Biomedical subjects

K D O'Leary

Publications and source records attributed to K D O'Leary.

At least 19 recordsLinked to original sources

PubMed2001

Categorizing partner-violent men within the reactive-proactive typology model.

A system for categorizing partner-violent men as either reactive or proactive aggressors was developed and evaluated in the present study. Sixty partner-violent men were reliably categorized, and the distribution (62% reactive, 38% proactive) fell within the expected range. Some construct validity was demonstrated, as several significant predicted group differences were found on factors of theoretical relevance to the typology model (affectivity, personality, and violence in the family-of-origin). Proactively versus reactively categorized participants were (a) more dominant and less angry during a 10-min interpartner interaction, (b) more antisocial and aggressive-sadistic and less dependent, and (c) more frequently classified as psychopathic (17% vs. 0%). Research and clinical implications of the system are discussed, as is the potential overlap between the reactively and proactively categorized partner-violent men in this study with previously identified types.

Adult↗

PubMed2001

Can questionnaire reports correctly classify relationship distress and partner physical abuse?

Relationship adjustment (e.g., Dyadic Adjustment Scale; DAS) and physical aggression (e.g., Conflict Tactics Scale) measures are used both as screening tools and as the sole criterion for classification. This study created face valid diagnostic interviews for relationship distress and physical abuse, through which one could compare preliminarily the classification properties of questionnaire reports. The DAS (and a global measure of relationship satisfaction) had modest agreement with a structured diagnostic interview; both questionnaires tended to overdiagnose distress compared with the interview. Results for partner abuse reiterated the need to go beyond occurrence of aggression as the sole diagnostic criterion, because men's aggression was more likely than women's to rise to the level of "abuse" when diagnostic criteria (injury or substantial fear) were applied.

Adult↗

PubMed2001

Two new measures of attitudes about the acceptability of teen dating aggression.

Aggression in dating relationships is associated with attitudes that justify its use. Attitudes about dating aggression are targeted by prevention efforts, contributing to a need to measure these attitudes sensitively, accurately, and multidimensionally. We describe two new measures of attitudes about aggression, each tapping different attitudinal components, and compare their psychometric properties with an existing scale. The 1st assesses attitudes about physical aggression in provocative situations. The 2nd taps attitudes about verbally aggressive, controlling, and jealous tactics against a dating partner. Data from 2,313 high school students were factor analyzed and cross-validated for each new scale. Compared with an existing measure, the scales had comparable levels of reliability and validity and improved response distributions. A 2nd-order factor analysis lends support to a multidimensional view of attitudes about dating aggression.

Adolescent↗

PubMed2001

Childhood physical abuse, personality, and adult relationship violence: a model of vulnerability to victimization.

An association between childhood physical abuse and current relationship violence was observed in a sample of 56 young adult women, suggesting that childhood physical abuse may be a unique risk factor for victimization in intimate adult relationships. Aspects of personality and interpersonal functioning that reflect extreme doubt about one's interpretation and understanding of interpersonal events, and an inability to make sensible causal connections between people's thoughts, feelings, and actions largely mediated this link. Implications for intervention and directions for future research are discussed.

Adolescent↗

PubMed2001

High school students' responses to dating aggression.

The purpose of this study was to identify high school students' actions in response to physical aggression in their dating relationships. The association of these actions with race/ethnicity and gender was also examined. From a sample of high school students (N = 476), a subsample who reported that they had experienced at least one episode of being victimized by physical aggression in a dating relationship (n = 183), served as the sample of interest. On average, students engaged in two help-seeking actions, with females reporting more actions than males. Overall, the most common responses to physical aggression in a dating relationship were aggressive action (e.g., fight back), informal help seeking, threatened or actual breakup, and doing nothing (males) or crying (females). Females were more likely to fight back than were males. Race was largely unrelated to students' actions. Intervention opportunities and areas for future research are discussed.

Adolescent↗

PubMed2000

Therapeutic alliance: predicting continuance and success in group treatment for spouse abuse.

This study examined the role of the therapeutic alliance between client and therapist on group treatment outcome in 70 husband-to-wife violent couples. Strength of husbands' alliance assessed at Session 1 was positively associated with treatment outcome, as measured by decreased husband-to-wife mild and severe psychological and physical aggression. Strength of wives' alliance was unrelated to treatment outcome. Finally, although alliance was related to treatment outcome, it was unrelated to treatment completion.

Adult↗

PubMed2000

Infidelity and separations precipitate major depressive episodes and symptoms of nonspecific depression and anxiety.

This study examined whether humiliating marital events (HMEs; husbands' infidelity, threats of marital dissolution) precipitated Major Depressive Episodes (MDEs) when controlling for marital discord. Participants were 25 women who recently experienced an HME and 25 control women who did not experience an HME. Both groups reported similar levels of marital discord. Results indicated that HME participants were 6 times more likely to be diagnosed with an MDE than control participants. These results remained even after controlling for family and lifetime histories of depression. HME participants also reported significantly more symptoms of nonspecific depression and anxiety than control participants. However, HME and control participants did not report significantly different numbers of anhedonic depression and anxious arousal symptoms. The research and clinical implications of these findings are discussed.

Adult↗

PubMed1999

Head injury and battered women: an initial inquiry.

Approximately 2 to 3 million women are battered by their intimate partners each year. Severe injuries requiring emergency medical treatment of battered women have been noted, yet the prevalence of head injuries and the negative consequences emanating from such injuries have been noticeably absent from the literature. The descriptive study discussed in this article examined the case records of residents in a domestic violence shelter over a three-month period and found a 35 percent prevalence rate of battered women who had experienced head injury during a battering incident with their intimate partner. This study calls attention to the long-range difficulties that head-injured battered women may experience as a result of cognitive, emotional, and behavioral difficulties resulting from domestic violence and how social workers can intervene with this population.

Adult↗

PubMed1999

Psychological abuse: a variable deserving critical attention in domestic violence.

Policy makers and researchers give psychological abuse considerably less attention than physical abuse in the partner abuse area. One reason for the relative neglect of psychological abuse is that there are difficulties in arriving at a common definition of psychological abuse that might be useful to both the mental health and legal professions. Another reason for the relative neglect of psychological abuse has been an implicit assumption that physical abuse exacts a greater psychological toll on victims than does psychological abuse. At the extreme level of physical abuse, this assumption seems defensible, but at levels of physical aggression that are most common in marriage and long-term relationships, psychological abuse appears to have as great an impact as physical abuse. Even direct ratings of psychological and physical abuse by women in physically abusive relationships indicate that psychological abuse has a greater adverse effect on them than physical abuse. Retrospective reports, longitudinal research, and treatment dropout research all provide evidence that psychological abuse can exact a negative effect on relationships that is as great as that of physical abuse. Finally, psychological abuse almost always precedes physical abuse, so that prevention and treatment efforts clearly need to address psychological abuse. Eight measures of various forms of psychological abuse that have reasonable psychometric properties and considerable construct validity are reviewed and a definition of psychological abuse in intimate relations is provided.

Aggression↗

PubMed1998

Specificity of dating aggression and its justification among high-risk adolescents.

Ninety-five high-risk adolescents were studied to determine whether their dating aggression and its justification as a response to interpersonal problems were specific to the current partner, general to dating relationships, or part of a global age-mate (same-sex peers and opposite-sex dating partners) aggression problem. Approximately one-third of males and two-thirds of females reported physical aggression against their current dating partner. Males' aggression (and its justification) toward their current dating partner was part of a generalized pattern of dating aggression, whereas for females, physical aggression against a current dating partner (and its justification) was partner-specific and unrelated to aggression in other relationships. Findings are discussed with regard to intervention and future research on adolescent dating aggression.

Adolescent↗

PubMed1998

Major depressive disorder and depressive symptomatology as predictors of husband to wife physical aggression.

This study investigated the association between a husband's depressive symptomatology and the frequency of physical aggression toward his wife, as well as a husband's Major Depressive Disorder (MDD) and the frequency of physical aggression toward his wife. We assessed physically aggressive men who volunteered for treatment with their wives (N = 89). Almost one third had moderate levels of depressive symptomatology (Beck Depression Inventory [BDI > or = 14]), but only 11% met criteria for MDD (based on a structured interview [SCID]). Although the rate of MDD was not absolutely high, it was higher than that reported in a community sample (i.e., 3%). A significant relationship between increased depressive symptomatology and frequency of physical aggression was found, but the association was most likely accounted for by self-reported anger. Related contextual factors including marital discord and psychological aggression are addressed. Theoretical and treatment implications are discussed, including the severity of the treatment population (volunteer vs. court mandated), and severity of the depression (symptomatology vs. clinical diagnosis).

Adult↗

PubMed1997

Assessment of coping strategies of child abusing mothers.

OBJECTIVE: Mothers who had physically abused their children were assessed to determine whether these mothers had a general coping skills deficit. METHOD: Abusing mothers (n = 17) were compared to nonabusing mothers of conduct problem children (n = 16). Coping was measured by several methods, each designed to address the insufficiencies of the others. RESULTS: In comparison to the nonabusing mothers, independent ratings indicated that abusing mothers exhibited a pattern of coping characterized by greater use of emotion-focused coping strategies and less use of effective problem-focused strategies. Finally, using self report ratings of coping, abusing mothers perceived their coping to be more ineffective than the nonabusing mothers. CONCLUSIONS: The possibility that the observed coping skills deficit may be indicative of a deficit in emotional responding to stress was discussed and suggestions were given for therapeutic interventions with child abusing mothers.

Adaptation, Psychological↗

PubMed1997

Efficacy of a dating violence prevention program on attitudes justifying aggression.

OBJECTIVES: The purpose of this pilot study was to evaluate a five-session dating violence prevention curriculum in terms of its effect on attitudes justifying the use of dating violence. METHODS: The curriculum was implemented in all health classes in a Long Island, New York, school. A total of 193 students participated (boys, n = 106; girls, n = 87). A quasi-experimental design was used to evaluate change in attitudes justifying dating violence, with health classes randomly assigned to the treatment or no-treatment conditions. RESULTS: Pre- to postprogram assessments indicated that there were significant decreases in overall attitudes justifying the use of dating violence as a means to resolve conflict among students exposed to the curriculum material, whereas those who were not exposed did not show attitude change from pre- to postprogram evaluation. CONCLUSIONS: The curriculum shows promise as an effective tool for changing attitudes condoning dating violence. Future research is needed to determine whether the observed attitude change is also linked to reduction in aggressive behaviors.

Adolescent↗

PubMed1997

Romantic jealousy and affairs: research and implications for couple therapy.

Romantic jealousy is often experienced after a situation is interpreted as threatening to one's intimate relationship and can involve elements of other emotions such as anger, fear, and sadness. An individual experiencing jealousy may engage in a number of behaviors and thought processes aimed at reducing jealousy or keeping the relationship intact. However, these cognitions and behaviors may not achieve either of these goals and may escalate problems in the relationship. We review the theoretical and empirical jealousy literature and integrate the research findings with existing models of couple therapy. Assessment and treatment guidelines are offered on the basis of theory, research, and clinical practice. Future research directions are also discussed.

Adaptation, Psychological↗

PubMed1996

Behavioral components of marital satisfaction: an individualized assessment approach.

This study examined the extent to which spousal behaviors, obtained through a daily checklist of marital activities individualized along an importance dimension, related to global and daily marital satisfaction. Eighty-two marital couples completed daily checklists of spousal behaviors for 7 days using either an individualized or a standardized assessment method. The results demonstrated that the individualized measures of daily behavioral events were significantly related to global and daily measures of marital satisfaction and discriminated distressed from nondistressed spouses. Although the individualized method did not correlate with marital satisfaction to a significantly greater degree than the standardized method, the individualized assessment approach provides a valid, viable, and cost-effective alternative for assessing daily spousal events that relate to marital satisfaction.

Adult↗

PubMed1995

Characteristics of women physically abused by their spouses and who seek treatment regarding marital conflict.

Physically abused women seeking treatment for marital difficulties (abused women, n = 49) were compared with maritally discordant, nonabused women (discordant only, n = 23) and maritally satisfied nonabused women (community control, n = 25). Abused women reported significantly more fear of their spouses and reported that their spouses were significantly more coercive and psychologically aggressive than women in the 2 matched nonabused groups. Abused women did not report higher rates of abuse as a child, nor did they report higher rates of past psychopathology than women in the nonabused groups. However, abused women and nonabused discordant women reported higher rates of emotional abuse in childhood than maritally satisfied nonabused women. Furthermore, both clinical groups had a tendency to have higher lifetime rates of major depression before their current marriage than the maritally satisfied women. This result suggests that childhood abuse and a history of depression may be risk factors for women in abusive and nonabusive discordant relationships. As expected, abused women reported higher rates of posttraumatic stress disorder than women in the discordant-only and community control groups. Treatment implications for both standard treatments for marital problems and treatments for victims of physical abuse are discussed.

Adult↗

PubMed1994

Dependency characteristics of partner assaultive men.

Men who had physically assaulted female partners (PA group; N = 24) were compared with maritally discordant nonviolent men (DNV group; N = 24) and happily married nonviolent men (HNV group; N = 24) on measures of dependency and related constructs. PA men reported higher interpersonal dependency, higher spouse-specific dependency, and lower self-esteem than both contrast groups, but did not differ significantly on a measure of jealously. Data reduction indicated two constructs underlying these measures: perceived personal inadequacy and emotional investment in the primary relationship. PA men were high on both, while DNV men had moderate perceived inadequacy and low emotional investment and HNV men had low perceived inadequacy and high emotional investment. The findings support the clinical observation that interpersonal dependency is an important factor in the motivational dynamics of relationship violence.

Adult↗

PubMed1994

Physical aggression in early marriage: prerelationship and relationship effects.

Spousal physical aggression at 30 months after marriage was predicted for 393 young couples who were interviewed for a longitudinal study. The prerelationship predictor variables were history of violence in the family of origin, aggression against others during childhood and adolescence, and personality characteristics. Relationship predictor variables were marital discord and spouse-specific psychological aggression, both measured at 18 months after marriage. The findings suggest that predictive models are different for husbands and wives. For both sexes, there were direct paths to marital violence that were not mediated by characteristics of the relationship, as well as paths that originated in or flowed through indicators of the marital relationship. Implications for intervention through marital therapy, individual therapy, or both are discussed.

Adult↗