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Evaluation of Acceptance and Commitment Therapy for Domestic Violence Offenders.
Psychology of Violence ( IF 2.4 ) Pub Date : 2019-05-01 , DOI: 10.1037/vio0000097
Amie Zarling , Sarah Bannon , Meg Berta

Objective: There are currently few empirically supported batterer intervention programs (BIPs) for perpetrators of domestic violence. In practice, a combination of psychoeducation on power and control dynamics (i.e., Duluth Model) and cognitive-behavioral therapy (CBT) techniques are widely used in BIPs but produce limited effects on violent recidivism. Thus, the purpose of this study was to examine the impact of an Acceptance and Commitment Therapy (ACT)-based program (Achieving Change Through Values-Based Behavior [ACTV]; Lawrence, Langer Zarling, & Orengo-Aguayo, 2014) on reducing new criminal charges 1 year postintervention compared with the traditional treatment (a combination of the Duluth Model and CBT). Method: Administrative data were collected from a sample of 3,474 men who were arrested for domestic assault and court-mandated to a BIP (nonrandomized either ACTV or Duluth/CBT) from 2011 to 2013. Incidence and frequency of new criminal charges were examined during the intervention time period as well as 12 months postintervention time period, and analyses were completed for the entire intent-to-treat sample as well as treatment completers only. Results: Compared with Duluth/CBT participants, significantly fewer ACTV participants acquired any new charges, domestic assault charges, or violent charges. ACTV participants also acquired significantly fewer charges on average in the 1 year after treatment than Duluth/CBT participants. This pattern of results emerged for both treatment completers and noncompleters. ACTV had a significantly higher dropout rate. Conclusions: This investigation provides preliminary evidence for the feasibility and effectiveness of an ACT-based group for men who have been arrested for domestic assault.

中文翻译:

评估家庭暴力罪犯的接受和承诺疗法。

目标:目前很少有经验支持的针对家庭暴力肇事者的殴打者干预计划。在实践中,对能力和控制动力学的心理教育(即德卢斯模型)和认知行为疗法(CBT)技术相结合,广泛应用于BIP中,但对暴力累犯的影响有限。因此,本研究的目的是检验基于接受和承诺疗法(ACT)的计划(通过基于价值观的行为[ACTV]实现变化; Lawrence,Langer Zarling和Orengo-Aguayo,2014)的影响。与传统治疗(Duluth模型和CBT的组合)相比,干预后1年有新的刑事指控。方法:从3个样本中收集行政数据,从2011年到2013年,有474名因家庭攻击而被捕并被法院判处BIP(非随机ACTV或Duluth / CBT)的男子。在干预期间以及干预后的12个月内检查了新的刑事指控的发生率和发生频率期间,仅对整个意向治疗样本以及治疗完成者进行了分析。结果:与Duluth / CBT参与者相比,ACTV参与者获得任何新指控,家庭殴打指控或暴力指控的人数明显减少。与Duluth / CBT参与者相比,ACTV参与者在治疗后的1年内平均获得的费用明显减少。治疗完成者和未完成者均出现这种结果模式。ACTV的辍学率明显更高。结论:
更新日期:2019-05-01
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