Individual Behavior Therapy for Partner Violent Men

描述(由申请人提供)：本次试探/开发的目标 心理健康干预研究资助(PA-99-134)正在开发中， 对个人认知行为疗法(ICBT)进行标准化和试点测试 与暴力男子搭档。迄今为止，对伴侣暴力的治疗干预 肇事者几乎完全是成群结队地进行的。然而，它的功效 与非治疗对照相比，这类治疗的结果并不一致 演示了。有几个理由让我们相信个体化治疗 可能会更有效。拟议的ICBT方法将结合以下要素 认知改变和行为改变相结合的动机强化疗法 旨在改善病例对照中发现的核心缺陷的技术 对伴侣暴力男子的研究。激励增强的组成部分 《禁止酷刑公约》改编自药物滥用领域，将在初期得到强调。 治疗阶段，以促进客户进入活跃阶段 有意识的行为改变。然后治疗将使用CBT技术， 在个别案例制定中实施，以提高应对技能 激怒的关系情境和关系沟通 解决问题的能力。拟议的项目将采用以下基本框架： 并将其发展成为一种具有良好特点和标准化的方法， 为未来的临床试验提供初步数据支持。在阶段1中， 对飞行员病例的治疗将与以下方面的广泛投入一起使用 项目顾问和项目治疗师起草和完善《禁止酷刑公约》手册 和治疗依从性措施。在第二阶段，60名伙伴暴力男子将被 随机分配以接收16个ICBT或16个ICBT 标准团体方案中的照常治疗(TAU)。关于虐待行为的数据 结果和二次治疗目标将从客户和 抵押品关系合作伙伴在每季度间隔一年后 参加这项研究。分析将涉及ICBT的主要影响 VS TAU，并将探索潜在的调解人(例如，家庭作业合规性， 治疗联盟)和改变的调节者(例如，精神病理学)。

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.