Why Is Marital Therapy Ineffective Treatment For Domestic Abuse

We assume that a problem affecting two people in a relationship is material for marital or couples therapy. However, when the problem is intimate partner violence, this is absolutely not so!

I longed for my children's father, my ex-husband, to stop his violent outbursts toward our family. The psychologist/doctor/family peacemaker in me said, “We just need to find the 'right' person or method to help fix this problem,” as though he had some physical aliment. This may sound familiar to those of you who have been there. Altercation after altercation drove me to desperately seek a referral from my pediatrician and from my obstetrician.

It was suggested that we see an “abuse therapist,” who was actually a marriage and family therapist. My professional background was in bio-behavioral medicine, so I was in foreign territory and eventually found out we were in the wrong therapy for the outcome I desired.

Marital therapy, couples therapy and family therapy are improper treatment scenarios to effect therapeutic change for domestic abuse. The problem is that these interventions are based on a family systems perspective in which the goal of the treatment is to maintain the homeostasis of the system.

Working from a systems approach, the therapist seeks to distribute responsibility for the pathology across the system. However, spreading the responsibility for battering in relationships equally to all parties in the relationship reinforces the abuse dynamic. It explicitly and/or implicitly blames the victim for the perpetrator's behavior, and fails to promote personal accountability for the battering behavior by the abusive partner.

While this may keep the couple and family together, it does not?and cannot?end the domestic abuse. To the contrary, it exacerbates battering: emotional abuse, verbal abuse and physical abuse. Some clinicians view this method of treatment in domestic violence cases not only as ineffective in stopping domestic abuse, but also as dangerous for the victimized partner. That was certainly my experience. The altercations increased in frequency and in intensity?from verbal licks and emotional assaults to bruises, welts, fists and belts.

As a domestic violence survivor, my hope is that you seek appropriate intervention if intimate partner violence presents in your relationship. Many people, both healthcare and non-healthcare professionals, are unaware of the appropriate intervention for domestic abuse.

And even more alarming: few healthcare providers have a systematic method for assessing partner/spousal abuse (intimate partner violence). Without proper assessment, one could be treating your problem in the dark.

If you are indeed dealing with intimate partner violence, look to find a domestic abuse victim advocacy program and a batterer's intervention program. These approaches treat battering similarly to the way addiction interventions treat substance abuse: that is, as the responsibility of the abuser. Until an intimate partner abuser is held accountable, domestic abuse continues over time, and is passed down throughout generations.

If your are not sure if your relationship abuse problems are actually that characteristic of intimate partner violence, then first look to determine if the abuse in your relationship fulfills the criteria for intimate partner violence. This way you will know what course of intervention to pursue in order to provide you with your desired outcome.