Racism, Stressors, and Trauma 1

Risks to Women of Intimate Partner Violence 11

New Directions 12

	

POSITIVE AND NEGATIVE ASPECTS OF EXPOSURE TO

RACISM AND TRAUMA: RESEARCH, ASSESSMENT

AND TREATMENT IMPLICATIONS

	
	

	

	



Women and Trauma: A Clinical Forum 13

NC-PTSD Clinical Training Program 18

NC-PTSD Education and Support Services 20

	






The DSM, Culture, and Race

 	
  
     

        

        !

"   #$  % &'  

#(%) '*

+  ,   -  	 

**

      *

 . /, *     

0 

&,       

 	
  *   * 

        

"#'#'

"   	
,   * "

#'     #   

,'/!	

, 0
 1!

  *       


  ,   #(  % )

'     !  

       !  &

!,   *  #

,' # ,' # '0  

       

 ** *  ! 
2 

     !  /3

   ! 02    !  

     

Other Selected Literature Review

     "  

     *  4 

5    3   !  

   *  6 78  

       )59  :,

;  .7    

  *, *  
78  

,  *7-<)5 $

      !  2
7 

%5,/,%5=>
2!

"  ?    

         *

/ /  *  * 

    *  

,  "   *   

"  ,*,,! 

@",    4     

 *    

"    "  "5   

 4     ,  

           



,&,(
6

4A

    

  

   

B!

  , 

   

    

   C 

    D!

    

 !   

 *   

C *  

/,

 ! 

  !     * 

National

Center

for

PostTraumatic

Stress

 Disorder Menlo Park/Palo Alto * Boston * Honolulu * West Haven * White River Junction


 	

		



	
	
	
		


		

		

	
	ncptsd.org




	 ! "#$%&&&'()		

	 *$%&&&'+	
		,+-*		

.	
 /, !01 $%&&&'	
,+-*	
+	

*

 /$%&&&'

	

2	 /$%&&&',	
		,+-*

,3 /. ! -$%&&&'+		
	)	

,	 - !4
 5-$%&&&'(		



	 "$%&&&'6	

7		
		


4 "5!- ,,$%&&&'+	



	 0 !.
 .$%&&&'+
			
	
	7		

2	 /$%&&&',

	7	

* - !8 +$%&&&'.  	




9

	 /$:'+	

)		


/) 5 !-	 "$:';	
		)	
	
<

2	 /$:',+-*
	




	 "$:'2		

6	
	

. /! .$:'/		 

		
	


2 *$:'4 

 
	
	1	

	3	
		


8=	 5$:'	
		7	
,+-*


 /4 !;	
 /$:'4					

	
	
,+-*


	 " + 0$:'*			
			
+

			

* " !,	7	 ($:'

	
,+-*		

0
3 " !,	1 *$:'
		

					)$->*(-'

*

 /$:'+
				,+-*	


	 "$:'+


	
	
	

		

 +  , - 5 !	1 4$:'		

,+-*	

? $:9'	
	
	
			

8	
 "5 8 (!2	 5$:9'+	

7		,+-*+




6  - 2/ !,5$:9'+,+-*		

NATIONAL CENTER FOR PTSD

Executive Director

" E  &,  , 4 


/%F$%>  E


 <7<<G

Education and Clinical Laboratory Division

&(,  > , 


/%, 4/,% G90<9

Pacific Islands Division

&(,  > ,% $

@,@"G2H
0

Behavioral Science Division

:, 4 , 


/%, ), <-
0<

Women’s Health Science Division

;:*, 4 ,/*


/%, ), <-
0<

Clinical Quarterly Staff

  	
 
		 
 		 
	
 
    
!! 
!" #$#$$$ %	&   
 ! "
'(

)'*	+
	!&
!

   
*
	
 	
, -	
.	 
 . /
	(, 01  1	
 2	. (	!, #34 56#778,9 :,.1 $#

FROM THE EDITOR...

Neuroscience Division

E:,  ,/*


/%,>@,% <27
2

Northeast Program Evaluation Center

 5,  , 


/%,>@,%<27
2

D

** D

D! D

/ D

/ D

*= 4

) @  I*, ; %  > 

E 	  +5, 4 

&   (,  > 

D )  %, 4 

(* /  ;5, 4 

E /, ) / 

)@ I*

		









	



	

	

		







RACISM, STRESSORS, AND TRAUMA

 * / /
H,    

   / 	 
G,  

**-< >"*1,

"-
  

   ,     

**    

"5"*

     

 ---6  @",      

       

!   

> 4   
7   "


0 68 >


1


-H,     4 

    * * 

 -G    " * * 

@-6 G8  / /-< 28 
1
  ;,

(=&>0<,40
/0-

  "       ! *


1
! *



 43       

4 * "97 08  1 476 -8

/ 	  1 @"0H 
8 
1
00 

D!       5

       * *

      

.,   1

 * 

,      *   "

       

B  !      

!   !     !*

  *   !,   

    B   !

     / / 
 

0907 /00D!" 

/, "  "  *  " 

!4,

 *  " !    

, !      

         !

   *  4    

*J/*;

07 B  / / 
 J  

*
/02//

 
1
     D!  

 / / 
1
 

 .        DB

$D$06 D$ !

**!

*   *    .   /

&,        >

   +    "  

    4,  *   

 !       

  / & 

&,5

 4        

"  5   4    @* =

I0H 	*54*

       5   

,

    !    @",  * 

  !        

     " 

   5      !    

 " 

...is exposure to race-related

stressors an important and

previously unmeasured factor

that is at least a partial

explanation for the elevated

findings of PTSD and other

psychiatric symptoms among

ethnic minority veterans?

Conceptualization of race-related experiences

 !     !

       C   F

      !   

 * 

3       

   ,  0G9< 

Distinction between race and ethnocultural identification

and heritage

  #'     

    *   

",>,

# ',

   ***     5 ,

 ,   !  	    ,

    #'    

  **  0G9< 

$      

 "    *   

D *    5* 

 *,     ,  *

" *   C    

 5*

*,  , **, ,  * 

"  **   

      *  "


 	

		



SCURFIELD

*,   ,   #)5' .     

   //    

, 

      E, @, %

 )+ 

Course or onset

   !   ! 

 A   5  , *

  ?     !? 

F         

!K,

!?

",          	


 3    * -<,0G,9<

9
,99 

Obstacles to considering race-related experiences in clinical

and research settings

	      !   

B!

,5  "  

 *    5  , 

     !  

,  

     !   

3** 

  B  

 !0G9<, 99 

Obstacles to Clinical or Research Inquiry About

Race-Related Experiences

1. Lack of conceptual clarity and specificity of the

potential clinical significance of discrete or

cumulative exposure to race-related experiences.

2. Discomfort due to difference in racial heritage

of client and clinician/researcher.

3. Discomfort due to a minority client also being

in minority status in a therapy group.

4. Preoccupation by both the client and clinician/

researcher with more commonly discussed

traumatic stressors.

5. The emphasis on acute and shorter-term

interventions, and the managed care limit on

the number of reimbursable treatment sessions.

/    B  

!5*

  *   3   , 

FF

 "      

!*,3,

  5        

/,           F

      ! "

     *,  "  *  

    *     

/   "        

*"*

"

    !  &,   

*,*

"  *       

   *   * 

 5  B    

#* '   *  

!   ! 

Indicators to Conduct a Race-Related Assessment

1. When the client’s presenting problems indicate

race-related experiences.

2. When the client is of a clearly identifiable

ethnocultural or racial minority group.

3. When the ethnic minority client previously or

currently lives in a community in which

he/she was in a clear ethnocultural or racial

minority status.

4. When the clinician and client are of different

racial backgrounds

5. When the client is willing to have such a

discussion.

 *  

  , *  

          

5

         

!  *  

     /,   * 

     "    ,
	

		







RACISM, STRESSORS, AND TRAUMA

 "  

     !  

        5* F

            

 *,5"*   

  &,  

          

 !   ! "   

 

Interview Guide to Assess Race-Related Experiences

 !    B   !

 "      *   C

 *       * 

* 

	B  !   

 F   5  

!     "*    

09, 0G9<, 99 $     !

  3  *+,  * ,     

 ,   *, F    " 

 *      

"  !  

  "       

* ,*"

     

     !   

 *      D!  

         

/3,  ,3*

   

 F"#"'" 

* F /

!

       ,   ,  

 * 

“There wasn’t any racism out

in the bush, but there sure was

back in base camp.”

       

 #"' !,  , 

 !    *    

, #35 '%3*

  B        "

    3     $

  ,        

    3    ,  , 

   # !'     *

       

    *+,   " 

,  *  

	B     !   

	     

   *    ,  B 

    4 " @   

!*    *   

!J ;C 5  !  !  

.  
 "

  	     

"A	


 	
	

 	 	  
 	     

    *   ",  "*  

;:*96 

$ / / 
  " " 

    *   " ,

>*** 

       #**'  # '

     *  $ ,  

,*5

> *

  *  ,

" !  "* BA   ! 

*J

**

**  !*  ,  * , "    

        " J

/  * * F *   

*,   , #*  *'   C J 	 

"

*     J & !,  

 ,     "  **  

 J   5*  "

J@

  +    *  

"" *J&," 

  *     " 

",  ,

* !*?

B 5  *J

$        

      *   

" 

 ** ,     B

    3 # 	 " 3 

+ ,'   * * 

  

Inquiry About Race-Related Strengths and Coping

       5 *

    !    

&  #*C '9H,   

     5 #' 


 	

		

 

 

 9G7-  	 ,  , 

*       C 

*  0G9<  E70  4"E

79 +   //  

****

 

C*

C* 

         

,  ,*** /

    *   *

  

/,*

  !J      

  *  *   * !

   *  @   ! " 

C  *      , *, 

  ,   , *     

J@    !  

C  F*,  , * 

    , , ,   *J@

   !     

,   * "*, 

*      " B !  

 J

Treatment Implications

$  "   "  

  	     C   

 F    

 " *, ,    3*

 0G9<  4    

 ,  C  

  *  *  B  ,

"         

!  " B   77 

$5

     * 

!  /      *  

   3 "    $  

 "  $ *

*,""

         ! !

       * A 	






		





	

			 





	


	






!
	

" 
  

 	  
 !
	


 			

	
		
	#
		$/ 

 ,  * A  
 	




%
&'
	
	

	


		
	






!		
	
	

		
$

/  *     

         (	



!
	
	
	


  
 	 	
    			 % !
	

)






	


$*
	
	

	



+	

	


	
			#
	


	

$)
	
	,





	
	




		





	

-
%


	
	*
	
	





	
	

	$

D        +

F ,   ,  "      

  !  *   -H,

7
7-  	 *    , 

**

   * *    

!

    

$  4    

   3      

  !       5 

!   / /  "   

    "       



      & !,   "  

!*

"  @", "  *     * 

,      #  5  

* '	

*   *  * "  , 

*",

*   #* '

&,      B 

      " 

*  ,  * ,    

     7-  & !, 

     *   

       

     @",  

*

  ***   72 

Management of Race-Related Transference and

Countertransference

      

  ?      *

 *     

 /F"5*"

 "   767H  	 

,,*""

     3  
	

		

!





*, ,    * *  

    F,   , 

3*" F3

 *      

$,

   		  *   ,

  +     & !, 

"**

   *,   5 

+*       

          

  %  +    *  

 * 

 0G,9< 

Conclusions and Implications

   "    , 

,        

,B"

   !      

    F   	

""

    **   C 

* 

   "    

       !

      !A   

 D!    / / 


07,D
<

47G B*

     ! *

 *+ 5     	, 

!*

,  ,  4

     !   9<,99 

&,"*!

    J /    

B *      B 

	 , "     

 *"* *

  ,  5    *

      "  

	
"

,

5*3,

     	
    

  *       

    !  5 5   

        ! 

*    ! 

References


  / 4 /-<<<  *  

    9  , ! 

 >*, %A / 4 / 

- :,@ =:5, / 
GG6 5*+ A

        

1" I5A  & 4 

0  ;, % 
GGG   E -
, 
GGGA

#%   ' 4  

9 E5,E  ,)", 1 ,>,  ,, ,,

 ; =)": 
GG2 

//A/
0

 D = , 2, 
0-
96 

7 :,D / ,;,@ =.,. ) 
GGG 

*)5 

%   D 4*, 7,

0-G00G 

2 /,% / ,;",: / ,(,( ,%,E =(,

E 
GHG 

  *   )5 *  

@ 4*, H, 79
772 

6  )", % ; 
GG2    B  

A /   / /  D

 , 2, 
9H
70 

H  &,  
GH9        

	 E   4, 0<, 9
9G 

G :*,1 ,", ; ,@,/ / ,/) =4,

  
GG0 , ! A 	

   , ,  "*  /

E  4, G, H-
-- 


<  ;, @ =:, D / 
GG2     

 /  

 *     B 

E  )5 4*, --, 
99
2H 



 ,
  ,%,;  =E5,.  
GG2 4

,3

     )5 "A 	 

   E  $ @

4*, 
, 0
G0-G 


-  $", & @ 
GG0    *A   

   *  *  /

/ 	@1*,
9,0GG9<G 

RACISM, STRESSORS, AND TRAUMA


 	

		

"


0 ,& % ,",/ 	 ,, : ,	,4 =,

; ) D ,
GG<       

1" I5A 4* 


9 ,
 ;  
GG2 4! 

  %@ E,

0-, --0-00 


7 >,   , I, I , E5, E  = /, 1 
GG6 

      A

,, E

 @ 4*, -, -0707
 


2  %5,  , /, 1 ) , %5, 
   =>,   


GGG       / / 

/ 4*, 79, H<7H
2 


6 ,/ E ,&, E ,(,D  =,  


GG2  D    

  	,     

>*, %A / 4* 4 


H  /, 	  
GG2  4 * / /  	 / E 

, E  &, D  (=    ,

D , D /  4 

  -<G-0H >*, %A /

4* 4 


G , > ,%,) =(, 
GG2 %

  4/ 	   	

/ E , E  &, D   (    

D , D /  4

 -0G-79 >*,%A/

4* 4 

-<  , 
GG2 >      

#'A( "*

  	/ E , E  &,D  (=

    D , D / 

4 0200H6 >*,

%A / 4* 4 

-
  1, : , ", 1  = ) @  D , @*

  %      

   4, 4/A )F+ 

--  , ; D  = 4, D : 
GHG , *   

(   " ,  

* D*"%,1" EA4@,	 

-0  ,>  = *, D 
GGG  D 

"5   &  )A/ ) 

-9 (,  D = &,  
 
GG0   * 

A 	E ) D  

/A/ 5   "5  

07602G "5,>	A & 	, 	 

-7 (,( E ,E,% =E, @ 
GG2 /

"5"

   >5, 9
, 
6-
H< 

-2  E, %  = &5, % 
GG7 %  

 "5A N  B  

%*, 	;A ; )5, 	 

-6  , / 
GG0  % * * 

A /    	 E  

D , / 5   "5   097

077 "5,>	A & 	, 	 

-H  :5,  / , *,> D , &5, E / , @*,  ; ,

E,) : ,%  =>,  
GG< 

  
 " *  1" I5A )F

+ 

-G >, / , , ;  = ,   	 , -<<
  4

 A*"  	/ >

= E  ED , > 	  /*  * 

1"I5A1"I5. 4 

0<  ;,   , (,  , &>, D 
GH9 >

A
! E

@ ),-7, 272H 

0
  4, D 
GH7  D   A 

* 	%  &*D ,

 "5A      

  0
9006  1" I5A )F

+ 

0- /,	  
GH2 4*)5


  @  % 4,

06, 772
 

00 &, E 
GGH, *



43  4  N, G, 6 

09  ;, % , &5, E , ,   , , ; , :*,  

/,; %,% -<<< A

    
 
A

  
  	 %   ;, 

//



/
 -
9H    
 /

* @, @	A 
/ 1 % 

4  , 4 	  

 
	

		

#





07  ;,% , &5, E , ,   ,=:*,  
GG2GG 

//

 
/

",
/,@,

@	 

02  , ;  = ,   -<<<  / 

!//" 

 
/(%@%

,(,  
	1 O
2	D%% 4  

06  , E , ),  ) , D", E D , ;, /  , =

D*,  > 
GGG  / & DB $

  /*, 
/A .     ,

"  % 

0H  @*,  ;  = I,  -<<<  5   4 

4  N, 

0, 
6 

0G ,  -<<< D!  

 !A / *  , 

   D %  $ *

   """  

9<  ,    =5,  > -<<
,    ,

     !  

!A /   	 

E  D=%  >5,


<
 

9
  , / I 
GG2  (,   A

5*#' 	/ & (=% 1"

D , *   9<9H 

,1A .  4 

9-  , 
GG-  *     

 	;  )"= )D ,4

* --G-27 1"I5A(

90  ;,> 
GG2  ;5 * **   A

    	/ & ( I

%  1"D , *  29

67 ,1A .  4 

99  ;, % , *, : , ,    = :, ) 
GGH 

  * / / 
A /

   *    %

 @, 9, 67G< 

97 E,&  
GHH D 	; %

+=D D (D ,% * 

    
07
96  1" I5A E

>=  

92 +
, E  = ;++,/
GG6  	 

  4    @ ,

* #B  '5    	

;++, /  .* 	
A / L * 

 *  
9

G2  1, 1EA E

/, 	 

96 ,> 
GH9 ) /
>

)5  1" I5A))5 

9H , 
GG-  *C "5

  1" I5A ;* 

9G &5,
 
GH9 C * )A)

4 

7<  , (  -<<<     

5  ;", 	;A ;" @ 

7
  ,   
GG0    4 


 	E >=) 

D ,   5   

   H6GHHH  1" I5A 4 

7-  ,   
GG9 > A / *

!, *   

  	 ) > = E , E D ,

@5    
6G-<9 

>, %A (" 4 

70  E, 
GG0 %  			

"//A/** 

E  )5 4*,
G, 99692 

79  4"E, ( 
GH0    

 *   1" I5A )F+ 

77 , > ,=, 
GG< %*A

   -    1" I5A>

	 

72 ,  
GH< /*

     "5A  3 

  "5, 
-, 2
<2
H 

76  ;, E  
GG0  &   

   	 E >=) 

D , 	 @5   

  H<0H<G  1" I5A 4 4 

7H >, E 4 = ;, E  
GG9 % 

  4  1" I5A( 4 

A

RACISM, STRESSORS, AND TRAUMA


 	

		

	

7G 1,  , /, 1 ) , /, % / , %5,  ,

%, $ , , D ; , 4, % &  = ;,

  
GG2   4  A /

 >

 * / /   @,

D  , 2, 
79
22 

	
















	



   !" #	
$% 
 

&     & '(()

*"+,&





-
"
$%




 "   .
 
 


*"



/

0+1112 

& 


$% 
*" 

 
   /     


/&3&-"3'(45

'(5(6+111$7
8""

"9-$:

Acknowledgments


5$8	
,+-* ;

' @


		
		
	)

7)	
			A

/2	3$+	

>	8' *0	
$8	


  ,+-*  " '  	

 


   =	

*	3$-$25'' 	

		




		
	@
		

	7)		




	


UNDERSTANDING RISKS TO WOMEN

OF INTIMATE PARTNER VIOLENCE

	




		





 	

		



    * 

*5"*"5 

  

      

Sexual violence         

    **  !  *   

" * ,    	     

 !  *   "    

        * ,  

, ,       *,

      

P Threat of physical or sexual violence  ",

*,",

, 3,  ,      

** ! !" 

  "*      	   

  #	C 5 ', !   

 * "  * "  ,

*,  **  *   

P 	


,

,,  *, ,   

, "

  /* 

,  , ,   

 *  "     !

    !  

P 
	     *+   

",

    	    "*  

"5   C ,  *  *

  5*      %%C !,

"*"

 - 

      

*  *     

 /*,

*+,

",,*

         

*


 ,-   *    

,0      * 5,

9  "  *, 7  	4
  

  

*   5 

!

Types of Intimate Partner Violence

	       , !,

*,  5*   	   * 

  !* /*

  *,  

** *

     %   %

4,1%  	34%

  
GGG      

    * * B  

     
  /

*   ,

P Physical violence    #   

 "    * , ,

3,'
, 

*,*,

*,*,*,*"3,"

*,55*,**,*",

  ** 

 Sexual abuse  # ! '  

**,,*,,

*,5*",

"

   ,   ,   

"*   
,   
- '

>   5 

"

  @   

""5""



*+  5   

 

 *,    "

  ,   

 ,  ,

,

 

C




 	

		



 NEW DIRECTIONS  	

				



National Center Collaboration with the U.S. Military

"* 1 % *   ,         *"*   3 3 "

*   "3  ," 

 * 

  * ", ,  ,  ,      ,      

  "   !  !    "  * , *,   

!  ! *"*"*

"   .          !   !  ,   , 

*         *5      !   

"   >5"         3  

!   !    4  $      "  4 "*

! " "      

,  3"   !      * 

*     4 *    ) *   " 

    B      5,   *    * 

  ,        !*    

/  ,  *"*    " *      

 "  
/   +  (>        !

 
/ * 4 "    !          *  

* 5"!     
/, *+* 

  ",  "  

  *        

	  !, 	 " 5    1 % * "   **  *5*

     

) ;+ 4,   )  ,    * *  *  *

/   "   .1 45*   , ), : 

/*,   % 1 ,      * 

*, ,I5* !  

5&)** 

D554, >C@*"5* E>%,

*    *     .  C 4 	 *% 

E> 4,   4 	 * " /*  4  4,   D!

,  "5  "> )+   / %  @  *  

 *     *  .   4 % 

4>4,D!,E+54)I*,;%>,D,

         "5 *    *  .  

(,),: *% E5&@,"3

;%D % 4* 

4  4, ;%%D*, >/ 	,  	"     

"
/%***!

  	   *
/  "
%, " "    >

@>*, %  /%@,@	 

	 ",* 3

*,, "* 4* ..

@ "       "*    

>5 " * "5"* " 

   *    3 
	

		







WOMEN AND TRAUMA: A CLINICAL FORUM

 !		


"  #$

Training for Sexual Assault Counselors, Part I:

Identifying the Science-Practice Gap Annabel Prins, Ph.D. and Tracy L. Fleming, B.A.

 	






		 



  !

	







		
"
	
	




	

 #


	"



	
	

	

	

	


	

	
$
%
&"	

 '(


	






"
	




 

)





	
	


"	
&
*+,





,
- #




&	
	



(

	






 "	"
	.
	





	

		
	


	&	

		




  &/


 !	







	
(
	



$
"%	
	"

	
  

0






	
" 



	

	
	$
%








  123 .4  #
 
 	" 
"



  	 
 

/
 
	



	 
    "		
 &
 
 
 
	
 




     	

 &

&


	
"

	

	
  0

	

	 


	
"		
&



&"
	
	

 

#






&
	
	






			







"	
	




5 '

"		



	

&






	


	


	





	


	
	


 !

		



"






	&"6

7

*+.+ "

/	
	

,

	"




	
	

&

8



/
 !

	

	

  


	
"
	
	










	





	

 2	



&



&
&



/

,
	
9 :





		8


 






	
  


	

	
&
"


"
	

* :



	
	



&"







	
 :
"













"
	




	
"
	  $

	
%

"	








	
123" 

! 
 
 	
 	
 
 
(
"  & 
" & 
 
 
 



	




& ;










	
&


	
&
	

	


" #



	&&


	
  $#
	
/"%&&



&"	  $#	
,


"
"
% 

:
"

	
/

		
 ! 




	





,

	

"



	&



"&
 2



	
	





$8


%&







	
&
	





	
	
&

	 

#





	


	&

	
	
	
		







	
	

 2

	"
	


	


<





	



 :


	



	
	

/	







	
	

			
	
	
		




*


./


 	

		






	


Suggested Protocol for Working With Intimate Partner

Violence Victims

1. Routinely Screen for Intimate Partner Violence

 *    

         

, *   0   

        , 

 *,  *    , , 

5*,  " 

        

 *

     5   / *

    & 
 4

&C @ 	9 ** ,  , 

*     , 

   3*,  5   ,  

,,C

   , "    & 

**         

,,

  C   "* 

2. Assess for Danger of Serious or Lethal Violence

E      * 

     *   

, *     "

"5* "         

*"*     * 5 

"7,2 )"

55**

5*

 

Prior history of domestic violence    

B

" 5  7 

Relationship estrangement or separation."

**

    6, H 

Violation of court orders, including violation of orders of

protection  
       "

H
81"I5

        6<8  

 

Obsessive possessiveness or morbid jealousy. $

   3G,   #!

'
<,   !7<8

    



Threats to kill. 4   5     

   7<8    6 

Suicidality.   C  

  *+ 5    

 

	  *     

 

Alcohol and substance abuse. /   

     

          

6 

Extreme minimization / denial of domestic violence.

+    * **  

    "  5  


- 

Stalking. 5*   #    

   5   "  

*
0, 
9-'*+

55


- 

Abuse toward children       "

  "  
9  
 "

       " 

*  " 

 	+,*

,   *  " *  " 

",*,

* ,#*5  '

Excessive Control %"C

  *  *   57   "

        

,   ,  "

 "   5   ,   

 $



"      

3. Assess the Matrix of Other IPV-Related Risks


      ** 5 

  , *  "    

,  "       


7**#

* 5'  "  , "   

" D5!

""

   /       5 *

" 
	

		







$%

Physical harm !5

     3  	  

"*

 , * * , *

 , " 5 ,    


2  	  ,     

*       

   

Psychological harm >"

!*"

  
6  ) "   

5  
H  , " "   

  5   ** *

* 

Children  %      

!  * 5  %  

 5  *  "     

**  , "   

3 *  , "     

"  Q   *  

%5"

  *     "  

     

Legal >  * 5 "  

*** * ,*

*       * , *   

    >     

"3       C  

    * 

Financial /     

!* C", "

* &

""C

, "  "   

  "   !  * , *

",* &,"

"**3

  "    

Family or friends >  5  

  "   C   

 Q      *   

&""*

         

!""

  *   "     *

  

4. Engage the Battered Victim in Safety Planning

*5*

        ) " 

  " 5     5

      1, 5*

!*,"

,5*5 

*"5*"5

 	4
       "5  	 

          

5*"

   ,  "5""

 ""  

>       ,

**,

"  !      ,

 *   * "     

**"5,**

C"35"C

 5  1!,  "  *   

 B       C ! 

"  "5     "  , * " 

    *  &,  * 

     *    * ,

"5,","

            

 * , "*    *   , "

*     / 

",

C    *  	   "  5*

  "  

5. Document Information about IPV

*       

   , *    " 5 

%     "    

5"* 

   *,    

*

  *       * 

    %*      

     ,  5  "



" 

Conclusion

>5*""3

     *  

    **     

%       "* 

       *  

 ,   * 5 * "    	

"  5       

        

 "   * 

           

          **  

     *   

	




	
		

" 


 	

		

 

References


 +,; D ,  
GGG 	 4


A .    

D  %   %  4,

1%  	3 4 %A/

,(/ 

- 3, 4 =,1 
GGH  5*/A &

*   1 
 /*> 

  .     E, $  E 4

*, 1 	  E 

0  , / ,, ) ,= @", I 
GG2   

*       E

   />C /, 7
,

G-G7 

9  & 
 4 & 
GGG 4* 

A%** A

 &  FF"""  * 

7  %, E % 
GG7 /* *A 
 

! , ,     

$5, %/A * 4 

2  :, 4  ,   
GG2      

/ 5 / (  4   

 *   / 4*;" 

A@@,  % 

6 >, 1 
GGG .*    )

A 1 . 4 

H >,  = , 
GG0    5 

* 
  
, H, 0
2 

G , =>, 	 
GHH D 

*     , -9-, 7
G7-9 


< >, 	  = , 
GG2  ! 

  * " %   4

* , 7
-6, -6 



 , D ,   
GHH  4  *

  A /    

1 %, 
GHH
GG- 
 = 
, 
0, G



<2 


-  :, 4   = @,   -<<<    / 5

/// (A    

  ;" = @ ), -9, 
<




H 


0 >5, ; D  =, E  
GGH  5*  

  	 E  D  , *  5

* 
0G
2
  / 4A  *


9 , / 
GG< $ ,  , "

*A>     J  4

  /   /   = (,

 E D    4A 1" )"5   

9<09-9 


7 ,E ,;,D ,=%, 
GGH 

* *A$5,%/ 


2 :, 4 
GG9 *+

 "C     	/ E  D 

* "C A 

   
HG-<<  *A $5,%/ 


6 %, E % = 5,: ; 
GGG >C  

*   E  	 
,


9, -
9< 


H :",1 E ,   
GGH  &  

 5 "    

//" E 

%*  % 4*, 22, 70079< 

Mary Ann Dutton, Ph.D. is a clinical psychologist, researcher and forensic expert. She has worked in clinical

and legal domestic violence settings for the past 20 years.

Dr. Dutton has contributed to the understanding of

battered victims response to intimate partner violence,

especially with regard to recognizing contextual influences

&'&&'

on cognitions, emotions, and behaviors.
	

		

!





	


	
		
	





 	 
  
  



	
 	


	


		





		
	
	

	
	

 



!

	


SUBSCRIPTION INFORMATION


 	

		

"

	

	

			


	

	


		



	

	

		

 

!	




	
		

""	#$%
	

"!"		!!

&'	
"()!	
!"
	 *	

%

		  	


		
!
		
)


	
	


	

 %

	
 


!"			 *
"*
 "

	

	

"


			
	
	*
"
!"	

	*%

			
"	

		



"+

 

 

  !"#$

 %#&!&'!!

!
	

"
!
 	,

		"!
	



	


 

	



	


-			
	
	!!



	
	




	

	

	


		


		
"


	


	

	
!	
	

%

	

"!"			

 *
"
"!"		

			
	!!	

	
.
	
-


	%"		


!

	



 *


%

/

"	


	


			
	

	

%


	

"

!"	

!	
!	

	!
!
"
 

	
!
	

"
"	


	%0


	!!	

	
	"
-!

"!


"
		



!	


%

$!$(###$)

!%	&'()
		*

#*+	,--./01.20,13$$$04-./51.4---6220,1

NATIONAL CENTER FOR PTSD

CLINICAL TRAINING PROGRAM
	

		

#






 
 
    












 !

!"#$


!$#%










"




#




$%%&''()"

Schedule for 2001

=
. 9-4 =4 9-4

:& 9-4 ! 9-4

;
 9-4 25 9-4

!
4 9-4 	. 9-4

May 3 800-230-2150* ) 9-4

=
+ 9-4 3	 5 9-4

>)




;"

*
+

,



-.




"/


+!
,
 

01


2$01.
$



$1$+

$



+


&

3
3
$."" 45$
""

6"73"""8" 
$
""




$"" 4

3#$
""

4
#$
"" 
#6 +$""

4!$.""$ .!,
$.""

4.$
"" 2$
""

9

$
"" 4
8


$.""8"

4
8$.""8" 6 $""

:1,$
"" 4#4,$
""

56
$."" ;$
""

&  ,  A

) @  I*, ; %  > 

  = * %

1 %  4

27<9G07<<< !  --9G9 

MONTHLY MENTAL HEALTH

CRISIS COUNSELING

CONFERENCE CALLS

"


" '&	
	



		
	
"

123













	
&






 

	

)
?


123
	&



?

?
!
2!	


"



 	


 
&
 
 
	
	

 

1
##	



	




	

		




	 

References

	

	





 !"#	$%	#&$'

&	$#$&$%($&

)$$%$*	"	+$$*,-.'

/	
&0
&$1/!

1&	21$$+$1*$3120$3	&

4	5#$%
$+$

 0$
63$	$	)/77!"'

$$&&	$

.8$948&4)/777!%%	#9'

&%$"9
0(:$
2%$"

;8$#$)98	1!9+6

	$*29&$%$&	'

$)$$%	"	+,7,'<,

,"1=
)9/77!#$

		$%6	$$4	'

$

<*1>$$&<.!9+&'

$&1&	)$$%"	+ -'-,

-$+?&@8$**
4$	+9>+>

/!1$	#6&$$%$'&	'

$#	&)$$%9&	
;.;;'.<;

8$**
+
;!1$&?*

$2
&$&	$%"9
%$$(*

1&	)$$%"	+;/,'/7

78$4$(1<!"	+$$	&%$

$'&	$21		#(A)
	

)4)8$!1#($%"	+$$*

.-..'.-7

"?
)>
&)--!	$$%&

	+$$&	$	
$	
		4	

/, /<' /

#

0*
1

.2


 	

		

	

PTSD Assessment Library

()
*+,--.
--%
*%----.+/)
-
0
1

+
/
-2/10
1+-.-
*
/)		.---%31

21442.
.--4+1
 	#			54!!4

PTSD Article Library

( 1+% - % 6 
-  -+- % 
- )
*  (  


- % % 1/4

+1
 	#			54 !4

PTSD Video Library

1768.


--)
.+.
/
*5+
/+
-.

.
/-
-2)
2.4
.+-**0.%%1/4+1
 	

#			54 !4

PTSD Program Liaison and Consultation

1768.
1+(11+%--
-..--4)
-
.

--
-

/)
-2
/-+--2+*-)
/4%%)
*-


1 - % 
/-
- . 2 /)+ .-
/2 . 2$+-

)
2.0
11.-4+1
 	#			54#!!4

National Center for PTSD Web Page

19/+)
.-.-
+
%
)

-%1
%.1

.
%
410.0
.0*..--
-: 	


PILOTS Database

;<'21

.5%-.5-
)10.=-
.111

-,-%5+-
)-2+)
.-


-.-1-0
11*

.


-1-+
-)4	


NC-PTSD Research Quarterly

1

	 

 )
0-  -

%
  
4 +1
"	 #  % -*-
+



%
4

Disaster Mental Health Training and Consultation

8.
 -%%+)
. 

/
.
--11 -)
-2
.
/ .)+2
%
/

0
1 1 /
-2 -
 . %%-

)
-2 .*
%
/2 . +-1.
 . 


)
- 0
1 .
-- -)
)- . 06-4 +1
 	 #			 54 #  
:


		 !	

Conferences and Training Events

1768.
+)
.--
)-++%1.)+%

/
4)
-


.--
-
%
.
/%..-
/
/+/4+1
 	#			54 !4

NATIONAL CENTER FOR PTSD

EDUCATION, TRAINING, & SUPPORT SERVICES