Intimate partner violence (IPV) remains a devastating public health issue in the United States. Given the high stakes of IPV, it is imperative that treatment provided to perpetrators be efficacious to prevent further victimization and not lull survivors into a false sense of security. Unfortunately, the historically dominant modalities of perpetrator treatment, group-based Duluth and cognitive-behavioral therapy, show small effects at best in deterring re-assault. Because of this, new directions are needed. In this article, we report on a literature review that centered on IPV perpetrator treatment. Results suggest a prominent theme in the literature is a shift from these blanket approaches to treatment based on individual need and co-occurring issues. Specifically, practitioners should be aware of (1) demographic factors affecting treatment completion and re-assault, (2) perpetrator typologies, (3) perpetrator readiness to change and use of motivation-based approaches, and (4) common individual co-occurring concerns, including substance use and mental health issues. For each of these, we discuss treatment implications and make recommendations for future research. We envision a future where the landscape of perpetrator treatment is tailored to individual treatment needs and argue that social work practitioners bring a critical person-centered perspective to IPV perpetrator treatment.

在美国，亲密伴侣暴力 (IPV) 仍然是一个毁灭性的公共卫生问题。鉴于 IPV 的高风险，向肇事者提供的治疗必须有效防止进一步受害，而不是让幸存者陷入虚假的安全感。不幸的是，历史上占主导地位的施暴者治疗方式、基于群体的德卢斯治疗和认知行为疗法，充其量只能显示出很小的效果以阻止再次袭击。因此，需要新的方向。在本文中，我们报告了一篇以 IPV 肇事者治疗为中心的文献综述。结果表明，文献中的一个突出主题是从这些一揽子方法转变为基于个人需求和共同发生的问题的治疗。具体而言，从业者应了解 (1) 影响治疗完成和再次攻击的人口统计因素，(2) 施暴者类型，(3) 施暴者愿意改变和使用基于动机的方法，以及 (4) 共同发生的共同个体关注，包括物质使用和心理健康问题。对于每一个，我们讨论治疗影响并为未来的研究提出建议。