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Cognitive Behavioral Therapy Case Study

1062 Words5 Pages

Client Problem

Client a 28-year-old male was recently released on supervised probation, after being charged with Intimate Partner Violence, the victim was his wife of 5 years, part of his probation stipulation was to complete anger management classes, batter intervention classes, and have no positive drug tests. During his latest check in with his probation officer, he tested positive for a controlled substance. The client informed the probation officer he has been struggling with drug and alcohol abuse since he was a teenager. Which he believes is causing him to get angry, and hurt others when he loses control, He stated he needs and wants help, to make a positive change. A referral was made for the client to meet with a therapist to …show more content…

According to the National Institute ("Interventions for Domestic Violence Offenders: Cognitive Behavioral Therapy", 2018) "Cognitive Behavioral Therapy (CBT) interventions for domestic violence offenders interventions approach violence as a learned behavior, and according to a CBT model of psychology, non-violence can also be learned by domestic violence perpetrators. CBT attempts to change the behavior by identifying the thought processes and beliefs that contribute to the offenders' violence. These mental pathways to violence, as well as the justifications for violent behavior, are challenged. …show more content…

Findings suggested, in comparison to Abuse–Domestic Violence Treatment Approach (SADV) that substance-dependent individuals, who had dual mental health problems, had poorer treatment outcomes. Clients would have improved outcomes if cognitive –behavioral therapy and pharmacotherapy adjunctive treatments were combined. The author discussed additionally research findings, which reported that negative mood states and/or psychiatric distress do trigger an addiction relapse (Easton, 2012)
Likewise, use of drugs could be contributing to aggressive behaviors (Leonard, 2005) or impairments in anger control (McMurran and Gilchrist, 2008). Easton (2012) research found that targeted interventions for anger control and alcohol use could lead to better treatment outcomes among intimate partner violence offenders. Clients with co-occurring addiction and intimate partner violence have been shown to have histories of witnessing family violence as children, have their own histories of trauma and mental health related problems (Coker et al., 2002). Resulting in an exacerbation of trauma-related psychiatric symptoms that are expressed within this population that needs to be treated. (Easton, 2012) Does Batterers Treatment

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These individuals are often plagued with addiction problems, such as alcoholism. They also have trouble with connecting with their morals, meaning they have trouble identify what is acceptable or not, and right from wrong. These batterers are impulsive and provide little or no warning before violent outbursts. Because of their erratic behavior, treatment

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Although many believe that alcohol is the cause of the abusive actions, but “in reality, some abusers rely on substance use and abuse as an excuse for becoming violent. Alcohol allows the abuser to justify his abusive

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Beginning in late 1980’s police began to require the arrest of domestic violence suspects if their was enough evidence present. Women abused by their intimate partners are more vulnerable to contracting HIV or other STI’s due to forced intercourse or prolonged exposure to stress. Studies suggest that there is a relationship between intimate partner violence and depression and suicidal

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Victims of spousal abuse not only have an immediate exposure to physical danger, but many lasting mental effects as a response. For instance, many individuals suffering from abuse by an intimate partner experience Post Traumatic Stress Disorder caused by traumatic, uncontrollable thoughts about the incident. Additionally, depression remains as the most common symptom in victims. As much as 60% of abused women claimed they felt sad or depressed. In the same way, dissociation is commonly linked with spousal abuse.

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"domestic violence" and "intimate partner violence" often are used interchangeably to denote abusive (eg, physical, sexual, psychological) acts between adults in a close personal relationship. The ultimate goal of such violence is the domination by one person over the other. Approximately 20% to 30% of women and 7.5% of men in the United States have been physically or sexually assaulted during adult life.1 Our understanding of the scope of domestic violence and our efforts to address the problem have expanded significantly since 1994, when Congress enacted the Violence Against Women Act as part of the Violent Crime Control and Law Enforcement Act. Intimate partner violence follows a recognizable pattern titled Walker's Cycle of Violence Theory,

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The psychological impacts of domestic violence relate to battered women syndrome (BWS). BWS implies that the battered woman might start to believe that the abuse is her fault, and the men are not reasonable for his actions. Frequently the abuser has made a statement to the victim inside the relationship is all her fault, and her “you forced me to do it.” Many women in an abusive relationship may not know where to put the blame of the abuse that is happening in the relationship. The battered woman may also feel that the abuse is pervasive and all-knowing (Fine, 2013) .

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Domestic Violence is a major social and public health issue. Domestic Violence which is also known as Intimate Partner Abuse refers to the physical, sexual, and/or psychological abuse to an individual perpetrated by a current or former intimate partner; while this term is gender-neutral, women are more likely to experience physical injuries and incur psychological consequences of Intimate Partner abuse.1 Domestic violence is a multidisciplinary problem requiring coordination with the legal system (e.g., police, prosecutors, and court system), the social system (e.g., legal aid, social services, and shelters), the community at large (e.g., neighbors, families, friends, schools, and churches), and the health profession (e.g., physicians, nurses, counselors, and social workers).2 The impact of repetitive violence on an individual’s health often brings domestic violence into the medical setting. Since it is believed that the majority of medical visits related to domestic violence are not in the form of overt trauma, but present as multiple somatic complaints or stress-related illnesses, primary care physicians are in a key position to offer referral for intervention.3

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Domestic violence in many occasions do not end when the victim escapes the perpetuators, tries to terminate the relationship and when they seek assistance. Unfortunately when any of this happens the abuse intensifies because they feels a loss of control over the victim. Domestic abuse fits into a common pattern, or cycle of violence: Lenore E. Walker (1979) presented the model of a cycle of abuse which consists of; Abuse, Guilt, Excuses, Normal, Fantasy, planning phase and Set-up Abuse in which the abusive partner lashes aggressively, belittling and in a violent manner. The abuse is a power play designed to show "who is boss.” Guilt this happens often after abuse, the partner feels guilt, but not over what they have done.

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However, the BD group was also the most psychologically distressed and emotionally volatile. On the other hand, individuals in the LP group engaged in the least severe marital violence, with this violence generally aimed at family members. Furthermore, these individuals were least likely to have a personality disorder or some form of psychopathology (Holtzworth-Munroe & Stuart,

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According to Portillo, “Domestic violence can lead to homelessness, violent crimes, child abuse, substance abuse and mental health issues including depression, post-traumatic stress disorder and suicide” (Portillo, 2011, pg. 5). This proves that domestic violence ultimately leads to a socio-economic downfall within the United States. Countless victims end up homeless due to many reasons; including, how much that victim depended on their abuser for everyday needs like shelter and “safekeeping”. Domestic violence is a huge issue that negatively impacts all individuals affected by this violence. Furthermore, Portillo’s research has “demonstrated that domestic violence is a learned behavior; a pattern of abuse passed on from one generation to the next affecting every member of the family, including children” (Portillo, 2011, pg. 5).

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Intervention programs, their weaknesses and how to make them better: Due to the prominence of domestic violence in society, intervention programs have been put in place within the United States to better combat such abuse. Different service’s/ intervention programs such as hotlines, shelters, counselors, police officers and other resources are now more available to the people involved in domestic violence. In 1974, the first shelter in the United States for battered women opened in, St. Paul, Minnesota, since then over 5,000 other shelters have opened their doors.

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Unfortunately, one in every four women and one out of seven men will experience some sort of relationship violence from their partner, spouse or significant other in their life. Roughly, 1/5 of all violent victimizations between the years of 2003-2012 have been from domestic violence. There really is no excuse for this type of abuse, nor is there a profile for those that batter. Relationship violence spans across all walks of life and social and economic status. Some of the perpetrators may have grown up in a violent home watching one parent or the other is abused, to them this now has become a learned behavior and becomes a vicious cycle of abuse that can continue generation after generation.

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With the pain and suffering of domestic violence, often snap due to the anger building up inside the psychological minds of victims. “ Domestic violence in fact is not only a substantial health problem by virtue of its direct effects, such as injury and mortality, but also it might contribute to the overall burden of disease as a risk factor for several mental health problems”(Ellsberg et al. 2008). If we didn’t have criminal laws to prevent domestic violence, our mental health would be much different. Depression, suicide, and anxiety rates would be much higher due to nothing limiting chaos from domestic violence cases. Chaos can also come from lack of social interaction.

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Over the past decade, increasing research has been conducted on the prevalence of and the outcomes associated with children exposed to domestic violence (Kitzmann, Gaylord, Holt & Kenny, 2003). Children exposed to domestic violence may experience higher rates of externalizing and internalizing behaviors than their peers. The negative consequences of experiencing domestic violence have been observed from infancy to adolescents and in males and females (Evans, Davies & DiLillo, 2008). State laws regarding children’s exposure to domestic violence vary. Several states have no specific statues addressing this population (U.S. Department of Health and Human Services Administration for Children and Families, 2012).

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Introduction Domestic violence occurs between two adults in a relationship that includes one controlling the other, resulting in physical abuse or mental abuse and neglect. Some of the contributing factors that initiate the domestic violence includes being insecure, non-employed, drinking and using drugs. These factors can result in one getting hurt or dying from their inflicted injuries. Furthermore, children can be emotionally and mentally traumatized over the course of events that they witnessed in the home and act out their aggression in school. To break the cycle of domestic violence the individual would have to leave the relationship and seek out help through family, friends, police, medical psychologist.

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