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Violence Against Women: A literature review

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Violence against Women: A literature review commissioned by the National Group to Address Violence Against Women

5. Making the links

blame the woman
blame the drink
blame the weather

(Zero Tolerance, 1995)

This slogan, taken from the Zero Tolerance 'Excuses' campaign, encapsulates some of the most common assumptions made about what causes violence against women. Alcohol and/or drug use, poverty, unemployment, mental illness, stress, poor anger management skills, sexual deviance and personality disorders are all commonly identified either as causes of, or triggers for, male violence against women. It is perhaps to be expected that most people, if asked to consider violence against women, will focus initially on the circumstances surrounding an individual act, rather than violence against women as a wider phenomenon. At an individual level, all of these factors may play a role. There is, however, a need to look at the wider picture. Violence against women is experienced by women of all ages and social classes, all races, religions and nationalities, all over the world. It is overwhelmingly perpetrated by men. Individual characteristics and circumstances alone cannot explain why this should be the case.

Violence may be experienced as a single discrete event in a woman's life. However, when the opportunity is provided, many women describe a continuum of abusive experiences at different points in their lives, and at the hands of different abusers. Domestic abuse, sexual violence, stalking and harassment, child sexual abuse, pornography, prostitution and all of the combinations of these, are linked in many ways. Sometimes several of them happen to the same women. Sometimes several of them are perpetrated by the same men. The context of what happens may differ - perpetrated by known men or strangers, at home or at work, in relationships or out of them - but the impact on individual women and the consequences both for them and the rest of society are too similar to ignore.

The consequences of violence against women for women's health, sense of self worth, economic position and continued safety are consistent across all forms of violence against women. The rates of depression, anxiety and post traumatic reactions are similar whether a woman was abused by her partner or raped by a stranger. Feelings of guilt, shame and self blame are commonly experienced by women survivors of domestic abuse, rape and sexual assault, childhood sexual abuse, and abuse through pornography and prostitution. The role that male violence plays in limiting women's social and economic potential is acknowledged throughout the literature. At a policy level, there is perhaps a clearer understanding of the links between male violence and the poverty of women in the 'developing' countries of the world; certainly it is acknowledged in international initiatives to address violence against women (Spindel, Levy and Connor, 2000).

Common themes also emerge from women's descriptions of the violence they have experienced, regardless of where, when and by whom they were abused. Whether they are talking about physical or sexual assault by a partner, by someone else known to them or by a stranger, they describe the abuse of power and control, being degraded and humiliated, feeling hated and worthless:

"…my father would call me all sorts of names and would storm around saying 'You're no goddam good. You're a whore. You're a nothing.'…It's hard to know which was worse abuse, I think that the 'you're no good, you're a whore, you're nothing' - that constant theme was almost or as bad as the sexual abuse because it was constant."

(Incest survivor, quoted in Stanko, 1985: 30)

"I could not leave the house. I was imprisoned for several days at a time, was unable to cook without the food being thrown at me, or to wash without my head being held under water until I lost consciousness. I was unable to go to the lavatory during the night; he would kick in the toilet door because I had taken too long. When I fought back he would rape me sometimes anally and sometimes over and over again…"

(Domestic abuse survivor, quoted in Bossy and Coleman, 2000)

Liz Kelly has been one of the most vociferous proponents of the need to make the links between different types of violence against women. Talking about the life of Emma Humphries 30, she gives the clearest possible example of the links between child abuse and neglect, homelessness, prostitution, rape, domestic abuse, prison and addiction:

"Emma's life makes clear the connections between a range of forms of gender violence. Whilst we may separate them in law, in the categories we use in research, and in how we organise institutional responses - in the state and NGO sectors - they were not separate in her experience. It is impossible to understand her life, still less imagine how it might have been different, if we fail to see that it involved repeat victimisation by the same and different men, that her attempts to cope with/escape one form of abuse made her vulnerable to others"

(Kelly, 2000).

She goes on to describe the myriad ways in which different forms of violence against women, and children, are linked. These include their relationship to the perpetrators of violence, most often men known to women, regardless of the nature of the assault; tactics of power and control as a feature of men's violence against women; the consequences of violence for women's health and self esteem; high attrition rates across all forms of violence against women and a consequent sense that men may violate women with impunity; and inadequate or ineffective institutional responses, including failure to encourage or document disclosure (Kelly, 2000).

The World Health Organisation (WHO) has proposed the use of an ecological model to provide a conceptual framework for understanding the nature and causes of violence, including violence against women. Ecological models consider that behaviour does not take place in a vacuum, and address the relationship of the individual to their environment, including interpersonal relationships, community and societal influences. The WHO report uses this model to explore risk factors for different types of violence, including violence by intimate partners and sexual violence (Krug et al, 2002).

Table 1: Ecological model for understanding violence

Table 1: Ecological model for understanding violence, WHO, 2002

At the core of the model is the individual, and the personal characteristics which make them more or less at risk of violence. Around the individual are their close relationships, with partners, family members or others, and how far these relationships might increase or decrease the risk of violence. The community in which the individual lives may contribute to their risk factors - which might include the physical environment in which they live, but also issues of social inclusion or exclusion. The outer layer of the model represents the society in which an individual lives, and the pervasive influences of that society, including cultural norms and values, and the legislative and policy framework which supports them (Krug et al, 2002).

This model attempts to integrate several different perspectives on violence against women, suggesting that there may not be one single 'cause' but rather a whole range of variables which can increase or reduce a woman's risk factors for experiencing violence. This is undoubtedly true, but it must be acknowledged that risk factors are not the same as causes. Specific acts of violence against women may have their roots in a combination of factors including the personal history and circumstances of women who are victims of violence and the men who perpetrate it, and the nature of the relationship between women and the men who are their partners, family members, neighbours and colleagues. However, violence against women must be seen in the context of the structural inequality of the wider society within which it takes place, as exemplified in the attitudes, cultural norms and institutions of that society.

If, as has been suggested, violence against women is both the result of gender inequality and the means by which it is perpetuated, (see, for example, Brownmiller, 1976; Dobash and Dobash, 1979; Radford et al, 2000), then initiatives to challenge and prevent violence against women must be located within broader initiatives to address gender inequality. In 1998, a Canadian government report noted that although "significant progress toward the elimination of violence against women" had been made over the previous 20 years, there was still a need for "the development of policies that address the general issue of women's inequality" (Status of Women Canada, 1998: 21). The publication in the following year of a strategic framework on violence against women reaffirms this commitment to tackling gender inequality as a central component in preventing violence against women. The principles of the framework are simple and clear, the message is unequivocal - "Living free of violence is a right, not a privilege. Violence against women is a violation of human rights." (F/P/T Status of Women Ministers, 1999).

Canadian policy on violence against women has been held up as a model of good practice, beginning with the establishment of the Canadian Panel on Violence Against Women in 1991, and the subsequent publication of Changing the Landscape - ending violence, achieving equality in 1993. This report, which incorporated the views of survivors, activists and policy makers, provided clear evidence of the links between different forms of violence, and between violence against women and other aspects of gender inequality. Together with the groundbreaking prevalence survey on violence against women which was also published in 1993, Changing the Landscape set an enviable baseline against which to measure all subsequent policy and practice developments (Hague, Kelly and Mullender, 2001).

Alongside the increased focus on policy development, five research centres were established 31, with a remit to "promote, coordinate and communicate the results of Canadian research about violence", specifically violence against women (Health Canada, 1999: 6). Adopting a 'participatory action research model', what the Canadian research centres have excelled at is developing partnerships with policy makers and community organisations. This approach has helped to ensure that research is conducted which supports the development of practice, which in turn supports the goal of preventing violence against women. Working as an alliance, the centres have avoided duplicating work, and have been able to share good practice. For academic partners, membership of a research centre has allowed them to maintain a focus on the realities of frontline work, and to see the application of research results. The opportunity to build relationships with practitioners and policy makers has been seen as positive, as has the opportunity to engage in interdisciplinary projects. Frontline workers are able to influence the research agenda, learn something about the process of designing research, and "leave the crisis and talk about ideas", an opportunity which should not be undervalued (Health Canada, 1999: 15).

It would be reasonable to assume that these parallel developments in policy and research would ensure that the broad agenda on violence against women would be maintained, but this does not appear to be the case. Most of the research listed on the Health Canada website focuses primarily on domestic violence, with little on other forms of violence against women (Denham and Gillespie, 1998; Hague, Kelly and Mullender, 2001). How far this is a reflection of what is happening in practice is debatable (Hague, Kelly and Mullender, 2001).

In England and Wales, an attempt to adopt a more inclusive approach to policy on violence against women have been made by the Home Office, with the publication of Living without fear - an integrated approach to tackling violence against women. The document acknowledges that much work has already been developed in response to domestic abuse, and recommends building on existing partnerships in order to develop responses to other aspects of violence against women (Home Office, 1999).

Although the report calls for an integrated approach to violence against women, the format of the report maintains distinctions between domestic abuse, sexual violence and sexual harassment, and predictably, perhaps, focuses mostly on domestic violence. The strongest focus on sexual violence is to be found in the chapter on justice, although even then, it is primarily in the area of statistics that there appears to be more information available on sexual offences than on domestic violence. This may be a reflection of the difficulties of extracting domestic violence related data from Home Office statistics at the time.

It would seem that, even where there is willingness and a degree of political and professional commitment, it is hard for policy makers and researchers alike to maintain a broad perspective on violence against women. This is also reflected in the provision of services to women, with few services, either voluntary or statutory, working from a broad perspective. It would be easy to attribute this to the greater prevalence of domestic abuse, and consequently a greater demand for a response from the public sector. Commenting on the "narrowing agenda" in Canadian public policy, Hague et al note that there has been a distinct move away from talking about and working to prevent 'woman abuse' and towards a focus on 'family violence'. They question whether this is in some way perceived as a 'safer' position, and in relation to the research agenda "one in which more marginal experiences and forms of violence against women are seldom prioritized" (Hague, Mullender and Kelly, 2001: 32).

Reviewing some of the Canadian initiatives confirms that making the links between different forms of violence against women makes sense, but requires considerable commitment. Strategies which address violence against women in all its forms must be monitored to ensure that they stay focused on the 'bigger picture'. More than that, there would appear to be a need to 'monitor the monitors', to ensure that the agenda is not inadvertently narrowed.

The 'lens' through which the problem of violence against women is viewed plays a part in how it is addressed. In Canada, the health department leads on violence against women. The Westminster initiative is located within the Home Office Crime Reduction Programme. The recent relocation of the Violence Against Women Unit into the Equalities Unit ensures that the work of challenging violence against women will be incorporated within a broader framework for tackling gender inequality. Making the links between different forms of violence against women will hopefully remain a priority.

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Page updated: Thursday, March 24, 2005