Using the stages of change model to counsel victims of intimate partner violence
Abstract
Medical expenses from intimate partner violence (IPV) total between $3 and $5 billion annually. Many abuse victims are exposed to serious injuries, and are likely to see their physicians more frequently than other patients. Practitioners must have a reliable and realistic approach to counseling patients who are victims of IPV. This paper presents the stages of change model as a practical guide for counseling victims. Through patients' responses to a series of questions, the practitioner can identify which of five stages of change (precontemplation, preparation, contemplation, action, maintenance) the patient is in. The practitioner can then employ stage-specific strategies for counseling the patient. Using this model shifts the definition of successful outcome from the traditional focus of trying to 'fix the problem' to a patient-centered focus, working with the patient to explore the most effective strategies given his/her stage of change.
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The transtheoretical model of change describes a series of changes from pre-contemplation through contemplation and preparation leading to action and finally maintenance of safety.
“The model describes a series of changes from pre-contemplation through contemplation and preparation leading to action and finally maintenance of safety.”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [31]
Only after a woman recognizes or acknowledges abuse can she contemplate what action to take.
“Only then can she contemplate what action to take.”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [31]
A woman's recognition or acknowledgement of abuse is a crucial stage in her journey away from abuse.
“A woman's recognition or acknowledgement of abuse is seen as a crucial stage in her journey away from abuse.”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [31]
The transtheoretical model has limitations: the stages are nonlinear, women's freedom of action is restricted by the abusive relationship, and women take multiple pathways to improving their safety.
“While the model has proved useful in the context of counselling, 31 there are limitations: in reality, the stages are nonlinear, women's freedom of action is restricted by the abusive relationship, and women take multiple pathways to improving their safety.”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [31]
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- Authors
- Frasier, P. Y., Slatt, L., Kowlowitz, V., & Glowa, P. T.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Frasier, Pamela Y
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2001-05
- Volume
- 43
- Issue
- 2
- Pages
- 211-217
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2080212942
- Cited by
- 81
- References
- 11
- Citations by year
- 2023: 1 · 2022: 4 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 6 · 2015: 7 · 2014: 2 · 2013: 1 · 2012: 7
- FWCI
- 5.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- intimate partner violence, stages of change, precontemplation, preparation, contemplation, action, maintenance, patient-centered care, violence prevention
- MeSH terms
- Curriculum, Family Practice, Female, Humans, Internship and Residency, Male, Models, Psychological, North Carolina, Spouse Abuse
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