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Discussions of Current Research on Intimate Partner Violence in Immigrant Communities

Intimate Partner Violence is one of a very few types of human behavior that appears to be present in virtually every culture around the world. Until recently, violence between spouses has been generally treated as a private, “family” matter. Only in the past three decades has family violence been treated as a matter appropriate for intervention by the State (i.e. police, judicial system, public assistance, etc.).

Resistance to reform in this area continues to exist, even in some of the most liberal, contemporary societies. In this country, not only do we have resistance to ending IPV among long-term residents, but more especially among immigrant communities in which gender-equity issues have not yet become highly prioritized.

Working with such immigrant clients creates a special set of difficulties for service providers assigned to assisting the victims of family violence. The term “cultural competency” has been introduced into many professional fields, with the expectation that service providers will maintain some level of respect for cultural difference. Sadly, service providers are generally not given additional educational materials that might help them to better understand the nature of the difference in these values.

Part of the problem is that research on IPV in general, as well as related to specific immigrant groups, appears in a broad range of professional publications. It would be virtually impossible for any single individual to access all the research in publication, much less to be able to access meaning often buried in professional jargon.

For these reasons, the Vinapa Foundation is in the process of soliciting the assistance of a group of qualified professionals in various fields to review and condense current research under discussion in the fields of anthropology/area studies, criminology, epidemiology, law, medicine, psychology, and social work. These are meant to make accessible new data and theoretical ideas to all professionals and volunteers who serve the needs of IPV clients, especially those recently immigrated to this country. Professionals are strongly encouraged to access reviews from fields other than their own. Some discussions will be surprisingly similar, but in each field, there are specific issues related to IPV that are useful for all professionals to know about.

The discussions begin with a brief series of citations developed by the foundation’s president, Dr. Nina Egert, based upon materials provided to her in part by the original group of research assistants (Maryann O’Leary-Salas, Sunita Puri, Har Wan Tan, Naomi Inagaki, Samantha Test, Helen Choi). Topics that follow are reviewed by the individuals as indicated, and edited by Dr. Egert and the web designer.

Reviewers:
Karen Davis, MPH, MSW, Bronx District Public Health Office
Camie Jeske, MA, Adjunct Faculty, Northeastern University
Lauren Shebairo, MSW, MPH, Bostons Center for Refugee Health and Human Rights

  • Recommended Article on Cultural Competency
  • Problems Associated with Collecting Statistical Data Among IPV Survivors
  • Rates of Domestic Violence in Non-white Populations
  • Efficacy of Women’s Police Stations in Latin America: Three Articles
  • Nature vs. Nurture: Two Cutting-edge Studies on the Effects of Childhood Violence on Adult Health
  • Recommended Reading on Sex Trafficking

    Anthropology/Areas Studies
    (Reviewed by Nina Egert, Ph.D.)
  • Two Studies on Violence in the Cambodian Community

    Criminology
    (Reviewed by Camie Jeske)
  • Immigrant Victims from the Perspective of Law Enforcement
  • Dating Violence in Latino Community
  • Re-study of Police Records to Determine Conditions Fostering Prosecution in IPV Cases
  • Two Approaches to Considering South Asian IPV
  • Criminal Justice in the Vietnamese Community
  • Policing IPV Among Ethnic Populations- Three Perspectives

    Epidemiology
    (Reviewed by Karen Davis)
  • Three surveys on consequences of IPV
  • Three Literature Reviews on IPV
  • IPV in the Latina Community
  • Case-controlled study on Femicide
  • Two Studies on IPV in Specific Asian Ethnic Populations

    Social Work
    (Reviewed by Lauren Shebairo, MSW, MPH)
  • Domestic Violence and Social Work
  • Welfare Policy and Domestic Violence
  • Domestic Violence and Welfare Policy Among Diverse Populations
  • Educational Resources for Social Work with Immigrant Survivors of Domestic Violence
  • Domestic Violence in the South Asian Immigrant Community
  • Cultural Competency
  • Barriers to Services for Immigrant Domestic Violence Survivors

    Law
    Coming soon

    Medicine
    Coming soon

    Nursing
    Coming soon

    Psychology
    Coming soon


    General Issues Regarding IPV

    Recommended Article on Cultural Competency (n.e.)


    Problems Associated with Collecting Statistical Data Among IPV Survivors (n.e.)
    "Researching Domestic Violence against Women: Methodology and Ethical Considerations," by Ellsberg, Heise, Pena, Agurto Winkvist in STUDIES IN FAMILY PLANNING 2001:32(1): 1-16 "Ethics in family Violence Research: Cross-cultural Issues" by Lisa Fontes in FAMILY RELATIONS 1998; 47(1); 53-61

    Accessibility:
    Intended for psychotherapists and counselors, researchers

    Key Points:
    Due to sensitive nature of subject matter, accurate statistical data on issues related to domestic violence is extremely difficult to obtain.

    As Fontes states "Participating in research might put (a subject) at risk psychologically, physically, socially, or politically." (p. 59)

    These articles speak to two sets of problems in obtaining data:

    1. Ellsberg, et al, found "focused" questionnaires on domestic violence (in Nicaragua) more effective than deriving data from general health surveys.
    2. In both instances, clients' fear of inadequate privacy leads to underreporting of DV incidences. However, "the most important factors influencing disclosure are adequate training and support of interviewers that include such safety measures as guaranteed privacy." (p. 7-8)

    Fontes examines researcher/subject power dynamics:

    • "In a research setting the researcher is always more powerful than the participant." (p. 54)
    • "Research and science are socially constructed concepts. Research is funded by those in power." (p. 55)
    • Participation in a research project can bring harm to subject or her culture.
    • Researchers are able to leave a setting; clients cannot, and are therefore vulnerable to consequences.

    Both studies recommend providing post-interview counseling for subjects to process emotional material revealed during session.

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    Rates of Domestic Violence in Non-white Populations (n.e.)


    Efficacy of Women’s Police Stations in Latin America: Three Articles (n.e.)
    "In Search of Solutions: Women’s Police Stations in Brazil," by Dorothy Thomas in WOMEN AND VIOLENCE 1994: 32-43.

    "Constructing and Negotiating Gender in Women’s Police Stations in Brazil," by Sara Nelson in LATIN AMERICAN PERSPECTIVE 1996:23(1): 131-148

    "Peru: Law of Protections from Family Violence," by WOMEN’S RIGHTS DIVISION OF HUMAN RIGHTS WATCH: 1-20.

    Accessibility:
    All three articles are directed toward the general public.

    Key Points:
    Brazil (followed by rest of Latin America) established female-run police stations in order to address the needs of abused women. Efforts to document and treat domestic violence have improved, but only slightly, under these programs.

    All three articles find that deep-seated cultural prejudices against women prevent the programs from being more effective.

    1. female police officers are granted lesser status, therefore less power to assist
    2. laws and court actions are insufficient
    3. women are requires to participate in reconciliation counseling with batterer before divorce proceedings can be brought

    The Human Rights article makes several suggestions as to how medical and legal practitioners can remedy these problems.

    Comments:

    • These articles are relevant for all service providers.
    • The underlying issue is that we may establish programs that sound productive in theory.
    • However, vestiges of cultural and institutional prejudices against women may serve to undermine our best efforts at providing services.
    • This is as true in the United States, as elsewhere

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    Nature vs. Nurture: Two Cutting-edge Studies on the Effects of Childhood Violence on Adult Health (n.e.)
    "Role of Genotype in the Cycle of Violence in Maltreated Children," by Caspi, McClay, Moffitt, Craig, Taylor, Poulton in SCIENCE 2002; 297: 851-853.

    "The Relation Between Adverse Childhood Experiences and Adult Heath: Turning Gold into Lead," by Vincent Felitti in THE PERMANENTE JOURNAL; 2002: 6:1 (internet)

    "Household Dysfunction, and the Risk of Attempted Suicide Throughout the Life Span: Findings from the Adverse Childhood Experiences Study" by Dube, Anda, Felitti, et al in JAMA 2001; 286:3089-3096.

    "Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading causes of Death in Adults. The Adverse Childhood Experiences (ACE) Study." AMERICAN JOURNAL OF PREVENTATIVE MEDICINE 1998 May; 14(4): 245-58.

    Accessibility:

  • Caspi, et al, is directed at the scientific community.
  • Language is technical, with many statistical charts.
  • Articles on the Adverse Childhood Experiences (ACE) study are available in a variety of levels, from deeply technical to broadly general.
  • Many are available on the internet, by searching Google.

    Scope: (Caspi, et al):
    The Caspi, et al study followed a closed population in New Zealand from infancy to adulthood, measuring childhood exposure to abuse and resultant adult violence.

    Focus:
    Scientists had previously discovered a genetic predisposition to violence among laboratory rats. The site in question was the MAO-a receptor site on the X chromosome. The study was set up to determine whether this site was a factor in determining violence in humans as well.

    Findings:

    • Definitive evidence demonstrating that both genetic predisposition and environmental exposure to violence are factors that shape adult violence.
    • Maltreated children possessing low levels of the neurotransmitter-metabolizing enzyme, MAO-a, statistically more likely to become violent as adults.
    • Study offers explanation for why males tend to become more violent than females. Because the MAO-a receptor site is located on the X chromosome, male children (i.e. one X chromosome) are more vulnerable to genetic predisposition to violence.

    Comments:

    • Study has serious implications for service providers.
    • We need to reassess behavior modification strategies and policies in light of physiological predisposition.
    • Study suggests that it may be useful to include pharmaceutical intervention in the treatment of batterers.

    Scope: (ACE study):

    • A joint study by Kaiser Foundation and the Center for Disease Control.
    • Interviewed a large number of adults from a broad range of backgrounds.

    Focus:
    Looking for correlation between exposure to a variety of forms of childhood trauma and later adult health issues.

    Findings:

    • Number of adult health issues directly proportional to number of types of adverse childhood experience
    • If one type of adverse condition present in the home, other forms will likely be present
    • All types of trauma appear to have similar health implications-
      IPV treated merely as one form of adverse condition-
      Abandonment proves to be most detrimental form of trauma
    • Health implications, from weight-loss to workplace absenteeism.

    Hypothetical Explanation:
    Trauma produces stress hormones in various areas of the brain, directly affecting psychological and physical development in children.

    Comments:

    • Implications of study are huge. Potential to change legal and medical models.
    • Unlike the Caspi study, however, the ACE Study only considers environmental factors, not genetic predisposition.
    • Further study is needed in regards to the relationship between these findings and genetic factors.

    Neither Caspi, et. al. nor the ACE Study speaks directly to IPV, nor to issues of ethnicity. They have been included on this website because they have broad implications for both issues.

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    Anthropology/Area Studies

    Two Studies on Violence in the Cambodian Community (n.e.)
    Buddha is Hiding: Refugees, Citizenship, the New America. Aiwa Ong, University of California Press, 2003.

    Why Did They Kill? Cambodia in the Shadow of Genocide. Alex Hinton. University of California Press, 2005.

    Accessibility:
    Intended audience: academic anthropologists. Both books address abstract theoretical topics:

    • Hinton, using primarily linguist analysis, looks at underlying cultural values that can be transformed into ideological propaganda in order to enable normally peaceful individuals to participate in genocidal activity.
    • Ong looks at the issue of identity in relationship to the State among immigrant populations.

    Who else might benefit?
    Useful to service providers from every field who work with SE Asian immigrants. Both books identify Cambodian cultural values and customs.

    Ong provides a potent critique of psych/ medical services to immigrants. Hinton’s discussion of status, shame, and violence useful for work with gangs.

    Key Points: (Hinton)
    Hinton identifies several cultural values that inhibit or promote violence:

    1. Buddhist value of dissipating anger (inhibits violence)
    2. Disproportionate revenge (promotes violence):
      • Taking “a head for an eye”,
      • Delivering greater punishment than original offense.
      • Need to fully eradicate offenders.
    3. Patron/client system of reciprocal loyalty (promotes violence)
    4. Buddhist notion of "impermanence" distorts into paranoia ever-present possibility of loyalty switching (promotes violence)
    5. Valorization of desensitization (“cutting off the heart”) enabled individuals to commit atrocities (promotes violence)

    Critique:
    Hinton fails to consider pre-Khmer Rouge values regarding violence in the domestic front, both between family members and in relationship to animals. Not only would these findings greatly enhance the work of service providers, but Hinton’s omissions greatly weaken what is otherwise a brilliant theoretical analysis.

    (Fortunately, Ong does not omit this information.)

    Key Points: (Ong)
    Ong discusses how Cambodian refugees in the Bay Area utilize welfare agencies to forge new world roles and identities (gender, family, power, healthcare, religion). Changes in these roles are specifically in relationship to the State.

    Ong borrows from Foucault in critiquing power imbalances in the delivery of bio-medical healthcare:

    Power imbalances are heightened when patient and health care providers have culturally different understandings of body and pathology.

    Psychotherapists tend to assign pathologies (PTSD, depression) based upon patients’ communication and behavior during clinical visits, rather than understanding these as culturally-based responses to professionals (figures of authority). For example:

    • It is inappropriate to verbally contradict an authority figure.
    • Verbal passivity may mask shame at reporting condition
    • Women experience deep shame when exposing genital regions (e.g. to ob/gyn)

    Many older Cambodian refugees have witnessed (or in some cases perpetrated) extreme violence during the killing field episode. However, individual psychological responses may or may not replicate those demonstrated by individuals from other cultures.

    Many women have been raped (and therefore are in need of counseling), but may be ashamed to discuss the incident(s) with professionals.

    It is unclear as to actual rate of frequency of male–to-female spousal abuse in the home country (reports vary).

    Once individuals become caught up in the role of victim receiving government assistance, reporting domestic violence increases attention from social workers and police. DV can become a bonding issue around which government workers and Cambodian immigrant women interact (p.143)).

    Physicians may misdiagnose medical or psychiatric problems. These may be adjustment disorder related to new cultural conditions rather than a response to previous trauma.

    Service providers can become overzealous and imposing “American”, rather than indigenous diagnoses and solutions on clients: “Refugee love may be considered a liberal variation of humanitarian domination, as enacted by refugee workers, social workers, the police, and some health providers, who in their various capacities provide pastoral care in the broadest sense to refugees. (p.146)”

    Male and female roles reverse as women, in an advantageous position to receive AFDC, Medicare, etc. become primary economic providers for families.

    Loss of male status leads to shame, and can foster vengeful activity, ie. DV.

    Strengths/Limitations:
    Ch. 1-7 are especially useful for service providers. (topics: domestic violence, social adaptations made by Cambodian immigrant community, critique of power dynamics in social services.)

    Ong tends to treat informants as victims. She appears to be less willing than Hinton to acknowledge individual agency regarding participation in Cambodian genocidal violence.

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    Criminology

    Immigrant Victims from the Perspective of Law Enforcement (c.j.)
    "Access to Justice for Immigrants Who are Victimized: The Perspectives of Police and Prosecutors," by Davis, R.C., Erez, E., & Avitablile, N., in CRIMINAL JUSTICE POLICY REVIEW 2001; 12(3): 183-196.

    Accessibility:

    • intended audience: professional academic criminologists
    • dense with statistical information and criminological jargon
    • useful to police officers, prosecutors, and domestic violence advocates

    Focus:
    Authors point out several features of the criminal justice system that makes it less than user-friendly to immigrant victims of crime in general (especially in cases of domestic violence).

    Scope:
    Statistics derived from surveys and phone interviews with police chiefs and prosecutors.

    Findings:
    67% of the officials surveyed indicated that they sense a great amount of underreporting by immigrant crime victims

    A breakdown of underreporting is as follows:

    Type of Crime% of Agencies
    Answering Affirmatively
    Domestic Violence39
    Sexual Assault6
    Gang Violence23
    Extortion5
    Robbery 4
    Burglary2
    Property Damage5

    According to those surveyed there are a few basic reasons for underreporting:

    1. fear of becoming involved with authorities
    2. fear of embarrassing family
    3. language and cultural barriers

    The criminal justice system has made some efforts to erase barriers - 53% of those surveyed report they have some measure in place to counteract underreporting, including:

    Type of Outreach% of Law Enforcement Compliance% of Prosecutor Compliance
    meetings8169
    translators7575
    multi-lingual brochures7372
    staff training3541

    "The results suggest that many metropolitan areas have made some efforts to promote participation of immigrant victims in the criminal justice system. But far more needs to be done to ensure access to justice for this growing segment of society." (p. 183).

    Comments:
    This article is unique in that it contains statistical evidence to support popular notions about ways in which the Criminal Justice system fails to facilitate meaningful access to justice for immigrant crime victims. However, the reader should be aware that those surveyed were all from large US cities. Statistics could vary among rural populations.

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    Dating Violence in Latino Community (c.j.)


    Re-study of Police Records to Determine Conditions Fostering Prosecution in IPV Cases (c.j.)
    "Domestic Violence and Victims’ Behavior in Favor of Prosecution: Effects of Gender Relations," by Bui, H. in WOMEN AND CRIMINAL JUSTICE 2001; 12(4): 51-56.

    Accessibility:

    • Intended for academic criminologists
    • May also benefit police officers, prosecutors, and court
    • Dense with criminological jargon, statistical charts, tables, and formulas

    Scope:
    Survey of police records and narratives from domestic violence calls to a police department in Texas.

    Focus:
    Study tests four hypotheses regarding successful delivery of justice to IPV victims:

    1. unemployed women with children are less likely to take steps to promote prosecution
    2. women who are charged with mutual combat and who are arrested are less likely to take steps to promote prosecution
    3. African American and Hispanic women are less likely than their white counterparts to take steps to promote prosecution
    4. women who live with their intimate partner are less likely to take steps to promote prosecution

    Findings:

    1. No significant relationship between ethnicity, employment status, and victim’s willingness to bring charges against perpetrator.
    2. Women charged/arrested for mutual combat are less likely to take steps to promote prosecution.
    3. Women who reside with their batterers are less likely to bring charges.

    Key Points:

    1. Statistics show a high rate of dating violence among high school students in general: “Between 12% and 35% of [all] high school students engage in or are victims of physical violence in a dating relationship” (273).
    2. Authors suggest that pro violent attitudes about dating violence may increase the likelihood that actual future intimate violence will occur.
    3. Authors suggest that the Latino youth population is high at risk for dating violence.

    Comment:
    Further study in this area is needed.

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    Two Approaches to Considering South Asian IPV (c.j.)
    1. "Voicing the Silent Fear: South Asian Women's Experiences of Domestic Violence," by Gill, A., in THE HOWARD JOURNAL OF CRIMINAL JUSTICE 2004; 43(5): 465 – 483.

    Accessibility:

    • Intended for other academic criminologists
    • May be beneficial to domestic violence advocates, counselors, and police officials
    • Contains some criminological jargon, but no statistical information

    Scope:
    Author uses anthropological interviewing techniques to obtain data from subjects (an unusual technique in criminology).

    Focus:
    To identify characteristics of domestic violence specific to South Asian communities.

    Findings:

    1. Subjects defined domestic violence in terms of physical violence (as opposed to emotional, sexual, or financial abuse)
    2. Low self-esteem, anxiety, and depression result from all forms of abuse
    3. Subjects indicated that domestic abuse is unacceptable, countering stereotypes of South Asians as accepting IPV
    4. Identified two forms of domestic violence specific to South Asian home:
      1. in-law abuse
      2. forced marriages
    5. Barriers to disclosure reported by the South Asian women:
      1. fear of deportation
      2. fear of police
      3. language barriers
    6. Additional cultural factors that influence failure to report:
      1. potential shame brought to the family honor
      2. buying into the patriarchal structure of society

    2. "Domestic Violence Among Immigrants from India: What We Need to Know – And What We Should Do," by Natarajan, M., in INTERNATIONAL JOURNAL OF COMPARATIVE AND APPLIED CRIMINAL JUSTICE 2002; 26 (2): 301-321.

    Accessibility:

    • Intended for criminologists involved in research
    • Contains tables and graphs and some criminological jargon
    • Criminological theory useful to all DV workers

    Scope:
    Reviews six theories explaining motives for violence against intimate partners

    Findings:

    1. The author presents a concise grid of six theories explaining domestic violence:

      Theory-Driven Preventive Implications for Domestic Violence

      Theory Determinants Focus of Intervention Measures Agency Time Scale
      Feminist Patriarchic society, male dominance, gender role assignments Societal Changes

      Victim

      Improve status of women
      Empowerment skills
      Equal rights education
      Feminist groups,
      Governments
      Women's services
      Long term
      Family violence research Individual personality, psychopathology, substance abuse, family system, subculture Abuser Education, counseling, anger management, cognitive therapy Police referrals
      Psychiatrists/social workers
      Medium term
      Cultural analysis Culture of origin, traditional beliefs and customs, socialization process, family dynamics Societal change Education, legislation, culture-sensitive support services Society at large Long term
      Acculturation Immigrant syndrome, insecurity, isolation, alcohol/drugs, work & financial difficulties, language problems Abuser and Victim Counseling, interpersonal and coping skills, information about local culture and immigration rules Family services, immigration clinics, victim services, health department Medium term
      Victimological Individual and cultural factors Societal change
      Victim
      Emancipation of women, sex education, equal opportunity education Immigrant women advocates, local education departments Long term
      Crime opportunities Lack of guardianship, ready excuses, non-reporting of abuse Abuser
      Victim
      Community policing, neighborhood culture awareness, culture-sensitive training, information and outreach campaigns Law enforcement, Immigrant community leaders, DV task force, counseling services Short term

    2. Natararjan finds that #6, Crime of Opportunity, is the primary reason for domestic violence in the South Asian home.
    3. "The most useful intervention that can be undertaken at the present time is encouragement from the police for abused women in these communities to seek their protection." (317)

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    Criminal Justice in the Vietnamese Community (c.j.)
    In the Adopted Land: Abused Immigrant Women and the Criminal Justice System, by Bui, H., 2004, Praeger Publishers: Connecticut.

    Accessibility:

    • Intended for academicians, policy makers, and authors of legal matters
    • Useful for police officers, prosecutors, and court advocates
    • Moderate amount of criminological jargon, but no statistics

    Scope:

    • Details Vietnamese immigrant women’s experiences with domestic violence and the criminal justice system
    • Based upon interviews with 34 Vietnamese women in four US communities

    Findings:

    1. "Resettlement in the United States has brought about changes in the family lives of many Vietnamese immigrants that…have a major impact on the likelihood of domestic violence" (41).
      Main factors:
      • men’s economic failure and women’s new elevated status
      • feelings of depression, jealousy, and powerlessness among men
      • inconsistency in gender-role expectations
    2. "A variety of structural, cultural, and legal barriers have affected responses to abuse by Vietnamese immigrant women” (41).
      Main factors:
      • economic and cultural isolation
      • legal status in US
    3. Concerns with consequences of criminal justice interventions from the interviewed women include:
      • arrest of abuser
      • possibility of losing income
      • criticism from other family and community members
    4. Many shortcomings exist with current criminal justice policies in regards to these victims, for example:
      • mandatory arrest polices have increased the amount of Vietnamese abused women being arrested
      • police intervention may lead to family disputes/breakups which amplifies the devastating impact on women because of cultural beliefs about the significance of marriage
      • no-drop policies force women into prosecution and may increase the risk of retaliation from their abusers
      • language barriers at all levels of the criminal justice system may allow for family translators who may purposely translate what women say incorrectly
    Comments:
    Article unusual in subject matter. Little attention has been paid to S.E. Asian community in criminological literature.

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    Policing IPV Among Ethnic Populations- Three Perspectives (c.j.)
    “The Police-Citizen Encounter”, chapter five in Domestic Violence: The Criminal Justice Response, 2nd Ed., by Buzawa, Eve. & Buzawa, Carl, 1996, Sage: California.

    Accessibility:

    • Intended for academic criminologists
    • Moderate amount of professional jargon
    • Beneficial to court advocates, police, prosecutors, and domestic violence advocates.

    Focus:
    Book, in its entirety, considers several aspects of the criminal justice system’s response to domestic violence.

    Ch. 5 details aspects of the police-citizen encounter. It questions:

    • why so few victims call the police
    • why the criminal justice system is hesitant to become involved

    Findings:

    1. DV victims do not call the police for the following reasons:
      1. previous bad experiences with police
      2. fear of retribution from the offender
      3. fear of economic loss
      4. many victims suffer from PTSD in which a rational decision may become impossible
    2. Ethnic communities are especially likely to underreport, due to:
      1. community pressure to not involve outsiders
      2. fear of the attention of immigration authorities
    3. Police actions contribute to the low numbers of domestic violence cases entering the criminal justice system.
      1. Dispatchers who screen calls place DV calls as low priority
      2. Police unwilling to arrest domestic violence perpetrators
    Comments:
    This book is nearly a decade old. Data is out-dated in some cases. But it is important to recognize this book as one of the first attempts to hold police and dispatchers responsible for barriers to criminal justice in DV cases.
    "Immigrant Victims of Domestic Violence: Cultural Challenges and Available Legal Protections," by Shetty, S. & Kaguytan, J., 2002, University of Minnesota, Violence Against Women website: Online article available at
    http://www.vaw.umn.edu/documents/vawnet/arimmigrant/arimmigrant.html

    Accessibility:

    • Intended for professionals, clinicians, policy makers, domestic violence and court advocates, and prosecutors
    • Contains a small amount of legal jargon, but clear, brief , concise

    Scope:

    • Study funded by the Department of Justice.

    Focus:
    "The focus of this document is to raise awareness of both the challenges faced by battered immigrant women and some of the legal protections now available to them." (p. 2)

    Findings:

    1. Authors divide challenges faced by immigrant victims of domestic violence into three basic categories:
      1. Cultural
        • many forms of woman abuse are not defined as a crime in various immigrant communities
        • "maintaining family harmony through cooperation and self-sacrifice within these traditional roles are the foundations of many immigrant families" (p. 3)
      2. Economic
        • only means of financial support may be an abusive husband
        • leaving an abusive husband may mean losing extended family (or community) that can provide the immigrant woman with the assistance needed to find work
      3. Legal
        • immigrant women may face a constant threat of deportation by abuser
        • fear of criminal justice institutions (courts, police, etc.)
        • inability to communicate in a common language (some immigrant women do not know or understand the provision of protection orders, for example)
    2. Authors identify some of the means by which women who have been sponsored by abusers can attain legal status in the United States:
      1. VAWA (Violence Against Women Act)
      2. Certain qualified immigrants may apply for asylum in the United States

    "Stopping Domestic Violence in Indian Country," by Leftoff, S., in POLICE CHIEF 2004; 71 (8): 53-56.

    Accessibility:

    • Magazine article, intended for police officials
    • No professional jargon or statistical information
    • Useful for policy makers, police officers, and academic researchers
    • Brief and concise

    Focus:
    Discusses a unique domestic violence program set up by a New Mexican police to work more sensitively and effectively in Navajo communities.

    Findings:

    1. More traditional policing strategies (e.g. imprisonment) have proven unsuccessful in working with domestic violence in Navajo communities
      • "experience has shown that jail can provide opportunities to learn more subtle approaches to abuse and better ways to hide it" (p. 2)
      • "[jail] hardly gets to the roots of the problem, which for Navajos include the aftereffects of a traumatizing history of dislocation and exploitation" (p. 2)
    2. The New Mexico program works by developing a cultural sensitivity to the unique needs of the Navajo community
      • a willingness of outsiders to obtain a deeper knowledge of the community will "foster more effective law enforcement in Indian Country" (p. 1)
    3. The primary method used us for the police to lay back and allow the community elders to dole out punishments from within

    Comments:
    This article appears to be the only discussion in criminal justice literature of culturally sensitive policing of Native Americans.

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    Epidemiology

    Three surveys on consequences of IPV (k.d.)
    1. "World Report on Violence and Health," edited by Etienne G. Krug, Linda L. Dahlberg, James A. Mercy, Anthony B. Zwi, and Rafael Lozano. World Health Organization, 2002. Available online at http://www.who.int/violence_injury_prevention/violence/world_report/en/full_en.pdf

    Accessibility:

    • Semi-technical language.
    • Intended for professional public health audience.

    Scope:

    • IPV is a worldwide phenomenon, occurring in all societies and countries, regardless of religion, culture, economics, or social influences.
    • Worldwide, women are far more likely to be the recipient of IPV inflected by men.

    Focus:

    • Although previously viewed as a human rights concern, IPV is now emerging as a public health problem.

    Findings:

    • Findings from 48 population-based surveys worldwide show that between 10% and 69% of women report physical violence from a male intimate partner (U.S. is 22.1%). The lowest rate was in Paraguay and Philippines (tie); the highest rate was in Managua, Nicaragua.
    • The proportion of women reporting sexual assault from a male intimate partner ranges from 6.2% to 46.7% (7.7% in U.S). The lowest rate was in Japan; the highest rate was in Peru.
    • Women living in poverty are disproportionately affected by IPV.
    • Young age, low income, aggressive behavior, a history of family violence, alcohol use, and marital conflict consistently predict a man’s likelihood of physically assaulting an intimate partners.

    Conclusions:

    • IPV occurs more often in areas where men have economic and decision-making power, such as Bangladesh, Ethiopia, the Republic of Korea, and the West Bank and Gaza Strip.
    • There is a lack of rigorous evaluation of IPV interventions worldwide.
    • WHO recommends the following in developing IPV interventions and actions:
      • IPV interventions should be at all levels (national and local).
      • Women must be involved in the development and implementation of interventions.
      • Efforts must change institutional cultures and policies.
      • Interventions must be multisectoral – health care, judicial, social services.
      • Focus on primary prevention.
    • WHO recommends the following for future IPV research:
      • Standardized methodologies for estimating prevalence, incidence, and risk and protective factors.
      • Longitudinal studies in order to examine trajectory of violence and the lifetime impact of violence.
      • Studies that examine healthy relationships among persons with known risk factors for IPV.
      • Short and long term evaluations of IPV programs and policies.
      • Studies on the economic cost of IPV.
      • Rigorous documentation of all efforts to reduce IPV.

    Strengths/Limitations:

    • Data from studies may not be comparable due to methodological differences, such as inconsistencies in defining violence and abuse, study design differences, and response bias.

    2. "Extent, Nature, and Consequences of Intimate Partner Violence: Findings From the National Violence Against Women Survey", by Patricia Tjaden and Nancy Thoennes. U.S. Department of Justice. July 2000. Available online at http://www.ncjrs.org/pdffiles1/nij/181867.pdf

    Accessibility:

    • Semi-technical language.
    • Intended for professional audience.

    Scope:

    • The National Violence Against Women (NVAW) survey is sponsored by the Centers for Disease Control (CDC) and National Institute of Justice (NIJ).
    • The survey asks women and men about their lifetime experiences as victims of IPV.

    Focus:

    • Generate nationwide estimates on the prevalence and incidence of IPV.

    Design:

    • Telephone interviews of randomly selected U.S. adults.
    • Sample size of 16,000 (8,000 women and 8,000 men).

    Findings:

    • 25% of women and 7.6% of men report ever being physically assaulted in their lifetime.
    • Women are significantly more likely than men to report IPV.
    • 24.8% of white women, 29.1% of African-American women, 15% of Asian/Pacific Islander women, 37.5% of American Indian/Alaska Native, and 30.2% of mixed race report IPV in their lifetime.
    • 23.4% of Hispanic and 25.6% of non-Hispanic women report IPV in their lifetime.
    • Among all racial/ethnic groups, only American Indian/Alaska Native women are significantly more likely to report IPV than women of other racial/ethnic backgrounds.
    • No significant differences found in reports of IPV between Hispanic and non-Hispanic men.

    Conclusions:

    • All racial minorities report more IPV than whites - When data on African-American, Asian/Pacific Islander, American Indian/Alaska Native, and mixed race women are combined, nonwhite women are significantly more likely to report IPV than white women.

    Strengths/Limitations:

    • All differences in reports of IPV among racial/ethnic groups disappeared when other sociodemographic variables were controlled.
    • Differences in rates of IPV among racial/ethnic groups may be due to unwillingness to report IPV to a telephone interviewer. Thus, there may be underreporting among some groups, such as Asian/Pacific Islander women.
    • Survey did not inquire about immigration status.

    3. “Frequency and Correlates of Intimate Partner Violence by Type: Physical, Sexual, and Psychological Battering”, by Ann L. Coker, Paige Hall Smith, Robert E. McKeown, and Melissa J. King, in AMERICAN JOURNAL OF PUBLIC HEALTH, 2000, 90(4), 553-9.

    Accessibility:

    • Technical language.

    Scope:

    • Among women seeking care in primary health care settings, prevalence estimates of IPV range from 7% to 29%.

    Focus:

    • Estimate frequency and correlates of IPV by type (physical, sexual, battering, emotional).

    Design:

    • 1,443 women (ages 18-65) attending two urban family care clinics briefly surveyed.

    Findings:

    • 55.1% reported ever experiencing IPV in a relationship.
    • 20.2% reported currently experiencing some form of IPV.
    • Among those who reported IPV, 77.3% experienced physical or sexual abuse and 22.7% reported emotional abuse.
    • 85.4% of those who reported physical abuse were also battered.
    • Whites were significantly more likely to report physical (but not sexual) abuse.

    Conclusions:

    • Alcohol/drug use by partner was the strongest correlate of all types of IPV.
    • Family history of violence and partner’s unemployment were also strong predictors of all types of IPV.
    • Sexual violence may be a marker for more severe violence and violence escalation.

    Strengths/Limitations:

    • Refusal rate of 10% - although sociodemographic characteristics were the same for refusers and participants, refusers may have different IPV experiences.

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    Three Literature Reviews on IPV (k.d.)
    1. "Review of Partner Physical Aggression Risk Factors", by Danielle A. Black, Julie A. Schumacher, Amy M. Smith Slep & Richard E. Heyman. Edited and prepared for electronic dissemination by Craig M. Allen. December 1999. Available online at http://www.nnh.org/risk/

    Accessibility:

    • Technical language.
    • Intended for professional public health audience.

    Scope:

    • 39 articles on IPV were reviewed.

    Focus:

    • Literature review of risk factors for IPV.

    Findings:

    • The following risk factors were consistently found to be associated with IPV:
      • Age
      • Income
    • The following risk factors were not consistently found to be associated with IPV:
      • Employment status
      • Years of education
    • However, as a composite variable composed of education, occupation, and income, socioeconomic status is a significant risk factor for IPV.
    • The effect of race/ethnicity on IPV is also conflicting, but overall the literature finds that Blacks and Hispanics are at higher risk for IPV compared to White, non-Hispanics.
    Conclusions:
    • IPV occurs more often in areas where men have economic and decision-making power, such as Bangladesh, Ethiopia, the Republic of Korea, and the West Bank and Gaza Strip.
    • Being younger and having lower income increases the risk for IPV.
    • Being unemployed and having lower levels of education may or may not increase the risk for IPV.
    • Hispanic ethnicity may not be a risk factor, but a marker for other demographic characteristics that are risk factors for IPV.
    • It is important to consider acculturation status when examining the effect of race/ethnicity

    Strengths/Limitations:

    • Most of the significant findings were not robust – effect sizes varied from study to study.
    • Important to remember that race/ethnicity is a potential confounder. Future studies examining race/ethnicity must carefully assess the effect of race while controlling all other variables.

    2. "Intimate Partner Violence and Women of Color: A Call for Innovations", by Roberta K Lee, Vetta L. Sanders Thompson, & Mindy B. Mechanic in AMERICAN JOURNAL OF PUBLIC HEALTH, 2002, 92(4), 530-4. Available online at http://www.ajph.org/cgi/reprint/92/4/530

    Accessibility:

    • Technical review of intimate partner violence (IPV) epidemiology and commentary on literature review findings.

    Scope:

    • Review on the scope and magnitude of IPV mortality and violence among women of color.
    • The study used data from the FBI’s Uniform Crime Reporting Program to examine IPV mortality rates.
    • The study used results from the National Violence Against Women Survey to examine the incidence and prevalence of IPV.
    • The study also looked at IPV’s associating health consequences, cultural context, and preventive services.

    Focus:

    • Analysis of national reporting sources and literature review.

    Findings:

    • According to the Uniform Crime Reporting Program, the rate of IPV mortality among African American women is more than twice that for White women.
    • According to the National Violence Against Women Survey, lifetime incidence of IPV is not significantly different between African American and White women.
    • IPV prevalence also not significantly different between rural and urban women.
    • IPV is consistently higher among American Indian women and lower among Asian American women.
    • Hispanic women are more commonly isolated due to language barriers.
    • African-American and American Indian women report greater mental health consequences from IPV.

    Conclusions:

    • Due to a plethora of small, convenience sample studies on IPV, the authors recommend that researchers plan large, carefully designed studies.
    • Recommends that future research and evaluation incorporate perspectives and feedback from women of color.
    • Further recommends more focus on primary prevention of IPV, especially among rural communities of color.

    Strengths/Limitations:

    • Article is not clearly organized and may be confusing for some readers.
    • Small sample sizes among racial/ethnic groups in the national surveys leave room for caution in interpreting results.

    3. "Estimating the Incidence and Prevalence of Violence Against Women", by Richard J. Gelles, in VIOLENCE AGAINST WOMEN, 2000, 6(7), 784-804.

    Accessibility:

    • Technical language.
    • Thorough review of national data systems, although the average reader will be bogged down in details.

    Scope:

    • Prevalence estimates of IPV vary widely.
    • There is no set standard for defining and measuring IPV.
    • Only a few states require mandatory reporting of IPV.

    Focus:

    • Examine the strengths and weaknesses of national data sources of IPV.

    Findings:

    • Currently, the three main sources of IPV data are clinical data, social surveys, and official report data.
    • Official report data is the basis for national data sources, most of which are sponsored by the U.S. Department of Justice.
    • The primary strengths of national data sources are due to the large, representative sample sizes, well-planned and executed studies, and large amount of funding.
    • However, there are many weaknesses:
      • Misclassification of cases may lead to undercounting of actual prevalence of IPV.
      • Missing and incomplete data.
      • Variation in recording and interpretation of reports.
      • Samples are usually composed of women who are "in the system" (i.e. hospital and police records). This is contributes to a possible undercount of the true prevalence of IPV.

    Conclusions:

    • There is no consensus among researchers on how to define violence (including specific types of violence such as physical violence, rape, neglect, psychological, and emotional abuse).
    • National data sources are limited by the accuracy and reliability of police reports.
    • Child abuse is a good template for establishing national IPV standards and reporting mandates.

    Strengths/Limitations:

    • Does not offer concrete solutions, such as how to define IPV.
    • Good, detailed summary of national data sources.

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    IPV in the Latina Community (k.d.)
    1. "Violence Against Women in Mexico: A Study of Abuse Before and During Pregnancy", by Roberto Castro, Corinne Peek-Asa, and Agustin Ruiz, in AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93(7), 1110-6.

    Accessibility:

    • Semi-technical language.

    Scope:

    • International prevalence estimates of IPV during pregnancy range from 4% to 25%.

    Focus:

    • Identify prevalence of IPV during pregnancy.
    • Examine risk factors associated with IPV during pregnancy.

    Design:

    • 914 women in their third trimester recruited from health care clinics in urban Mexico.
    • Interviews conducted in Spanish.

    Findings:

    • 24% of women reported IPV before and 25% reported IPV during their pregnancy (not statistically significant).
    • Physical and sexual violence decreased significantly during pregnancy, but emotional violence increased significantly.
    • Younger age, low socioeconomic status, and violence prior to the pregnancy significantly associated with IPV during pregnancy.

    Conclusions:

    • Pregnancy is not an initiating factor for violence.
    • Intergenerational violence is highly predictive of IPV during pregnancy.

    Strengths/Limitations:

    • Self-reports may lead to recall bias and underreporting.
    • Very low refusal rate – less than 1% of women approached refused to participate.

    2. "Prevalence and Predictors of Physical Partner Abuse among Mexican American Women", by E. Anne Lown and William A. Vega in AMERICAN JOURNAL OF PUBLIC HEALTH, 2001, 91(3), 441-445. Available online at
    http://www.ajph.org/cgi/content/abstract/91/3/441

    Accessibility:

    • Technical language.
    • Intended for professional public health audience, particularly epidemiologists and researchers.

    Scope:

    • Prevalence estimates of IPV among Hispanic women range from 10.5% to 17.3%.
    • The authors suggest that differences in research design and levels of acculturation may explain this wide range of prevalence estimates.

    Focus:

    • What is the IPV prevalence among women of Mexican origin?
    • What role does birthplace play in the prevalence of IPV?

    Design:

    • Unique in that it samples exclusively Mexican American women from rural, town, and urban settings.
    • Bilingual interviews
    • Sample of 1,155 women (large sample size)

    Findings:

    • 11% of all respondents report physical abuse.
    • 15.8% of women born in the U.S. and 7.1% of women born in Mexico report physical abuse
    • Women born in the U.S. are 2.45 times more likely to report IPV compared to women born in Mexico.
    • Women living in a rural area are 2.5 times more likely to report IPV compared to women living in an urban area.
    • Other factors associated with reporting IPV: younger age, not attending church or infrequent church attendance, and having four or more children.

    Conclusions:

    • Alcohol/drug use by partner was the strongest correlate of all types of IPV.
    • Family history of violence and partner’s unemployment were also strong predictors of all types of IPV.
    • Sexual violence may be a marker for more severe violence and violence escalation.

    Strengths/Limitations:

    • Only asked about physical abuse.
    • Did not include divorced or separated women. This group of women may be at a greater risk of IPV compared to women with current partners.

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    Case-controlled study on Femicide (k.d.)
    "Risk Factors for Femicide in Abusive Relationships: Results from a Multisite Case Control Study", by Jacqueline Campbell, Daniel Webster, Jane Koziol-McLaine, Carolyn Block, Doris Campbell, Mary Ann Curry, et al. in AMERICAN JOURNAL OF PUBLIC HEALTH 2003, 93(7), 1089–97. Available online at http://www.ajph.org/cgi/reprint/93/7/1089

    Accessibility:

    • General audience.
    Scope:
    • 67-80% of intimate partner homicides involve physical abuse prior to the murder.
    • Femicide is the leading cause of death among African-American women aged 15-45.
    • Identification and intervention among women at risk for IPV may help prevent many intimate partner homicides.
    Focus:
    • Identify risk factors for IPV resulting in intimate partner femicide.
    Design:
    • 11-city case-control study.
    • Non-random identification of cases (n=220) and random identification of controls (n=343).
    • Data sources include interviews (direct for controls, proxies for cases) and police record analysis.
    Findings:
    • Risk factors for femicide include partner’s access to a gun, partner’s stepchild in the home, estrangement from partner, and partner’s unemployment.
    • Protective factors against femicide include never living together and prior domestic violence arrest.
    Conclusions:
    • The strongest risk factor for femicide was the abuser’s lack of employment (odds ratio = 5.09).
    • Race/ethnicity was not associated with intimate partner femicide after controlling for other demographic variables.
    • 70% of the femicide victims were physically abused prior to their death.
    • Health care professionals working with abused women need to be extremely assertive about their risk of homicide.
    Strengths/Limitations:
    • Large sample size.
    • Included a control group.
    • Reliance on proxy interviews an important limitation in validity of results.
    • Only women from urban areas included in study.

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    Two Studies on IPV in Specific Asian Ethnic Populations (k.d.)
    1. "Immigrant South Asian Women at Greater Risk for Injury from Intimate Partner Violence", by Anita Raj & Jay G. Silverman in AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93(3), 435-7. Available online at http://www.ajph.org/cgi/reprint/93/3/435

    Accessibility:

    • Semi-technical; accessible for non-researchers

    Scope:

    • U.S. women of South Asian origin may be at a high risk for IPV – a recent found that 40% reported IPV in their current relationship.

    Focus:

    • Examine the relationship between IPV and immigrant-related factors among South Asian women.

    Design:

    • South Asian women from Boston, MA recruited via community outreach.
    • 160 participants (mean age 31.6), 49% with postgraduate training and 74% married.
    • 83.1% reported Indian ancestry.
    • Logistic regression performed on demographics and outcome variables.

    Findings:

    • 87.5% non-U.S. born.
    • 30.6% reported physical abuse, 18.8% reported sexual abuse, and 40.8% reported any abuse.
    • 50.6% reported not knowing where to find IPV services.
    • 28.1% had no family in the U.S.
    • 10% reported not having any social support.
    • No demographic variables significantly predicted physical abuse.
    • Participants reporting low general social support more likely to report sexual abuse.
    • Participants with low levels of acculturation, no social support, no family in the US, and lower general social support more likely to report injury from IPV.
    • Non-U.S. born women 3.5 times more likely to report physical abuse (not significant).
    • Non-U.S. born women 4 times more likely to report an IPV-related injury (not significant).
    • Non-U.S. born women 2 times more likely to report no knowledge of IPV services (not significant).

    Conclusions:

    • High prevalence of IPV and low awareness of IPV services, especially among those not born in the U.S. and those with no family in the U.S.
    • Immigrant-related factors are predictive of more severe IPV.
    • IPV education needed among the Southeast Asian community in Boston.

    Strengths/Limitations:

    • The majority of the women were of Indian ancestry – findings may not be generalizable to all South Asian women.
    • Snowball sampling frame threatens generalizibility of findings.
    • High socioeconomic status of participants may also affect generalizibility to other immigrant populations.
    • Small number of U.S. born women in sample may have affected lack of significant findings comparing non-U.S. and U.S. born comparisons.

    2. "Prevalence of and Risk Factors for Intimate Partner Violence in China", by Xiao Xu, Fengchuan Zhu, Patricia O’Campo, Michael A. Koenig, Victoria Mock, and Jacquelyn Campbell in AMERICAN JOURNAL OF PUBLIC HEALTH, 2005, 95, 78-85. Available online at http://www.ajph.org/cgi/reprint/95/1/78

    Scope:

    • There are few population-based studies of IPV in China.
    • Violence against women in China was only institutionally recognized in 1985.

    Focus:

    • Estimate prevalence of and risk factors for IPV in China.

    Design:

    • Cross-sectional study of randomly selected outpatient adult women.
    • Sample size of 600 women at an outpatient gynecology clinic in urban China.

    Findings:

    • 43% report physical violence and 16% report sexual abuse in their lifetime.
    • 21% report physical violence and 12% report sexual abuse in the past year.
    • The overall prevalence of IPV is 43% for lifetime and 26% for past year.
    • Significant risk factors for lifetime IPV:
      • Growing up in a rural area (OR=2.06),
      • Having had 2 or more live-in partners (OR=3.09), and
      • Partner is unemployed (OR=2.63).
    • Significant protective factors for lifetime IPV:
      • Higher education (OR=0.88),
      • Employment in a managerial or supervisory position (OR=0.40),
      • Earn their own income (OR=0.67), and
      • Longer length of stay in current residence (OR=0.98).
    • IPV significantly more likely to occur in lifetime if the male partner had affairs with other women (OR=5.55), if the partners fought frequently (OR=3.67), and if the partners use illegal drugs (OR=6.59).

    Conclusions:

    • Respondent’s belief in traditional Chinese culture and the likelihood of IPV strongly associated.
    • Prevention and treatment efforts should be directed to health care settings where women can be reached.

    Strengths/Limitations:

    • Prevalence of IPV may be underestimate due to cultural norm of not discussing private family affairs with outside persons.
    • Study was conducted in an urban setting – results may not be generalizable to rural Chinese areas.

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    Social Work



    Domestic Violence and Social Work (l.s.)
    1. "Addressing the Problem of Domestic Violence: How Far Have We Come" by Loretta Pyles and Judy L. Postmus in AFFILIA 2004; 19(4): 376-388.

    Accessibility:

    • Target audience includes social work researchers.
    • Language and concepts are accessible to a much broader audience.

    Scope:

    • Article consists of a literature review of all social work articles addressing domestic violence between 1985 and 2000.
    • Selection of 105 Social Work abstracts divided into 3 cohorts based on year of publication (1985-1990, 1991-1995, 1996-2000).
    • Data was coded to determine and compare themes within and between cohorts.

    Focus:

    • To determine if there have been significant changes in the way in which the field of social work addresses the problem of domestic violence.

    Findings:

    • Several findings emerged:
      1. Naming the Issue: The first 2 cohorts (1985-1990, 1991-1995) had a much broader range of terminology used to describe domestic violence. The third cohort (1996-2000) had greater professional consensus in using the term "domestic violence."
      2. Listening to Women’s Voices: The data reflected an increase in the number of publications which examined survivors’ experiences, which is consistent with social work’s client-centered and strengths-based approaches.
      3. Addressing the Needs of Diverse Battered Women: Diversity issues were few and far between in first two cohorts. In the third cohort, researchers observed an “explosion” in the literature pertaining to DV in diverse populations. In descending order of frequency the following issues were addressed in the literature: race/ethnicity, economic status, sexual orientation, rural status, and disabilities. Articles relevant to the race/ethnicity category focused primarily on differences in intervention strategies and cultural barriers to working with women of non-European decent.
      4. Losing Theoretical Ground: Researchers found the amount of literature pertaining to the theoretical causes of domestic violence decreasing over time, while, the percentage of articles addressing policy, social work practice and educational approaches to intervention strategies remained static.

    Conclusions:

    • Researchers conclude that the field of social work has not significantly changed in its approach to DV.
    • Article also demonstrates that the inclusion of diversity issues is relatively recent in the body of literature.

    Reviewer's Comments:

    It is concerning that only 105 journal articles between the years 1985 to 2000 qualified for inclusion in this study considering that magnitude of the problem and the amount of contact that social workers have with DV survivors. The article clearly demonstrates the need for increased research in the field.


    2. "An Emancipatory Principle for Social Work With Survivors of Male Violence" by Gale Goldberg Wood and Susan E. Roche in AFILLIA 2001; 16(1): 66-79.

    Accessibility:

    • Intended for clinical social workers or other professionals with theoretical background mental health practice.
    • Useful to direct service providers working with survivors of domestic violence.

    Focus:

    • Article describes a theoretical framework grounded in “undermining oppressive beliefs” to guide direct practice with survivors of various forms of male violence against women, including domestic violence.

    Key Points:

    • Guidelines for direct practice:
      1. Theoretical framework of the clinician should “repoliticize” the violence in order to contextualize it within the problem violence against women in society.
      2. "When deconstructed, many laws, institutional structures, and official practices reveal how they encode and enforce oppressive customs and beliefs with regard to gender, privilege, power, and accountability and perpetuate personal acts of gender violence." These are often internalized by female survivors of gender-based violence and result in diminished feelings of self-worth.
      3. Clinicians must aim to deconstruct such "oppressive self-stories" and help empower clients to transform them.
    • Description of the Emancipatory Principle to Undermine Oppressive Beliefs:
      1. Externalizing: Distinguishes the person from the problem; removes potential for self-blame for causing violence; enables the client to look at the problem from different perspectives. Worker may facilitate this process by referring to “the bruise,” “the depression,” etc. as opposed to the client’s bruise or her depression.
      2. Deconstructive Questioning: Connects client’s personal experience to overarching social and cultural beliefs about women and their role in society. This process questions the validity of such beliefs in order to elevate the client’s sense of self-worth. For example, to the woman who accepts the commonly held belief that she is responsible for making her heterosexual relationship succeed, every time she is victimized is evidence of her failure.
      3. Seeking Resistance and Defiance: Surviving DV inherently involves resistance and defiance, which may take different forms. This stage involves helping the survivor to recall such moments of defiance as a source of empowerment.
      4. Anchoring: Builds upon the previous stage. A process of rooting one’s current ability to resist in the past. Helps client to uncover her many sources of courage and strength that have been with her throughout her life, and she is able to draw from these in the future.

    Conclusions:

    • The emancipatory principle is rooted in the feminist theory of domestic violence
    • Utilizes various clinical approaches including the strengths-based perspective, which concentrates on client strengths as opposed to deficits and the ecological model, which contextualizes the client’s experience within a larger framework.

    Reviewer's Comments:

    Article does not address the issue of cultural diversity and does not explicitly acknowledge that gender roles are not homogenous between cultures. The described principle may be useful in culturally diverse settings, but the clinician should explore the client’s beliefs about gender roles specific to her cultural background.


    3. "Psychosocial Treatments for Battered Women: A Review of Empirical Research" by E. Mazur in RESEARCH ON SOCIAL WORK PRACTICE 2000; 10(1): 55-77.

    Accessibility:

    • Most useful to direct service providers, domestic violence program implementers, or researchers.
    • Includes clinical mental health terminology.

    Scope:

    • It does not directly address practice with immigrants, but effectively highlights the need for more rigorous research on the outcomes of specific interventions.
    • 9 published articles about evaluation of social work interventions with DV survivors were analyzed based on types of services provided.

    Focus:

    • Article reviews research on the outcomes and effectiveness of social work interventions with domestic violence survivors.

    Key Points:

    • Services for survivors of domestic violence were categorized as: 1) shelter-based services, 2) non-shelter support groups, 3) shelter-based group treatment, 4) advocacy services, and 5) follow-up treatment.
    • Group work is the most commonly utilized intervention with DV survivors.
    • The most commonly employed theoretical models included feminist, cognitive, and social support frameworks.

    Conclusions:

    • There is an overall lack of research on the effectiveness of social work interventions with DV survivors.
    • Research that has been published generally lacks methodological rigor in experimental design.

    Reviewer's Comments:

    There is a clear need for more evaluative research on specific interventions with DV survivors. The fact the immigrant populations were not addressed in this review only emphasizes the even greater need for additional research in this area with diverse populations.

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    Domestic Violence and Social Work (l.s.)
    "A review of research on welfare and domestic violence" by R.M. Tolman, & J. Raphael in JOURNAL OF SOCIAL ISSUES 2000; 56: 655-681.

    "Analysis of the Family Violence Option: A Strengths Perspective" by J. Postmus in AFFILIA 2000; 15(2): 244-258.

    Accessibility:

    • Useful to individuals with background in welfare policy issues.
    • Language is accessible to a broader audience.

    Scope:

    • Literature review of the research that has been conducted about the relationship between domestic violence and welfare policy.
    • Special attention paid to the Family Violence Option (FVO), an amendment which was passed in 1996 to ensure that welfare agencies screen for domestic violence and provide appropriate referral services. Moreover, it waives domestic violence survivors of certain welfare requirements such as time restrictions, work requirements, etc.

    Focus:

    • To demonstrate both the strengths and shortcomings of welfare policy in relation to the problem of domestic violence.
    • To critique the research that has been conducted on several aspects of the relationship between domestic violence and welfare policy
      1. Prevalence of domestic violence among women receiving welfare
      2. Relationship between domestic violence and employment status
      3. Domestic violence relationship to health and mental health, child support, and evaluations of welfare policies and programming.

    Findings:

    • Early literature on welfare dependence is comprised of two theories:
      1. The rational choice model, which states that there may be perceived greater utility in prolonged welfare receipt than work.
      2. The culture of welfare theory, which states that there is a socialization process, which promotes deviant values such as lack of work ethic and fosters prolonged dependence on welfare assistance.
    • More recent research promotes the barrier model, which includes domestic abuse as a primary barrier to self-sufficiency. Barriers exist at many levels:
      1. Individual: Long-term physical, psychological, emotional and social effects of abuse
      2. Family: Escalation of family violence in attempts to escape abuse, manipulation of children as part of pattern of abuse
      3. Welfare System: Complexities of the system, lack of clear guidelines in determining who may be eligible for the FVO
      4. Community: Inadequate funding and resources for survivors’ complex needs
    • Research demonstrates high prevalence of domestic violence among welfare recipients.
    • Domestic violence may interfere with job stability.

    Conclusions:

    • FVO is a mechanism for preventive or intervention services.
    • Current welfare policy evaluation focuses on the outcome of employment status; it is necessary that women’s safety also be measured as a success outcome.
    • Collaboration between domestic violence and welfare policy research, two traditionally distinct fields, must continue to expand.

    Reviewer's Comments:

    Tolman & Raphael (2000) provide a very comprehensive and useful literature review of the research involving the relationship between welfare policy and domestic violence. The authors also present recommendations for future research.

    Postmus (2000) offers an analysis of the Family Violence Option from a Social Work perspective.

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    Domestic Violence and Welfare Policy Among Diverse Populations (l.s.)
    1. "Toward Ethnically Specific Models of Employment, Public Assistance, and Victimization" by Todd Honeycutt, Linda Marshall, and Rebecca Weston in VIOLENCE AGAINST WOMEN 2001; 7(2): 126-140.

    Accessibility:

    • Intended for professionals or academics with a background in welfare policy issues.
    • Moderate amount of statistics
    • Accessible to individuals with a social science background.

    Scope:

    • Survey of 836 low-income women receiving Aid to Families with Dependent Children (AFDC) or food stamps.
    • History and severity of sexual assault, past threats of violence, past physical violence, current threats, current physical abuse, and psychological abuse were assessed.
    • A modification of the Conflict Tactics Scale (Straus, 1979) and the Severity of Violence Against Women Scales (Marshall, 1992) were also utilized in the survey to determine presence and severity of intimate partner violence.

    Focus:

    • To explore the "interrelationships among ethnicity, public assistance, employment, and victimization"(p.127).

    Key Points:

    • Revealed that they had experienced domestic abuse by current partner than women not receiving welfare assistance.
    • African Americans and European Americans experienced higher rates of abuse than Mexican Americans.
    • Statistical analyses of employment and welfare receipt demonstrated that predictors of abuse differ by ethnic background.

    Conclusions:

    • Grouping women across ethnic backgrounds may mask differences in relation to domestic violence and welfare receipt.
    • Similarly, grouping all women of color and then making a comparison to Caucasian women may also be deceptive, as it does not consider interethnic differences between women of color.

    Reviewer's Comments:

    Although the article has several acknowledged limitations (primarily related to sample selection biases), it provides a foundation for research that looks at distinctions between ethnic minorities. This is particularly important in light if the limited research that has addressed this issue.


    2. "Partner abuse and welfare receipt among African American and Latino women living in a low-income neighborhood" by R. Tolman and Y. Nam in SOCIAL WORK RESEARCH 2002; 26(4): 241-251.

    Accessibility:

    • Intended for professionals or academics with a background in welfare policy issues
    • Moderate amount of statistics
    • Accessible to individuals with a social science background

    Scope:

    • Cross-sectional study of 824 randomly selected women living in Humboldt Park, a low-income area of Chicago.
    • Data among African American and Latina women age 18-55 were analyzed for the purposes of this study.

    Focus:

    • Research questions:
      1. Are abused women more likely to receive welfare assistance than non-abused women controlling for other factors?
      2. Does partner interference with work impact welfare status in a comparable way to physical abuse?
      3. Do differences in race or ethnicity affect the relationship between DV and welfare?

    Key Points:

    • Among African American women, only physical abuse increased probability of receiving welfare assistance significantly.
    • Among Latinas, only direct work interference by one’s partner significantly increased probability of receiving welfare assistance.
    • Prevalence of DV among Latinas was 15%, and the fact that physical abuse did not have a significant impact on welfare status may indicate that some Latina survivors of DV may have restricted access to welfare assistance for reasons including immigration status and language barriers.

    Conclusions:

    • Results suggest that interracial and ethnic differences in the relationship between domestic violence and welfare status do exist.
    • "Gaining a more specific understanding of the effect of culture may help guide service providers to develop welfare-to-work programs that reflect the diverse conditions in which their clients are situated . . ." (p.250).

    Reviewer's Comments:

    Although the article does not specifically focus on immigration status, it raises the issue of immigration status as a potential barrier to services such as welfare and the FVO. This is an area that requires additional research.


    3. "From War on Poverty to War on Welfare: The Impact of Welfare Reform on the Lives of Immigrant Women" by D. Ng, D, Equal Rights Advocates, 1998. Available online at
    http://www.ssw.umich.edu/trapped/equalrightsadvocatesfinal.pdf

    Accessibility:

    • Accessible to a general audience.
    • Presented in report form, not complete journal publication.

    Scope:

    • 150 low-income immigrant women with legal immigration status (75 Mexican-American, 75 Vietnamese American) were recruited for participation.
    • All women were either receiving welfare benefits during the time of the study or had received benefits in the previous 7 months
    • 3 survey questions addressed domestic violence

    Focus:

    • To examine the effects of welfare reform on domestic violence prevalence and employment patterns among immigrant women.

    Key Findings:

    • Prevalence of DV: 28% for entire sample; 40% of Mexican-American respondents; 16% of Vietnamese-American respondents.
    • Of those reporting violence, 71.8% were Mexican-American and 28.6% were Vietnamese-American.
    • Only 23.3% of all respondents (and 26.2% of women reporting domestic violence) stated that they had received information from their welfare office about the waiver of program requirements for survivors of DV.
    • Among women reporting domestic violence, 34.1% were "currently working," compared to 27.1% of non-victims; 78.6% said they had “ ever worked,” compared to 63% of non-victims.
    • A slightly larger proportion (31%) of the abused women had received formal job or vocational training, compared to 18.5% of non-victim

    Conclusions:

    • These findings call into consideration the efficacy of the Family Violence Option when individuals are not adequately informed about it at welfare offices.
    • It is necessary for all providers involved in welfare-to-work programs to be familiar with the options for domestic violence survivors.

    Reviewer's Comments:

    This report is particularly important because it directly examines welfare policy in relation to immigrant women. Much of the existing research does not specifically address this population. However, the report is limited as it is presented in a very synthesized format and does not include any contextual information.

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    Educational Resources for Social Work with Immigrant Survivors of Domestic Violence (l.s.)


    Domestic Violence in the South Asian Immigrant Community (l.s.)
    1. Dasgupta, S. & Warrier, S. (1997). In visible terms: Domestic violence in the Asian Indian context (2nd Edition). Union, NJ: Manavi.

    Accessibility:

    • Intended for a general audience working with South Asian Immigrant women.
    • Most useful to direct service providers.

    Scope:

    • Book was developed out of the experiences at Manavi, a non-profit organization which addresses issues concerning South Asian women in the US.
    • Manavi is multi-service agency providing legal referrals, advocacy, medical/court accompaniment, job training, outreach education crisis intervention, counseling services, interpreter services (p.5).

    Focus:

    • To serve as an educational resource to enhance cultural competency working with South Asian survivors of domestic violence.

    Key Points:

    • The authors cite several aspects of Indian culture which influence dynamics within an a violent relationship (pp.22-23):
      1. Group more highly valued than the individual: South Asian women experiencing abuse may be reluctant to seek divorce in order to preserve family name and honor or to preserve siblings’ marriage eligibility
      2. Assertiveness is considered a negative personality trait: Women may avoid clearly stating their needs and may be confused when people in authority roles (e.g. lawyers or counselors) do not directly tell them what to do.
      3. Respect for authority: Battered women may seek validation of the abuse from family members who are in India, and therefore unaware of the abuse.
      4. Asian Indians sometimes perceive domestic violence to be something that occurs in lower classes: Well-educated and financially successful Indian immigrants may believe they are immune to IPV.
      5. Religious faith: Belief in karma may cause women to believe there is no means to escape the abuse or that the abuse is the result of their own actions in previous lives.
      6. Marriage is typically negotiated by the entire family and many women may fear that divorce can shame everyone involved in the process.
    • Forms of Abuse: Elaboration of the power and control wheel in the context of Indian culture.
      1. Isolation upon immigration: an abusive husband may compound this by restricting activity and social relationships; may justify their actions by claiming that they will become too Americanized and betray their own culture.
      2. Control of Money: In Indian families, money is controlled by men even when a woman is working and earning her own money
      3. Intimidation/Threats: Fear that divorce would result in retaliation against family in India; dependent on husbands for legal immigrant status; threats to destroy victim’s reputation, for example, by saying that they have been unfaithful, which also ruins her family’s reputation
      4. Sexual Abuse: concept of marital rape is not typically present in Indian culture.
      5. Manipulating children: motherhood as central role, threats to send children to India, lying to children in order to alienate mother in the family
    • Considerations for Direct Service Providers:
      1. If an Indian women is seeking outside help, she has likely run out of family support or resources.
      2. May have difficulty identifying abuse because she has been socialized to be tolerant. May feel like a traitor to her culture for discussing private issues with an outsider.
      3. Important for counselors to use unconventional techniques to foster a relationship such as home visits and sharing personal experiences.
      4. A direct suggestion to leave an abusive relationship may be unacceptable to the client unless strong trust has been built.
      5. Any police intervention is generally feared and may be regarded as a source of social embarrassment.
      6. Important to address the issues and skills needed to live alone.

    Conclusions:

    • Asian Indian survivors of domestic violence face several barriers to seeking services, many of which are rooted in cultural beliefs and practices.
    • Service providers must be sensitive and accommodating to such issues.

    Reviewer's Comments:

    This book provides quite an in depth portrayal of the issues affecting Asian Indian women’s perceptions of domestic violence and barriers to seeking services. However, these findings are not research-based.


    2. "Isolation as a form of Marital Violence; The South Asian Immigrant Experience" by Shamita Dasgupta in JOURNAL OF SOCIAL DISTRESS AND THE HOMELESS 2000; 9(3): 221-236.

    Accessibility:

    • Intended for a general audience working with South Asian immigrant women.
    • Most useful to direct service providers.

    Scope:

    • Research is based on qualitative, unstructured interviews with immigrant women from India, Pakistan, and Bangladesh living in the US.

    Focus:

    • Article depicts 4 in-depth narratives of women’s experiences of isolation as a form of abuse.

    Key Points:

    • Social and familial isolation is highly correlated with physical abuse
    • Narratives portray several manifestations of isolation including:
      1. Spousal isolation
      2. Isolation from friends and family
      3. Isolation from ethnic community

    Conclusions:

    • Isolation is exacerbated by language barriers, economic reliance and dependency on spouse for legal immigration status.
    • Such isolation makes outreach and the provision of services to victims of domestic abuse very challenging.

    Reviewer's Comments:

    Although the narrative-style presentation is very useful in contextualizing marital isolation as a form of abuse, the article does not provide any substantial recommendations for effectively addressing the issue. Evaluation of community outreach initiatives to mitigate this problem is a necessary next step in research.


    3. "Charting the Course: An Overview of Domestic Violence in the South Asian Community on the United States," by Shamita Dasgupta in JOURNAL OF SOCIAL DISTRESS AND THE HOMELESS 2000; 9(3), 173-185.

    Accessibility:

    • Accessible to a general audience
    • Most useful to direct service providers or researchers working with South Asian immigrant women

    Scope:

    • Reflection on the domestic violence work done in the South Asian community in the US over the last 15 years.

    Focus:

    • Article is based upon existing research and author’s own experience working at Manavi, a South Asian women’s organization committed to ending violence against women.

    Key Points:

    • "Batterers often use 'culture' as a pretext to violence" (p.177).
    • In author’s experience, the majority of DV survivors she was worked experience abuse related to fears and manipulation related to immigration status, which is often dependent upon one’s husband.
    • Existent research has ignored South Asian women’s patterns of help-seeking behaviors and effective intervention strategies with this population.
    • Barriers to help-seeking for South Asian women
      1. Personal: "losing face," marital failure, shaming her family
      2. Institutional: "The immigration and public benefit policies, child custody issues, financial demands of legal procedures, as well as language barriers, all conjoin to discourage South Asian women’s bids to escape abusive relationships" (p.181).
      3. Cultural: Marriage and mother as central identity for South Asian women
    • Community-based organizations, including religious institutions, have largely denied the problem of domestic violence within the South Asian immigrant community.
    • Grassroots organizations, such as Manavi, are largely volunteer based; therefore, they often lack trained professionals with knowledge of intervention strategies or laws which affect immigrant women.

    Conclusions:

    • Needs of South Asian survivors of domestic violence are extremely complex and require increased resources.
    • Increased collaboration between grassroots organizations, such as Manavi, and mainstream organizations is needed to effectively address the problem.

    Reviewer's Comments:

    The information provided in the article may be useful to practitioners working with South Asian survivors of domestic violence. However, the information is descriptive and primarily not research-based.

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    Cultural Competency (l.s.)
    1. "Reinterpreting Strength and Safety in a Socio-Cultural Context: Dynamics of Domestic Violence and Experiences of Women of Japanese Descent" by Mieko Yoshihama in CHILDREN AND YOUTH SERVICES REVIEW 2000; 22: 207-229.

    Accessibility:

    • Intended for individuals with a social science background, but language is accessible to a general audience
    • Moderate amount of statistics
    • May be useful to both clinicians and researchers

    Scope:

    • Research gathered as part of larger community-based study of 211 women of Japanese decent living in Los Angeles County.
    • 169 of 211 participants reported at least one episode of IPV, and 129 women classified the act as abusive.
    • The narratives on these 129 women were analyzed for the purposes of this study.

    Focus:

    • A community-based study of women of Japanese origin examining the socio-cultural influence on responses to intimate partner violence.

    Findings:

    • 71% (n=92) of women believed that their Japanese cultural background impacted their response to IPV.
    • The following themes emerged:
      1. Conflict Avoidance: 45% of women who identified their cultural background as influential described behaviors and thought patterns designed to avoid conflict such as withholding emotions, “going with the flow,” and self-blame in instances of abuse.
      2. Value of Endurance: 23% of women identified culturally-based value placed on tolerating life’s difficulties without complaint, referring to the Japanese term “gaman.” This value was also bolstered by the history of hardships experienced by Japanese immigrants in the US.
      3. Acceptance of Male Domination: 36% of women made comments referring to the gender-based power differential in Japanese society.
      4. Value of Collective Family Welfare: 11% of women discussed the need to preserve the family unit despite abuse towards the woman or her child. One woman stated: " 'I think it is typical (of Japanese). Even if you are abused, you think that the children need both parents. Only for that reason alone, I stayed married. I wish I had time to think only about myself. (age 44, Japan-born English translation)' " (p. 218)
      5. Aversion to Help-Seeking: Shame and "Face Saving": 14% believed that there was a cultural expectations that marital troubles are to be kept within the family and not discussed with outsiders.

    Conclusions:

    • The author stresses the importance of understanding and contextualizing culturally-informed responses to domestic abuse; this is also necessary for designing appropriate and useful outreach services for diverse populations.
    • The socio-cultural factors which have influenced responses to IPV have engendered a sense of meaning to their reactions to violence which may serve as a source of coping with abuse.

    Reviewer's Comments:

    This article highlights the necessity of developing culturally sensitive and appropriate domestic violence services. Although Japanese culture is addressed exclusively, the article provides a model for understanding the role of culture in the perception and response to domestic violence.


    2. "Domestic Violence Beliefs and Attitudes in the Chinese American Community" by Alice Yick in JOURNAL OF SOCIAL SERVICE RESEARCH 2000; 27: 29-51.

    Accessibility:

    • Intended for individuals with a social science background, but language is accessible to a general audience
    • Moderate amount of statistics
    • May be useful to both clinicians and researchers.

    Scope:

    • Several standardized research tools were utilized in this study:
      1. The Attitudes Toward Domestic Violence Questionnaire (designed by researcher)
      2. The Attitude Toward Women Scale
      3. The Marin and Marin Acculturation Scale
      4. The Marlowe-Crowne Social Desirability Scale

    Focus:

    • Telephone survey of 262 Chinese Americans
    • Survey addressed:
      1. Definitions of domestic violence
      2. Beliefs about interpersonal violence
      3. Beliefs about the criminalization of domestic violence

    Key Findings:

    • Domestic violence overwhelmingly defined as physical or sexual violence.
    • 25.6% believed that a victim must have caused the abuse
    • 46.6% believed that it is easy for a victim to leave an abusive relationship
    • Males were significantly more likely than women to support myths about DV, such as that the abuse is deserved and caused by the victim.
    • 85% believed that family violence is a crime

    Conclusions:

    • There is a need to broaden the perceived definition of domestic violence to include verbal and emotional forms of abuse.
    • Cognizance of cultural beliefs surrounding domestic violence is necessary for development of effective intervention strategies.

    Reviewer's Comments:

    The Attitudes Towards Domestic Violence Questionnaire may be a useful tool in future research. However, further research with a larger sample size is necessary to determine validity and reliability of specific items within the instrument.

    The author presents potentially useful intervention strategies specific to the Chinese immigrant community.


    3. "Achieving Shared Meaning in Cross-Cultural Dialogue: Understanding a Hmong Family’s Response to Marital Violence" by Tamara Kaiser in JOURNAL OF ETHNIC AND CULTURAL DIVERSITY IN SOCIAL WORK 2003; 12(3): 29-54.

    Accessibility:

    • Intended for clinical social workers involved in cross-cultural work
    • Requires prior knowledge of Social Work Code of Ethics
    • Topic/language easily accessible to non-social workers

    Scope:

    • Qualitative research study of Hmong community in Twin Cities, MN and Thailand
    • Addresses participants’ perceptions of relational dynamics within their culture and community

    Focus:

    • Describes case study of family’s reaction to a woman’s wish to divorce abusive husband of 35 years. Response is to discourage divorce and police involvement.

    Key Points:

    • Shared meaning in clinical work: Mutual understanding and agreement of values. Presents significant challenges when clinician/client values differ substantially.
    • Cultural themes affecting perceptions of and response to DV:
      1. Marriage protocols: Divorce is to be avoided
      2. General Attitudes towards DV à Range of viewpoints about acceptability of wife abuse
        • Woman may provoke abuse
        • Women may deserve abuse if they do not perform designated functions
        • Husbands may abuse due to a perceived loss of control upon immigration to the US
        • "Saving Face": Both men and women to deny domestic abuse in order to protect entire family from shame
        • Fair Justice: US justice system perceived as unfair to husbands because it "automatically" sides with women; police involvement discouraged in situations of DV; phenomenon also related to saving face.
        • Communication: Rigid and complex rules of communication affect who women may seek help from in cases of abuse and when it is appropriate to seek help.

    Conclusions:

    Implications for Social Workers:

    • Conflicting values
      1. Safety of client is paramount to clinician
      2. Preservation of family honor paramount in Hmong culture
    • Considerations and Dilemmas
      1. Extended family as important resource for support
      2. Ignoring Hmong system could alienate client from her own culture
      3. "How do we meet the obligation to protect individuals from danger and to honor diversity, when to attend to one may mean to compromise the other?" (p.51).

    Reviewer's Comments:

    This article is particularly useful because it depicts author’s interaction with a distinct culture and illuminates her own process of understanding conflicting cultural values. Valuable to any direct service providers engaging in any cross-cultural work, not exclusive to the Hmong population.

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    Barriers to Services for Immigrant Domestic Violence Survivors (l.s.)
    1. "Barriers to Services for Arab Immigrant Battered Women in a Detroit Suburb" by Wahiba Abu-Ras in JOURNAL OF SOCIAL WORK RESEARCH AND EVALUATION 2003; 4(1): 49-66.

    Accessibility:

    • Intended for direct service providers, program developers and policy makers
    • Heavily weighted with statistical material
    • Less accessible to individuals without a social science background

    Scope:

    • Cross-sectional Survey of 67 Arab women who are survivors of IPV
    • Researcher utilized the Conflict Tactics Scales, Revised (CTS2) to assess type and severity of domestic abuse and the Barriers Scale, which was modified to determine levels of barriers to accessing social, legal, and healthcare services

    Focus:

    • To determine the factors associated with barriers to utilization of domestic violence services among battered Arab immigrant women

    Key Findings:

    • Systemic barriers: lack of programs/services for Arab survivors of DV, negative staff attitudes, cost of services
      1. High cost of services (92.5%)
      2. Perceived disinterest by healthcare providers in investigating incidents of domestic abuse (65.6%)
      3. Lack of services targeting the specific needs of Arab survivors of domestic violence (47.8%)
    • Personal resource barriers: language, level of education, income
      1. Little knowledge about types of services available or how these services function (92.5%)
      2. Lack of English literacy (70.1%)
      3. Lack of social support, e.g. no one available to accompany her to a service provider (74.6%)
    • Cultural: stigma associated with DV, patriarchal culture, fear of community reaction
      1. Lack of family support network (82.1%)
      2. Fear of judgment from friends and relatives for seeking outside help (70.1%)
      3. Belief that friends/family would discourage seeking assistance (70.1%)
      4. Feeling embarrassed to seek medical attention (62.7%)
      5. Feeling embarrassed speaking to a social worker (49.3%)
      6. Belief that their religion discourages seeking outside assistance (43.3%)

    Conclusions:

    • Abused Arab immigrant women are most urgently in need of:
      1. Shelters/safe houses that are linguistically and culturally sensitive to Arab women and knowledgeable about immigration issues
      2. Increased involvement of medical professionals in identifying and addressing domestic violence with patients
      3. Increased participation of community-based organizations
      4. Providing information about economic resources and legal rights, preferably through community-based organizations.
      5. Increasing public awareness by disseminating information in Middle Eastern languages.
      6. Batterer-intervention services for men

    Reviewer's Comments:

    This was the only article I uncovered in my research which directly assessed barriers to domestic violence services within an immigrant population. Continued research in this area is needed to improve services and increase accessibility.


    2. "Understanding Chinese Battered Women in North America: A Review of the Literature and Practice Implications" by Mo-Yee Lee in JOURNAL OF MULTICULTURAL SOCIAL WORK 2000; 8(3/4): 215-241.

    Accessibility:

    • Intended for clinical social workers and other direct service providers working with Chinese-American survivors of domestic abuse.
    • Language and concepts are accessible to a more general audience.

    Scope:

    • Comprehensive literature review of research involving issues affecting Chinese-American survivors of domestic violence.

    Focus:

    • To describe the experience of domestic violence in the Chinese-American community in order to provide a foundation for appropriate intervention strategies.

    Key Points:

    • Lee presents a context for working with Chinese-American battered women.
      1. Range of prevalence rates: Issue of underreporting
      2. Cultural issues which may challenge feminist theory
      3. Meanings associated with leaving an abusive relationship: displaying family weakness, shaming the family name, breaching the cultural values of perseverance, causing divorce
    • Threats regarding immigration status as a form of abuse. (Clearly, this is not exclusive to Chinese-American community.)
    • Considerations for clinical interventions
      1. Somatization of psychological/interpersonal problems
      2. There may be a large discrepancy between expressed level of emotion and the level of abuse
      3. Cultural value of "pragmatism": talk therapy approach may not initially seem useful; a case management approach providing concrete services (medical services, legal services, residential assistance, etc) may be necessary to engage client and demonstrate competency
    • Three levels of intervention:
      1. Individual Level: Culturally-appropriate empowerment model
      2. Family System Level: Presents argument for couples therapy in the Chinese-American context. (N.B. Couples therapy is typically strongly discouraged as a domestic violence intervention strategy)
      3. Community level: Community education promoting the fact that domestic abuse in the US is illegal and that social services are available to protect victims; importance of collaboration between mainstream DV service providers and Chinese community organizations

    Conclusions:

    • Article addresses the specific needs and potential barriers to culturally appropriate domestic violence service within the Chinese-American community
    • A three-tiered intervention strategy is presented

    Reviewer's Comments:

    As a theoretical foundation, the framework presented may be extended to inform practice with other immigrant populations. Additional research is needed to evaluate intervention strategies presented.


    3. "Battered Immigrant Mexican Women’s Perspectives Regarding Abuse and Help-Seeking" by Martina Acevedo in JOURNAL OF MULTICULTURAL SOCIAL WORK 2000; 8(3/4): 243-282.

    Accessibility:

    • Intended for individuals with a social science background and, more specifically, social workers working with immigrant survivors of domestic violence.
    • Language and concepts are accessible to a more general audience.

    Scope:

    • Qualitative pilot study (n=10) based on ethnographic interviews
    • Sample selected from

    Focus:

    • Purpose of study
      1. To assess the degree to which cultural factor influence perceptions of domestic violence and help-seeking behaviors.
      2. To gather information about the effects of immigration status and related stressors on help-seeking behaviors.
    • Research Questions:
      1. "Is there a relationship between the perceptions and attitudes of physical abuse held by battered, immigrant Mexican women and their help-seeking behaviors?"
      2. "Is there a relationship between cultural factors and the perceptions and attitudes about physical abuse held by battered, immigrant Mexican women and their subsequent help-seeking behavior?"
      3. "Is there a relationship between psychosocial stressors and the perceptions and attitudes about physical abuse held by battered, immigrant Mexican women and their subsequent help-seeking behavior?" (p.248).

    Key Points:

    • Findings of this indicate that cultural values play a more significant role than psychosocial stressors (e.g. immigration status, financial dependency, etc) in attitudes regarding help-seeking behaviors.
    • Concern over child’s welfare acts both as a motivator and deterrent to seek help.
    • Women tended to be more accepting of abuse their own relationships than abuse in hypothetical scenarios depicted during interviews ® indicates that psycho-educational groups where women share their experiences or discuss hypothetical situations may be a particularly useful intervention with this population.
    • Changes in attitudes regarding the violence predominantly occurred only after some form of intervention.
    • Central role of the family unit may signify a greater need for non-stigmatizing batterer services.

    4. "Breaking the Web of Abuse and Silence: Voices of Battered Women in Japan", by Mieko Yoshihama in SOCIAL WORK 2002; 47(4): 389-400.

    Accessibility:

    • Intended for individuals with a social science background and, more specifically, social workers working with immigrant survivors of domestic violence
    • Language and concepts are accessible to a more general audience
    • Quantitative analysis with some statistical material

    Scope:

    • Based on focus group research with 18 abused women in Tokyo, Japan.
    • Transcripts of the 4 focus groups were analyzed and coded to define emergent themes.
    • Author presents implications for social work practice with Japanese immigrant survivors of domestic violence.

    Focus:

    • Investigation of perceptions of and responses to domestic violence
    • Exploration of sociocultural and structural factors that may inhibit the ability to protect safety.

    Key Points:

    Themes identified:

    • Entrapment: "situational context" of abuse; economic dependence; isolation from social support
    • The attempt to "make sense" out of their experiences of violence.
    • Survival and coping mechanisms
    • Obstacles to safety: financial concerns, lack of social support, stereotypes about gender roles, lack of shelter services.

    Conclusions:

    • Infrastructure for services for domestic violence survivors in Japan are extremely lacking
    • Author stresses the importance of community outreach to immigrant communities about differences in the social services available in the US as compared to in one’s country of origin.

    Reviewer's Comments:

    This article primarily addresses issues affecting domestic violence survivors in Japan. There is limited discussion of the implications for work with Japanese immigrants in the US; however, the article may provide useful contextual information for clinicians working with Japanese immigrant survivors of domestic violence.

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