsed more pro-gun attitudes (d = 0.67), lower approval of President Joe Biden (d = -0.41) and were more likely to be male and affiliate with the Republican party relative to non-gun owners. Pandemic gun buyers represent an extreme group in terms of political and psychological characteristics including several risk-factors for violence and self-harm.

Intimate Partner Violence Perpetrated by Men Seeking Help: The Explanatory Roles of Psychological Distress and Affect Dysregulation

Despite an increase in research initiatives and prevention campaigns, intimate partner violence (IPV) remains a public health problem that affects many victims worldwide. The current study aims to examine whether psychological distress symptoms (anger, depression, and anxiety) are indirectly related to the perpetration of IPV (physical assault, psychological abuse, and coercive control) through affect dysregulation (AD) in men seeking help. Online questionnaires assessing psychological distress symptoms, AD, and violent behaviors were completed by 335 adult men entering treatment for IPV. A path analysis model revealed the indirect associations between psychological distress symptoms and higher IPV perpetration through higher AD. Symptoms of anger were indirectly related to the three forms of perpetrated IPV through higher AD. Symptoms of depression were, directly and indirectly, related to the three forms of perpetrated IPV through higher AD. Finally, symptoms of anxiety were directly related to lower physical assault perpetration, and indirectly related to higher physical assault and coercive control perpetration through higher AD. The final model explained 10% of the variance in perpetrated physical assault, 23% of the variance in perpetrated psychological abuse, and 13% of the variance in perpetrated coercive control. These results underline the necessity of assessing and addressing symptoms of psychological distress and AD among men perpetrators in the treatment of IPV.

Assessing Polyvictimization in a Family Justice Center: Lessons Learned From a Demonstration Project

There is a growing interest in developing comprehensive assessments that measure intimate partner violence (IPV) alongside other adverse events that correlate with IPV and compound its effects. One promising line of research in this area has focused on the impact of exposure to multiple types of victimization, i.e., polyvictimization. The purpose of this study is to examine the experience of administration of a polyvictimization tool from staff and client perspectives in order to inform future tool developments and assessment procedures. Qualitative interviews and focus groups with clients and staff from a family justice center who had experience with the assessment tool were used to identify strengths and challenges of the assessment too and inform future tool development. Findings demonstrate that an assessment tool provides the space for clients to talk about trauma and facilitate empowerment, while providing the opportunity for psychoeducation and service referrals. Concerns about the assessment tool included adverse reactions without proper framing and language, as well as shifting the emphasis from screening for adversities toward strengths, coping skills, and resilience. Implications for future measurement development and establishing best practices in polyvictimization assessment are discussed, with an emphasis on the benefits of social service agencies utilizing assessment tools.

Validation of the Psychological Maltreatment of Women Inventory for Chinese Women

This study aimed to revise and validate a Chinese version of Psychological Maltreatment of Women Inventory (C-PMWI). In the preparation phase, the PMWI was first revised for the possible cultural differences between Chinese and non-Chinese women. Supplementary items on use of electronic devices as a contemporary form of monitoring were added. Forward and back translated items were reviewed by a panel of intimate partner violence (IPV) experts, resulting in the scale-level content validity index of 0.94. Cognitive debriefing was conducted to confirm comprehensibility. The newly revised measure was administered to the sample of 1,198 Chinese women, recruited from community centers and shelters in Hong Kong. Exploratory factor analysis conducted on data from half the sample revealed a two-factor structure similar to the original English version: emotional-verbal and dominance-isolation. This structure was verified by confirmatory factor analysis with the other half of the sample. Known-groups validity was demonstrated by significant differences in scores between women with different relationship histories. Moderate-to-strong correlations of the C-PMWI with other forms of IPV, controlling behaviors, relationship satisfaction, and depression established convergent validity. The C-PMWI showed good internal consistency, with Cronbach's alpha >.9 for the entire scale and each subscale. The intraclass correlation across administrations 2 weeks was >.9, demonstrating test-retest reliability. The use of the comprehensive validation procedures in the present study provided evidence for both cultural appropriateness and satisfactory psychometric properties of the C-PMWI. The C-PMWI shows promise as a useful instrument for research and clinical practice with Chinese women.

Investigating whether controlling and aggressive relationship behaviors are discriminant

Control is theorized as central to intimate partner aggression (IPA). Tools measuring nonphysical "controlling behaviors" in relationships have therefore been developed to identify the latent construct of control. However, the underlying assumption that "controlling behaviors" form a distinct subset of IPA has not been validated. This study investigates the divergent validity of acts considered as "controlling behaviors" against other aggressive acts used in relationships. The IPA and relationship literatures were reviewed to identify 1,397 items involving "controlling," physical, sexual, and psychologically aggressive acts perpetrated and/or experienced by an intimate partner. In total, 101 item pairs were identified and used to measure IPA tactics across these categories. In Study 1, exploratory factor analysis in a community sample (N = 561) found no evidence of a distinct factor of "controlling behaviors." Behaviors labeled as "controlling" in existing measures were distributed across other factors, including "eclectic aggression," "direct psychological aggression," and "monitoring acts." In Study 2A (N = 424 students), confirmatory factor analysis replicated the results of Study 1 and established configural measurement invariance (Study 2B), indicating no evidence for psychometric differences between samples. These results indicate that behaviors described as "controlling" in existing measures were not statistically distinguishable from other forms of IPA, and suggest that future research should investigate motivational, rather than behavioral, differences in the use of IPA. The findings challenge research to confirm whether a set of discrete behaviors can be used to accurately identify control in relationships and question the validity of tools that adopt this methodology.

Associations Between Attachment Insecurities and Psychological Violence in a Sample of Court-Mandated Batterers

We conducted a survey-based study looking at the associations among attachment insecurities (anxiety and avoidance), relationship functioning, and psychological domestic violence. We looked at three relationship functioning variables (i.e., anger management, communication, and conflict resolution) and three domestic psychological violence variables (i.e., derogation and control, jealous-hypervigilance, and threats-control of space). Data were collected from 76 male and 21 female court-mandated batterers. Participants completed the self-report measures of attachment insecurities, relationship functioning, and psychological domestic violence-related variables. Overall, attachment insecurities were negatively associated with relationship functioning and positively associated with psychological domestic violence outcomes. Among the whole sample, attachment anxiety correlated positively with derogation and control and with jealous-hypervigilance. There were also differential attachment associations by gender. Attachment anxiety correlated positively with threats of controlling space only among men, and with derogation and control and jealous-hypervigilance only among women. Finally, avoidance correlated negatively with communication only among women. Overall, this pattern of results is consistent with predictions derived from attachment theory: attachment insecurities are associated with poor relationship functioning and high rates of domestic violence.

Patterns in Coercive Controlling Behaviors Among Men Mandated for Batterer Treatment: Denial, Minimization, and Consistency of Tactics Across Relationships

The current study sought to explore if perpetrators of intimate partner violence use coercive control behaviors in their first romantic relationship and subsequent treatment relationship, how behaviors are recalled, if there is a pattern in the behaviors used, and the denial and minimization techniques to explain coercive control behaviors. In their first relationship narratives, 48.15% recalled a fight with 14.8% reporting coercive control behaviors. In narratives from the treatment relationships, 61.73% reported coercive control behaviors. Denial and minimization tactics were present as participants described fights where coercive control tactics were used. Results and their implications for treatment programs will be discussed.

Domestic Violence Perpetrator Programs: A Proposal for Evidence-Based Standards in the United States

In the United States, the judicial system response to violence between intimate partners, or intimate partner violence (IPV), typically mandates that adjudicated perpetrators complete a batterer intervention program (BIP). The social science data has found that these programs, on the whole, are only minimally effective in reducing rates of IPV. The authors examined the social science literature on the characteristics and efficacy of BIPs. More than 400 studies were considered, including a sweeping, recently conducted survey of BIP directors across the United States and Canada. Results of this review indicate that the limitations of BIPs are due, in large part, to the limitations of current state standards regulating these programs and, furthermore, that these standards are not grounded in the body of empirical research evidence or best practices. The authors, all of whom have considerable expertise in the area of domestic violence perpetrator treatment, conducted an exhaustive investigation of the following key intervention areas: overall effectiveness of BIPs; length of treatment/length of group sessions; number of group participants and number of facilitators; group format and curriculum; assessment protocol and instruments; victim contact; modality of treatment; differential treatment; working with female perpetrators; working with perpetrators in racial and ethnic minority groups; working with lesbian, gay, bisexual, and transgender (LGBT) perpetrators; perpetrator treatment and practitioner–client relationships; and required practitioner education and training. Recommendations for evidence-based national BIP standards were made based on findings from this review.

A Survey of Domestic Violence Perpetrator Programs in the United States and Canada: Findings and Implications for Policy and Intervention

A 15-page questionnaire, the North American Domestic Violence Intervention Program Survey, was sent to directors of 3,246 domestic violence perpetrator programs (also known as batterer intervention programs, or BIPs) in the United States and Canada. Respondent contact information was obtained from state Coalitions Against Domestic Violence and from various government agencies (e.g., Attorney General) available on the Internet. Two hundred thirty-eight programs completed and returned the questionnaire, a response rate of 20%. The survey yielded descriptive data on respondent characteristics; program philosophy, structure, content, and service; client characteristics; treatment approach and adjunct services; and group facilitator views on intervention approaches and domestic violence policy and treatment standards. The programs varied in the extent to which they adhere to treatment approaches suggested by the empirical research literature. In addition, chi-square analyses were conducted on the associations between several factors. Significant correlations were found between respondent low level of education and adherence to a feminist-gendered program philosophy; respondent low level of education and use of a shorter assessment protocol; feminist-gendered program philosophy and incorrect facilitator knowledge about domestic violence; and feminist-gendered program philosophy and a program focus on power and control as the primary cause of domestic violence.