Substance Use and Intimate Partner Abuse (IPA): A Descriptive Model of the Pathways Between Substance Use and IPA Perpetration for Men

Intimate partner abuse (IPA) is a pervasive public health and human rights issue disproportionately affecting women. There is a complex link between IPA and substance use; substance use can increase both the frequency and severity of IPA. Pathway models have been applied to explore heterogeneous tra...

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Detalles Bibliográficos
Autor principal: Gilchrist, Elizabeth (Autor)
Otros Autores: Johnson, Amy ; Thomson, Kate ; Stephens-Lewis, Danielle ; Henderson, Juliet ; Gadd, David ; Radcliffe, Polly ; Halliwell, Gemma ; Gilchrist, Gail
Tipo de documento: Electrónico Artículo
Lenguaje:Inglés
Publicado: 2023
En: Journal of family violence
Año: 2023, Volumen: 38, Número: 5, Páginas: 855-868
Acceso en línea: Presumably Free Access
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Palabras clave:
Domestic abuse
Equifinality
Intervention
Multifinality
Pathways approach
Substance Use
intimate partner abuse
Descripción
Sumario:Intimate partner abuse (IPA) is a pervasive public health and human rights issue disproportionately affecting women. There is a complex link between IPA and substance use; substance use can increase both the frequency and severity of IPA. Pathway models have been applied to explore heterogeneous trajectories into other behaviours and to identify areas for intervention. This approach has not previously been applied in the area of substance use and IPA. Inductive thematic analysis of 37 interviews with heterosexual men aged 28–52 who had reported previous IPA perpetration was conducted. Men were recruited from alcohol and drug services across two areas of England. Three groupings of pathways into substance use-related IPA were generated: 1) Rule Breaking Pathway (n = 11); 2) Entrenched Substance Use Pathway (n = 13); and 3) Relationship Insecurity Pathway (n = 13). Across the three groupings of pathways, the men’s childhood and early experiences led to different journeys into SU-related IPA (abuse that was associated with intoxication, withdrawal, acquisition and substance use lifestyle). Each pathway presented differently with varying core features, for example core features of generalised violence, mental health or jealousy, and different predisposing background factors, including types and timing of childhood abuse and trauma. Adopting a pathways approach drawing on principles of equifinality and multifinality can improve understanding of heterogeneity in men who perpetrate IPA and use substances and propose treatment/intervention targets.
ISSN:1573-2851
DOI:10.1007/s10896-022-00395-5