Domestic violence

**Domestic violence** (also named **domestic abuse**, **battering**, or **family violence**) is a pattern of behavior which involves violence or other abuse by one person against another in a domestic setting, such as in marriageor cohabitation. Intimate partner violence is violence by a spouse or partner in an intimate relationship against the other spouse or partner. Domestic violence can take place in heterosexual and same-sex family relationships, and can involve violence against children in the family or, in some U.S. states, violence against a roommate.[1]

Domestic violence can take a number of forms, including physical, verbal, emotional, economic, religious, and sexual abuse, which can range from subtle, coercive forms to marital rape and to violent physical abuse such as female genital mutilation and acid throwing that results in disfigurement or death. Domestic murders include stoning, bride burning, honor killings, and dowry deaths.

Globally, the victims of domestic violence are overwhelmingly women, and women tend to experience more severe forms of violence.[2][3] However it has been shown in the United States that women are the primary perpetrators in non-reciprocal cases.[4] In some countries, domestic violence is often seen as justified, particularly in cases of actual or suspected infidelity on the part of the woman, and is legally permitted. Research has also shown there to be a direct and significant correlation between a country's level of gender equality, and actual rates of domestic violence.[5] Domestic violence is among the most underreported crimes worldwide for both men and women.[6][7] Men face additional gender related barriers in reporting, due to social stigmas regarding male victimization, and an increased likelihood of being overlooked by healthcare providers.[8][9][10][11]

Domestic violence occurs when the abuser believes that abuse is acceptable, justified, or unlikely to be reported. It may produce intergenerational cycles of abuse in children and other family members, who may feel that such violence is acceptable or condoned. Very few people recognize themselves as abusers or victims because they may consider their experiences as family disputes that just got out of control.[12] Awareness, perception, definition and documentation of domestic violence differs widely from country to country. Domestic violence often happens in the context of forced or child marriage.[13] In abusive relationships, there may be a cycle of abuse during which tensions rise and an act of violence is committed, followed by a period of reconciliation and calm. Victims of domestic violence may be trapped in domestic violent situations through isolation, power and control, cultural acceptance, lack of financial resources, fear, shame, or to protect children. As a result of abuse, victims may experience physical disabilities, chronic health problems, mental illness, limited finances, and poor ability to create healthy relationships. Victims may experience psychological problems, such as post-traumatic stress disorder. Children who live in a household with violence often show psychological problems from an early age, such as dysregulated aggression which may later contribute to continuing the legacy of abuse when they reach adulthood.[14]

## Etymology and definitions

The first known use of domestic violence in a modern context, meaning violence in the home, was in an address to the Parliament of the United Kingdom by Jack Ashley in 1973.[15][16] The term previously referred primarily to civil unrest, violence from within a country as opposed to violence perpetrated by a foreign power.[17][18][nb 1]

Traditionally, domestic violence (DV) was mostly associated with physical violence. Terms such as *wife abuse*, *wife beating*, and *battering* were used, but have declined in popularity due to efforts to include unmarried partners, abuse other than physical, female perpetrators, and same-sex relationships.[nb 2] Domestic violence is now commonly defined broadly to include "all acts of physical, sexual, psychological or economic violence"[23] that may be committed by a family member or intimate partner.[23][24][25]

The term *intimate partner violence* is often used synonymously with *domestic abuse* or *domestic violence*,[26] but it specifically refers to abuse occurring within a couple relationship (i.e., marriage, cohabitation, or non-cohabitating intimate partners).[27] To these, the World Health Organization (WHO) adds controlling behaviors as a form of abuse.[28] Intimate partner violence has been observed in opposite and same-sex relationships,[29] and in the former instance by both men against women and women against men.[30] *Family violence* is a broader term, often used to include child abuse, elder abuse, and other violent acts between family members.[26][31][32]

In 1993, The United Nations Declaration on the Elimination of Violence Against Women defined domestic violence as:

## History

Prior to the mid-1800s, most legal systems viewed wife beating as a valid exercise of a husband's authority over his wife. Throughout the region of Romulus in Rome and under the laws of Chastisement, wife beating by stick or belt was accepted by the authorities. However, during the early 1500s, the laws changed to "The Rule of Thumb", which meant that the husband was allowed to hit his wife with a stick no thicker than his thumb.[34][35][36] One exception, however, was the 1641 Body of Liberties of the Massachusetts Bay colonists, which declared that a married woman should be "free from bodilie correction or stripes by her husband."[37]

Political agitation during the 19th century led to changes in both popular opinion and legislation regarding domestic violence within the United Kingdom, the United States and other countries.[38][39] In 1850, Tennessee became the first state in the United States to explicitly outlaw wife beating. Other states soon followed.[36][42] In 1878, the UK Matrimonial Causes Act made it possible for women in the UK to seek legal separation from an abusive husband.[43] By the end of the 1870s, most courts in the United States had rejected a claimed right of husbands to physically discipline their wives.[44] By the early 20th century, it was common for police to intervene in cases of domestic violence in the United States, but arrests remained rare.[45]

In most legal systems around the world, the issue of DV has been addressed only from the 1990s onwards; indeed, before the late-20th century, in most countries there was very little protection, in law or in practice, against DV.[46] In 1993, the UN published *Strategies for Confronting Domestic Violence: A Resource Manual*.[47] This publication urged countries around the world to treat DV as a criminal act, stated that the right to a private family life does not include the right to abuse family members, and acknowledged that, at the time of its writing, most legal systems considered DV to be largely outside the scope of the law, describing the situation at that time as follows: "Physical discipline of children is allowed and, indeed, encouraged in many legal systems and a large number of countries allow moderate physical chastisement of a wife or, if they do not do so now, have done so within the last 100 years. Again, most legal systems fail to criminalize circumstances where a wife is forced to have sexual relations with her husband against her will. [...] Indeed, in the case of violence against wives, there is a widespread belief that women provoke, can tolerate or even enjoy a certain level of violence from their spouses."[47]

In recent decades there has been a call for the end of legal impunity for domestic violence, an impunity often based on the idea that such acts are private.[48][49] The Istanbul Convention is the first legally-binding instrument in Europe dealing with domestic violence and violence against women.[50] The convention seeks to put an end to the toleration, in law or in practice, of violence against women and DV. In its explanatory report it acknowledges the long tradition of European countries of ignoring, *de jure* or *de facto*, these forms of violence.[51] At para 219, it states: "There are many examples from past practice in Council of Europe member states that show that exceptions to the prosecution of such cases were made, either in law or in practice, if victim and perpetrator were, for example, married to each other or had been in a relationship. The most prominent example is rape within marriage, which for a long time had not been recognised as rape because of the relationship between victim and perpetrator."[51]

There has been increased attention given to specific forms of domestic violence, such as honor killings, dowry deaths, and forced marriages. India has, in recent decades, made efforts to curtail dowry violence: the Protection of Women from Domestic Violence Act (PWDVA) was enacted in 2005, following years of advocacy and activism by the women's organizations.[52] Crimes of passion in Latin America, a region which has a history of treating such killings in an extremely lenient way, have also come to international attention. In 2002, Widney Brown, advocacy director for Human Rights Watch, argued that there are similarities between the dynamics of crimes of passion and honor killings, stating that: "crimes of passion have a similar dynamic [to honor killings] in that the women are killed by male family members and the crimes are perceived as excusable or understandable".[53]

Historically, children had few protections from violence by their parents, and in many parts of the world, this is still the case. For example, in Ancient Rome, a father could legally kill his children. Many cultures have allowed fathers to sell their children into slavery. Child sacrifice was also a common practice.[54] Child maltreatment began to garner mainstream attention with the publication of "The Battered Child Syndrome" by pediatric psychiatrist C. Henry Kempe. Prior to this, injuries to children—even repeated bone fractures—were not commonly recognized as the results of intentional trauma. Instead, physicians often looked for undiagnosed bone diseases or accepted parents' accounts of accidental mishaps such as falls or assaults by neighborhood bullies.[55]:100–103

## Forms

Domestic violence can take many forms, including physical aggression or assault (hitting, kicking, biting, shoving, restraining, slapping, throwing objects, battery), or threats thereof; sexual abuse; controlling or domineering;intimidation; stalking; passive/covert abuse (e.g., neglect); and economic deprivation.[56][57] It can also mean endangerment, criminal coercion, kidnapping, unlawful imprisonment, trespassing, and harassment.[58]

### Physical

Physical abuse is that involving contact intended to cause pain, injury, other physical suffering or bodily harm.[59][60] The dynamics of physical abuse in a relationship are often complex. Physical violence can be the culmination of other abusive behavior, such as threats, intimidation, and restriction of victim self-determination through isolation, manipulation and other limitations of personal freedom.[61] Denying medical care, sleep deprivation, and forced drug or alcohol use, are also forms of physical abuse.[59] It can also include inflicting physical injury onto other targets, such as children or pets, in order to cause emotional harm to the victim.[62]

In recent years, strangulation in the context of DV has received significant attention.[63] It is now recognized as one of the most lethal forms of DV; yet, because of the lack of external injuries, and the lack of social awareness and medical training in regard to it, strangulation has often been a rather hidden problem.[64] As a result, in recent years, many US states have enacted specific laws against strangulation.[65]

Homicide as a result of domestic violence makes up a greater proportion of female homicides than it does male homicides. In the United Kingdom, 37 percent of murdered women were killed by an intimate partner compared to 6 percent for men. Between 40 and 70 percent of women murdered in Canada, Australia, South Africa, Israel and the United States were killed by an intimate partner.[66] The World Health Organization states that globally, about 38% of female homicides are committed by an intimate partner.[67]

During pregnancy a woman may begin to be abused or long-standing abuse may change in severity, causing negative health effects to the mother and fetus.[68] Pregnancy can also lead to a hiatus of domestic violence when the abuser does not want to harm the unborn child. The risk of domestic violence for women who have been pregnant is greatest immediately after childbirth.[69]

Acid attacks, are an extreme form of violence in which acid is thrown at the victims, usually their faces, resulting in extensive damage including long-term blindness and permanent scarring.[70][71][72][73][74] These are commonly a form of revenge against a woman for rejecting a marriage proposal or sexual advance.[75][76]

In the Middle East and other parts of the world, planned domestic homicides, or honor killings, are carried out due to the belief of the perpetrators that the victim has brought dishonor upon the family or community.[77][78]According to Human Rights Watch, honor killings are generally performed against women for "refusing to enter into an arranged marriage, being the victim of a sexual assault, seeking a divorce" or being accused of committingadultery.[79] In some parts of the world, where there is a strong social expectation for a woman to be a virgin prior to marriage, a bride may be subjected to extreme violence, including an honor killing, if she is deemed not to be a virgin on her wedding night due to the absence of blood.[80][nb 3]

Bride burning or dowry killing is a form of domestic violence in which a newly married woman is killed at home by her husband or husband's family due to their dissatisfaction over the dowry provided by her family. The act is often a result of demands for more or prolonged dowry after the marriage.[96] Dowry violence is most common in South Asia, especially in India. In 2011, the National Crime Records Bureau reported 8,618 dowry deaths in India, but unofficial figures estimate at least three times this amount.[97]

### Sexual

Percentage of women who reported actual or attempted sexual assault by an intimate male partner (late 1990s)[98]
 Germany
 USA
 Canada
 Nicaragua
 UK
 Zimbabwe
 India

FGM is concentrated in 29 countries with wide variations in prevalence.[99] FGM is included in the WHO definition of sexual violence[100][101]

Main articles: Sexual abuse, Marital rape, and Sexual violence by intimate partners

Sexual abuse, is defined by World Health Organization as any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic, or otherwise directed, against a person’s sexuality using coercion. It also includes obligatory inspections for virginity and female genital mutilation.[100] Aside from initiation of the sexual act through physical force, sexual abuse occurs if a person is unable to understand the nature or condition of the act, unable to decline participation, or unable to communicate unwillingness to engage in the sexual act. This could be because of underage immaturity, illness, disability, or the influence of alcohol or other drugs, or due to intimidation or pressure.[102]

In many cultures, victims of rape are considered to have brought 'dishonour' or 'disgrace' to their families and face severe familial violence, including honor killings.[103] This is especially the case if the victim becomes pregnant.[104]

Female genital mutilation is defined by WHO as "all procedures that involve partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons." This procedure has been performed on more than 125 million females alive today, and it is concentrated in 29 countries in Africa and Middle East.[105]

Incest, or sexual contact between an adult and a child, is one form of familial sexual violence.[106] In some cultures, there are ritualized forms of child sexual abuse taking place with the knowledge and consent of the family, where the child is induced to engage in sexual acts with adults, possibly in exchange for money or goods. For instance, in Malawi some parents arrange for an older man, often called "hyena", to have sex with their daughters as a form of initiation.[107][108]The Council of Europe Convention on the Protection of Children against Sexual Exploitation and Sexual Abuse[109] was the first international treaty to address child sexual abuse occurring within the home or family.[110]

Reproductive coercion (also called "coerced reproduction") are threats or acts of violence against a partner's reproductive rights, health and decision-making; and includes a collection of behaviors intended to pressure or coerce a partner into becoming a parent or ending a pregnancy.[111] Reproductive coercion is associated with forced sex, fear of or inability to make contraceptive decision, fear of violence after refusing sex, and abusive partner interference with access to healthcare.[112][113]

In some cultures, marriage imposes a social obligation for women to reproduce. In northern Ghana, for example, payment of bride price signifies a woman's requirement to bear children, and women using birth control face threats of violence and reprisals.[114] WHO includes forced marriage, cohabitation, and pregnancy including wife inheritance within its definition of sexual violence.[101][115] Wife inheritance, or levirate marriage, is a type of marriage in which the brother of a deceased man is obliged to marry his widow, and the widow is obliged to marry her deceased husband's brother.

Marital rape is non-consensual sexual contact perpetrated against a spouse. It is under-reported, under-prosecuted, and legal in many countries, due in part to the belief that through marriage, a woman gives irrevocable consent for her husband to have sex with her when he wishes.[116][117][118][119][120] In Lebanon, for instance, while discussing a proposed law that would criminalize marital rape, Sheik Ahmad Al-Kurdi, a judge in the Sunni religious court, said that the law "could lead to the imprisonment of the man where in reality he is exercising the least of his marital rights."[121] Feminists have worked systematically since the 1960s to criminalize marital rape internationally.[122] In 2006, a study by the United Nations found that marital rape was a prosecutable offense in at least 104 countries[123] Once widely condoned or ignored by law and society, marital rape is now repudiated by international conventions and increasingly criminalized. The countries which ratified the Council of Europe Convention on preventing and combating violence against women and domestic violence, the first legally binding instrument in Europe in the field of violence against women,[50] are bound by its provisions to ensure that non-consensual sexual acts committed against a spouse or partner are illegal.[124] The convention came into force in August 2014.[125]

### Emotional

Emotional abuse (or psychological abuse) is behavior that threatens, intimidates, or systematically undermines self-worth.[126] According to the Istanbul Convention, psychological violence is "the intentional conduct of seriously impairing a person’s psychological integrity through coercion or threats".[127]

Emotional abuse includes threats, isolation, public humiliation, unrelenting criticism, constant personal devaluation, and gaslighting.[28][62] Stalking is a common form of psychological intimidation, and is most often perpetrated by former or current intimate partners.[128] Victims tend to feel their partner has nearly total control over them, greatly affecting the power dynamic in a relationship, empowering the perpetrator, and disempowering the victim.[129] Victims often suffer from depression, putting them at increased risk of eating disorders,[130] suicide, and drug and alcohol abuse.[129][131][132]

### Economic

Economic abuse is a form of abuse when one intimate partner has control over the other partner's access to economic resources.[133]Marital assets are used as a means of control. Economic abuse may involve preventing a spouse from resource acquisition, limiting what the victim may use, or by otherwise exploiting economic resources of the victim.[133][134] Economic abuse diminishes the victim's capacity to support themselves, increasing dependence on the perpetrator, including reduced access to education, employment, career advancement, and assets acquirement.[133][134][135] Forcing or pressuring a family member to sign documents, to sell things, or to change a will are forms of economic abuse.[60]

A victim may be put on an allowance, allowing close monitoring of money is spent, preventing spending without perpetrator consent, leading to the accumulation of debt or depletion of the victim's savings.[133][134][135] Disagreement about money spent can result in retaliation with additional physical, sexual or emotional abuse.[136] In parts of the world where women depend on husbands' income in order to survive (due to lack of opportunities for female employment and lack of state welfare) economic abuse can have very severe consequences. Abusive relations have been associated with malnutrition among both mothers and children. In India, for example, the withholding of food is a documented form of family abuse.[137]

## Demographics

Domestic violence occurs across the world, in various cultures,[138] and affects people of all economic statuses.[20]

### Gender differences

There continues to be debate regarding gender differences with relation to domestic violence. Limitations of existing survey tools (e.g., conflict tactics scale), disparate sampling procedures, respondent reluctance to self-report, and differences in operationalization all pose challenges to existing research.[139][140] In addition, normalization of domestic violence in those who experience subtle forms of abuse, or have been abused for long periods of time, reduces the likelihood of recognizing, and therefore reporting domestic violence.[141] According to one study, the percentage of women who have reported being physically abused by an intimate partner vary from 69% to 10% depending on the country.[142] In the United States, it is estimated that intimate partner violence accounts for 15% of all violent crime.[143]

A 2013 review examined studies from five continents and the correlation between a country's level of gender inequality and rates of domestic violence. The authors found that if one examines who is physically harmed and how seriously, expresses more fear, experience subsequent psychological problems, domestic violence is significantly gendered toward women as victims. However, they went on to conclude "partner abuse can no longer be conceived as merely a gender problem, but also (and perhaps primarily) as a human and relational problem, and should be framed as such, by everyone concerned."[144] Many organizations have made efforts to use gender-neutral terms when referring to perpetration and victimization. For example, using broader terms like *family violence*rather than *violence against women*.[145]

A 2011 review by researcher Chan Ko Ling from the University of Hong Kong found that minor partner violence was equal for both men and women but more severe partner violence was more likely to be perpetrated by men.[139] His analysis found that men were more likely to beat up, choke or strangle their partners while women were more likely to throw objects, slap, kick, bite, punch, or hit with an object.[139] Researchers have also found differing outcomes for men and women in response to intimate partner violence. A 2012 review from the journal *Psychology of Violence* found that women suffered disproportionately as a result of intimate partner violence, especially in terms of injuries, fear, and posttraumatic stress.[146] The review also found that 70% of female victims in one study were "very frightened" in response to intimate partner violence from their partners, but 85% of male victims reported "no fear".[146] The review also found that intimate partner violence mediated the satisfaction of the relationship for women but not for men.[146]

Laws on domestic violence vary by country. While it is generally outlawed in the Western world, this is not the case in many developing countries. For instance, in 2010, the United Arab Emirates's Supreme Court ruled that a man has the right to physically discipline his wife and children as long as he does not leave physical marks.[147] The social acceptability of domestic violence also differs by country. While in most developed countries domestic violence is considered unacceptable by most people, in many regions of the world the views are different: according to a UNICEF survey, the percentage of women aged 15–49 who think that a husband is justified in hitting or beating his wife under certain circumstances is, for example: 90% in Afghanistan and Jordan, 87% in Mali, 86% in Guineaand Timor-Leste, 81% in Laos, 80% in Central African Republic.[148] Refusing to submit to a husband's wishes is a common reason given for justification of violence in developing countries:[149] for instance 62.4% of women in Tajikistan justify wife beating if the wife goes out without telling the husband; 68% if she argues with him; 47.9% if she refuses to have sex with him.[150]

#### Women

The United Nations Population Fund found violence against women and girls to be one of the most prevalent human rights violations worldwide, stating that "one in three women will experience physical or sexual abuse in her lifetime."[151] Violence against women tends to be less prevalent in developed Western nations, and more common in the developing world.[152]

Wife beating was made illegal nationally in the United States by 1920.[153][154] Although the exact rates are disputed, there is a large body of cross-cultural evidence that women are subjected to domestic violence significantly more often than men.[3][155][156] In addition, there is broad consensus that women are more often subjected to severe forms of abuse and are more likely to be injured by an abusive partner, and this is exacerbated by economic or social dependence.[2][24][155][156]

The United Nations Declaration on the Elimination of Violence against Women (1993) states that "violence against women is a manifestation of historically unequal power relations between men and women, which has led to domination over and discrimination against women by men and to the prevention of the full advancement of women, and that violence against women is one of the crucial social mechanisms by which women are forced into a subordinate position compared with men".[33][157] The Declaration on the Elimination of Violence against Women classifies violence against women into three categories: that occurring in the family (DV), that occurring within the general community, and that perpetrated or condoned by the State.[33]

The Inter-American Convention on the Prevention, Punishment, and Eradication of Violence against Women defines violence against women as "any act or conduct, based on gender, which causes death or physical, sexual or psychological harm or suffering to women, whether in the public or the private sphere".[158] Similarly with the Declaration on the Elimination of Violence against Women, it classifies violence against women into three categories; one of which being DV – defined as violence against women which takes place "within the family or domestic unit or within any other interpersonal relationship, whether or not the perpetrator shares or has shared the same residence with the woman".[158]

A map of the world showing countries by level of women's physical security, 2011

The Maputo Protocol adopted a broader definition, defining violence against women as: "all acts perpetrated against women which cause or could cause them physical, sexual, psychological, and economic harm, including the threat to take such acts; or to undertake the imposition of arbitrary restrictions on or deprivation of fundamental freedoms in private or public life in peace time and during situations of armed conflicts or of war".[159]

The Istanbul Convention states: ""violence against women" is understood as a violation of human rights *and a form of discrimination against women* (...)". (Article 3 – Definitions).[127] In the landmark case of *Opuz v Turkey*, theEuropean Court of Human Rights held for the first time that gender-based domestic violence is a form of discrimination under the European Convention.[160][161]

Femicide is usually defined as the gender-based killing of women by men, although the exact definitions vary. Femicides often occur in the context of DV, such as honor killings or dowry killings. For statistical purposes, femicide is often defined as any killing of a woman. The top countries by rate of femicide are El Salvador, Jamaica, Guatemala, South Africa and Russia (data from 2004–09).[162] However, in El Salvador and Colombia, which have a very high rate of femicide, only three percent of all femicides are committed by a current or former intimate partner, while in Cyprus, France, and Portugal former and current partners are responsible for more than 80% of all cases of femicide.[162]

#### Men[

Main article: Domestic violence against men

Kalighat painting, "Woman Striking Man With Broom", Calcutta, India, 1875

Domestic violence against men includes physical, emotional and sexual forms of abuse, including mutual violence.[163][164] Male domestic violence victims may be reluctant to get help for various reasons.[165] One study investigated whether women who assaulted their male partners were more likely to avoid arrest even when the male victim contacts police, and found that, "police are particularly unlikely to arrest women who assault their male partners." The reason being that they "assume that the man can protect himself from his female partner and that a woman's violence is not dangerous unless she assaults someone other than her partner".[166] Another study concluded there is "some support for qualitative research suggesting that court personnel are responsive to the gendered asymmetry of intimate partner violence, and may view female intimate violence perpetrators more as victims than offenders."[167]

### Age groups

#### Adolescents and young adults

Main article: Teen dating violence

Among adolescents, researchers have primarily focused on heterosexual Caucasian populations.[168] The literature indicates that rates are similar for the number of girls and boys in heterosexual relationships who report experiencing intimate partner violence (IPV), or that girls in heterosexual relationships are more likely than their male counterparts to report perpetrating IPV.[168][169][170] Ely et al. stated that, unlike domestic violence in general, equal rates of IPV perpetration is a unique characteristic with regard to adolescent dating violence, and that this is "perhaps because the period of adolescence, a special developmental state, is accompanied by sexual characteristics that are distinctly different from the characteristics of adult."[171] Wekerle and Wolfe theorized that "a mutually coercive and violent dynamic may form during adolescence, a time when males and females are more equal on a physical level" and that this "physical equality allows girls to assert more power through physical violence than is possible for an adult female attacked by a fully physically mature man."[171]

While the genders engage in IPV at about equal rates, females are more likely to use less dangerous forms of physical violence (e.g. pushing, pinching, slapping, scratching or kicking), while males are more likely to punch, strangle, beat, burn, or threaten with weapons. Males are also more likely to use sexual aggression, although both genders are equally likely to pressure their partner into sexual activities. In addition, females are four times more likely to respond as having experienced rape and are more likely to suffer fatal injuries inflicted by their partner, or to need psychological help as a result of the abuse. Females are more likely to consider IPV a serious problem than are their male counterparts, who are more likely to disregard female-perpetrated IPV.[168][169][172] Along with form, motivations for violence also vary by gender: females are likely to perpetrate violence in self-defense, while males are likely to perpetrate violence to exert power or control.[168][169] The self-defense aspect is supported by findings that previous victimization is a stronger predictor of perpetration in females than in males.[173] Other research indicates that boys who have been abused in childhood by a family member are more prone to IPV perpetration, while girls who have been abused in childhood by a family member are prone to lack empathy and self-efficacy; but the risks for the likelihood of IPV perpetration and victimization among adolescents vary and are not well understood.[169]

#### Children

Countries where parental childcorporal punishment is outlawed.

The views on child corporal punishment vary around the world. In most countries parental corporal punishment is not considered a form of DV (if it is not excessive), but some countries, mostly in Europe and Latin America, have made any form of child corporal punishment illegal.[174]

There is a strong link between domestic violence and child abuse. Since domestic violence is a pattern of behavior, these incidences may increase in severity and frequency, resulting in an increased probability the children themselves will become victims. The estimated overlap between domestic violence and child abuse ranges from 30 to 50 percent.[175]

Today, corporal punishment of children by their parents remains legal in most countries, but in Western countries that still allow the practice there are strict limits on what is permitted. The first country to outlaw parental corporal punishment was Sweden (parents' right to spank their own children was first removed in 1966,[176] and it was explicitly prohibited by law from July 1979. As of 2015, parental corporal punishment is banned in 46 countries.[174]

### Same-sex relationships

Historically, domestic violence has been seen as a heterosexual family issue and little interest has been directed at violence in same-sex relationships,[177] but domestic violence can occur in same-sex relationships as well. The *Encyclopedia of Victimology and Crime Prevention* states, "For several methodological reasons – nonrandom sampling procedures and self-selection factors, among others – it is not possible to assess the extent of same-sex domestic violence. Studies on abuse between gay male or lesbian partners usually rely on small convenience samples such as lesbian or gay male members of an association."[178]

A 1999 analysis of nineteen studies of partner abuse concluded that "[r]esearch suggests that lesbians and gay men are just as likely to abuse their partners as heterosexual men."[179] In 2011, the Centers for Disease Control and Prevention released the 2010 results of their National Intimate Partner and Sexual Violence Survey and report that 44% of lesbian women, 61% of bisexual women, and 35% of heterosexual women experienced domestic violence in their lifetime.[180] This same report states that 26% of gay men, 37% of bisexual men, and 29% of heterosexual men experienced domestic violence in their lifetime.[180] A 2013 study showed that 40.4% of self-identified lesbians and 56.9% of bisexual women have reported being victims of partner violence.[181] In 2014, national surveys indicated that anywhere from 25-50% of gay and bisexual males have experienced physical violence from a partner.[182] Some sources state that gay and lesbian couples experience domestic violence at the same frequency as heterosexual couples,[183] while other sources state domestic violence among gay, lesbian, and bisexual individuals might be higher than among heterosexual individuals, that gay, lesbian, and bisexual individuals are less likely to report domestic violence that has occurred in their intimate relationships than heterosexual couples are, or that lesbian couples experience domestic violence less than heterosexual couples do.[184] One study focusing on Hispanic men indicated that gay men are less likely to have been perpetrators or victims of domestic violence than heterosexual men but that bisexual men are more likely to have been both.[185] By contrast, some researchers commonly assume that lesbian couples experience domestic violence at the same rate as heterosexual couples, and have been more cautious when reporting domestic violence among gay male couples.[178]

Gay and lesbian relationships have been identified as a risk factor for abuse in certain populations.[57] LGBT people in some parts of the world have very little legal protection from DV, because engaging in homosexual acts is itself prohibited by the "sodomy laws" of those jurisdictions (as of 2014, same-sex sexual acts are punishable by imprisonment in 70 countries and by death in another 5 countries)[186] and these legal prohibitions prevent LGBT victims of DV from reporting the abuse to authorities.[187] In the face of the 2003 Supreme Court decision, 13 US states have refused to remove sodomy laws from legislation as of 2013.[181]

People in same-sex relationships face special obstacles in dealing with the issues that some researchers have labeled "the double closet". A 1997 Canadian study by Mark W. Lehman suggests similarities include frequency (approximately one in every four couples); manifestations (emotional, physical, financial, etc.); co-existent situations (unemployment, substance abuse, low self-esteem); victims' reactions (fear, feelings of helplessness, hypervigilance); and reasons for staying (love, can work it out, things will change, denial).[188] Studies conducted by Emory University in 2014 identified 24 trigger for partner violence through web-based surveys, ranging from drugs and alcohol to safe-sex discussions.[182] A general theme of power and control seems to underlie abuse in both heterosexual and homosexual relationships.[181]

At the same time, significant differences, unique issues, and deceptive myths are typically present.[188] Lehman, regarding his 1997 survey, points to added discrimination and fears that gay and lesbian individuals may face. This includes potential dismissal by police and some social services, a lack of support from peers, fear of attracting negative stigma toward the gay community, the impact of HIV/AIDS status in keeping partners together (due to health care insurance/access, or guilt), threat of outing, and encountering supportive services that are targeted, or structured for the needs of heterosexual women, and may not meet the needs of gay men or lesbians. This service structure can make LGBTQ victims feel even more isolated and misunderstood than they may already because of their minority status.[189] Lehman, however, stated that "due to the limited number of returned responses and non-random sampling methodology the findings of this work are not generalizable beyond the sample" of 32 initial respondents and final 10 who completed the more in-depth survey.[188] Particularly, sexual stressors and HIV/AIDS status have emerged as significant differences in same-sex partner violence.[182]

### Underreporting

DV is among the most underreported crimes worldwide for both men and women.[6][7] A 2011 review article by intimate partner violence researcher Ko Ling Chan found men tended to under-report their own perpetration of domestic violence while women were more likely to under-report their victimization.[139] Financial or familial dependence, normalization of violence, and self-blaming were found to reduce the likelihood of self-reporting victimization in women. By contrast, fear and avoidance of legal consequences, the tendency to blame their partner, and a narrative focus on their own needs and emotions reduced the likelihood of self-reporting perpetration in men.[139]

A 2014 study conducted across the 28 member states of the European Union found that only 14% of women reported their most serious incident of intimate partner violence to the police.[190] A 2009 report on DV in Northern Ireland found that "under-reporting is a concern and domestic abuse is the least likely of all violent crimes to be reported to the police".[191]

Men face additional gender related barriers in reporting, due to social stigmas regarding male victimization, and an increased likelihood of being overlooked by healthcare providers.[8][9][10][11]

## Influences and factors

### Social views

In this 1903 advertisement for Littleton Butter, domestic violence is portrayed as embarrassing but normal.

Social views on domestic violence vary from person to person, and from region to region, but in many places outside the West, the concept is very poorly understood. This is because in most of these countries the relation between the husband and wife is not considered one of equals, but instead one in which the wife must submit herself to the husband. This is codified in the laws of some countries – for example, in Yemen, marriage regulations state that a wife must obey her husband and must not leave home without his permission.[192]

According to *Violence against Women in Families and Relationships*, "Globally, wife-beating is seen as justified in some circumstances by a majority of the population in various countries, most commonly in situations of actual or suspected infidelity by wives or their "disobedience" toward a husband or partner." [193] These violent acts against a wife are often not considered a form of abuse by society (both men and women) but are considered to have been provoked by the behavior of the wife, who is seen as being at fault. While beatings of wives are often a response to "inappropriate" behaviors, in many places extreme acts such as honor killings are approved by a high section of the society. In one survey, 33.4% of teenagers in Jordan's capital city, Amman, approved of honor killings. This survey was carried in the capital of Jordan, which is much more liberal than other parts of the country; the researchers said that "We would expect that in the more rural and traditional parts of Jordan, support for honor killings would be even higher".[194]

In a 2012 news story, *The Washington Post* reported, "The Reuters TrustLaw group named India one of the worst countries in the world for women this year, partly because domestic violence there is often seen as deserved. A 2012 report by UNICEF found that 57 percent of Indian boys and 53 percent of girls between the ages of 15 and 19 think wife-beating is justified."[195]

In conservative cultures, a wife dressing in attire deemed insufficiently modest can suffer serious violence at the hands of her husband or relatives, with such violent responses seen as appropriate by most of the society: in a survey, 62.8% of women in Afghanistansaid that a husband is justified in beating his wife if she wears inappropriate clothes.[196]

Acceptance of male partner's right to hit or beat a female partner among women aged 15–49 in selected countries, UNICEF, 2013.[197]

According to Antonia Parvanova, one of the difficulties of dealing legally with the issue of DV is that men in many male dominated societies do not understand that inflicting violence against their wives is against the law. She said, referring to a case that occurred in Bulgaria, "A husband was tried for severely beating his wife and when the judge asked him if he understood what he did and if he's sorry, the husband said "But she's my wife". He doesn't even understand that he has no right to beat her."[198] UNFPA writes that:[199] "In some developing countries, practices that subjugate and harm women - such as wife-beating, killings in the name of honour, female genital mutilation/cutting and dowry deaths - are condoned as being part of the natural order of things".

Strong views among the population in certain societies that reconciliation is more appropriate than punishment in cases of domestic violence are also another cause of legal impunity; a study found that 64% of public officials in Colombia said that if it were in their hands to solve a case of intimate partner violence, the action they would take would be to encourage the parties to reconcile.[200]

Victim blaming is also prevalent in many societies, including in Western countries: a 2010 Eurobarometer poll found that 52% of respondents agreed with the assertion that the "provocative behaviour of women" was a cause of violence against women; with respondents in Cyprus, Denmark, Estonia, Finland, Latvia, Lithuania, Malta and Slovenia being most likely to agree with the assertion (more than 70% in each of these countries).[201]

### Religion

There is controversy regarding the influence of religion on domestic violence. According to *Domestic Violence Cross Cultural Perspective*: "No religion sanctions violence against women", but there are some religious scriptures that have been "taken out of context" to support discrimination against women within a community.[202][nb 4]

Judaism, Christianity and Islam have traditionally supported male-dominant households and "socially sanctioned violence against women has been persistent since ancient times."[207][208]

The Catholic Church has been criticized for opposing divorce, and therefore trapping victims of violence in abusive marriages.[209]

At the same time, religious leaders can play an important role in preventing and treating domestic violence, when they provide abusers with guidance and treatment option information, and offer their support to those who have been subject to abuse.[202]

Views on the influence of religion on domestic violence differ. While some authors, such as Phyllis Chesler, argue that Islam is connected to violence against women, especially in the form of honor killings,[210] others, such as Tahira Shahid Khan, a professor specializing in women's issues at the Aga Khan University in Pakistan, argue that it is the domination of men and inferior status of women in society that lead to these acts, not the religion itself.[211][212] Public (such as through the media) and political discourse debating the relation between Islam, immigration, and violence against women is highly controversial in many Western countries.[213]

### Custom and tradition

Anti-dowry poster in Bangalore, India

Local customs and traditions are often responsible for maintaining certain forms of DV. Such customs and traditions include son preference (the desire of a family to have a boy and not a girl, which is strongly prevalent in parts of Asia), which can lead to abuse and neglect of girl children by disappointed family members; child and forced marriages; dowry; the hierarchic caste system which stigmatizes "lower castes" and "untouchables", leading to discrimination and restricted opportunities of the females and thus making them more vulnerable to abuse; strict dress codes for women that may be enforced through violence by family members; strong requirement of female virginity before the wedding and violence related to non-conforming women and girls; taboos about menstruation leading to females being isolated and shunned during the time of menstruation; female genital mutilation (FGM); ideologies of marital 'conjugal rights' to sex which justify marital rape; the importance given to 'family honor'.[214][215][216]

According to a 2003 report by Human Rights Watch, "Customs such as the payment of 'bride price' (payment made by a man to the family of a woman he wishes to marry), whereby a man essentially purchases his wife’s sexual favors and reproductive capacity, underscore men’s socially sanctioned entitlement to dictate the terms of sex, and to use force to do so."[217]

In recent years, there has been progress in the area of addressing customary practices that endanger women, with laws being enacted in several countries. The Inter-African Committee on Traditional Practices Affecting the Health of Women and Children is an NGO which works on changing social values, raising consciousness, and enacting laws against harmful traditions which affect the health of women and children in Africa. Laws were also enacted in some countries; for example the 2004 Criminal Code of Ethiopia has a chapter on harmful traditional practices – *Chapter III – Crimes committed against life, person and health through harmful traditional practices*.[218] In addition, the Council of Europe adopted a convention which addresses domestic violence and violence against women, and calls for the states which ratify it to create and fully adjudicate laws against acts of violence previously condoned by traditional, culture, custom, in the name of honor, or to correct what is deemed unacceptable behavior.[219] The United Nations created the *Handbook on effective police responses to violence against women* to provide guidelines to address and manage violence through the creation of effective laws, law enforcement policies and practices and community activities to break down societal norms that condone violence, criminalize it and create effect support systems for survivors of violence.[220]

In cultures where the police and legal authorities have a reputation of corruption and abusive practices, victims of DV are often reluctant to turn to formal help.[221]

### Relation to forced and child marriage

Further information: Forced marriage and Child marriage

A forced marriage is a marriage where one or both participants are married without their freely given consent.[222] In many parts of the world, it is often difficult to draw a line between 'forced' and 'consensual' marriage: in many cultures (especially in South Asia, theMiddle East and parts of Africa), marriages are prearranged, often as soon a girl is born; the idea of a girl going against the wishes of her family and choosing herself her own future husband is not socially accepted – there is no need to use threats or violence to force the marriage, the future bride will submit because she simply has no other choice. As in the case of child marriage, the customs of dowry and bride price contribute to this phenomenon.[223] A child marriage is a marriage where one or both parties are younger than 18.[224]

Forced and child marriages are associated with a high rate of domestic violence.[13][224] These types of marriages are related to violence both in regard to the spousal violence perpetrated inside marriage, and in regard to the violence related to the customs and traditions of these marriage: violence and trafficking related to the payment of dowry and bride price, honor killings for refusing the marriage.[225][226][227]

UNFPA states, "Despite near-universal commitments to end child marriage, one in three girls in developing countries (excluding China) will probably be married before they are 18. One out of nine girls will be married before their 15th birthday." [228] UNFPA estimates, "Over 67 million women 20-24 year old in 2010 had been married as girls, half of which were in Asia, and one-fifth in Africa." [228] UNFPA says that, "In the next decade 14.2 million girls under 18 will be married every year; this translates into 39,000 girls married each day and this will rise to an average of 15.1 million girls a year, starting in 2021 until 2030, if present trends continue." [228]

### HIV/AIDS

Further information: HIV/AIDS

Estimated prevalence in % of HIV among young adults (15–49) per country as of 2011.[229]

<0.10
0.10–0.5
0.5–1
5–15
15–50

The World Health Organization has stated that women in abusive relations are at significantly higher risk of HIV/AIDS. WHO states that women in violent relations have difficulty negotiating safer sex with their partners, are often forced to have sex, and find it difficult to ask for appropriate testing when they think they may be infected with HIV.[230] A decade of cross-sectional research from Rwanda, Tanzania, South Africa, and India, has consistently found women who have experienced partner violence to be more likely to be infected with HIV.[231] The WHO stated that:[230]

Same-sex relationships are similarly affected by HIV/AIDS status in domestic violence. Research by Heintz and Melendez found that same-sex individuals may have difficulty breaching the topic of safe-sex for reasons such as "decreased perception of control over sex, fear of violence, and unequal power distributions..."[232] Of those who reported violence in the study, about 50% reported forced sexual experiences, of which only half reported the use of safe sex measures. Barriers to safer-sex included fear of abuse, and deception in safe-sex practices. Heintz and Melendez's research ultimately concluded that sexual assault/abuse in same-sex relationships provides a major concern for HIV/AIDS infection as it decreases instances of safe-sex. Furthermore, these incidents create additional fear and stigma surrounding safe-sex conversations and knowing ones STD status.[232]

### Legislation

Lack of adequate legislation which criminalizes domestic violence, or, alternatively legislation which prohibits consensual behaviors, may hinder the progress in regard to reducing the incidence of DV. Amnesty International’s Secretary General has stated that: "It is unbelievable that in the twenty-first century some countries are condoning child marriage and marital rape while others are outlawing abortion, sex outside marriage and same-sex sexual activity – even punishable by death."[233] According to WHO, "one of the most common forms of violence against women is that performed by a husband or male partner." The WHO notes that such violence is often ignored because often "legal systems and cultural norms do not treat as a crime, but rather as a 'private' family matter, or a normal part of life."[48] The criminalization of adultery has been cited as inciting violence against women, as these prohibitions are often meant, in law or in practice, to control women's and not men's behavior; and are used to rationalize acts of violence against women.[234][235] According to High Commissioner for Human Rights Navi Pillay: "Some have argued, and continue to argue, that family violence is placed outside the conceptual framework of international human rights. However, under international laws and standards, there is a clear State responsibility to uphold women’s rights and ensure freedom from discrimination, which includes the responsibility to prevent, protect and provide redress – regardless of sex, and regardless of a person’s status in the family."[49]

### Ability to leave

The ability of victims of domestic violence to leave the relationship is crucial for preventing further abuse. In traditional communities, divorced women often feel rejected and ostracized. In order to avoid this stigma, many women prefer to remain in the marriage and endure the abuse.[236]

Discriminatory marriage and divorce laws can also play a role in the proliferation of the practice.[237][238] According to Rashida Manjoo, a United Nations special rapporteur on violence against women:

The legal inability to obtain a divorce is also a factor in the proliferation of domestic violence.[240] In some cultures where marriages are arranged between families, a woman who attempts a separation or divorce without the consent of her husband and extended family or relatives may risk being subjected to "honor"- based violence.[241][242]

The custom of bride price also makes leaving a marriage more difficult: if a wife wants to leave, the husband may demand back the bride price from her family.

### Individual versus family unit rights

The way the individual rights of a family member versus the rights of the family as a unit are balanced vary significantly in different societies. This may influence the degree to which a government may be willing to investigate family incidents.[246] In some cultures, individual members of the family are expected to sacrifice almost completely their own interests in favor of the interests of the family as a whole. What is viewed as an undue expression of personal autonomy is condemned as unacceptable. In these cultures the family predominates over the individual, and where this interacts with cultures of honor, individualistic choice that may damage the family reputation in the community may result in extreme punishment, such as honor killings.[242]

### Immigration policies

In some countries, the immigration policy is tied to whether the person desiring citizenship is married to his/her sponsor. This can lead to persons being trapped in violent relations - such persons may risk deportation if they attempt to separate (they may be accused of having entered into a sham marriage).[247][248][249] Often the women come from cultures where they will suffer disgrace from their families if they abandon their marriage and return home, and so they prefer to stay married, therefore remaining locked in a cycle of abuse.[250]

### Immigrant communities

Domestic violence may happen in immigrant communities, and often there is little awareness in these communities of the laws and policies of the host country. A study among first generation South Asians in the UK found that they had little knowledge about what constituted criminal behavior under the English law. The researchers found that "There was certainly no awareness that there could be rape within a marriage".[251] A study in Australia showed that among the immigrant women sampled who were abused by partners and did not report it, 16.7% did not know DV was illegal, while 18.8% did not know that they could get protection.[252]

## Causes

Of the most important factors in domestic violence is a belief that abuse, whether physical or verbal, is acceptable. Other factors include substance abuse, unemployment, mental health problems, lack of coping skills, isolation, and excessive dependence on the abuser.[253]

### Cycles of violence

#### Cycle of abuse

Lenore E. Walker presented the model of a cycle of abuse which consists of four phases. First, there is a buildup to abuse when tension rises until a domestic violence incident ensues. During the reconciliation stage, the abuser may be kind and loving and then there is a period of calm. When the situation is calm, the abused person may be hopeful that the situation will change. Then, tensions begin to build, and the cycle starts again.[254]

#### Intergenerational violence

A common aspect among abusers is that they witnessed abuse in their childhood, in other words they were participants in a chain of intergenerational cycles of domestic violence.[255] That does not mean, conversely, that if a child witnesses or is subject to violence that they will become abusers.[253] Understanding and breaking the intergenerational abuse patterns may do more to reduce domestic violence than other remedies for managing the abuse.[255]

Responses that focus on children suggest that experiences throughout life influence an individuals' propensity to engage in family violence (either as a victim or as a perpetrator). Researchers supporting this theory suggest it is useful to think of three sources of domestic violence: childhood socialization, previous experiences in couple relationships during adolescence, and levels of strain in a person's current life. People who observe their parents abusing each other, or who were themselves abused may incorporate abuse into their behaviour within relationships that they establish as adults.[256]

Research indicates that the more corporal punishment children receive, the more likely they are as adults to act violently towards family members, including intimate partners.[257] Children who are spanked more as children are more likely as adults to approve of hitting a partner, and also experience more marital conflict and feelings of anger in general.[258] A number of studies have found physical punishment to be associated with "higher levels of aggression against parents, siblings, peers and spouses", even when controlling for other factors.[259] While these associations do not prove causation, a number of longitudinal studies suggest that the experience of physical punishment has a direct causal effect on later aggressive behaviors. According to research, corporal punishment of children predicts weaker internalisation of values such as empathy, altruism, and resistance to temptation.[260] According to researcher Joan Durrant at the University of Manitoba, it should therefore not be surprising that corporal punishment "consistently predicts increased levels of antisocial behavior [...] as well as dating violence".

In some patrilineal societies around the world, a young bride moves with the family of her husband. As a new girl in the home, she starts as having the lowest (or among the lowest) position in the family, and is often subjected to violence and abuse, and is, in particular, strongly controlled by the parents-in-law: with the arrival of the daughter-in-law in the family, the mother-in-law's status is elevated and she now has (often for the first time in her life) substantial power over someone else, and "This family system itself tends to produce a cycle of violence in which the formerly abused bride becomes the abusing mother-in-law to her new daughter-in-law".[261] Amnesty International writes that, in Tajikistan, "it is almost an initiation ritual for the mother-in-law to put her daughter-in-law through the same torments she went through herself as a young wife."[262]

### Biological and psychological

These factors include genetics and brain dysfunction and are studied by neuroscience.[263] Psychological theories focus on personality traits and mental characteristics of the offender. Personality traits include sudden bursts of anger, poor impulse control, and poorself-esteem. Various theories suggest that psychopathology is a factor, and that abuse experienced as a child leads some people to be more violent as adults. Correlation has been found between juvenile delinquency and domestic violence in adulthood.[264]

Studies have found high incidence of psychopathology among domestic abusers.[265][266][267] For instance, some research suggests that about 80% of both court-referred and self-referred men in these domestic violence studies exhibited diagnosablepsychopathology, typically personality disorders. "The estimate of personality disorders in the general population would be more in the 15–20% range [...] As violence becomes more severe and chronic in the relationship, the likelihood of psychopathology in these men approaches 100%."[268]

Dutton has suggested a psychological profile of men who abuse their wives, arguing that they have borderline personalities that are developed early in life.[269][270] However, these psychological theories are disputed: Gelles suggests that psychological theories are limited, and points out that other researchers have found that only 10% (or less) fit this psychological profile. He argues that social factors are important, while personality traits, mental illness, or psychopathy are lesser factors.[271][272][273]

An evolutionary psychological explanation of domestic violence is that it represents male attempts to control female reproduction and ensure sexual exclusivity.[274] Violence related to extramarital relations is seen as justified in certain parts of the world. For instance, a survey in Diyarbakir, Turkey, found that, when asked the appropriate punishment for a woman who has committed adultery, 37% of respondents said she should be killed, while 21% said her nose or ears should be cut off.[275] Similar feelings may at times be generated in a situations where one partner is more financially successful.[274]

### Social theories

#### General

Social theories look at external factors in the offender's environment, such as family structure, stress, social learning, and includes rational choice theories.[276]

Social learning theory suggests that people learn from observing and modeling after others' behavior. With positive reinforcement, the behavior continues. If one observes violent behavior, one is more likely to imitate it. If there are no negative consequences (e. g. victim accepts the violence, with submission), then the behavior will likely continue.[277][278][279]

Resource theory was suggested by William Goode (1971).[280] Women who are most dependent on the spouse for economic well being (e.g. homemakers/housewives, women with handicaps, the unemployed), and are the primary caregiver to their children, fear the increased financial burden if they leave their marriage. Dependency means that they have fewer options and few resources to help them cope with or change their spouse's behavior.[281]

Couples that share power equally experience lower incidence of conflict, and when conflict does arise, are less likely to resort to violence. If one spouse desires control and power in the relationship, the spouse may resort to abuse[282] This may include coercion and threats, intimidation, emotional abuse, economic abuse, isolation, making light of the situation and blaming the spouse, using children (threatening to take them away), and behaving as "master of the castle".[283][284]

#### Social stress

Stress may be increased when a person is living in a family situation, with increased pressures. Social stresses, due to inadequate finances or other such problems in a family may further increase tensions.[271] Violence is not always caused by stress, but may be one way that some people respond to stress.[285][286] Families and couples in poverty may be more likely to experience domestic violence, due to increased stress and conflicts about finances and other aspects.[287] Some speculate that poverty may hinder a man's ability to live up to his idea of "successful manhood", thus he fears losing honor and respect. Theory suggests that when he is unable to economically support his wife, and maintain control, he may turn to misogyny, substance abuse, and crime as ways to express masculinity.[287]

Same-sex relationships may experience similar social stressors. Additionally, violence in same-sex relationships has been linked to internalized homophobia, which contributed to low self-esteem and anger in both perpetrator and victim.[288] Internalized homophobia also appears to be a barrier in victims seeking help. Similarly, heterosexism can play a key role in domestic violence in the LGBT community. As a social ideology that implies "heterosexuality is normative, morally superior, and better than [homosexuality],"[288]heterosexism can hinder services and lead to an unhealthy self-image in sexual minorities. Heterosexism in legal and medical institutions can be seen in instances of discrimination, biases, and insensitivity toward sexual orientation. For example, as of 2006, seven states explicitly denied LGBT individuals the ability to apply for protective orders,[288] proliferating ideas of LGBT subjugation, which is tied to feelings of anger and powerlessness.

#### Power and control

Cycle of abuse, power & control issues in domestic abuse situations (double click to enlarge)

Power and control in abusive relationships is the way that abusers exert physical, sexual and other forms of abuse to gain control within relationships.[289]

A causalist view of domestic violence is that it is a strategy to gain or maintain power and control over the victim. This view is in alignment with Bancroft's "cost-benefit" theory that abuse rewards the perpetrator in ways other than, or in addition to, simply exercising power over his or her target(s). He cites evidence in support of his argument that, in most cases, abusers are quite capable of exercising control over themselves, but choose not to do so for various reasons.[290]

Sometimes, one person seeks complete power and control over their partner and uses different ways to achieve this, including resorting to physical violence. The perpetrator attempts to control all aspects of the victim's life, such as their social, personal, professional and financial decisions.[60]

Questions of power and control are integral to the widely utilized Duluth Domestic Abuse Intervention Project. They developed a "Power and Control Wheel" to illustrate this: it has power and control at the center, surrounded by spokes (techniques used), the titles of which include: coercion and threats, intimidation, emotional abuse, isolation, minimizing, denying and blaming, using children, economic abuse, and privilege.[291]

Critics of this model argue that it ignores research linking domestic violence to substance abuse and psychological problems.[292] Some modern research into the patterns in DV has found that women are more likely to be physically abusive towards their partner in relationships in which only one partner is violent,[293][294] which draws the effectiveness of using concepts like male privilege to treat domestic violence into question. Some modern research into predictors of injury from domestic violence suggests that the strongest predictor of injury by domestic violence is participation in reciprocal domestic violence.[293]

### Nonsubordination theory

Nonsubordination theory, sometimes called dominance theory, is an area of feminist legal theory that focuses on the power differential between men and women.[295] Nonsubordination theory takes the position that society, and more especially men in society, use sex differences between men and women to perpetuate this power imbalance.[295] Unlike other topics within feminist legal theory, nonsubordination theory focuses specifically on certain sexual behaviors, including control of women’s sexuality, sexual harassment, pornography, and violence against women generally.[296] Catharine MacKinnon argues that nonsubordination theory best addresses these particular issues because they affect “almost exclusively” women.[297] MacKinnon advocates for nonsubordination theory overother theories, like formal equality, substantive equality, and difference theory, because sexual violence and other forms of violence against women are not a question of “sameness and difference,” but rather are best viewed as “more central inequalities” for women.[297] Though nonsubordination theory has been discussed at great length in evaluating various forms of sexual violence against women, it also serves as a basis for understanding domestic violence and why it occurs. Nonsubordination theory tackles the issue of domestic violence as a subset of the broader problem of violence against women because domestic violence victims are overwhelmingly female.[298]

Proponents of nonsubordination theory propose several reasons why it works best to explain domestic violence. First, there are certain recurring patterns in domestic violence that indicate it is not the result of intense anger or arguments, but rather is a form of subordination.[299] This is evidenced in part by the fact that domestic violence victims are typically abused in a variety of situations and by a variety of means.[299] For example, victims are sometimes beaten after they have been sleeping or have been separated from the batterer, and often the abuse takes on a financial or emotional form in addition to physical abuse.[299] Supporters of nonsubordination theory use these examples to dispel the notion that battering is always the result of heat of the moment anger or intense arguments.[299] Also, batterers often employ manipulative and deliberate tactics when abusing their victims, which can “rang[e] from searching for and destroying a treasured object of hers to striking her in areas of her body that do not show bruises (e.g. her scalp) or in areas where she would be embarrassed to show others her bruises.”[299] These behaviors can be even more useful to a batterer when the batterer and the victim share children, because the batterer often controls the family’s financial assets, making the victim less likely to leave if it would put her children at risk.[300]

Professor Martha Mahoney, of the University of Miami School of Law, also points to the notion of “separation assault”—a phenomenon where a batterer further assaults a victim who is attempting or has attempted to leave an abusive relationship—as additional evidence that domestic violence is used to subordinate victims to their batterers.[301] A batterer’s unwillingness to allow the victim to leave the relationship substantiates the idea that violence is being used to force the victim to continue to fulfill the batterer’s wishes that she obey him.[301] Nonsubordination theorists argue that all of these actions—the variety of abusive behaviors and settings, exploiting the victim’s children, and assault upon separation—suggest a larger problem than merely an inability to properly manage anger, though anger may be a byproduct of these behaviors.[299] The purpose of these actions is to keep the victim, and sometimes the entire family, subordinate to the batterer, according to nonsubordination theory.[301]

A second rationale for using nonsubordination theory to explain domestic violence, beyond the variety of tactics used by abusers, is that the frequency with which domestic violence occurs overpowers the idea that it is merely the result of a batterer’s anger. Professor Mahoney explains that because of the sensationalism generated in media coverage of “big” or particularly horrific domestic violence cases, it is difficult for people to conceptualize how frequently domestic violence happens in society.[301] However, domestic violence is a regular occurrence experienced by up to one half of people in the United States, and an overwhelming number of victims are female.[301] The sheer number of domestic violence victims in the United States suggests that domestic violence is not merely the result of intimate partners who cannot control their anger.[301] Nonsubordination theory contends that it is the batterer’s desire to subordinate the victim, not his uncontainable anger, which explains the frequency of domestic violence.[301] Nonsubordination theorists argue that other forms of feminist legal theory do not offer any explanation for the phenomenon of domestic violence generally or the frequency with which it occurs.

Critics of nonsubordination theory complain that it offers no solutions to the problems it points out. For example, proponents of nonsubordination theory criticize certain approaches that have been taken to address domestic violence in the legal system, such as mandatory arrest or prosecution policies.[302] These policies take discretion away from law enforcement by forcing police officers to arrest suspected domestic violence offenders and prosecutors to prosecute those cases.[302] There is a lot of discourse surrounding mandatory arrest. Opponents argue that it undermines a victim's autonomy, discourages the empowerment of women by discounting other resources available and puts victims at more risk for domestic abuse. States that have implemented mandatory arrest laws have 60% higher homicide rates which have been shown to be consistent with the decline in reporting rates.[303] Advocates of these policies contend that the criminal justice system is sometimes the only way to reach victims of domestic violence, and that if an offender knows he will be arrested, it will deter future domestic violence conduct.[302] People who endorse nonsubordination theory argue that these policies only serve to further subordinate women by forcing them to take a certain course of action, thus compounding the trauma they experienced during the abuse.[302] However, nonsubordination theory itself offers no better or more appropriate solutions, which is why some scholars argue that other forms of feminist legal theory are more appropriate to address issues of domestic and sexual violence.

## Effects

### On children

Children in Solomon Islands watch a play on gender-based violence

3.3 million children witness domestic violence each year in the US. There has been an increase in acknowledgment that a child who is exposed to domestic abuse during their upbringing will suffer developmental and psychological damage.[304] During the mid 1990s, the Adverse Childhood Experiences study (ACE) found that children who were exposed to domestic violence and other forms of abuse had a higher risk of developing mental and physical health problems.[305] Because of the awareness of domestic violence that some children have to face, it also generally impacts how the child develops emotionally, socially, behaviorally as well as cognitively.[306]

Some emotional and behavioral problems that can result due to domestic violence include increased aggressiveness, anxiety, and changes in how a child socializes with friends, family, and authorities.[304] Depression, emotional insecurity, and mental health disorders can follow due to traumatic experiences.[307] Problems with attitude and cognition in schools can start developing, along with a lack of skills such as problem-solving.[304]Correlation has been found between the experience of abuse and neglect in childhood and perpetrating domestic violence and sexual abuse in adulthood.[308]

Additionally, in some cases the abuser will purposely abuse the mother or father[309] in front of the child to cause a ripple effect, hurting two victims simultaneously.[309] Children may intervene when they witness severe violence against a parent, which can place a child at greater risk for injury or death.[310] It has been found that children who witness mother-assault are more likely to exhibit symptoms of post-traumatic stress disorder (PTSD).[311]Consequences to these children are likely to be more severe if their assaulted mother develops post-traumatic stress disorder (PTSD) and does not seek treatment due to her difficulty in assisting her child with processing his or her own experience of witnessing the domestic violence.[312]

### Physical

The Ottawa Women’s Monument, in Minto Park, downtown Ottawa, Canada, to the women murdered as a result of domestic violence; dedicated in 1992.

Bruises, broken bones, head injuries, lacerations, and internal bleeding are some of the acute effects of a domestic violence incident that require medical attention and hospitalization.[313] Some chronic health conditions that have been linked to victims of domestic violence are arthritis, irritable bowel syndrome, chronic pain, pelvic pain, ulcers, and migraines.[314] Victims who are pregnant during a domestic violence relationship experience greater risk of miscarriage, pre-term labor, and injury to or death of the fetus.[313]

New research illustrates that there are strong associations between exposure to domestic violence and abuse in all their forms and higher rates of many chronic conditions.[315] The strongest evidence comes from the Adverse Childhood Experiences study which shows correlations between exposure to abuse or neglect and higher rates in adulthood of chronic conditions, high risk health behaviors and shortened life span.[316] Evidence of the association between physical health and violence against women has been accumulating since the early 1990s.[317]

### Psychological

Among victims who are still living with their perpetrators high amounts of stress, fear, and anxiety are commonly reported. Depression is also common, as victims are made to feel guilty for ‘provoking’ the abuse and are frequently subjected to intense criticism. It is reported that 60% of victims meet the diagnostic criteria for depression, either during or after termination of the relationship, and have a greatly increased risk of suicide. Those who are battered either emotionally or physically often are also depressed because of a feeling of worthlessness. These feelings often persist long-term and it is suggested that many receive therapy for it because of the heightened risk of suicide and other traumatic symptoms.[318]

In addition to depression, victims of domestic violence also commonly experience long-term anxiety and panic, and are likely to meet the diagnostic criteria for Generalized Anxiety Disorder and Panic Disorder. The most commonly referenced psychological effect of domestic violence is Post-Traumatic Stress Disorder (PTSD). PTSD (as experienced by victims) is characterized by flashbacks, intrusive images, exaggerated startle response, nightmares, and avoidance of triggers that are associated with the abuse.[319] Studies have indicated that it is important to consider the effect of domestic violence and its psychophysiologic sequelae on women who are mothers of infants and young children. Several studies have shown that maternal interpersonal violence-related posttraumatic stress disorder (PTSD) can, despite traumatized mother's best efforts, interfere with their child's response to the domestic violence and other traumatic events.[320][321]

### Financial

Once victims leave their perpetrator, they can be stunned with the reality of the extent to which the abuse has taken away their autonomy. Due to economic abuse and isolation, the victim usually has very little money of their own and few people on whom they can rely when seeking help. This has been shown to be one of the greatest obstacles facing victims of DV, and the strongest factor that can discourage them from leaving their perpetrators.[322]

In addition to lacking financial resources, victims of DV often lack specialized skills, education, and training that are necessary to find gainful employment, and also may have several children to support. In 2003, thirty-six major US cities cited DV as one of the primary causes of homelessness in their areas.[323] It has also been reported that one out of every three homeless women are homeless due to having left a DV relationship. If a victim is able to secure rental housing, it is likely that her apartment complex will have "zero tolerance" policies for crime; these policies can cause them to face eviction even if they are the victim (not the perpetrator) of violence.[323] While the number of shelters and community resources available to DV victims has grown tremendously, these agencies often have few employees and hundreds of victims seeking assistance which causes many victims to remain without the assistance they need.[322]

Women and children experiencing domestic violence undergo occupational apartheid; they are typically denied access to desired occupations.[324] Abusive partners may limit occupations and create an occupationally-void environment which reinforces feelings of low self-worth and poor self-efficacy in ability to satisfactorily perform everyday tasks.[324] In addition, work is impacted by functional losses, ability to maintain necessary employment skills, and ability to function within the work place. Oftentimes the victims are very isolated from other relationships as well such as having few to no friends, this is another method of control for the abuser.[325]

### On responders

See also: Vicarious traumatization and Burnout (psychology)

An analysis in the US showed that 106 of the 771 officer killings between 1996 and 2009 occurred during domestic violence interventions.[326] Of these, 51% were defined as unprovoked or as ambushes, taking place before officers had made contact with suspects. Another 40% occurred after contact and the remainder took place during tactical situations (those involving hostages and attempts to overcome barricades).[326] The FBI's LEOKA system grouped officer domestic violence response deaths into the category of disturbances, along with "bar fights, gang matters, and persons brandishing weapons," which may have given rise to a misperception of the risks involved.[326][327]

Due to the gravity and intensity of hearing victims’ stories of abuse, professionals (social workers, police, counselors, therapists, advocates, medical professionals) are at risk themselves for secondary or vicarious trauma (VT), which causes the responder to experience trauma symptoms similar to the original victim after hearing about the victim’s experiences with abuse.[328] Research has demonstrated that professionals who experience vicarious trauma show signs of exaggerated startle response, hypervigilance, nightmares, and intrusive thoughts although they have not experienced a trauma personally and do not qualify for a clinical diagnosis of PTSD.[328]

## Management

Main article: Management of domestic violence

Management of domestic violence may take place through medical services, law enforcement,[329][330] counseling, and other forms of prevention and intervention. Participants in domestic violence may require medical treatment, such as examination by a family physician, other primary care provider,[331] or emergency room physicians.[332]

Counseling is another means of managing the effects of domestic violence. For the victim of abuse, counseling may include an assessment of the presence,[333] extent and types of abuse.[333] A lethality assessment is a tool that can assist in determining the best course of treatment for a client, as well as helping the client to recognize dangerous behaviors and more subtle abuse in their relationship.[334] In a study of victims of attempted domestic violence-related homicide, only about one-half of the participants recognized that their perpetrator was capable of killing them, as many domestic violence victims minimize the true seriousness of their situation.[335] Another important component is safety planning, which allows the victim to plan for dangerous situations they may encounter, and is effective regardless of their decision on whether remain with their perpetrator.[62]

Counseling may be used by offenders to minimize the risk of future domestic violence.[336][337] Most commonly, to date, convicted or self-referring offenders undertake programmes for perpetrators of intimate partner violence. These are delivered in a group format, one or two hours per week, over a set time period. Programme facilitators guide participants through a curriculum of adult-education style modules, which draw on a variety of therapeutic approaches, but predominantly cognitive behavioural therapy and psycho-education. A debate on the effectiveness of these programmes is on-going. While some (ex-) partners of offenders have experienced improvements in their situation, others have not, and there also appears to be a risk of doing harm.[338]

Prevention and intervention includes ways to prevent domestic violence by offering safe shelter, crisis intervention, advocacy, and education and prevention programs. Community screening for domestic violence can be more systematic in cases of animal abuse, healthcare settings, emergency departments, behavioral health settings and court systems. Tools are being developed to facilitate domestic violence screening such as mobile apps.[339][340] The Duluth Model or Domestic Abuse Intervention Project is a program developed to reduce domestic violence against women,[341] which is the first multi-disciplinary program designed to address the issue of domestic violence by coordinating the actions of a variety of agencies dealing with domestic conflict.[342]

Domestic violence hotlines offer advice, support and referral services to those in abusive relationships.

## Prevention

Poster against domestic violence inBolgatanga, Ghana

There exist several strategies that are being used to attempt to prevent or reduce DV. It is important to assess the effectiveness of a strategy that is being implemented.[343]

Reforming the legislation in order to ensure that DV falls under the scope of the law is important. This may imply repealing existing laws which discriminate against women: according to the WHO, "when the law allows husbands to physically discipline wives, implementing a programme to prevent intimate partner violence may have little impact".[343] Marriage laws are also important, "They [women] should also be able to enter freely into a marriage or to leave it, to obtain financial credit, and to own and administer property."[343] Abolishing or restricting the offering and receiving of dowry and bride price and scrutinizing the impact of these transactions on the legislative decisions regarding DV is also important. UN Women has stated that the legislation should ensure that "a perpetrator of domestic violence, including marital rape, cannot use the fact that he paid bride price as a defence to a domestic violence charge".[344]

Gender norms that promote the inferiority of women may lead to the abuse of women by intimate partners. The WHO writes that, "Dismantling hierarchical constructions of masculinity and femininity predicated on the control of women, and eliminating the structural factors that support inequalities are likely to make a significant contribution to preventing intimate partner and sexual violence".[343]

According to the Centers for Disease Control and Prevention, "A key strategy in preventing domestic violence is the promotion of respectful, nonviolent relationships through individual, community, and societal level change."[345] Early intervention programs, such as school-based programs to prevent dating violence are also effective.[343] Children who grow up in violent homes may be led to believe that such behavior is a normal part of life, therefore it is important to challenge such attitudes when they are present among these children.[346]

## Domestic violence by country

### Australia

However, the term can be altered by each state's legislation and can broaden the spectrum of domestic violence, such as in Victoria, where family-like relationships and witnessing any type of violence in the family is defined as a family violence incident.[347]