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