Citation

Rosenfeld BD. Clin. Psychol. Rev. 1992; 12(2): 205-226.

Copyright

(Copyright © 1992, Elsevier Publishing)

DOI

10.1016/0272-7358(92)90115-O

PMID

unavailable

Abstract

A growing societal awareness of the frequency and seriousness of spouse abuse has brought with it increased reliance on clinical interventions. Over the past decade, the use of court-ordered psychotherapeutic treatments as a pretrial diversion or dispositional alternative has increased dramatically. Currently, little published research has documented the effectiveness of these court-ordered treatments. The studies reviewed here cast doubt on the assumption that mandatory psychotherapeutic treatments are effective in reducing future incidents of violence between spouses. The incremental benefit of court-ordered treatment over the deterrent effects of traditional criminal justice system remedies is unclear. Differences in abuse recidivism between subjects court-ordered into treatment and subjects arrested and untreated have been small. In addition, subjects withdraw from treatment despite a court order to attend, indicating that legal system involvement does not motivate many unwilling subjects. Furthermore, subjects who discontinue treatment prematurely remain violence-free almost as often as subjects who complete treatment programs, thus drawing into question the, specific impact of clinical treatment for men who abuse their spouses. Future research is necessary to elucidate the precise benefits and appropriate focus of court-ordered treatment programs.