Intimate Partner Violence Rates
Intimate Partner Violence Rates
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5 authors, including:
All content following this page was uploaded by Martin Fiebert on 18 December 2013.
Kim A. Reeves, MA
Simon Fraser University, Canada
Robin P. Telford, MA
University of South Florida
ONLINE TABLES: Detailed summaries of the 111 studies reviewed in this article can be found
in five tables available online at http://www.springerpub.com/pa. Click on the link to “The Partner
Abuse State of Knowledge Project,” and go to Topic 2 in the online document.
KEYWORDS: intimate partner violence; prevalence; physical assault; perpetration; literature review
his female partner in order to gain power and control in the relationship (Dutton
& Corvo, 2007; Straus, 2011). When acknowledged, violence perpetrated by women
against their male partners is viewed as occurring within the context of self-defense
or in response to a pattern of abuse perpetrated by their partner (Dasgupta, 2002;
Swan & Snow, 2006; Worcester, 2002). In contrast with this perspective, frequently
referred to as the gender or patriarchal paradigm (see Dutton & Nicholls, 2005 and
Hamel, 2007 for further discussion), research demonstrates considerable heteroge-
neity in the characteristics and motivations of perpetrators of IPV (Dutton, 2006;
Flynn & Graham, 2010; Langhinrichsen-Rohling, McCullars, & Pruden, in press). It
is true that physical violence perpetrated by women is less likely to result in physi-
cal injury (Straus, 2004), and women suffer higher rates of serious injury (Cowell &
Burgess, 1996; Department of Justice, 2011); however, the physical, psychological, and
financial injuries resulting from women’s perpetration of physical IPV are neither
infrequent nor inconsequential (e.g., Coker et al., 2002; LaRoche, 2008; Reid et al.,
2008; Rennison, 2003). Yet, both criminal and civil justice systems are less respon-
sive to allegations of female-perpetrated IPV (Basile, 2004; Brown, 2004; Henning &
Renauer, 2005; Muller, Desmarais, & Hamel, 2009), and few treatment programs spe-
cifically address the needs of women who use violence against men (Carney, Buttell,
& Dutton, 2007; Dutton & Corvo, 2006; Larance, 2006).
The strongest argument for the need for such interventions comes from the large
body of research reporting that men and women physically assault their partners at
similar rates. Indeed, this “gender symmetry” has challenged prevailing IPV theory,
policy, and practice for more than 30 years (cf., Dixon & Graham-Kevan, 2011; Straus,
2009). The 1975 and 1985 National Family Violence Surveys found that overall rates
of female-to-male physical IPV were slightly higher than rates of male-to-female
physical IPV (Straus & Gelles, 1986). When disaggregated by severity, rates remained
similar: the rate of minor physical IPV by women was 78 per 1,000 and by men was
72 per 1,000, and the rate of severe physical IPV by women was 46 per 1,000 couples
and by men was 50 per 1,000 couples, both nonsignificant differences. Since then,
more than 200 so-called “family conflict studies” (i.e., those that ask respondents to
report on physically aggressive behaviors that occur within the context of interper-
sonal conflict) have continued to report approximately equal rates of physical IPV
perpetrated by men and women (Straus, 2011). In stark contrast, however, “crime
studies” (i.e., those that examine rates of physical IPV either reported to the police
or defined by respondents as constituting a crime), yield much lower rates overall,
and of female-perpetrated IPV specifically. For instance, according to the National
Crime Victimization Survey, an annual survey of approximately 76,000 households
conducted in the United States, the rate of physical IPV perpetrated by men is
approximately seven times higher than the rate for women (Straus, 2004). Discussed
at length elsewhere (e.g., Dixon & Graham-Kevan, 2011; Dutton & Nicholls, 2005;
Straus, 2004), discrepancies between the findings of family conflict and crime studies
may reflect that many victims, and men in particular, do not label their victimiza-
tion experiences as a crime, but also that men typically are less fearful and injured
Rates of Male and Female Physical Violence 173
less frequently than are women (Coker et al., 2002; LaRoche, 2008; Reid et al., 2008;
Rennison, 2003).
Archer (2000) conducted a meta-analytic review of 82 studies that provided rates
of physical IPV perpetrated by men and women. Overall, results provided support for
similarities rather than differences in the prevalence of male- and female-perpetrated
physical IPV. Across studies using self-report measures of IPV perpetration, compari-
sons of unweighted effect sizes revealed that women were more likely than men to
report perpetrating IPV; whereas when partner reports were used, men and women’s
rates of IPV perpetration were more similar (with the lack of significant difference
attributed to outliers). When weighted effect sizes were compared, higher rates of
physical IPV again were found for women compared to men, although women also
were more likely to be injured and to require medical treatment for their injuries.
Although few studies were conducted in countries other than the United States, those
that were included in the review (k 5 10) also showed higher rates of physical IPV
perpetration for women than for men.
The annotated bibliography developed and periodically updated by Martin Fiebert
(1997, 2004, 2010) provides further evidence of women’s use of physical violence
against their male partners. In its most recent iteration, this bibliography summa-
rizes 271 scholarly investigations (211 empirical studies and 60 reviews) conducted
since the 1970s that reported rates of assaults by women against their male part-
ners and spouses. A review of the article summaries demonstrates that women often
are physically aggressive in their intimate relationships; however, whether rates
are indeed comparable overall is unclear as the nature of an annotated bibliogra-
phy prevents further synthesis or comparison of study results. Fiebert’s annotated
bibliography also is limited by its focus on articles reporting female-perpetrated IPV
to the exclusion of IPV perpetrated by men (although male prevalence rates were
included if they happened to be mentioned in a study of female perpetration).
Most recently, Straus (2011) conducted a meta-analytic review of 91 empirical
studies comparing rates of “clinical-level” IPV, defined as severe assaults such as
punching, choking, and attacks with objects or physical acts resulting in injury, per-
petrated by men and women during the same reference period (although time frames
varied across studies). Across the 36 general population study comparisons of severe
assaults, we again see slightly higher rates of perpetration by women than by men:
the median percentage of IPV perpetrated by women was 7% and by men was 5%.
In contrast, across the 14 general population studies comparing rates of injury, preva-
lence was greater for male- than female-perpetrated IPV: the median percentage of
men who injured a partner was 14% and of women was 7%. In the 21 studies compar-
ing rates of severe assault or injury in agency samples—that is, studies of samples in
which there was an intervention by social service or law enforcement agencies—the
median prevalence for male-perpetrated IPV was 63% and for female-perpetrated
IPV was 48%. Although the latter findings indicate considerably higher prevalence
for men than women, they nonetheless underscore the occurrence of severe female-
perpetrated IPV.
174 Desmarais et al.
Despite evidence of gender symmetry in perpetration rates, whether women’s use of phys-
ical violence against their male partners represents a serious social problem remains a
question under debate. The reviews discussed in this introduction have been criticized for
their failure to include crime studies that show much higher rates of IPV perpetrated by
men than women and to account for women’s use of violence in self-defense or the misap-
plication of the term “assault” (cf., Saunders, 2002). These studies also have been criticized
for their failure to disaggregate findings by sample type and, in particular, inclusion of a
high proportion of studies reporting IPV in dating samples, the predominance of studies
conducted in the United States, failure to aggregate sexual and nonsexual aggression,
and their use of the Conflict Tactic Scale definition of physical IPV (Frieze, 2000; White,
Smith, Koss, & Figueredo, 2000). They also are limited by their failure to disaggregate
rates of male- and female-perpetrated physical IPV as a function of severity (e.g., minor
vs. severe). Finally, although widely accepted as the most comprehensive investigation of
sex differences in physical IPV perpetration in heterosexual relationships to date (Dixon
& Graham-Kevin, 2011), it has been over a decade since Archer (2000) published his
review. Consequently, results may not reflect the current prevalence rates.
In an effort to address some of these limitations, this study examined research
published in the last 10 years reporting rates of physical IPV perpetrated by men and/
or women in heterosexual relationships. Our goal was to summarize the current state
of knowledge regarding the prevalence of physical IPV perpetration in heterosexual
relationships. Our specific aims were to (a) describe the prevalence of physical IPV
perpetrated by men and women in heterosexual relationships in English-speaking
nations, and (b) explore how prevalence rates differed as a function of study and
sample characteristics.
METHODS
Eligibility Criteria
To be included in our review, studies had to meet three broad inclusion criteria. First,
they needed to present empirical data regarding the prevalence of physical IPV per-
petration (see Part 1 for victimization rates; Desmarais, Reeves, Nicholls, Telford, &
Fiebert, 2012). Second, the IPV must have occurred within the context of a heterosex-
ual relationship. Third, articles were excluded if they reported findings of studies in
which participants were sampled from an identified population of IPV perpetrators,
such as individuals arrested for domestic violence and court-mandated to batterer
intervention programs because the prevalence of IPV perpetration would be skewed;
that is, 100% of participants would report perpetrating IPV in their lifetime. In con-
trast with the methodologies of both Archer (2000) and Straus (2011), we included
studies that reported rates of male- and/or female-perpetrated IPV, rather than only
focusing on articles that reported rates for both men and women. We chose not to
use strict protocols for evaluating methodological rigor and excluding studies that
Rates of Male and Female Physical Violence 175
failed to meet a certain threshold because we wanted to encompass studies that used
diverse samples and various methodologies. In this way, we hoped to avoid some of
the criticisms of previous reviews for systematically excluding “crime studies” that
typically show higher rates of male- than female-perpetrated physical IPV. Thus, our
approach may be more appropriately described as a narrative rather than a system-
atic review (Collins & Fraser, 2005).
Search Procedure
A systematic search of the published literature was carried out using PubMed
(scholarly publications in the biomedical and life sciences), PsycINFO (scholarly pub-
lications in the psychological, social, behavioral, and health sciences), and the Social
Science database of Web of Science. The following keywords and stems were used
in separate and combined searches: date; dating; partner*; domestic; spous*; mari-
tal; wife; husband; intimate partner; batter*; violen*; abus*; aggress*. Findings were
limited to peer-reviewed journal articles and studies sampling human subjects aged
13 years or older conducted in industrialized, English-speaking countries (including
Australia, Canada, New Zealand, South Africa, the United States, and the United
Kingdom). Articles written in languages other than English were excluded. This led
to an initial identification of more than 50,000 articles (including replicates) across
databases and searches. We then selected articles published between January 2000
and December 2010, reducing the number of findings to 37,615.
Review Process
A preliminary screening of the titles and abstracts to assess whether the content was
likely to meet our eligibility criteria reduced the number of articles to 6,203. Elimina-
tion of replicates and a second review of study abstracts led to retrieval of 750 articles
for further analysis.
Data Synthesis
Full text was retrieved for these 750 articles and reviewed in detail for inclusion
and data extraction. Final review narrowed the set of articles to 111. Data were
extracted following a protocol developed and defined by the authors for the purpose
of this review (available upon request). Information regarding measurement time
frame (e.g., past year, lifetime) and instrument (e.g., Conflict Tactic Scale, CTS; Abuse
Assessment Screen, AAS; etc.), and sample details were extracted by research assis-
tants and reviewed by four authors (SLD, KAR, TLN, & RPT). Results then were sum-
marized by study and grouped according to sample type: population-based samples,
small community samples, samples of university and college students or young adults,
samples of middle and high school students or adolescents, and clinical samples. (Full
summaries not included but available online: http://www.springerpub.com/pa.)
176 Desmarais et al.
RESULTS
In total, we summarized 111 articles that reported 272 rates of physical IPV per-
petration. Prevalence of physical IPV perpetration was infrequently the primary
study objective. Instead, most studies had other purposes and objectives, includ-
ing the identification of correlates or antecedents of abuse or the examination of
intervention effectiveness, for instance, but also reported the prevalence of physical
IPV perpetration in the sample. Many articles reported more than one prevalence
rate: On average, each article included in our review reported 2.45 (SD 5 2.55,
Range 5 1–24) prevalence rates. Overall, 25 articles reported 34 rates for male per-
petration, 14 articles reported 24 rates for female perpetration, and 72 articles re-
ported 214 rates for both men and women. As may be seen in Figure 1, the number
25
20
Number of Articles
15 Overall
Men
10 Women
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Publication Year
Number of
Characteristic Number of Articles Rates Reported
Perpetrators
Men only 25 34
Women only 14 24
Men and women 72 214
Sample type
Large population studies 19 59
Small community samples 24 55
College/University students or young adults 30 78
Middle/High school students or adolescents 17 48
Clinical samples 21 32
Measurement time frame
Past year 64 175
Lifetime 18 32
Current or most recent relationship 13 24
Other 15 39
Not specified 1 2
Measurement instrument
Conflict Tactics Scale-based 81 210
Other 30 62
Country
United States 95 232
Canada 6 14
New Zealand 4 10
Australia 1 2
United Kingdom 1 2
South Africa 1 2
International 3 10
TOTAL 111 272
178 Desmarais et al.
aried in their operational definition and measurement of IPV, although almost three
v
quarters of studies (73.0%, k 5 81) reported prevalence rates measured using the
CTS, CTS2, or items or scales drawn from these instruments.
Across all studies included in this review, approximately one quarter of participants
(25.3%) reported perpetrating physical violence in a heterosexual intimate relation-
ship. Physical IPV perpetration was reported by approximately 1 in 4 individuals
both in their lifetime (24.2%) and in the year prior to the study (25.6%). Approxi-
mately 1 in 5 (22.9%) reported perpetrating physical IPV in their current or most
recent relationship. Table 2 presents pooled prevalence among women and men
overall and as a function of study characteristics. We discuss these findings in more
detail later.
aggression over the past 2 years (13.0%; Graham, Plant, & Plant, 2004) and the
Straus (2008) university sample that reported 24.6% for minor and 7.0% for severe
violence. For New Zealand, the overall pooled prevalence was 26.6%, ranging from
3.7% for severe violence (Straus, 2008) to 57.0% in a longitudinal study of young
adults in New Zealand (Fergusson, Horwood, & Ridder, 2005). Lastly, the overall
pooled prevalence for American samples was 21.4%, ranging from 1.0% (Harned,
2001) to 61.6% (Gallagher & Parrott, 2010).
2009). The pooled prevalence rate for studies conducted in the United Kingdom was
23.9%; this estimate includes rates of 15.6% (severe), 39.7% (minor) (Straus, 2008)
and 16.4% (any aggression; Graham et al., 2004). Lastly, pooled prevalence for the
American samples was 28.2%, ranging from 2.4% (Chang et al., 2009) to 67.3% in a
clinical sample (Ridley & Feldman, 2003). As with male perpetration, most studies
reporting rates of female perpetration used a CTS-based approach to assess IPV
(52 of 71 studies).
In sum, the prevalence of physical IPV perpetration ranged widely across studies.
Slightly higher rates of physical IPV perpetration were found among women than
men, although the degree and direction of the sex difference varied depending on
where the study was conducted. Not surprisingly, pooled prevalence estimates also
differed by measurement time frame and approach (see Table 3 and Figure 2), respec-
tively. In the following sections, we summarize rates of male and female perpetration
within each sample category. Details of each study are available online (http://www.
springerpub.com/pa).
CTS-Based
60
Pooled Prevalence Estimate (%)
50
40
Overall
30 Men
Women
20
10
0
Large Smaller University High School Clinical
Population Community Students / Students / Samples
Studies Samples Young Adults Adolescents
Sample Type
Other Measures
60
50
Pooled Prevalence Estimate (%)
40
Overall
30 Men
20 Women
10
0
Large Smaller University High School Clinical
Population Community Students / Students / Samples
Studies Samples Young Adults Adolescents
Sample Type
Articles included in this category drew data from studies of representative samples
that typically exceeded N 5 1,000 in size.
Male Perpetration. There were 17 large population studies that reported 29 rates
of male physical IPV perpetration. The overall pooled prevalence was 18.0%; the
lowest rate was 1.8% in a sample of 1,470 Asian Americans (Chang et al., 2009), and
the highest rate was 57.0% in a longitudinal sample from New Zealand (Fergusson
Rates of Male and Female Physical Violence 183
et al., 2005). Eleven articles reported prevalence rates for the past year (pooled
prevalence 5 18.3%); the range was 4.8% in 1,635 married or cohabitating couples
(Cunradi, Caetano, Clark, & Shafer, 2002) to 57.0% in the New Zealand sample men-
tioned previously (Fergusson et al., 2005). In studies reporting male perpetration
in current or most recent relationships, pooled prevalence was 18.7%, ranging from
1.8% (Chang et al., 2009) to 40.0% in a longitudinal study of 360 young adult couples
in New Zealand (Moffit, Robbins, & Caspi, 2001). No studies in this category reported
lifetime rates for male perpetration of physical IPV.
This category included a wide range of samples, such as those drawn from rural and
urban populations, military samples, or specific ethnic or racial groups, for example.
The defining feature of studies included in this category was that they were conducted
in community settings but were not necessarily representative of the characteristics
of the larger population.
However, the range was considerably smaller: from 6.7% in a military sample regard-
ing a 2-month reference period (McCarroll et al., 2003) to 38.2% in a sample of newly
married couples (Schumacher & Leonard, 2005). One study focused on a dating sam-
ple and reported a rate of 25.0%. Eight studies reported 10 rates in mixed samples
(i.e., married, cohabitating, or dating); the pooled prevalence for these studies was
22.1%, ranging from 4.0% to 45.0%.
Given the rate of overseas deployment in the past 10 years, prevalence of IPV among
military families has received considerable attention. Four studies include in the cur-
rent review reported rates of male-perpetrated physical IPV in military samples. Pooled
prevalence was 12.3%, ranging from 4.0% for severe IPV perpetrated in the past year
among a sample of 421 men in the Navy (Merill et al., 2005) to 31.6% for any physical
IPV perpetrated in the past year in a sample of 716 married men in the army posted in
Alaska (Rosen et al., 2002). Despite concerns regarding increased prevalence of IPV in
military families, these rates actually are noticeably lower than for other samples.
This category of studies sampled middle and high school students as well as youth
who were in this age range but were not necessarily recruited through school, such
186 Desmarais et al.
open-ended questions and items drawn from Foshee et al.’s work (Miller, Gorman-Smith,
Sullivan, Orpinas, & Simon, 2009). Consistent with the findings for adolescent boys,
pooled prevalence for adolescent girls was higher in studies that used the CTS (33.2%)
than in studies that employed other measurement approaches (23.9%).
Clinical Samples
Studies included in this category recruited participants from clinical or treatment set-
tings, such as emergency rooms, primary care settings, or substance use treatment.
the four rates of past year perpetration was 45.1%. Two studies reported three lifetime
rates; pooled prevalence was 42.6%, ranging from 22.6% (average calculated based
on reported data for the purpose of this review; Friedman, Loue, Goldman Heaphy,
& Mendez, 2009) to 67.2% (Najavits et al., 2004).
It is perhaps not surprising that the latter rate, one of the highest lifetime rates of
physical IPV perpetration identified in this review, was found in a sample of women with
current post-traumatic stress disorder (PTSD) and substance disorder (Najavits et al.,
2004). In a second study of women seeking substance abuse treatment, Chermack, Walton,
Fuller, and Blow (2001) found that approximately one quarter of female participants
(25.6%) reported perpetrating physical IPV that was “moderate” in severity and more
than one third (33.9%) reported perpetrating severe physical IPV. Across these studies,
pooled prevalence among women seeking substance abuse treatment was 53.1%. Another
study examined prevalence of physical IPV perpetrated by women with severe mental
illness (Friedman et al., 2009); 17.0% had perpetrated physical IPV in the past 2 years.
Rates of lifetime perpetration in this study ranged from 16.7% in women diagnosed with
major depression to 31.6% in women diagnosed with bipolar disorder.
DISCUSSION
lifetime perpetration (pooled estimates 5 25.6% vs. 24.2%). Possible explanations for
these counterintuitive findings include the increased salience of more recent events
or memory fading for events in the more distant past, and thus, increased likelihood
of reporting more recent events; and forward telescoping of events that occurred more
than 12 months ago (Hamby, 2005).
There was considerable consistency in instrumentation across studies. Almost three
quarters of the reviewed studies employed a CTS-based measurement approach. The
development, refinement, and widespread use of the CTS instruments has been noted
by some as an important advancement in the field (cf., Langhingrichsen-Rohling,
2005), but also heavily criticized by others (e.g., Dobash, Dobash, Wilson, & Daly,
1992; Hamby, 2009). For instance, some argue that CTS measures overestimate rates
of female perpetration (e.g., White et al., 2000). Accordingly, in the present review,
the predominance of studies using CTS-based measures may have contributed to the
higher pooled prevalence estimates for female-perpetrated IPV. That said, we found
pooled prevalence for female perpetration was only slightly lower—by approximately
2%—when other measures were used.
There remains much debate in the field regarding the best approach to studying
IPV prevalence (Langhinrichsen-Rohling, 2010). Indeed, much of the controversy re-
garding gender symmetry in male and female perpetration rates can be attributed
to methodological variations across studies (Dutton & Nicholls, 2005; Hamby, 2005,
2009). In the current review, the degree to which male and female perpetration rates
differed fluctuated as a function of sample and study characteristics. For instance,
sex differences were noticeably greater for adolescents compared to the other sample
categories. As another example, with the exception of studies of clinical samples, life-
time perpetration rates were notably higher for women than men, whereas past year
and current relationship rates were much more similar (although still showing higher
rates of perpetration for women). This pattern of results may reflect sex differences in
memory and reporting accuracy. For instance, women may be more likely than men
to recall lifetime perpetration experiences; that is, lifetime experiences may remain
more salient for women whereas men may experience more memory fading (Smith
& Torstensson, 1997). Women also have been found to be more accurate than men in
recalling dates of personal experiences (Gaskell, Wright, & O’Muircheartaigh, 2000).
That said, lifetime prevalence rates were reported much less frequently than were
past year prevalence rates (32 rates compared to 175 rates) and, when reported,
largely reflected perpetration by adolescents and young adults (22 of 32 rates). Thus,
variations in sex differences by sample type and reference period may be confounded.
Discussed in further detail in the next section, examination of pooled prevalence for
male and female perpetration by study location likewise revealed variations in sex
differences but, again, typically showed higher rates for women than men.
Given the small number of studies conducted outside of the United States, the
unique samples from which the data were drawn (e.g., some countries have clinical
studies included in their pooled prevalence wherein higher rates would naturally
be expected), and the diverse methodologies employed, it is premature to draw firm
190 Desmarais et al.
a systematic assessment of study quality. Second, because of the range in study quality,
we chose to present descriptive but not inferential statistics. Third, we identified dif-
ferences in prevalence as a function of country; however, we did not measure charac-
teristics of the respondents, such as gender role beliefs, which may have contributed
to these differences. Fourth, we did not include variables that may describe the con-
text within which the perpetration occurred. Thus, we are unable to speak to whether
rates reflect unilateral or reciprocal abuse (but see Langhinrichsen-Rohling, Misra,
Selwyn, & Rohling, 2012) or to comment on whether the violence was perpetrated in
self-defense (but see Langhinrichsen-Rohling, McCullars, et al., in press). Fifth, we
examined rates of perpetration, but not rates of physical IPV that resulted in injury.
As found in the Archer (2000) and Straus (2011) reviews, this measurement specifica-
tion (i.e., any physical IPV vs. physical IPV that resulted in injury) will lead to different
conclusions regarding symmetry in male and female perpetration rates. Also, because it
was inconsistently reported and defined, we were unable to systematically code sever-
ity of violence across studies, although we did disaggregate rates of minor and severe
physical IPV whenever possible. Sixth, although we coded the instruments used to
measure perpetration, we did not assess the mode of administration (e.g., face-to-face
interview, self-administered survey, telephone interview, etc.). Previous research indi-
cates significant variation in perpetration rates as a function of this variable (Archer,
2000). Moreover, most studies relied on self-report methodologies and did not include
measures of social desirability. Finally, we compared prevalence rates between and not
within studies, preventing direct comparisons of physical IPV perpetration rates as a
function of perpetrator’s sex, country, measurement approach, or time frame.
Despite these limitations, the present review represents a comprehensive sum-
mary of the current state of knowledge regarding physical IPV perpetration among
heterosexual men and women in English-speaking, industrialized nations. As reported
in our review of physical IPV victimization rates (see Desmarais et al., 2012), we
found that rates of physical IPV perpetrated by men and women generally were more
similar than they were different and that perpetration of physical IPV in hetero-
sexual relationships continues to be a serious social problem. Although rates varied
across individual studies, our synthesis of findings from studies conducted over the
past decade suggests that approximately one quarter of individuals in heterosexual
relationships physically assault their intimate partners, a rate almost identical to
that found in our review of victimization prevalence.
Importantly, results of the current review pertain only to the presence or absence,
and not the severity or context, of perpetration. Thus, rather than perpetuating the
debate regarding the comparability of physical IPV perpetrated by men and women,
findings should be used to support the development and implementation of interven-
tions that acknowledge the use of violence by women in intimate relationships but
also recognize how participants’ treatment needs may differ. Intervention strategies
that are both gender-inclusive and gender-sensitive may have the greatest potential
for reducing IPV and improving clinical outcomes (Dixon & Graham-Kevan, 2011;
Hamberger, 2005; Larance, 2006; Straus, 2011).
192 Desmarais et al.
NOTE
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