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Updated June 6, 2001
Domestic Violence, Alcohol and Other Drugs

Ask Dr. Bill

Dear Dr. Bill:
My husband and I have a friend who usually is a nice guy...but, sometimes, when he drinks too much, he gets violent and has even beaten his wife a couple of times. She seems to accept this behavior as, she says, that the same thing happened in his home when the was a kid. Is this a family trait or is it only the alcohol that causes him to be violent?

Anonymous-Dumont

 

Dear Anonymous,
Robert Mackey, PhD, CAC of the Rutgers University Center of Alcohol Studies, in a report on this subject, noted that increasing attention is being given by researchers to the strong statistical connection (ranging from 44% to over 80%) between domestic violence and addiction .. According to the National Woman Abuse Prevention Project , alcoholism and battering share the following characteristics: Both are inter-generational, involve denial and minimization of the problem, and involve isolation of the family. Any intervention with either of these problems must be done by a professional and should consider the implications and presence of the other.

Violence between the batterer's parents, abuse of the batterer as a child, alcohol and drug abuse, and economic stress are highly correlated to spouse abuse. A major study by the New York program, Abused Women's Aid In Crisis, indicate that, although the husband's alcohol abuse was a factor in over 80% of their cases, none of the victims sought help, suggesting that, while alcohol abuse is not the only factor in many cases of domestic violence, wife battering may be very common in families of alcoholics.

While research makes it clear that men with drinking problems are at high risk to be abusive toward their spouses, it is also clear that many men who have drinking problems do not abuse their wives, and that some men who don't have drinking problems do abuse their wives. That there is no direct causal relationship between drinking and spouse abuse is supported by most of the researchers.

The lack of a causal relationship means that recovering from one of the problems does not assure resolution of the other. Treatment of the addiction should precede treatment for the battering; however, counseling for battering can be initiated concurrently or can be instituted initially to assist in confronting the denial of the addiction. In either case, the violence must be addressed immediately, either through counseling or through legal sanctions and restraints, to assure the safety of the victim(s). Victims of domestic violence, whether alcoholism is involved or not, should receive the benefit of counseling and education by trained professionals about the cycles and dynamics of battering. Victims should also be given the opportunity to investigate family-of-origin issues, beliefs, behavioral patterns, and role expectancies that increase vulnerability to abusive types of relationships. The goal of intervention is to assure safety and to empower both victim and abuser to act independently in their best interests.

Domestic violence and addiction can be a lethal mix. The loss of control and effects of alcohol and drug abuse contribute significantly to the severity of beatings in abusive relationships. FBI statistics indicate that thirty percent of female homicide victims are killed by their husbands or boyfriends. Battering, unlike the disease of addiction, is a socially learned behavior which can be reversed if the motivation for change is realized. Techniques to control one's behavior and social skills can be relearned to eliminate the violent behavior, just as life manageability can be attained through a commitment to recovery. Just as abstinence from a drug is alone insufficient for true recovery, elimination of violent behavior is just the first of many steps toward breaking the cycle of domestic violence


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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