Your Abuser in Therapy

Dec 1, 2003 - © Sam Vaknin

But there are other, equally enlightening, typologies (mentioned by the authors). Saunders suggested 13 dimensions of abuser psychology, clustered in three behavior patterns: Family Only, Emotionally Volatile, and Generally Violent. Consider these disparities: one quarter of his sample - those victimized in childhood - showed no signs of depression or anger! At the other end of the spectrum, one of every six abusers was violent only in the confines of the family and suffered from high levels of dysphoria and rage.

Impulsive batterers abuse only their family members. Their favorite forms of mistreatment are sexual and psychological. They are dysphoric, emotionally labile, asocial, and, usually, substance abusers. Instrumental abusers are violent both at home and outside it - but only when they want to get something done. They are goal-orientated, avoid intimacy, and treat people as objects or instruments of gratification.

Still, as Dutton pointed out in a series of acclaimed studies, the "abusive personality" is characterized by a low level of organization, abandonment anxiety (even when it is denied by the abuser), elevated levels of anger, and trauma symptoms.

It is clear that each abuser requires individual psychotherapy, tailored to his specific needs - on top of the usual group therapy and marital (or couple) therapy. At the very least, every offender should be required to undergo these tests to provide a complete picture of his personality and the roots of his unbridled aggression:

1. The Relationship Styles Questionnaire (RSQ)

2. Millon Clinical Multiaxial Inventory-III (MCMI-III)

3. Conflict Tactics Scale (CTS)

4. Multidimensional Anger Inventory (MAI)

5. Borderline Personality Organization Scale (BPO)

6. Trauma Symptom Checklist (TSC-33)

7. The Narcissistic Personality Inventory (NPI)

These tests are the topic of our next article.

Your Abuser in Therapy

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