When Crises Collide

Until recently, the connection between intimate partner violence (IPV) and persistent poverty had been largely ignored. Recent research indicates, however, that the two phenomena cooccur at high rates; produce parallel effects; and, in each other’s presence, constrain coping options. Therefore, both external situational, and internal psychological difficulties are missed when women contending with both poverty and IPV are viewed through the lens of just one or just the other. This article describes mental health consequences for women who contend with both partner violence and poverty. It proposes that the stress, powerlessness, and social isolation at the heart of both phenomena combine to produce posttraumatic stress disorder, depression, and other emotional difficulties. The article also introduces the term ‘‘survival-focused coping’’ to describe women’s methods of coping with IPV in the context of poverty and highlights the role that domestic violence advocates, mental health providers, and researchers can play in addressing these tightly intertwined phenomena.

[1]  Judith Lewis Herman,et al.  Trauma and Recovery , 2015 .

[2]  M. Bair-Merritt Intimate partner violence. , 2010, Pediatrics in review.

[3]  L. Goodman,et al.  Feminist Relational Advocacy , 2009 .

[4]  Ronald E. Drake,et al.  Helping depressed clients discover personal power. , 2009, Perspectives in psychiatric care.

[5]  Laura Smith Positioning Classism Within Counseling Psychology's Social Justice Agenda , 2008 .

[6]  M. Schwartz,et al.  Violence against and the Harassment of Women in Canadian Public Housing: An Exploratory Study , 2008 .

[7]  L. Huang,et al.  Depression among Low-Income Women of Color: Qualitative Findings from Cross-Cultural Focus Groups , 2008, Journal of Immigrant and Minority Health.

[8]  Carol Vanzile-Tamsen,et al.  Unique Aspects of Adolescent Sexual Victimization Experiences , 2007, Psychology of women quarterly.

[9]  Lisa A. Goodman,et al.  Listening to Battered Women: A Survivor-Centered Approach to Advocacy, Mental Health, and Justice , 2007 .

[10]  G. Ahlström,et al.  The meaning of women's experience of living with long-term urinary incontinence is powerlessness. , 2007, Journal of clinical nursing.

[11]  Rosemarie Perez Foster Treating depression in vulnerable urban women: a feasibility study of clinical outcomes in community service settings. , 2007, The American journal of orthopsychiatry.

[12]  L. Martin Domestic Violence at the Margins: Readings on Race, Class, Gender, and Culture , 2007 .

[13]  K. Davis,et al.  Closing the Divide: How Medical Homes Promote Equity in Health Care—Results from the Commonwealth Fund 2006 Health Care Quality Survey , 2007 .

[14]  D. Purvin At the Crossroads and in the Crosshairs: Social Welfare Policy and Low-Income Women's Vulnerability to Domestic Violence , 2007 .

[15]  K. Laughon Abused African American Women's Processes of Staying Healthy , 2007, Western journal of nursing research.

[16]  S. Riger,et al.  Intimate Partner Violence, Social Support, and Employment in the Post-Welfare Reform Era , 2007, Journal of interpersonal violence.

[17]  C. Humphreys A health inequalities perspective on violence against women. , 2007, Health & social care in the community.

[18]  R. Kimerling,et al.  Intimate partner violence and housing instability. , 2007, American journal of preventive medicine.

[19]  Nicholas Huntington,et al.  Intimate Partner Violence in Extremely Poor Women: Longitudinal Patterns and Risk Markers , 2006, Journal of Family Violence.

[20]  Lenore E. A. Walker Battered Woman Syndrome , 2006, Annals of the New York Academy of Sciences.

[21]  L. Goodman,et al.  The full-frame approach: a new response to marginalized women left behind by specialized services. , 2006, American Journal of Orthopsychiatry.

[22]  H. Bullock,et al.  Psychology And Economic Injustice: Personal, Professional, And Political Intersections , 2006 .

[23]  G. Bogat,et al.  Mental health in women experiencing intimate partner violence as the efficiency goal of social welfare functions , 2006 .

[24]  J. Wiley,et al.  Interpersonal violence among women seeking welfare: unraveling lives. , 2006, American journal of public health.

[25]  M. Elliott,et al.  Toward a More Comprehensive Understanding of Violence Against Impoverished Women , 2006, Journal of interpersonal violence.

[26]  Frances Fiorino,et al.  One strike and you're out , 2006 .

[27]  B. Justice,et al.  PTSD Symptoms Among Men and Women Survivors of Intimate Partner Violence: The Role of Risk and Protective Factors , 2005, Violence and Victims.

[28]  M. Costello,et al.  Exploring Alternative Pathways Out of Poverty: Making Connections between Domestic Violence and Employment Practices , 2005 .

[29]  Laura Smith Psychotherapy, classism, and the poor: conspicuous by their absence. , 2005, The American psychologist.

[30]  Cris M. Sullivan,et al.  Predicting Re-Victimization of Battered Women 3 Years After Exiting a Shelter Program , 2005, American journal of community psychology.

[31]  Taryn Lindhorst,et al.  Disjunctures for Women and Frontline Workers: Implementation of the Family Violence Option , 2005, Social Service Review.

[32]  A. Farmer,et al.  Services and Intimate Partner Violence in the United States: A County‐Level Analysis , 2005 .

[33]  M. Dutton,et al.  Coercion in Intimate Partner Violence: Toward a New Conceptualization , 2005 .

[34]  P. Kreiner,et al.  Relational systems change , 2005, The Journal of Behavioral Health Services & Research.

[35]  K. Weinfurt,et al.  Women’s Resources and Use of Strategies as Risk and Protective Factors for Reabuse Over Time , 2005, Violence against women.

[36]  K. Hennigan,et al.  Outcomes for women with co-occurring disorders and trauma: program-level effects. , 2005, Journal of substance abuse treatment.

[37]  G. Bogat,et al.  The Social Networks of Women Experiencing Domestic Violence , 2004, American journal of community psychology.

[38]  Kimberly K. Eby Exploring the Stressors of Low-Income Women with Abusive Partners: Understanding Their Needs and Developing Effective Community Responses , 2004, Journal of Family Violence.

[39]  W. R. Goe,et al.  An Examination of the Link Between Employment Volatility and the Spatial Distribution of Property Crime Rates , 2004 .

[40]  D. Rosen,et al.  Low-Income Women's Use of Substance Abuse and Mental Health Services , 2004, Journal of health care for the poor and underserved.

[41]  K. Mickelson,et al.  Social Distribution of Social Support: The Mediating Role of Life Events , 2003, American journal of community psychology.

[42]  I. Weiner Psychotherapy Relationships That Work: Therapist Contributions and Responsiveness to Patients , 2003, Psychotherapy research : journal of the Society for Psychotherapy Research.

[43]  H. Brandt,et al.  Social support reduces the impact of partner violence on health: application of structural equation models. , 2003, Preventive medicine.

[44]  Bernadette D. Proctor,et al.  Poverty in the United States: 2002. Current Population Reports. , 2003 .

[45]  H. Sklar,et al.  Raise the Floor: Wages and Policies That Work for All of Us , 2003 .

[46]  D. Belle,et al.  Poverty, Inequality, and Discrimination as Sources of Depression Among U.S. Women , 2003 .

[47]  A. Farmer,et al.  Explaining the Recent Decline in Domestic Violence , 2003 .

[48]  G. Moane Bridging the Personal and the Political: Practices for a Liberation Psychology , 2003, American journal of community psychology.

[49]  L. Goodman,et al.  The Roles of Coping and Social Support in Battered Women’s Mental Health , 2003 .

[50]  Raul Caetano,et al.  Socioeconomic Predictors of Intimate Partner Violence Among White, Black, and Hispanic Couples in the United States , 2002, Journal of Family Violence.

[51]  G. Evans,et al.  The environment of poverty: multiple stressor exposure, psychophysiological stress, and socioemotional adjustment. , 2002, Child development.

[52]  R. Brownson,et al.  Multistate analysis of factors associated with intimate partner violence. , 2002, American journal of preventive medicine.

[53]  B. Lott Cognitive and behavioral distancing from the poor. , 2002, The American psychologist.

[54]  S. Riger,et al.  The Radiating Impact of Intimate Partner Violence , 2002 .

[55]  Cris M. Sullivan,et al.  The Process Through Which an Advocacy Intervention Resulted in Positive Change for Battered Women Over Time , 2002, American journal of community psychology.

[56]  Cris M. Sullivan,et al.  Effects of Intimate Partner Violence Versus Poverty on Women's Health , 2001 .

[57]  L. Burnham Welfare Reform, Family Hardship, and Women of Color , 2001 .

[58]  K. Siefert,et al.  Food Insufficiency and the Physical and Mental Health of Low-Income Women , 2001, Women & health.

[59]  M. J. Coiro Depressive Symptoms Among Women Receiving Welfare , 2001, Women & health.

[60]  L. L. Marshall,et al.  PTSD Symptoms and Partner Abuse: Low Income Women at Risk , 2001, Journal of traumatic stress.

[61]  Harold R. Holzman,et al.  Patterns of Aggravated Assault in Public Housing , 2001 .

[62]  Walter S. DeKeseredy,et al.  Women's Fear of Crime in Canadian Public Housing , 2001 .

[63]  C. Marx,et al.  Layers of identity: Multiple psychological senses of community within a community setting , 2001 .

[64]  Richard M. Tolman,et al.  Domestic Violence in the Lives of Women Receiving Welfare , 2001 .

[65]  M. Gibelman,et al.  Advocacy be Not Forsaken! Retrospective Lessons from Welfare Reform , 2000 .

[66]  M. Elliott,et al.  The stress process in neighborhood context. , 2000, Health & place.

[67]  P. Tjaden,et al.  Full Report of the Prevalence, Incidence, and Consequences of Violence Against Women , 2000 .

[68]  J. R. Dunn,et al.  Social inequality, population health, and housing: a study of two Vancouver neighborhoods. , 2000, Social science & medicine.

[69]  Robert Joseph Taylor,et al.  All Our Kin: Strategies for Survival in a Black Community , 2000 .

[70]  B. Richie A Black Feminist Reflection on the Antiviolence Movement , 2000, Signs: Journal of Women in Culture and Society.

[71]  B. Green,et al.  The need for mental health services research focusing on poor young women. , 1999, The journal of mental health policy and economics.

[72]  S. Lloyd,et al.  The Effects of Male Violence on Female Employment , 1999 .

[73]  A. Browne,et al.  The Impact of Recent Partner Violence on Poor Women's Capacity to Maintain Work , 1999 .

[74]  S. Bassuk,et al.  Prevalence of mental health and substance use disorders among homeless and low-income housed mothers. , 1998, The American journal of psychiatry.

[75]  Christine Wasylishyn,et al.  Living in a housing co-operative for low income women: issues of identity, environment and control. , 1998, Social science & medicine.

[76]  E. Lyon,et al.  Safety Planning with Battered Women: Complex Lives/Difficult Choices , 1998 .

[77]  Sally Young Conrad Making Ends Meet: How Single Mothers Survive Welfare and Low-Wage Work , 1997 .

[78]  Joan S. Meier Domestic Violence, Character, and Social Change in the Welfare Reform Debate , 1997 .

[79]  Anne R. Roschelle,et al.  No More Kin: Exploring Race, Class, and Gender in Family Networks , 1997 .

[80]  A. Browne,et al.  Intimate violence in the lives of homeless and poor housed women: prevalence and patterns in an ethnically diverse sample. , 1997, The American journal of orthopsychiatry.

[81]  A. Browne,et al.  Homelessness in female-headed families: childhood and adult risk and protective factors. , 1997, American journal of public health.

[82]  Nancy L. Baker Class as a Construct in a "Classless" Society , 1996 .

[83]  L. Lempert Women's strategies for survival: Developing agency in abusive relationships , 1996, Journal of Family Violence.

[84]  T. E. Martínez,et al.  The Relationship Between Violence, Social Support, and Self-Blame in Battered Women , 1996 .

[85]  Victoria L. Banyard “Taking another route”: Daily survival narratives from mothers who are homeless , 1995, American journal of community psychology.

[86]  J. B. Turner,et al.  Economic context and the health effects of unemployment. , 1995, Journal of health and social behavior.

[87]  R. Chez,et al.  The battered woman. , 1995, American journal of obstetrics and gynecology.

[88]  N. Krause,et al.  Social class differences in social support among older adults. , 1995, The Gerontologist.

[89]  Cris M. Sullivan,et al.  Women Who Use Domestic Violence Shelters: Changes in Depression Over Time , 1995 .

[90]  J M Lepkowski,et al.  The social stratification of aging and health. , 1994, Journal of health and social behavior.

[91]  R. Turner,et al.  Social support and social structure: a descriptive epidemiology. , 1994, Journal of health and social behavior.

[92]  Mark W. Lipsey,et al.  The efficacy of psychological, educational, and behavioral treatment. Confirmation from meta-analysis. , 1993, The American psychologist.

[93]  Cris M. Sullivan,et al.  After the Crisis: A Needs Assessment of Women Leaving a Domestic Violence Shelter , 1992, Violence and Victims.

[94]  E. B. Patterson,et al.  POVERTY, INCOME INEQUALITY, AND COMMUNITY CRIME RATES , 1991 .

[95]  L. Goodman,et al.  The prevalence of abuse among homeless and housed poor mothers: a comparison study. , 1991, The American journal of orthopsychiatry.

[96]  R. Kessler,et al.  Socioeconomic status differences in vulnerability to undesirable life events. , 1990, Journal of health and social behavior.

[97]  A. Rattner Social indicators and crime rate forecasting , 1990 .

[98]  R. Moos,et al.  Life stressors and coping: A longitudinal analysis among depressed and nondepressed adults. , 1989, Journal of community psychology.

[99]  E. Gondolf,et al.  Battered women as survivors: An alternative to treating learned helplessness. , 1989 .

[100]  Jacquelyn C. Campbell,et al.  A Test of Two Explanatory Models Of Women's Responses to Battering , 1989, Nursing research.

[101]  J. House,et al.  Social relationships and health. , 1988, Science.

[102]  P. Thoits Social support as coping assistance. , 1986, Journal of consulting and clinical psychology.

[103]  S Roth,et al.  Approach, avoidance, and coping with stress. , 1986, The American psychologist.

[104]  D. Anda Informal support networks of Hispanic mothers: A comparison across age groups. , 1984 .

[105]  D. Belle The Impact of Poverty on Social Networks and Supports , 1983 .

[106]  R. Kessler,et al.  Stress, social status, and psychological distress. , 1979, Journal of health and social behavior.

[107]  G. Brown,et al.  Social origins of depression: a reply , 1978, Psychological Medicine.

[108]  Eli Ilana What is stress? , 1994, Metabolism: clinical and experimental.

[109]  M. Elliott,et al.  Trauma, depression, coping, and mental health service seeking among impoverished women. , 2005, Journal of consulting and clinical psychology.

[110]  M. Woolcock,et al.  Health and Wealth: Health by Association? Social Capital, Social Theory, and the Political Economy of Public Health , 2005 .

[111]  P. Kreiner,et al.  Relational systems change: implementing a model of change in integrating services for women with substance abuse and mental health disorders and histories of trauma. , 2005, The journal of behavioral health services & research.

[112]  L. Mckean,et al.  Pathways to and from Homelessness: Women and Children in Chicago Shelters , 2004 .

[113]  Michelle Tea Without a net : the female experience of growing up working class , 2003 .

[114]  Jody Raphael Battering Through the Lens of Class , 2003 .

[115]  S. Sue,et al.  Cultural and demographic diversity. , 2002 .

[116]  J. Raphael,et al.  Domestic Violence as a Welfare-to-Work Barrier: Research and Theoretical Issues, in The Sourcebook on Violence Against Women (Sage Publications, 2001) , 2001 .

[117]  Youth Violence: A Report of the Surgeon General , 2001, Psychiatric services.

[118]  R. Halpern After-school programs for low-income children: promise and challenges. , 1999, The Future of children.

[119]  G. Shelley,et al.  Intimate partner violence surveillance : uniform definitions and recommended data elements. Version 1.0 , 1999 .

[120]  L. Dodson Don't Call Us Out of Name: The Untold Lives of Women and Girls in Poor America , 1998 .

[121]  J. Sanchez-Hucles,et al.  Diversity: Advancing an inclusive feminist psychology. , 1997 .

[122]  N. Grigsby,et al.  The Barriers Model: An integrated strategy for intervention with battered women. , 1997 .

[123]  ► ► Forward. , 1996, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[124]  H. Bullock Class acts: Middle-class responses to the poor. , 1995 .

[125]  B. Lott,et al.  The social psychology of interpersonal discrimination. , 1995 .

[126]  S. Folkman [Personal control and stress and coping processes: a theoretical analysis]. , 1988, Kango kenkyu. The Japanese journal of nursing research.

[127]  Catherine E. Ross,et al.  Social Patterns of Distress , 1986 .

[128]  Lee H. Bowker,et al.  Beating Wife-Beating , 1983 .

[129]  S. Schechter Women and Male Violence: The Visions and Struggles of the Battered Women's Movement , 1982 .