User:RexxS/BWS

Battered woman syndrome
Battered woman syndrome
Causes	Abuse

Battered woman syndrome (BWS) is a physical and psychological condition of a person who has suffered (usually persistent) emotional, physical, or sexual abuse from another person.^[1] It is classified as ICD-9 code 995.81 "Battered person syndrome" not elsewhere classified (NEC).

The condition is the basis for the battered spouse defense that has been used in cases of physically and psychologically abused spouses who have killed their abusers. The condition was first researched extensively by Lenore E. Walker, who used Martin Seligman's learned helplessness theory to explain why abused spouses stayed in destructive relationships.^[2]

Diagnosis

ICD9 code 995.81^[3] shows the syndrome as including "battered person/man/spouse syndrome NEC", and any person presenting with identified physical descriptors rather than psychological descriptors falls under the general heading of "Adult physical abuse", classified under "Injury and Poisoning".^[4] DSM-IV-TR does not provide a distinct diagnostic category for reactions to battering. Rather the diverse reactions of battered people are treated as separate diagnoses, for example, posttraumatic stress disorder (PTSD) or depression.^[5]

Symptoms

Symptoms of battered woman syndrome,
a few of which are shared with PTSD^[6]
Symptoms	Battered woman syndrome	Post-traumatic stress disorder (PTSD)
The person fears for their life	Y	Y
Is fearful for more than 4 weeks	Y	Y
Performance at work or other important daily life activities is affected	Y	Y
Manipulated through threats of violence, unwanted sex, degradation, isolation and more	Y
Dislike their bodies and experience somatic health issues	Y
Sexual intimacy issues	Y

When battered woman syndrome (BWS) manifests as PTSD, it consists of the following symptoms: (a) re-experiencing the battering as if it were recurring even when it is not, (b) attempts to avoid the psychological impact of battering by avoiding activities, people, and emotions, (c) hyperarousal or hypervigilance, (d) disrupted interpersonal relationships, (e) body image distortion or other somatic concerns, and (f) sexuality and intimacy issues.^[7]

Additionally, repeated cycles of violence and reconciliation can result in the following beliefs and attitudes:^[8]

The abused thinks that the violence was their fault.
The abused has an inability to place the responsibility for the violence elsewhere.
The abused fears for their life, and/or, the lives of loved ones whom the abuser might or has threatened to harm (e.g., children-in-common, close relatives or friends).
The abused has an irrational belief that the abuser is omnipresent and omniscient.

Causes

The syndrome develops in response to a three-stage cycle found in domestic violence situations. First, tension builds in the relationship. Second, the abusive partner releases tension via violence while blaming the victim for having caused the violence. Third, the violent partner makes gestures of contrition. However, the partner does not find solutions to avoid another phase of tension building and release so the cycle repeats. The repetition of the violence despite the abuser's attempts to "make nice" results in the abused partner feeling at fault for not preventing a repeat cycle of violence. However, since the victim is not at fault and the violence is internally driven by the abuser, this self-blame results in feelings of helplessness rather than empowerment. The feeling of being both responsible for and helpless to stop the violence leads in turn to depression and passivity. This learned depression and passivity makes it difficult for the abused partner to marshal the resources and support system needed to leave.^[9]

Feelings of depression and passivity may also be created by lack of social support outside of the abusive situation. Research in the 1980s by Gondolf and Fisher found that women in abusive situations increase help-seeking behavior as violence intensifies. However, their attempts at seeking help are often frustrated by unresponsive extended family and social services.^[10] In a 2002 study, Gondolf found that more than half of women had negative views of shelters and programs for battered women because of negative experiences with those programs.^[11]

In legal cases

Battered woman syndrome emerged in the 1990s from several murder cases in England in which women had killed violent partners in response to what they claimed was cumulative abuse, rather than in response to a single provocative act.

In a series of appeals against murder convictions, feminist groups (particularly Southall Black Sisters and Justice for Women) challenged the legal definition of provocation and secured the courts' recognition of battered woman syndrome.^[12]^[13]^[14]^[15]^[16]

Until the mid-1990s, the legal definition of provocation in England had relied on Devlin J in R v Duffy [1949] 1 All ER 932: "Provocation is some act, or series of acts done (or words spoken) ... which would cause in any reasonable person and actually causes in the accused, a sudden and temporary loss of self-control, rendering the accused so subject to passion as to make him or her for the moment not master of his or her mind." Three cases helped to change this: R v Ahluwalia [1992] 4 AER 889; R v Humphreys [1995] 4 All ER 1008); and R v Thornton (No 2) [1996] 2 AER 1023.^[12]^[13]

The courts in Australia, Canada, New Zealand, the United Kingdom, and the United States have accepted the extensive and growing body of research showing that battered women can use force to defend themselves and sometimes kill their abusers because of the abusive and sometimes life-threatening situation in which they find themselves, acting in the firm belief that there is no other way than to kill for self-preservation. The courts have recognized that this evidence may support a variety of defenses to a charge of murder or to mitigate the sentence if convicted of lesser offenses.

Battered woman syndrome is not a legal defense in and of itself, but may legally constitute:

Self-defense when using a reasonable and proportionate degree of violence in response to the abuse might appear the most appropriate defense but, until recently, it almost never succeeded. Research in 1996 in England found no case in which a battered woman successfully pleaded self-defense (see Noonan at p. 198). After analysing 239 appellate decisions on trials of women who killed in self-defense in the U.S., Maguigan (1991) argues that self-defense is gender biased.
provocation;
insanity (usually within the meaning of the M'Naghten Rules); and
diminished responsibility.

In recent years, BWS has been questioned as a legal defense on several grounds. First, legal changes in many states now make it possible to admit a history of past abuse into evidence. Second, not all battered persons act the same. Third, it pleads pathology when there may in fact be completely rational reasons for the victim's assessment that their life or that of their children was in danger. For example, if life-threatening attacks were preceded by a certain look in the eyes in the past, the victim may have had probable cause for believing that another life-threatening attack was likely to occur. Fourth, it does not provide for the possibility that a person may be abused but have chosen to kill for reasons other than on-going abuse – for example, jealousy or greed. Fifth, it paints survivors of domestic violence exclusively as passive victims rather than resourceful survivors.^[17]^[18]^[19]^[20]

England

In R v Ahluwalia (1992) 4 AER 889 a woman (Kiranjit Ahluwalia), created napalm and set fire to the bed of her husband, Deepak, after he had gone to sleep. He suffered severe burns over 40% of his body and died 10 days later in the hospital. He allegedly had attempted to break her ankles and burn her with a hot iron on the night of her attack. Accusing him of domestic violence and marital rape, she claimed provocation. The judge directed the jury to consider whether, if she did lose her self-control, a reasonable person having the characteristics of a well-educated married Asian woman living in England would have lost her self-control given her husband's provocation. On appeal, it was argued that he should have directed the jury to consider a reasonable person suffering from 'battered woman syndrome'. Having considered fresh medical evidence, the Court of Appeal ordered a retrial on the basis that the new evidence showed an arguable case of diminished responsibility in English law.^[21]

Similarly, in R v Thornton (No 2) (1996) 2 AER 1023 the battered wife adduced fresh evidence that she had a personality disorder and the Court of Appeal ordered a retrial considering that, if the evidence had been available at the original trial, the jury might have reached a different decision. The victim does not have to be in a position to carry out the threats immediately.^[22]

In R v Charlton (2003) EWCA Crim 415, following threats of sexual and violent abuse against herself and her daughter, the defendant killed her obsessive, jealous, controlling partner while he was restrained by handcuffs, blindfolded and gagged as part of their regular sexual activity. The term of five years' imprisonment was reduced to three and a half years because of the terrifying threats made by a man determined to dominate and control the defendant's life. The threats created a genuine fear for the safety of herself and more significantly, her daughter, and this caused the defendant to lose control and make the ferocious attack.^[23]

In HM's AG for Jersey v Holley (2005) 3 AER 371, the Privy Council regarded the Court of Appeal precedent in Smith^[24] as wrongly decided, interpreting the Act as setting a purely objective standard. Thus, although the accused's characteristics were to be taken into account when assessing the gravity of the provocation, the standard of self-control to be expected was invariable except for the accused's age and sex. The defendant and the deceased both suffered from chronic alcoholism and had a violent and abusive relationship. The evidence was that the deceased was drunk and taunted him by telling him that she had sex with another man. The defendant then struck the deceased with an axe which was an accident of availability. Psychiatric evidence was that his consumption of alcohol was involuntary and that he suffered from a number of other psychiatric conditions which, independently of the effects of the alcohol, might have caused the loss of self-control and induced him to kill. Lord Nicholls said:

Whether the provocative acts or words and the defendant's response met the 'ordinary person' standard prescribed by the statute is the question the jury must consider, not the altogether looser question of whether, having regard to all the circumstances, the jury consider the loss of self-control was sufficient excusable. The statute does not leave each jury free to set whatever standard they consider appropriate in the circumstances by which to judge whether the defendant's conduct is 'excusable'.^[25]

Since the passage of the Coroners and Justice Act 2009, the defence of provocation—used in a number of the aforementioned cases—has been replaced with 'loss of control'.^[26]

The Law Commission Report on Partial Defences to Murder (2004) rejects the notion of creating a mitigatory defence to cover the use of excessive force in self-defence but accepts that the "all or nothing" effect of self-defence can produce unsatisfactory results in the case of murder.^[27]^{[clarification needed]}

Australia

In Australia, self-defence might be considered the most appropriate defence to a charge of murder for a woman who kills to protect her life or the lives of her children in a domestic violence context. It is about the rational act of a person who kills in order to save her (or his) own life.^[28] But the lack of success in raising self-defence in Australia for battered women has meant that provocation has been the main focus of the courts.^[29] In 2005, based on the Victorian Law Reform Commission's Defences to Homicide: Final Report,^[30] the Victorian government announced changes to the homicide laws in that jurisdiction, which are intended to address this perceived imbalance. Under the new laws, victims of family violence will be able to put evidence of their abuse before the court as part of their defence, and argue self-defence even in the absence of an immediate threat, and where the response of killing involved greater force than the threatened harm.^[31]

Canada

In 1911 in Sault Ste. Marie, Angelina Napolitano, a 28-year-old, pregnant immigrant, killed her abusive husband Pietro with an axe after he tried to force her into prostitution.^[32] She confessed and was sentenced to hang after a brief trial, but during the delay before the sentence was carried out (a delay necessary to allow her to give birth to her child), a public campaign for her release began.^[33] Napolitano's supporters argued that the judge in the case had been wrong to throw out evidence of her long-standing abuse at Pietro's hands (including an incident five months before when he stabbed her nine times with a pocket knife).^[33] The federal cabinet eventually commuted her sentence to life imprisonment.^[33] She was the first woman in Canada to use the battered woman defense on a murder charge.^[34]

The Supreme Court of Canada set a precedent for the use of the battered women defence in the 1990 case of R. v. Lavallee.

New Zealand

In R v Fate (1998) 16 CRNZ 88 a woman who had come to New Zealand from the small island of Nanumea, which is part of the Tuvalu Islands, received a two-year sentence for manslaughter by provocation. Mrs. Fate spoke no English and was isolated within a small close-knit Wellington community of 12 families, so she felt trapped in the abusive relationship.^[35]

Similarly, The Queen v Epifania Suluape (2002) NZCA 6, deals with a wife who pleaded provocation after she killed her husband with an axe when he proposed to leave her for another woman. There was some evidence of neglect, humiliation, and abuse but the court concluded that this was exaggerated. On appeal, the court was very conscious of the Samoan culture in New Zealand in restricting the power of the wife to act independently of her husband and reduced her sentence for manslaughter to five years.^[36]

A report of the New Zealand Law Commission examines not only violence by men against women, but also violence by women against men and in same-sex relationships.^[37]

United States

In 1994, as part of the Violence Against Women Act, the United States Congress ordered an investigation into the role of battered woman syndrome expert testimony in the courts to determine its validity and usefulness. In 1997, they published the report of their investigation, titled The Validity and Use of Evidence Concerning Battering and Its Effects in Criminal Trials. "The federal report ultimately rejected all terminology related to the battered woman syndrome...noting that these terms were 'no longer useful or appropriate'" (Rothenberg, "Social Change", 782).^[38] Instead of using the term "battered woman", the terminology "battering and its effects" became acceptable. The decision to change this terminology was based on a changing body of research indicating there is more than one pattern to battering and a more inclusive definition more accurately represented the realities of domestic violence.

References

^ "battered-person syndrome legal definition". LoveToKnow, Corp. Retrieved 2013-06-26.
^ Walker, Lenore E. (1979). The Battered Woman. New York: Harper and Row.
^ "ICD-9-CM: International Classification of Diseases, 9th revision; Clinical Modification, 6th edition, 2006 / Practice Management Information Corporation (PMIC). Published Los Angeles, CA : PMIC, C2005". icd9.chrisendres.com.
^ "Online ICD9/ICD9CM codes".
^ Roth D. L. & Coles E. M. (1995). "Battered woman syndrome: a conceptual analysis of its status vis a vis DSM-IV mental disorders". Medicine and Law. Vol. 14(7–8): pp. 641–658.
^ Dr. Joan McClennen PhD. (8 February 2010). Social Work and Family Violence: Theories, Assessment, and Intervention. Springer Publishing Company. p. 151. ISBN 978-0-8261-1133-3.
^ WALKER, L. E. (2006), Battered Woman Syndrome. Annals of the New York Academy of Sciences, 1087: 142–157. doi:10.1196/annals.1385.023
^ Walker, 1979.
^ Walker, 1979
^ Battered women as survivors: An alternative to treating learned helplessness. Gondolf, Edward W.; Fisher, Ellen R. Lexington, MA, England: Lexington Books/D. C. Heath and Com. (1988).
^ Gondolf, Edward. "Service Barriers for Battered Women With Male Partners in Batterer Programs". J Interpers Violence February 2002 vol. 17 no. 2 217–227.
^ ^a ^b Connelly, Clare (2010). "Commentary on Attorney-General for Jersey v Holley". In Hunter, Rosemary; McGlynn, Clare; Rackley, Erica (eds.). Feminist Judgments: From Theory to Practice. Oxford: Hart Publishing. pp. (292–310), 292.
^ ^a ^b Bottomley, Anne (1996). Feminist Perspectives on The Foundational Subjects of Law. London: Cavendish Publishing. p. 201.
^ Magrath, Paul (3 August 1992). "Law Report: Classic direction to jury on provocation defence upheld: R v Ahluwalia". The Independent.
^ Ying Hui Tan (11 July 1995). "Abnormal traits relevant to provocation", The Independent.
^ Mills, Heather (30 May 1996). "Trial forced plight of battered wives into the open". The Independent.
^ Dutton, Mary Ann. "Critique of the 'Battered Woman Syndrome' Model". aaets.org. Retrieved 2011-05-13.
^ Downs, Donald A. "Battered Woman Syndrome: Tool of Justice or False Hope in Defense Cases?" in Current Controversies on Family Violence. Eds. Donileen R. Loseke, Richard J. Gelles, and Mary M. Cavanaugh, Sage Publications, 2005.
^ Rothenberg, Bess. We Don't have Time for Social Change Cultural Compromise and the Battered Woman Syndrome". Gender & Society October 2003 vol. 17 no. 5 771-787.
^ Noh, Marianne; Lo, Celia. "Medicalization of the Battered Woman: A Historical-Social Construction of the Battered Woman Syndrome (Paper presented at the annual meeting of the American Sociological Association, Atlanta Hilton Hotel, Atlanta, GA (August 16, 2003)". Retrieved 2011-05-13.
^ R v Ahluwalia (1992) 4 AER 889.
^ R v Thornton (No 2) (1996) 2 AER 1023.
^ R v Charlton (2003) EWCA Crim 415.
^ R v Smith (Morgan) [1998] The Times, 29 July 1998.
^ HM's AG for Jersey v Holley (2005) 3 AER 371.
^ Mitchell, Barry (2012). "Years of Provocation, Followed by a Loss of Control". Principles and Values in Criminal Law and Criminal Justice: Essays in Honour of Andrew Ashworth. pp. 113–132. doi:10.1093/acprof:oso/9780199696796.003.0008. ISBN 978-0-19-969679-6.
^ The Law Commission Report on Partial Defences to Murder (2004), Part 4 (pp. 78-86).]
^ See Osland v The Queen [1998] HCA 75 (10 December 1998), High Court (Australia). Cf R v Lavallee [1990] 1 SCR 852 [1]
^ See Battered Women and Self Defence found at "Archived copy". Archived from the original on 2005-07-19. Retrieved 2006-01-17.{{cite web}}: CS1 maint: archived copy as title (link)).
^ Victorian Law Reform Commission's Defences to Homicide: Final Report, found at Victorian Law Reform Commission's Defences to Homicide: Final Report Archived December 30, 2005, at the Wayback Machine
^ The Age article.
^ Platinum Image Film press release New Film About Italian Immigrant, March 13, 2006. Accessed June, 2008 via A Guide to Women in Canadian History
^ ^a ^b ^c Iacovetta, Franca (2005). "Napolitano (Neapolitano), Angelina". In Cook, Ramsay; Bélanger, Réal (eds.). Dictionary of Canadian Biography. Vol. XV (1921–1930) (online ed.). University of Toronto Press.
^ I just killed a pig by David Helwig. SooToday.com, May 06, 2004. Online version accessed June, 2008.
^ R v Fate (1998) 16 CRNZ 88.
^ The Queen v Epifania Suluape (2002) NZCA 6(21 February 2002)
^ Report of the New Zealand Law Commission on Some Criminal Defences with Particular Reference to Battered Defendants, report 73 (May 2001) found at New Zealand Law Commission Archived September 28, 2007, at the Wayback Machine
^ Rothenberg, Bess. "'We Don't Have Time for Social Change’ Cultural Compromise and the Battered Woman Syndrome". Gender and Society, Oct. 2003:771-87.