[Solved] Intimate Partner Violence (IPV) Assessment and Treatment

Assignment Prompt & Instructions

Intimate Partner Violence (IPV) Assessment and Treatment

**files (2)**

– ## IntimatePartnerViolenceInstructions.pdf

– ## WomeninViolentRelationships-AssessmentRiskandTreatment-2.pdf

**## IntimatePartnerViolenceInstructions.pdf**

Reflection: Intimate Partner Violence (IPV) Assessment and Treatment

Instructions:
● Review all material in the module 3.
● Analyze the case scenario below.
● You will write a minimum of 500-word reflection using the Women in Violent

Relationships – Assessment, Risk, and Treatment PowerPoint and other
collaborative literature listed in this module.

● Add a reference page listing multiple resources from the module.

Case Scenario
Maria (32) is a married woman with two children (ages 6 and 9). She presents to
therapy reporting increased anxiety, difficulty sleeping, and irritability. She initially
describes her relationship as “stressful” and mentions frequent arguments with her
husband, Daniel (35).

As the session progresses, Maria discloses that during arguments:

● Daniel has pushed her against a wall twice in the past year
● He frequently yells and calls her “useless”
● He controls most of the finances and questions her spending
● He checks her phone regularly and becomes angry if she speaks to male

coworkers

Maria reports that:

● She has slapped Daniel “a few times” during heated arguments
● She feels afraid when arguments escalate but says, “I also lose control

sometimes”
● She is unsure if she wants to leave the relationship
● She is worried about how separation would affect her children financially

She denies current severe physical injury but reports feeling “on edge all the time.”

1. IPV Identification

● Identify the most appropriate type of IPV (Johnson’s typology)
● Justify your answer using specific evidence from the case

● Explain why other types are less appropriate

2. Power and Control Analysis

● Analyze the power dynamics in the relationship
● Identify:

○ Controlling behaviors
○ Patterns of intimidation or fear

● 3. Safety Planning
○ Develop an initial safety plan for Maria
○ Include:

■ Immediate safety considerations
■ Resources/referrals
■ Child safety considerations

– Reflection: Intimate Partner Violence (IPV) Assessment and Treatment
– Case Scenario
– 1. IPV Identification
– 2. Power and Control Analysis

**## WomeninViolentRelationships-AssessmentRiskandTreatment-2.pdf**

Women in Violent Relationships:
Assessment, Risk, and Treatment

Family Violence SOW 4141

Dr. Patricia Temes, PhD, LCSW-QS

Learning Objectives

• Define Intimate Partner Violence

• Understand impact

• Differentiate types

• Conduct screening

• Identify risk/protective factors

• Apply safe treatment

Defining Intimate Partner Violence
(IPV)

• Types of IPV
• Physical violence
• Sexual violence
• Emotional abuse
• Threats/coercion
• Occurs in intimate relationships

Hidden Nature of IPV
• Clients seek help for symptoms
• Depression, anxiety, pain
• Do not identify IPV
• Clinicians must assess actively

Impact of IPV

• Mental: depression, PTSD

• Physical: chronic pain

• Self-worth, identity

• Impact on children

Decision to Leave

Often impacted by:

• Financial barriers

• Fear of retaliation

• Children concerns

• Emotional attachment

Prevalence

• 1 in 4 women are affected

• It is underreported

• It is often undetected

Counselor Role

• A professional can help by:

• Screening early

• Assessing the risks

• Using effective tools and interventions

• Ensuring safety

• Respecting autonomy

IPV Not One-Size

• Women can be victims or
aggressors

• Patterns vary

• Tailored treatment needed

Johnson Typology

• Intimate Terrorism
• Violent Resistance
• Mutual Violent Control
• Situational Violence

Overview of Johnson’s Typology
• Developed by Michael Johnson (2008)
• Organizes IPV based on:

– Power and control dynamics
– Patterns of behavior (not just isolated incidents)

Core Principle:
Not all intimate partner violence is the same—context, motivation, and control matter

Intimate
Terrorism
(Coercive

Controlling
Violence)

Definition

• A pattern of violence where:

– One partner is both violent and
controlling

– The other partner is not violent
and is often fearful

• Violence is embedded in a broader
system of:

– Domination

– Control

– Psychological manipulation

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

• Key Characteristics

• Ongoing pattern (not isolated
incidents)

• Includes:

– Physical abuse

– Emotional abuse

– Psychological control

– Isolation tactics

• Victim experiences:

– Fear

– Loss of autonomy

– Dependency

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Control Tactics May Include:
• Monitoring movements
• Financial control
• Isolation from family/friends
• Threats and intimidation
• Gaslighting

Clinical Presentation
Victim may:

– Appear anxious, fearful, or
hypervigilant

– Minimize abuse
– Feel trapped or unable to leave

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Prevalence & Context

• Most commonly:

– Male perpetrator → female victim

• Often portrayed in:

– Media

– Legal cases

– Shelters and crisis services

Important:

• Although highly visible, this type is
less common than others

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Clinical Implications

• High risk for:

– Severe injury

– Lethality

• Requires:

– Immediate safety planning

– Individual treatment (NOT conjoint
therapy)

• Focus on:

– Protection

– Empowerment

– Resource connection

Violent
Resistance

Definition

Occurs when:

– A victim uses violence in
response to ongoing abuse

– Violence is defensive
rather than controlling

Violent
Resistance

cont.

Key Characteristics

• Reactive rather than proactive

• Motivated by:

– Self-protection

– Survival

• Not part of a broader pattern of
control

Violent
Resistance cont.

Clinical Considerations:
• High risk of misinterpretation:
• Victim may be incorrectly labeled as:

– “Aggressor”
– “Mutually abusive”

Assessment Focus On:
• Identify:

– Who holds power and control
– Context of violent incidents

• Explore:
– Fear levels
– Patterns over time

Violent
Resistance cont.

Clinical Implications

• Avoid:

– Victim-blaming

• Provide:

– Trauma-informed care

– Safety planning

• Validate:

– Survival strategies

Mutual Violent Control
Definition

• Both partners:

– Are violent

– Attempt to control each other

Key Characteristics

• Reciprocal aggression

• High conflict

• Power struggle dynamic

Mutual Violent Control cont.

Clinical Presentation

• Relationship marked by:

– Instability

– Escalation cycles

– Mutual fear and hostility

Mutual Violent Control cont.

Clinical Implications

• Requires:

– Careful, structured assessment

High risk situation:

– Violence may escalate quickly

• Often NOT appropriate for
conjoint therapy without stabilization

Situational
Couple

Violence

Definition

• Violence occurs:

– During conflict escalation

– NOT driven by ongoing
control

Key Characteristics

• Episodic rather than chronic

• Triggered by:

– Arguments

– Poor communication

– Stress

Situational
Couple

Violence
cont.

Behavior Pattern

• Either partner may engage in
violence

• Does NOT involve:

– Systematic domination

– Ongoing fear-based control

Prevalence

• Most common form of IPV

• Research indicates:

• Bidirectional violence is more
common than one-sided violence

Situational
Couple

Violence
cont.

Clinical Presentation

• Clients may report:

– “We just argue and it gets out of
control”

• Less fear compared to intimate
terrorism

Clinical Implications

• May be appropriate for:

– Couples therapy (with caution)

• Focus areas:

– Communication skills

– Conflict resolution
– Emotional regulation

Cross-Cutting
Clinical Insights

Importance of Context
• Same behavior ≠ same meaning
• Must assess:

– Pattern
– Intent
– Control dynamics

Bidirectional Violence
• Research shows:

– Many relationships involve mutual
aggression

• However:
– Mutual aggression ≠ equal power

One-Size-
Fits-All Approach is Ineffective

Traditional models:
– Focus only on male perpetrators
Johnson’s typology highlights:
– Need for tailored interventions

Application for Clinical Practice
• Assessment Questions
• Who is afraid of whom?
• Is there a pattern of control?
• What triggers the violence?
• Is violence reactive or controlling?

Treatment Matching

Type Recommended Approach

Intimate Terrorism Safety planning, individual therapy

Violent Resistance Trauma-informed care, validation

Mutual Violent Control Intensive assessment, caution

Situational Violence Couples therapy (if safe)

Treatment

Safety Planning
• Emergency contacts
• Exit plans

Conjoint Therapy
• Only if safe
• Assess both partners

Avoid Conjoint Therapy if:
• Fear present
• High risk

Risks

Risk Factors
• Substance abuse
• Weapons
• Mental illness

Socioeconomic Risks
• Poverty
• Unemployment
• Early parenthood

Developmental Risks
• Childhood abuse
• Exposure to IPV

Protective Factors

• Support

• Housing

• Employment

Strengths-Based

• Focus on resilience, self esteem, self confidence

Modern
Approach

Interventions should include:

• Trauma-informed

• Individualized

Treatment Goals should
address:

• Ending violence

• Increasing safety

Priorities should focus on:

• Safety first

• Accurate assessment

Ethics • Confidentiality vs safety

• No victim blaming

Reference
Kopala, M., & Keitel, M. (Eds.).
(2017). Handbook of counseling
women (2nd ed.). SAGE Publications.

– Slide 1: Women in Violent Relationships: Assessment, Risk, and Treatment
– Slide 2: Learning Objectives
– Slide 3: Defining Intimate Partner Violence (IPV)
– Slide 4: Impact of IPV
– Slide 5: Decision to Leave
– Slide 6: Prevalence
– Slide 7: Counselor Role
– Slide 8: IPV Not One-Size
– Slide 9: Johnson Typology
– Slide 10: Intimate Terrorism (Coercive Controlling Violence)
– Slide 11: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 12: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 13: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 14: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 15: Violent Resistance
– Slide 16: Violent Resistance cont.
– Slide 17: Violent Resistance cont.
– Slide 18: Violent Resistance cont.
– Slide 19: Mutual Violent Control
– Slide 20: Mutual Violent Control cont.
– Slide 21: Mutual Violent Control cont.
– Slide 22: Situational Couple Violence
– Slide 23: Situational Couple Violence cont.
– Slide 24: Situational Couple Violence cont.
– Slide 25: Cross-Cutting Clinical Insights
– Slide 26: One-Size- Fits-All Approach is Ineffective
– Slide 27: Treatment Matching
– Slide 28: Treatment
– Slide 29: Risks
– Slide 30
– Slide 31: Modern Approach
– Slide 32: Ethics
– Slide 33: Reference

**## WomeninViolentRelationships-AssessmentRiskandTreatment-2.pdf**

Women in Violent Relationships:
Assessment, Risk, and Treatment

Family Violence SOW 4141

Dr. Patricia Temes, PhD, LCSW-QS

Learning Objectives

• Define Intimate Partner Violence

• Understand impact

• Differentiate types

• Conduct screening

• Identify risk/protective factors

• Apply safe treatment

Defining Intimate Partner Violence
(IPV)

• Types of IPV
• Physical violence
• Sexual violence
• Emotional abuse
• Threats/coercion
• Occurs in intimate relationships

Hidden Nature of IPV
• Clients seek help for symptoms
• Depression, anxiety, pain
• Do not identify IPV
• Clinicians must assess actively

Impact of IPV

• Mental: depression, PTSD

• Physical: chronic pain

• Self-worth, identity

• Impact on children

Decision to Leave

Often impacted by:

• Financial barriers

• Fear of retaliation

• Children concerns

• Emotional attachment

Prevalence

• 1 in 4 women are affected

• It is underreported

• It is often undetected

Counselor Role

• A professional can help by:

• Screening early

• Assessing the risks

• Using effective tools and interventions

• Ensuring safety

• Respecting autonomy

IPV Not One-Size

• Women can be victims or
aggressors

• Patterns vary

• Tailored treatment needed

Johnson Typology

• Intimate Terrorism
• Violent Resistance
• Mutual Violent Control
• Situational Violence

Overview of Johnson’s Typology
• Developed by Michael Johnson (2008)
• Organizes IPV based on:

– Power and control dynamics
– Patterns of behavior (not just isolated incidents)

Core Principle:
Not all intimate partner violence is the same—context, motivation, and control matter

Intimate
Terrorism
(Coercive

Controlling
Violence)

Definition

• A pattern of violence where:

– One partner is both violent and
controlling

– The other partner is not violent
and is often fearful

• Violence is embedded in a broader
system of:

– Domination

– Control

– Psychological manipulation

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

• Key Characteristics

• Ongoing pattern (not isolated
incidents)

• Includes:

– Physical abuse

– Emotional abuse

– Psychological control

– Isolation tactics

• Victim experiences:

– Fear

– Loss of autonomy

– Dependency

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Control Tactics May Include:
• Monitoring movements
• Financial control
• Isolation from family/friends
• Threats and intimidation
• Gaslighting

Clinical Presentation
Victim may:

– Appear anxious, fearful, or
hypervigilant

– Minimize abuse
– Feel trapped or unable to leave

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Prevalence & Context

• Most commonly:

– Male perpetrator → female victim

• Often portrayed in:

– Media

– Legal cases

– Shelters and crisis services

Important:

• Although highly visible, this type is
less common than others

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Clinical Implications

• High risk for:

– Severe injury

– Lethality

• Requires:

– Immediate safety planning

– Individual treatment (NOT conjoint
therapy)

• Focus on:

– Protection

– Empowerment

– Resource connection

Violent
Resistance

Definition

Occurs when:

– A victim uses violence in
response to ongoing abuse

– Violence is defensive
rather than controlling

Violent
Resistance

cont.

Key Characteristics

• Reactive rather than proactive

• Motivated by:

– Self-protection

– Survival

• Not part of a broader pattern of
control

Violent
Resistance cont.

Clinical Considerations:
• High risk of misinterpretation:
• Victim may be incorrectly labeled as:

– “Aggressor”
– “Mutually abusive”

Assessment Focus On:
• Identify:

– Who holds power and control
– Context of violent incidents

• Explore:
– Fear levels
– Patterns over time

Violent
Resistance cont.

Clinical Implications

• Avoid:

– Victim-blaming

• Provide:

– Trauma-informed care

– Safety planning

• Validate:

– Survival strategies

Mutual Violent Control
Definition

• Both partners:

– Are violent

– Attempt to control each other

Key Characteristics

• Reciprocal aggression

• High conflict

• Power struggle dynamic

Mutual Violent Control cont.

Clinical Presentation

• Relationship marked by:

– Instability

– Escalation cycles

– Mutual fear and hostility

Mutual Violent Control cont.

Clinical Implications

• Requires:

– Careful, structured assessment

High risk situation:

– Violence may escalate quickly

• Often NOT appropriate for
conjoint therapy without stabilization

Situational
Couple

Violence

Definition

• Violence occurs:

– During conflict escalation

– NOT driven by ongoing
control

Key Characteristics

• Episodic rather than chronic

• Triggered by:

– Arguments

– Poor communication

– Stress

Situational
Couple

Violence
cont.

Behavior Pattern

• Either partner may engage in
violence

• Does NOT involve:

– Systematic domination

– Ongoing fear-based control

Prevalence

• Most common form of IPV

• Research indicates:

• Bidirectional violence is more
common than one-sided violence

Situational
Couple

Violence
cont.

Clinical Presentation

• Clients may report:

– “We just argue and it gets out of
control”

• Less fear compared to intimate
terrorism

Clinical Implications

• May be appropriate for:

– Couples therapy (with caution)

• Focus areas:

– Communication skills

– Conflict resolution
– Emotional regulation

Cross-Cutting
Clinical Insights

Importance of Context
• Same behavior ≠ same meaning
• Must assess:

– Pattern
– Intent
– Control dynamics

Bidirectional Violence
• Research shows:

– Many relationships involve mutual
aggression

• However:
– Mutual aggression ≠ equal power

One-Size-
Fits-All Approach is Ineffective

Traditional models:
– Focus only on male perpetrators
Johnson’s typology highlights:
– Need for tailored interventions

Application for Clinical Practice
• Assessment Questions
• Who is afraid of whom?
• Is there a pattern of control?
• What triggers the violence?
• Is violence reactive or controlling?

Treatment Matching

Type Recommended Approach

Intimate Terrorism Safety planning, individual therapy

Violent Resistance Trauma-informed care, validation

Mutual Violent Control Intensive assessment, caution

Situational Violence Couples therapy (if safe)

Treatment

Safety Planning
• Emergency contacts
• Exit plans

Conjoint Therapy
• Only if safe
• Assess both partners

Avoid Conjoint Therapy if:
• Fear present
• High risk

Risks

Risk Factors
• Substance abuse
• Weapons
• Mental illness

Socioeconomic Risks
• Poverty
• Unemployment
• Early parenthood

Developmental Risks
• Childhood abuse
• Exposure to IPV

Protective Factors

• Support

• Housing

• Employment

Strengths-Based

• Focus on resilience, self esteem, self confidence

Modern
Approach

Interventions should include:

• Trauma-informed

• Individualized

Treatment Goals should
address:

• Ending violence

• Increasing safety

Priorities should focus on:

• Safety first

• Accurate assessment

Ethics • Confidentiality vs safety

• No victim blaming

Reference
Kopala, M., & Keitel, M. (Eds.).
(2017). Handbook of counseling
women (2nd ed.). SAGE Publications.

– Slide 1: Women in Violent Relationships: Assessment, Risk, and Treatment
– Slide 2: Learning Objectives
– Slide 3: Defining Intimate Partner Violence (IPV)
– Slide 4: Impact of IPV
– Slide 5: Decision to Leave
– Slide 6: Prevalence
– Slide 7: Counselor Role
– Slide 8: IPV Not One-Size
– Slide 9: Johnson Typology
– Slide 10: Intimate Terrorism (Coercive Controlling Violence)
– Slide 11: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 12: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 13: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 14: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 15: Violent Resistance
– Slide 16: Violent Resistance cont.
– Slide 17: Violent Resistance cont.
– Slide 18: Violent Resistance cont.
– Slide 19: Mutual Violent Control
– Slide 20: Mutual Violent Control cont.
– Slide 21: Mutual Violent Control cont.
– Slide 22: Situational Couple Violence
– Slide 23: Situational Couple Violence cont.
– Slide 24: Situational Couple Violence cont.
– Slide 25: Cross-Cutting Clinical Insights
– Slide 26: One-Size- Fits-All Approach is Ineffective
– Slide 27: Treatment Matching
– Slide 28: Treatment
– Slide 29: Risks
– Slide 30
– Slide 31: Modern Approach
– Slide 32: Ethics
– Slide 33: Reference

**## IntimatePartnerViolenceInstructions.pdf**

Reflection: Intimate Partner Violence (IPV) Assessment and Treatment

Instructions:
● Review all material in the module 3.
● Analyze the case scenario below.
● You will write a minimum of 500-word reflection using the Women in Violent

Relationships – Assessment, Risk, and Treatment PowerPoint and other
collaborative literature listed in this module.

● Add a reference page listing multiple resources from the module.

Case Scenario
Maria (32) is a married woman with two children (ages 6 and 9). She presents to
therapy reporting increased anxiety, difficulty sleeping, and irritability. She initially
describes her relationship as “stressful” and mentions frequent arguments with her
husband, Daniel (35).

As the session progresses, Maria discloses that during arguments:

● Daniel has pushed her against a wall twice in the past year
● He frequently yells and calls her “useless”
● He controls most of the finances and questions her spending
● He checks her phone regularly and becomes angry if she speaks to male

coworkers

Maria reports that:

● She has slapped Daniel “a few times” during heated arguments
● She feels afraid when arguments escalate but says, “I also lose control

sometimes”
● She is unsure if she wants to leave the relationship
● She is worried about how separation would affect her children financially

She denies current severe physical injury but reports feeling “on edge all the time.”

1. IPV Identification

● Identify the most appropriate type of IPV (Johnson’s typology)
● Justify your answer using specific evidence from the case

● Explain why other types are less appropriate

2. Power and Control Analysis

● Analyze the power dynamics in the relationship
● Identify:

○ Controlling behaviors
○ Patterns of intimidation or fear

● 3. Safety Planning
○ Develop an initial safety plan for Maria
○ Include:

■ Immediate safety considerations
■ Resources/referrals
■ Child safety considerations

– Reflection: Intimate Partner Violence (IPV) Assessment and Treatment
– Case Scenario
– 1. IPV Identification
– 2. Power and Control Analysis

**## WomeninViolentRelationships-AssessmentRiskandTreatment-2.pdf**

Women in Violent Relationships:
Assessment, Risk, and Treatment

Family Violence SOW 4141

Dr. Patricia Temes, PhD, LCSW-QS

Learning Objectives

• Define Intimate Partner Violence

• Understand impact

• Differentiate types

• Conduct screening

• Identify risk/protective factors

• Apply safe treatment

Defining Intimate Partner Violence
(IPV)

• Types of IPV
• Physical violence
• Sexual violence
• Emotional abuse
• Threats/coercion
• Occurs in intimate relationships

Hidden Nature of IPV
• Clients seek help for symptoms
• Depression, anxiety, pain
• Do not identify IPV
• Clinicians must assess actively

Impact of IPV

• Mental: depression, PTSD

• Physical: chronic pain

• Self-worth, identity

• Impact on children

Decision to Leave

Often impacted by:

• Financial barriers

• Fear of retaliation

• Children concerns

• Emotional attachment

Prevalence

• 1 in 4 women are affected

• It is underreported

• It is often undetected

Counselor Role

• A professional can help by:

• Screening early

• Assessing the risks

• Using effective tools and interventions

• Ensuring safety

• Respecting autonomy

IPV Not One-Size

• Women can be victims or
aggressors

• Patterns vary

• Tailored treatment needed

Johnson Typology

• Intimate Terrorism
• Violent Resistance
• Mutual Violent Control
• Situational Violence

Overview of Johnson’s Typology
• Developed by Michael Johnson (2008)
• Organizes IPV based on:

– Power and control dynamics
– Patterns of behavior (not just isolated incidents)

Core Principle:
Not all intimate partner violence is the same—context, motivation, and control matter

Intimate
Terrorism
(Coercive

Controlling
Violence)

Definition

• A pattern of violence where:

– One partner is both violent and
controlling

– The other partner is not violent
and is often fearful

• Violence is embedded in a broader
system of:

– Domination

– Control

– Psychological manipulation

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

• Key Characteristics

• Ongoing pattern (not isolated
incidents)

• Includes:

– Physical abuse

– Emotional abuse

– Psychological control

– Isolation tactics

• Victim experiences:

– Fear

– Loss of autonomy

– Dependency

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Control Tactics May Include:
• Monitoring movements
• Financial control
• Isolation from family/friends
• Threats and intimidation
• Gaslighting

Clinical Presentation
Victim may:

– Appear anxious, fearful, or
hypervigilant

– Minimize abuse
– Feel trapped or unable to leave

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Prevalence & Context

• Most commonly:

– Male perpetrator → female victim

• Often portrayed in:

– Media

– Legal cases

– Shelters and crisis services

Important:

• Although highly visible, this type is
less common than others

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Clinical Implications

• High risk for:

– Severe injury

– Lethality

• Requires:

– Immediate safety planning

– Individual treatment (NOT conjoint
therapy)

• Focus on:

– Protection

– Empowerment

– Resource connection

Violent
Resistance

Definition

Occurs when:

– A victim uses violence in
response to ongoing abuse

– Violence is defensive
rather than controlling

Violent
Resistance

cont.

Key Characteristics

• Reactive rather than proactive

• Motivated by:

– Self-protection

– Survival

• Not part of a broader pattern of
control

Violent
Resistance cont.

Clinical Considerations:
• High risk of misinterpretation:
• Victim may be incorrectly labeled as:

– “Aggressor”
– “Mutually abusive”

Assessment Focus On:
• Identify:

– Who holds power and control
– Context of violent incidents

• Explore:
– Fear levels
– Patterns over time

Violent
Resistance cont.

Clinical Implications

• Avoid:

– Victim-blaming

• Provide:

– Trauma-informed care

– Safety planning

• Validate:

– Survival strategies

Mutual Violent Control
Definition

• Both partners:

– Are violent

– Attempt to control each other

Key Characteristics

• Reciprocal aggression

• High conflict

• Power struggle dynamic

Mutual Violent Control cont.

Clinical Presentation

• Relationship marked by:

– Instability

– Escalation cycles

– Mutual fear and hostility

Mutual Violent Control cont.

Clinical Implications

• Requires:

– Careful, structured assessment

High risk situation:

– Violence may escalate quickly

• Often NOT appropriate for
conjoint therapy without stabilization

Situational
Couple

Violence

Definition

• Violence occurs:

– During conflict escalation

– NOT driven by ongoing
control

Key Characteristics

• Episodic rather than chronic

• Triggered by:

– Arguments

– Poor communication

– Stress

Situational
Couple

Violence
cont.

Behavior Pattern

• Either partner may engage in
violence

• Does NOT involve:

– Systematic domination

– Ongoing fear-based control

Prevalence

• Most common form of IPV

• Research indicates:

• Bidirectional violence is more
common than one-sided violence

Situational
Couple

Violence
cont.

Clinical Presentation

• Clients may report:

– “We just argue and it gets out of
control”

• Less fear compared to intimate
terrorism

Clinical Implications

• May be appropriate for:

– Couples therapy (with caution)

• Focus areas:

– Communication skills

– Conflict resolution
– Emotional regulation

Cross-Cutting
Clinical Insights

Importance of Context
• Same behavior ≠ same meaning
• Must assess:

– Pattern
– Intent
– Control dynamics

Bidirectional Violence
• Research shows:

– Many relationships involve mutual
aggression

• However:
– Mutual aggression ≠ equal power

One-Size-
Fits-All Approach is Ineffective

Traditional models:
– Focus only on male perpetrators
Johnson’s typology highlights:
– Need for tailored interventions

Application for Clinical Practice
• Assessment Questions
• Who is afraid of whom?
• Is there a pattern of control?
• What triggers the violence?
• Is violence reactive or controlling?

Treatment Matching

Type Recommended Approach

Intimate Terrorism Safety planning, individual therapy

Violent Resistance Trauma-informed care, validation

Mutual Violent Control Intensive assessment, caution

Situational Violence Couples therapy (if safe)

Treatment

Safety Planning
• Emergency contacts
• Exit plans

Conjoint Therapy
• Only if safe
• Assess both partners

Avoid Conjoint Therapy if:
• Fear present
• High risk

Risks

Risk Factors
• Substance abuse
• Weapons
• Mental illness

Socioeconomic Risks
• Poverty
• Unemployment
• Early parenthood

Developmental Risks
• Childhood abuse
• Exposure to IPV

Protective Factors

• Support

• Housing

• Employment

Strengths-Based

• Focus on resilience, self esteem, self confidence

Modern
Approach

Interventions should include:

• Trauma-informed

• Individualized

Treatment Goals should
address:

• Ending violence

• Increasing safety

Priorities should focus on:

• Safety first

• Accurate assessment

Ethics • Confidentiality vs safety

• No victim blaming

Reference
Kopala, M., & Keitel, M. (Eds.).
(2017). Handbook of counseling
women (2nd ed.). SAGE Publications.

– Slide 1: Women in Violent Relationships: Assessment, Risk, and Treatment
– Slide 2: Learning Objectives
– Slide 3: Defining Intimate Partner Violence (IPV)
– Slide 4: Impact of IPV
– Slide 5: Decision to Leave
– Slide 6: Prevalence
– Slide 7: Counselor Role
– Slide 8: IPV Not One-Size
– Slide 9: Johnson Typology
– Slide 10: Intimate Terrorism (Coercive Controlling Violence)
– Slide 11: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 12: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 13: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 14: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 15: Violent Resistance
– Slide 16: Violent Resistance cont.
– Slide 17: Violent Resistance cont.
– Slide 18: Violent Resistance cont.
– Slide 19: Mutual Violent Control
– Slide 20: Mutual Violent Control cont.
– Slide 21: Mutual Violent Control cont.
– Slide 22: Situational Couple Violence
– Slide 23: Situational Couple Violence cont.
– Slide 24: Situational Couple Violence cont.
– Slide 25: Cross-Cutting Clinical Insights
– Slide 26: One-Size- Fits-All Approach is Ineffective
– Slide 27: Treatment Matching
– Slide 28: Treatment
– Slide 29: Risks
– Slide 30
– Slide 31: Modern Approach
– Slide 32: Ethics
– Slide 33: Reference

**## IntimatePartnerViolenceInstructions.pdf**

Reflection: Intimate Partner Violence (IPV) Assessment and Treatment

Instructions:
● Review all material in the module 3.
● Analyze the case scenario below.
● You will write a minimum of 500-word reflection using the Women in Violent

Relationships – Assessment, Risk, and Treatment PowerPoint and other
collaborative literature listed in this module.

● Add a reference page listing multiple resources from the module.

Case Scenario
Maria (32) is a married woman with two children (ages 6 and 9). She presents to
therapy reporting increased anxiety, difficulty sleeping, and irritability. She initially
describes her relationship as “stressful” and mentions frequent arguments with her
husband, Daniel (35).

As the session progresses, Maria discloses that during arguments:

● Daniel has pushed her against a wall twice in the past year
● He frequently yells and calls her “useless”
● He controls most of the finances and questions her spending
● He checks her phone regularly and becomes angry if she speaks to male

coworkers

Maria reports that:

● She has slapped Daniel “a few times” during heated arguments
● She feels afraid when arguments escalate but says, “I also lose control

sometimes”
● She is unsure if she wants to leave the relationship
● She is worried about how separation would affect her children financially

She denies current severe physical injury but reports feeling “on edge all the time.”

1. IPV Identification

● Identify the most appropriate type of IPV (Johnson’s typology)
● Justify your answer using specific evidence from the case

● Explain why other types are less appropriate

2. Power and Control Analysis

● Analyze the power dynamics in the relationship
● Identify:

○ Controlling behaviors
○ Patterns of intimidation or fear

● 3. Safety Planning
○ Develop an initial safety plan for Maria
○ Include:

■ Immediate safety considerations
■ Resources/referrals
■ Child safety considerations

– Reflection: Intimate Partner Violence (IPV) Assessment and Treatment
– Case Scenario
– 1. IPV Identification
– 2. Power and Control Analysis

**## WomeninViolentRelationships-AssessmentRiskandTreatment-2.pdf**

Women in Violent Relationships:
Assessment, Risk, and Treatment

Family Violence SOW 4141

Dr. Patricia Temes, PhD, LCSW-QS

Learning Objectives

• Define Intimate Partner Violence

• Understand impact

• Differentiate types

• Conduct screening

• Identify risk/protective factors

• Apply safe treatment

Defining Intimate Partner Violence
(IPV)

• Types of IPV
• Physical violence
• Sexual violence
• Emotional abuse
• Threats/coercion
• Occurs in intimate relationships

Hidden Nature of IPV
• Clients seek help for symptoms
• Depression, anxiety, pain
• Do not identify IPV
• Clinicians must assess actively

Impact of IPV

• Mental: depression, PTSD

• Physical: chronic pain

• Self-worth, identity

• Impact on children

Decision to Leave

Often impacted by:

• Financial barriers

• Fear of retaliation

• Children concerns

• Emotional attachment

Prevalence

• 1 in 4 women are affected

• It is underreported

• It is often undetected

Counselor Role

• A professional can help by:

• Screening early

• Assessing the risks

• Using effective tools and interventions

• Ensuring safety

• Respecting autonomy

IPV Not One-Size

• Women can be victims or
aggressors

• Patterns vary

• Tailored treatment needed

Johnson Typology

• Intimate Terrorism
• Violent Resistance
• Mutual Violent Control
• Situational Violence

Overview of Johnson’s Typology
• Developed by Michael Johnson (2008)
• Organizes IPV based on:

– Power and control dynamics
– Patterns of behavior (not just isolated incidents)

Core Principle:
Not all intimate partner violence is the same—context, motivation, and control matter

Intimate
Terrorism
(Coercive

Controlling
Violence)

Definition

• A pattern of violence where:

– One partner is both violent and
controlling

– The other partner is not violent
and is often fearful

• Violence is embedded in a broader
system of:

– Domination

– Control

– Psychological manipulation

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

• Key Characteristics

• Ongoing pattern (not isolated
incidents)

• Includes:

– Physical abuse

– Emotional abuse

– Psychological control

– Isolation tactics

• Victim experiences:

– Fear

– Loss of autonomy

– Dependency

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Control Tactics May Include:
• Monitoring movements
• Financial control
• Isolation from family/friends
• Threats and intimidation
• Gaslighting

Clinical Presentation
Victim may:

– Appear anxious, fearful, or
hypervigilant

– Minimize abuse
– Feel trapped or unable to leave

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Prevalence & Context

• Most commonly:

– Male perpetrator → female victim

• Often portrayed in:

– Media

– Legal cases

– Shelters and crisis services

Important:

• Although highly visible, this type is
less common than others

Intimate
Terrorism
(Coercive

Controlling
Violence) cont.

Clinical Implications

• High risk for:

– Severe injury

– Lethality

• Requires:

– Immediate safety planning

– Individual treatment (NOT conjoint
therapy)

• Focus on:

– Protection

– Empowerment

– Resource connection

Violent
Resistance

Definition

Occurs when:

– A victim uses violence in
response to ongoing abuse

– Violence is defensive
rather than controlling

Violent
Resistance

cont.

Key Characteristics

• Reactive rather than proactive

• Motivated by:

– Self-protection

– Survival

• Not part of a broader pattern of
control

Violent
Resistance cont.

Clinical Considerations:
• High risk of misinterpretation:
• Victim may be incorrectly labeled as:

– “Aggressor”
– “Mutually abusive”

Assessment Focus On:
• Identify:

– Who holds power and control
– Context of violent incidents

• Explore:
– Fear levels
– Patterns over time

Violent
Resistance cont.

Clinical Implications

• Avoid:

– Victim-blaming

• Provide:

– Trauma-informed care

– Safety planning

• Validate:

– Survival strategies

Mutual Violent Control
Definition

• Both partners:

– Are violent

– Attempt to control each other

Key Characteristics

• Reciprocal aggression

• High conflict

• Power struggle dynamic

Mutual Violent Control cont.

Clinical Presentation

• Relationship marked by:

– Instability

– Escalation cycles

– Mutual fear and hostility

Mutual Violent Control cont.

Clinical Implications

• Requires:

– Careful, structured assessment

High risk situation:

– Violence may escalate quickly

• Often NOT appropriate for
conjoint therapy without stabilization

Situational
Couple

Violence

Definition

• Violence occurs:

– During conflict escalation

– NOT driven by ongoing
control

Key Characteristics

• Episodic rather than chronic

• Triggered by:

– Arguments

– Poor communication

– Stress

Situational
Couple

Violence
cont.

Behavior Pattern

• Either partner may engage in
violence

• Does NOT involve:

– Systematic domination

– Ongoing fear-based control

Prevalence

• Most common form of IPV

• Research indicates:

• Bidirectional violence is more
common than one-sided violence

Situational
Couple

Violence
cont.

Clinical Presentation

• Clients may report:

– “We just argue and it gets out of
control”

• Less fear compared to intimate
terrorism

Clinical Implications

• May be appropriate for:

– Couples therapy (with caution)

• Focus areas:

– Communication skills

– Conflict resolution
– Emotional regulation

Cross-Cutting
Clinical Insights

Importance of Context
• Same behavior ≠ same meaning
• Must assess:

– Pattern
– Intent
– Control dynamics

Bidirectional Violence
• Research shows:

– Many relationships involve mutual
aggression

• However:
– Mutual aggression ≠ equal power

One-Size-
Fits-All Approach is Ineffective

Traditional models:
– Focus only on male perpetrators
Johnson’s typology highlights:
– Need for tailored interventions

Application for Clinical Practice
• Assessment Questions
• Who is afraid of whom?
• Is there a pattern of control?
• What triggers the violence?
• Is violence reactive or controlling?

Treatment Matching

Type Recommended Approach

Intimate Terrorism Safety planning, individual therapy

Violent Resistance Trauma-informed care, validation

Mutual Violent Control Intensive assessment, caution

Situational Violence Couples therapy (if safe)

Treatment

Safety Planning
• Emergency contacts
• Exit plans

Conjoint Therapy
• Only if safe
• Assess both partners

Avoid Conjoint Therapy if:
• Fear present
• High risk

Risks

Risk Factors
• Substance abuse
• Weapons
• Mental illness

Socioeconomic Risks
• Poverty
• Unemployment
• Early parenthood

Developmental Risks
• Childhood abuse
• Exposure to IPV

Protective Factors

• Support

• Housing

• Employment

Strengths-Based

• Focus on resilience, self esteem, self confidence

Modern
Approach

Interventions should include:

• Trauma-informed

• Individualized

Treatment Goals should
address:

• Ending violence

• Increasing safety

Priorities should focus on:

• Safety first

• Accurate assessment

Ethics • Confidentiality vs safety

• No victim blaming

Reference
Kopala, M., & Keitel, M. (Eds.).
(2017). Handbook of counseling
women (2nd ed.). SAGE Publications.

– Slide 1: Women in Violent Relationships: Assessment, Risk, and Treatment
– Slide 2: Learning Objectives
– Slide 3: Defining Intimate Partner Violence (IPV)
– Slide 4: Impact of IPV
– Slide 5: Decision to Leave
– Slide 6: Prevalence
– Slide 7: Counselor Role
– Slide 8: IPV Not One-Size
– Slide 9: Johnson Typology
– Slide 10: Intimate Terrorism (Coercive Controlling Violence)
– Slide 11: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 12: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 13: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 14: Intimate Terrorism (Coercive Controlling Violence) cont.
– Slide 15: Violent Resistance
– Slide 16: Violent Resistance cont.
– Slide 17: Violent Resistance cont.
– Slide 18: Violent Resistance cont.
– Slide 19: Mutual Violent Control
– Slide 20: Mutual Violent Control cont.
– Slide 21: Mutual Violent Control cont.
– Slide 22: Situational Couple Violence
– Slide 23: Situational Couple Violence cont.
– Slide 24: Situational Couple Violence cont.
– Slide 25: Cross-Cutting Clinical Insights
– Slide 26: One-Size- Fits-All Approach is Ineffective
– Slide 27: Treatment Matching
– Slide 28: Treatment
– Slide 29: Risks
– Slide 30
– Slide 31: Modern Approach
– Slide 32: Ethics
– Slide 33: Reference