Document Type

Dissertation

Degree

Doctor of Philosophy (PhD)

Major/Program

Social Welfare

First Advisor's Name

Miriam Potocky, Ph.D.

First Advisor's Committee Title

Committee chair

Second Advisor's Name

Paul Stuart, Ph.D.

Second Advisor's Committee Title

Committee member

Third Advisor's Name

Staci L. Morris, Psy.D.

Third Advisor's Committee Title

Committee member

Fourth Advisor's Name

Karlene Cousins, Ph.D., J.D.

Fourth Advisor's Committee Title

Committee member

Fifth Advisor's Name

Etiony Aldarondo, Ph.D.

Fifth Advisor's Committee Title

Committee member

Keywords

trauma bonding, Stockholm syndrome, intimate partner violence (IPV) domestic violence (DV), single-case research design, Transtheoretical Model of Change, Traumatic Incident Reduction, TIR, Trauma Bonding Protocol

Date of Defense

3-26-2021

Abstract

A great deal of scientific literature addresses the adverse biopsychosocial sequelae of survivors of Intimate Partner Violence/Domestic Violence and the resulting financial costs of Intimate Partner Violence/Domestic Violence to society. Less is known about which clinical interventions can best mitigate survivors’ symptoms, while enhancing their capacity to survive and ultimately leave the abusive relationship. This study examined the effectiveness of the Traumatic Incident Reduction and the Trauma Bonding Protocol interventions in mitigating symptoms of depression, anxiety, and trauma bonding, and in increasing safety behaviors and readiness to change in a sample of female survivors of Intimate Partner Violence. Outcome measures were the Center for Epidemiological Studies Depression Scale, the Clinical Anxiety Scale, the Stockholm Syndrome Scale as a proxy for trauma bonding, the Safety Behavior Checklist, and the Domestic Violence Survivor Assessment, which measured participants’ readiness to change. Coercive Control and the Transtheoretical Model of Change provided a theoretical framework. Purposive sampling methods (venue-based and convenience sampling) were used to recruit and retain volunteer participants (N=24) who sought counseling services at two community-based mental health agencies in Miami-Dade County, Florida. A nonconcurrent multiple baseline design was employed. Participants were followed up to ten weeks. Data were analyzed by utilizing visual analysis which includes primarily looking at four characteristics of the data which relate to the magnitude of the change across phases and the rate of change across phases, and from which degree of change—whether improvement or deterioration—can be inferred. Results indicate that following participation in the Traumatic Incident Reduction and the Trauma Bonding Protocol interventions, participants’ depression, anxiety, and Stockholm syndrome scores did not decrease, and their safety-seeking behavior and readiness to change scores did not increase. Implications for social work practice and research are discussed.

Identifier

FIDC009697

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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