Individual Behavior Therapy for Partner Violent Men

描述（由申请人提供）：本探索性/开发的目标 心理健康干预研究补助金（PA-99-134）将用于开发， 标准化和试点测试个人认知行为疗法（ICBT）， 有暴力倾向的男人迄今为止，对伴侣暴力的治疗干预 施暴者几乎都是群体作案。然而， 这种治疗相对于无治疗对照的差异并不一致， 演示。有几个理由可以相信， 可能更有效。拟议的ICBT方法将结合联合收割机的要素， 动机增强疗法结合认知改变和行为改变 旨在改善病例对照中确定的核心缺陷的技术 对伴侣暴力男性的研究。动机增强的组成部分， 根据药物滥用领域改编的国际生物技术和生物技术公约将在2005年年初得到强调。 阶段的治疗，以促进客户移动到活跃阶段， 有意识的行为改变。治疗将使用CBT技术， 在个别情况下制定实施，以提高应对技能， 引起愤怒的关系情况和关系沟通， 解决问题的能力。拟议的项目将采取这一基本纲要， 并将其发展成为一种有明确特点的标准化方法， 提供初步数据以支持未来的临床试验。在第一阶段， 试点病例的治疗将沿着广泛的投入， 项目顾问和项目治疗师起草和完善ICBT手册 和治疗依从性措施。在第二阶段，60名伴侣暴力的男性将被 随机分配接受16次ICBT或16次 常规治疗（TAU）。虐待行为数据 将从客户那里收集结果和二级治疗目标， 每季度向附属关系合作伙伴提供一次，为期一年， 入组研究。分析将涉及ICBT的主要影响 与TAU相比，并将探索潜在的介质（例如，遵守家庭作业， 治疗联盟）和调节者（例如，精神病理学）的变化。

DESCRIPTION (provided by applicant): The goal of this Exploratory/Development Grant for Mental Health Intervention Research (PA-99-134) is to develop, standardize, and pilot test an individual cognitive behavior therapy (ICBT) for partner violent men. To date, treatment interventions for partner violence perpetrators have been conducted almost exclusively in groups. Yet the efficacy of such treatments relative to no-treatment controls has not been consistently demonstrated. There are several reasons to believe that individual treatment may be more efficacious. The proposed ICBT approach will combine elements of motivational enhancement therapy with cognitive change and behavior change techniques designed to ameliorate core deficits identified in case-control studies of partner violent men. The motivational enhancement components of ICBT, adapted from the substance abuse field, will be emphasized in the early phase of treatment to facilitate client movement into the active stage of intentional behavior change. Treatment will then use CBT techniques, implemented within an individual case formulation, to improve coping skills for anger-arousing relationship situations and relationship communication and problem solving skills. The proposed project will take this basic outline of ICBT and develop it into a well-characterized and standardized approach, providing preliminary data to support future clinical trials. During phase 1, the treatment of pilot cases will be used along with extensive input from project consultants and project therapists to draft and refine an ICBT manual and treatment adherence measures. In phase 2, 60 partner violent men will be randomly assigned to receive either 16 sessions of ICBT or 16 sessions of treatment-as-usual (TAU) in a standard group protocol. Data on abusive behavior outcomes and secondary treatment targets will be gathered from clients and collateral relationship partners at quarterly intervals for one year after enrollment into the study. Analyses will address the main effects of ICBT versus TAU, and will explore potential mediators (e.g., homework compliance, therapeutic alliance) and moderators (e.g., psychopathology) of change.