1) Battered Women Syndrome
1) Battered Women Syndrome
1) Battered Women Syndrome
A revised version of a paper submitted to the Journal in September 1992. Authors are at: Department of
Psychology, Universiq of British Columbia, Vancouver (Dutton); and Department of Psychology, Carleton
Universily, Ottawa, Ontario (Painter).
(1981), for example, cited Anna Freud’s contrition phase. Schuller and Vidmar con-
( I 942) description of “identification with cluded that “not all couples go through the
the aggressor” as an explanation of how cycle of violence nor is there a universal
battered women, amongst others, cope with time frame for the cycle” (p. 280). Second,
a long-term relationship with a potentially they noted that the internal reliability of the
lethal other. Idealization of the abuser is re- symptoms comprising the “syndrome” has
lated to strength of the continued attach- not been empirically verified. In other words,
ment to him after relationship termination it is not known how internally reliable are
(Dutton & Painter, 1981). the symptoms of the battered woman syn-
Dutton and Painter argued that the per- drome, and how much they co-vary.
ceptual responses of self-derogation and The current study attempts to address
idealization of the abuser were related to these questions. It assesses three major se-
two structural features of the abusive rela- quelae of the battered woman syndrome:
tionship: a power differential and intermit- trauma symptoms, self-esteem deficits, and
tency of abuse. These features have been traumatic bonding or paradoxical attach-
found to increase attachment to an abusive ment to the former male partner (Dutton &
other in a wide variety of human and ani- Painter, 1981), to establish the extent to
mal studies (Fischer, 1955; Harlow & Har- which these factors intercorrelate and thus
low, 1971; Rajecki, Lamb, & Obsmacher, constitute a syndrome. It then relates the
1978; Scott, 1963). The concept of inter- strength of these sequelae to what we be-
mittency of abuse means that treatment oc- lieve are central features of long-term abu-
curs in negative-positive alternations, in sive relationships: power differentials and
which the onset of positive treatment is intermittency of abuse. It is hypothesized
contiguous with the offset of negative treat- that attachment, self-esteem deficits, and
ment. In abusive relationships, the negative trauma symptoms will intercorrelate signif-
treatment typically precedes the positive. icantly to form a syndrome and that this
What is essential to generating attachment syndrome will endure over a six-month pe-
is the extremity of both the good treatment riod. It is further hypothesized that the
and the maltreatment, and the temporal magnitude of these sequelae will relate sig-
juxtaposition of one extreme with the other nificantly to the intermittency of abuse and
(usually maltreatment followed immediate- to power differentials in the former rela-
ly by good treatment). While the onset of tionship.
the negative treatment may be predictable,
this predictability may be unrelated to ex- METHOD
tremity or to temporal juxtaposition. Dut- Women with a history of physical or emo-
ton and Painter maintained that intermit- tional abuse were recruited for this study
tency (or periodicity), not predictability, over a six-month period through three sour-
was the main contributor to the battered wom- ces: transition houses, a court-mandated
an syndrome and to traumatic attachment. treatment program for wife assaulters (who
Schuller and Vidmar (1992) have written were their partners), and newspaper adver-
a critical assessment of the battered woman tisements. To qualifL for the research sam-
syndrome from the perspective of its use as ple, a woman had to have left the relation-
a self-defense plea. They have raised two ship within the past six months. Sample
issues. First, they maintained that the “cy- source had no significant effect on any as-
cle of violence” cited originally by Watker sessment measure, except that transition-
(1984) as descriptive of the stressor is not house women and partners of treatment-
always present. Walker’s data revealed, for program men reported more frequent and
example, that only 65% of her cases dem- severe physical abuse than did women re-
onstrated a tension-building phase and 58% a cruited through newspaper advertisements.
616 BATTERED WOMAN SYNDROME
A total of 75 women participated in the views were audiotaped with the subject’s
study. Their average age was 31.4, mean permission.
amount of time in the relationship was 11.5
years (range six months to 44 years), and Independent Measures
mean time separated was 20.5 weeks. On The Conflict Tactics Scale. The CTS
average, these women had initiated 2.1 (Straus, 1979) is divided into three sub-
prior separations; half of them had experi- scales: reasoning (3 items), indicating a prob-
enced some form of abuse in a previous re- lem-solving orientation; verbal aggression (7
lationship; and 22 were childless. The 75 items), indicating verbal and nonverbal
subjects were divided into a Battered group (e.g., symbolic displays of force, smashing
(N=50)and an Emotionally Abused (EA) objects) means of threatening or hurting
group (N=25). The criterion for inclusion the other; and violence (9 items), indicat-
in the EA group was fewer than two inci- ing the use of physical force as a means of
dents of physical violence during the rela- conflict resolution. Items on the violence sub-
tionship, accompanied by extreme emotional scale range in severity from “pushing” to
abuse. ‘‘using a weapon on the other.” Respon-
dents are asked to rate the type and number
Procedure of conflict tactics used by both the self and
The women were assessed for abuse ex- the other person specified in the dyad.
perience by the Conflict Tactics Scale (CTS) Psychological Maltreatment of Women
(Straus, 1979) and the Psychological Mal- Inventory. Although the CTS is useful for
treatment of Women Inventory (PMWI) studying intrafamily violence, it does not
(Tolman, 1989). The total sample reported include a broad range of nonphysical ag-
very high degrees of verbal aggression di- gression. In order to assess this, Tolman’s
rected toward them in the relationship they (1989) PMWI was included. The PMWI is
had just left. For example, the mean report composed of 58 items (rated from l=never
of verbal aggression was 55.2 on the CTS, to 5=very frequently) that delineate forms of
which places this sample beyond the 99th emotionaVverba1 abuse and dominance/iso-
percentile for population norms published lation. Dominance/isolation includes items
by Straus, Gelles, and Steinmetz (1980). related to rigid observance of traditional
Women in the Battered group reported sex roles, demands for subservience, and
physical aggression scores by their male isolation from resources. In contrast, emo-
partner of 37.5 (and severe physical aggres- tional/verbal abuse includes withholding
sion scores of 13.4), again beyond the 99th emotional resources, verbal attacks, and be-
percentile for population norms. havior that degrades women. Factor analy-
An assessment was made of intermit- ses support the inclusion of the two factors.
tency and predictability of abuse. Evalua- In the present sample, the Cronbach’s alpha
tions of both groups were made at two for the dominance/isolation subscale was
points-just after leaving the abusive rela- .82 and for the emotionalherbal subscale
tionship (Time 1) and six months later .93.
(Time 2+to ascertain whether associa- Intermittency of abuse. The measure of
tions between dependent measures had per- intermittency was designed to assess the
sisted over time. The subjects completed a juxtaposition of extreme positive and nega-
test battery, described below, of indepen- tive behavior. Respondents were asked to
dent and dependent measures. Additionally, describe the first, last, and worst incident
structured interviews were conducted at Time of abuse in detail (for emotionally abused
1 and a second set of follow-up dependent women these were incidents of conflict and
measures was collected at Time 2. All sub- emotional abuse). For each incident, a var-
jects were paid for participation. All inter- iety of behavior that included verbal and
DUTTON AND PAINTER 617
physical abuse items and threats was listed. Socially desirable responding. The Mar-
Postabuse behavior was also assessed, in- lowe-Crowne Social Desirability Scale (MC)
cluding negative behavior (threats, etc.) (Crowne & Marlowe, 1960) is a self-report
and positive “contrition” behavior (Walker, measure that contains items about every-
1978). A measure of intermittency was cre- day events that are desirable but rare. Paul-
ated by having the respondent rate (on a hus (1991) reported that it measures a sub-
scale of -5=very negative, to +5=very pos- ject’s tendency to respond in a deceptive
itive) the extremity of her partner’s behav- manner. Participants are required to check
ior before, during, and after each incident of whether each item is true or false.
abuse. The Intermittency scale was the sum
of the three positive scores (one for each of Dependent Measures
the first, worst, and last incidents) minus Dependent measures for this study were
the three negative scores. Hence, the scale collected at Time 1 and again at Time 2, six
had a theoretical range of - 15 to + 15. months later.
Predictability of abuse. Respondents were Attachment. To assess attachment, a scale
asked four questions pertaining to whether of attachment developed by Kitson (1982)
they could predict abusive outbursts from was used and was supplemented with some
their partner. As part of their description of items from a scale by NiCarthy (1982). The
the first, worst, and last incidents of abuse, Kitson scale, devised to assess attachment
they were asked if they could tell when during divorce, measures the bereavement
their partner was going to become abusive. aspect of separation and contains items
In addition, they were asked if their partner such as “I frequently find myself wonder-
went through predictable and abrupt shifts ing what he is doing” and “I spend a lot of
in mood and became suddenly angry. These time still thinking about him.” Kitson (1982)
questions were combined to form an eight- reported the psychometric qualities of the
point scale of Predictability. scale, including an alpha of .80. Supple-
Power. Two measures of the respondent’s menting the assessment of attachment were
rating of her own and her partner’s power ten items from an “idealization” measure
were taken. First, the Decision Power Index developed by NiCarthy; these included
(Blood & Wove, 1960), which assesses items such as “no one could ever under-
who has the final say on six issues (buying stand him the way I do,” “without him I
a car, having children, what apartment to have nothing to live for,” and “I love him
take, what job either partner should take, so much, I can’t think of being with anyone
whether a partner should work or not, and else.” The NiCarthy scale added an ele-
how much money to spend each week on ment of continuing obsession with the part-
food), was used. Second, a subjective mea- ner that was not included in the Kitson scale.
sure of power was used, called power dif- Since the composite scale was new, an item-
ferential, which simply asked the respon- whole correlation for each item was per-
dent to indicate on a ten-point scale how formed and only those items that had corre-
much power both she and her partner had lations over .55 were retained. Cronbach’s
I) before the violence/abuse started, 2) af- alpha for the entire 20-item scale was .92.
ter the violence/abuse started but before Self-esteem. Since self-esteem is frequent-
she left, and 3) now that she had left. The ly mentioned in the literature on the effects
definition of power on this question was of battering, it was assessed, using the
deliberately left unspecified. Finally, a var- Rosenberg (1965) Self-esteem Scale. This
iable called power shift was calculated, which 10-item self-report scale has reported al-
assessed the increase in male power differ- phas of .77 and .88 (Robinson, Shaver, &
ential (with the woman) before and after bat- Wrightsman, 1991). Responses range from
tering/abuse. “strongly disagree” to “strongly agree” on a
618 BATTERED WOMAN SYNDROME
four-point scale; the higher the score, the based on emotional and verbal abuse. For
greater the self-esteem. this group, the Intermittency score was
Trauma symptoms. The Trauma Symp- 15.8 ( S B 5 . 8 ) and the Predictability score
tom Checklist (TSC-33) (Briere & Runtz, was 5.1 out of a possible 8 (SD=1.2). So-
1989) is a brief (33-item), reliable instru- cial desirability measures (the Marlowe-
ment showing predictive and construct va- Crowne Scale) did not correlate signifi-
lidity. It has been shown to discriminate fe- cantly with reports of partners' physical or
male victims of childhood sexual abuse from emotional abuse, leading to the conclusion
nonvictimized women. The TSC-33 contains that these reports were uncontaminated by
five subscales: dissociation, anxiety, depres- the respondents' motive to "image man-
sion, hypothesized post-sexual abuse trau- age" by suppressing or inflating reported
ma (PSAT), and sleep disturbance. The abuse rates.
PSAT-hypothesized includes those symp-
toms thought to be most characteristic of Intercorrelations of Dependent Measures
sexual abuse experiences but that may also TABLE1 shows intercorrelations of the
occur as a result of other types of trauma. dependent variables at Time 1 and Time 2,
Analysis of the internal consistency of the broken down separately for the Battered
five subscales indicated reasonable relia- and EA groups. For the Battered group,
bility, with an average subscale alpha of significant correlations were found between
.71 and a total alpha for the TSC-33 of .89 all pairs of the three dependent measure
(Briere & Runtz, 1989). scales at both Time 1 and Time 2.
For the EA group, TSC-33 scores corre-
RESULTS lated significantly with attachment (+.44,
Violence Profiles p<.Ol) and self-esteem (-.40,p<.Ol). How-
Respondents reported CTS annual physi- ever, unlike the Battered group, EA women
cal aggression scores by their former part- showed no significant correlation between
ner as follows: Battered group M=37.5 attachment and self-esteem (-.2 1, NS). This
(SB17.6), EA group M=1.2 (SB2.0), in- pattern was repeated at Time 2. For bat-
dicating frequent physical abuse for the tered women, the three sequelae of batter-
Battered group. On the Tolman PMWI, the ing measured in this study were signifi-
Battered group's scores were as follows: cantly intercorrelated. This intercorrelation
domination/isolation=79.1 (SB25.9) and exhibits durability up to six months.
emotional abuse=95.5 (SD=15.9), indicat- TABLE 2 shows the intercorrelations of
ing that frequent emotional abuse accom- Time 1 with Time 2 measures taken six
panied physical abuse for these women. months later for the entire sample. Despite
Corresponding scores for the EA group the lengthy interval between Time 1 and
were: domination/isolation=43.1 (SB27.5) Time 2, each dependent measure taken at
and emotional abuse=69.4 (SB20.1). The
Battered group indicated a mean Intermit- Table 1
tency score for their partners of 19.0 ( S B INTERCORRELATIONSWITHIN TIME PERIOD
6.7) on the 30-point Intermittency scale as- TIME1 TIME 2
sessing alternating good-bad treatment and GROUP TRMA ATTACH TRMA ATTACH
a mean Predictability score of 5.7 out of a Battered
possible 8 ( S B 1 . 5 ) .Interestingly, the EA Attachment +.39*** + .55'*'
Self-esteem +.22' -.28 -.67"' -.48"
group also reported intermittency of emo- Emotionally
tional abuse, with similar crests (first, Abused
Attachment +.44** +.41"
worst, and last incident) and troughs. The Self-esteem -.40" -.21 -.56" -.I7
subjective ratings of how good or bad treat- Note: TRMA=Trauma. AlTACH=Attachment.
ment was during abusive episodes was ~ x . 0 5 **DC.OI. . ***~.001.
DUTTON AND PAINTER 619
Table 3
SIGNIFICANT CORRELATIONS OF PREDICTOR TO DEPENDENT MEASURES
p . 0 5 , **p~.01,
--*p<.ooi.
620 BATTERED WOMAN SYNDROME
tachment, trauma, and self-esteem without little is known about the experiences shap-
cyclicity. ing these apparently opposite emotional re-
Dutton and Painter (1981) have de- sponses. Herman (1992) described trauma
scribed the theoretical basis for the de- effects as a dialectic process characterized
velopment of strong and continuing attach- by extreme affective states: “floods of in-
ment in abusive relationships because of tense, overwhelming feeling and arid states
intermittency, and have reviewed research of no feeling at all” (p. 47). With time and
on animal learning in which intermittent healing, the balance and integration of these
good-bad treatment was shown to increase states eventually results in a stabilizing of
attachment to 230% of the level of that affective lability.
from consistent good treatment (Rajecki, The present study also did not examine
Lamb, & Obsmacher, 1978). Such attach- learned helplessness (Walker, 1979), an ac-
ment appears to constitute a cornerstone of quired motivational deficit thought to un-
the battered woman syndrome, and may dercut attempts to leave the batterer. How-
contribute to the apparently precipitous de- ever, since our sample was contacted after
cision some battered women make to return leaving, they may not, ips0 facto, have
to their partner. demonstrated this effect as strongly as
lntermittency has a stronger effect on at- would battered women still in an abusive
tachment at Time 2 than at Time 1, con- relationship. It is sampling problems such
firming another prediction of traumatic as these that continue to make the empiri-
bonding theory as originally proposed by cal study of battering sequelae problem-
Dutton and Painter (1981). The metaphor atic. However, for the variables studied,
they proposed for traumatic bonding was self-esteem, attachment, and trauma symp-
that of an abuse victim attached to the per- toms demonstrate a similarity in how they
petrator by an elastic band that begins to “behave” in response to features of prior
stretch with her initial leaving. With time abuse such as intermittency and power dif-
away from the relationship, the pressure on ferentials. These features, along with the
the stretching band continues to build until extremity of physical and emotional abuse,
she returns, apparently impulsively, to the should constitute part of the assessment of
abuser. The delayed effect of dynamic rela- battering dynamics.
tionship variables on postrelationship at-
tachment and the experience of trauma
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For rcprints: Donald G. Dutton, Ph.D., The University of British Columbia, Department of Psychology, 2509-2136 W. Mall,
University Campus, Vancouver, BC V6T 124, Canada