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Client personality disorders affecting wife assault post-treatment recidivism
D G Dutton1, M Bodnarchuk, R Kropp
1University of British Columbia.
This study reveals that while wife assault treatment benefits most men, individuals with borderline, antisocial, or avoidant personality disorders experience poorer outcomes. Treatment significantly reduces overall post-treatment abuse for participants.
Area of Science:
- Psychology
- Criminology
- Sociology
Background:
- Previous wife assault treatment outcome evaluations lacked clear success criteria.
- Generic "success" or "failure" labels obscure nuanced treatment effectiveness.
- Understanding differential treatment outcomes is crucial for refining interventions.
Purpose of the Study:
- To identify specific patient profiles that benefit most and least from wife assault treatment.
- To determine which types of personality disorders are associated with poorer post-treatment outcomes.
- To analyze the effectiveness of group treatment for reducing post-treatment abusiveness.
Main Methods:
- Evaluation of treatment outcomes for men participating in wife assault groups.
- Assessment of post-treatment abusiveness using self-reports and wife reports.
- Analysis of personality disorder scores (borderline, antisocial, avoidant) in relation to treatment success.
Main Results:
- Men with high scores on borderline, antisocial, and avoidant personality disorders showed the worst post-treatment prognosis.
- Despite variations, men in the treatment group demonstrated significantly reduced post-treatment abusiveness.
- Both self-reported and wife-reported data indicated a reduction in abuse following treatment.
Conclusions:
- Wife assault treatment groups are generally effective in reducing male abusiveness.
- Specific personality disorders (borderline, antisocial, avoidant) are key indicators of poorer treatment outcomes.
- Future interventions should consider tailoring approaches for men with these personality profiles.
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