Clinical perception: A study of intimate partner violence versus methamphetamine use as presenting problems

Holly Fussell; Janice Haaken; Colleen S. Lewy; Bentson H. McFarland

doi:10.1521/psyc.2009.72.4.382

Clinical perception: A study of intimate partner violence versus methamphetamine use as presenting problems

Holly Fussell
, Janice Haaken
, Colleen S. Lewy
, Bentson H. McFarland

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

This study draws on theory by Solomon Asch (1946, 1952) to examine how presenting with intimate partner violence versus methamphetamine use shapes characteristics of substance abuse assessment interviews. When responding to an initial open-ended question from a substance abuse counselor, the methamphetamine user and intimate partner violence survivor may elicit very different reactions from the counselor. We predicted that these differing presenting problems would initiate different trajectories for overall impression formation. To test this hypothesis, 18 substance abuse practitioners interviewed one standardized patient (an actor portraying a substance abuse client) who alternated her presenting problem between a) violence in a domestic setting and b) methamphetamine use. The remainder of her story was identical for counselors in either presenting problem group. Results included differences between the two groups in median length of the interviews and failure of both groups to explore domestic violence as a cooccurring problem. Clinical practices related to substance abuse counseling and intimate partner violence are discussed in light of these findings.

Original language	English (US)
Pages (from-to)	382-392
Number of pages	11
Journal	Psychiatry
Volume	72
Issue number	4
DOIs	https://doi.org/10.1521/psyc.2009.72.4.382
State	Published - Dec 2009

Funding

Holly Fusell, PhD, is affiliated with the Department of Public Health & Preventive Medicine, at Oregon Health & Science University in Portland, Oregon. Janice Haaken, PhD, is with the Department of Psychology at Portland State University. Colleen S. Lewy, PhD, is with the Department of Psychiatry at Oregon Health & Science University and Bentson H. McFarland, MD, PhD, is affiliated with both the Department of Public Health & Preventive Medicine, at Oregon Health & Science University. This research was supported by National Institute on Drug Abuse grant R03 DA 016958 entitled “Standardized Patients as Drug Abuse Treatment Clients.” The authors also thank the standardized patient, Julie Starbird, and the participating counselors. Address correspondence to Holly E. Fussell, PhD, Department of Public Health & Preventive Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., Mail Code CB-669, Portland, OR 97239-3098; E-mail: [email protected]

Funders	Funder number
National Institute on Drug Abuse	R03DA016958

ASJC Scopus subject areas

Psychiatry and Mental health

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10.1521/psyc.2009.72.4.382

Cite this

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title = "Clinical perception: A study of intimate partner violence versus methamphetamine use as presenting problems",

abstract = "This study draws on theory by Solomon Asch (1946, 1952) to examine how presenting with intimate partner violence versus methamphetamine use shapes characteristics of substance abuse assessment interviews. When responding to an initial open-ended question from a substance abuse counselor, the methamphetamine user and intimate partner violence survivor may elicit very different reactions from the counselor. We predicted that these differing presenting problems would initiate different trajectories for overall impression formation. To test this hypothesis, 18 substance abuse practitioners interviewed one standardized patient (an actor portraying a substance abuse client) who alternated her presenting problem between a) violence in a domestic setting and b) methamphetamine use. The remainder of her story was identical for counselors in either presenting problem group. Results included differences between the two groups in median length of the interviews and failure of both groups to explore domestic violence as a cooccurring problem. Clinical practices related to substance abuse counseling and intimate partner violence are discussed in light of these findings.",

author = "Holly Fussell and Janice Haaken and Lewy, \{Colleen S.\} and McFarland, \{Bentson H.\}",

note = "Funding Information: Holly Fusell, PhD, is affiliated with the Department of Public Health \& Preventive Medicine, at Oregon Health \& Science University in Portland, Oregon. Janice Haaken, PhD, is with the Department of Psychology at Portland State University. Colleen S. Lewy, PhD, is with the Department of Psychiatry at Oregon Health \& Science University and Bentson H. McFarland, MD, PhD, is affiliated with both the Department of Public Health \& Preventive Medicine, at Oregon Health \& Science University. This research was supported by National Institute on Drug Abuse grant R03 DA 016958 entitled “Standardized Patients as Drug Abuse Treatment Clients.” The authors also thank the standardized patient, Julie Starbird, and the participating counselors. Address correspondence to Holly E. Fussell, PhD, Department of Public Health \& Preventive Medicine, Oregon Health \& Science University, 3181 SW Sam Jackson Park Rd., Mail Code CB-669, Portland, OR 97239-3098; E-mail: [email protected]",

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Clinical perception: A study of intimate partner violence versus methamphetamine use as presenting problems

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