
L. Kevin HambergerMedical College of Wisconsin | MCW · Department of Family and Community Medicine
L. Kevin Hamberger
Ph.D.
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128
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Introduction
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August 1982 - present
Publications
Publications (128)
Objectives:
To analyze the association between social determinants of health (SDOH), as measured by the Area Deprivation Index (ADI), and the severity of injury and types of domestic violence (DV) victimization among women (≥18 years of age) in Milwaukee, Wisconsin.
Methods:
Neighborhood ADI data from the American Community Survey (2014-2018) we...
Handbook of Interpersonal Violence Across the Lifespan is an official publication of the National Partnership to End Interpersonal Violence Across the Lifespan (NPEIV). It is a comprehensive state-of-the-science reference work for researchers, practitioners, and policy makers. It is written from a trauma-informed perspective, and utilizes adverse c...
Opioid use disorder (OUD) disproportionately
affects military Veterans, who are more likely
than the general population to experience chronic
pain. A community–academic partnership
launched a community-engaged research (CEnR)
project designed to train Veteran peer mentor
specialists to prevent and reduce opioid abuse
among Veterans. A series of foc...
This toolkit is designed for anyone who would like to adopt community engaged practices to the fields of substance abuse, addiction recovery,
or trauma-informed care. This toolkit uses peer mentoring as a successful model for intervention and prevention. Support for this project was provided by Clinical Scholars, a national leadership program suppo...
Opioid use disorder (OUD) disproportionately affects military Veterans who are more likely than the general population to experience chronic pain. A community-academic partnership launched a community engaged research (CEnR) project designed to train Veteran peer mentor specialists to prevent and reduce opioid abuse among Veterans. The Milwaukee Pr...
Intimate partner violence (IPV) is a serious problem that has profound effects on the victim, the perpetrator, other family members, and society. This chapter describes research that has been conducted on the role of antisocial spectrum disorders in the expression of IPV, including psychopathy where relevant; the dynamics of the domestically violen...
In conducting research with a vulnerable population, researchers must assure that benefits of research outweigh costs. The present study qualitatively examined intimate partner violence (IPV) survivors’ experiences of participating in an 18-month, longitudinal study of IPV screening and intervention within a primary healthcare setting. A structured...
Chronic stress stemming from trauma exposure and posttraumatic stress disorder (PTSD) leads to many health problems that are typically seen by primary care providers. Unfortunately, providers rarely identify trauma as the root cause of patient difficulties. The present paper provides an evidence-based rationale for implementing trauma-informed care...
Handbook of Interpersonal Violence Across the Lifespan is a comprehensive state-of-the-science reference work for researchers, practitioners, and policy makers. It is written from a trauma-informed perspective, and utilizes adverse childhood experiences research as its basic developmental framework along with the traumatic effects all forms of inte...
The construct of coercive control has been central to many conceptualizations of intimate partner violence (IPV), yet there is widespread inconsistency in the literature regarding how this construct is defined and measured. This article provides a comprehensive literature review on coercive control in regards to conceptualizations, definitions, ope...
The concept of gender symmetry in intimate partner violence (IPV) may be an artifact of three factors. 1) Methodology: Subject recruitment frequently excludes clinical samples. Cross-sectional designs negate the ability to evaluate recidivism and do not account for women?s greater likelihood of leaving violent relationships. 2) Narrow Focus: Resear...
The present paper reviews literature on gender differences in the perpetration, motivation, and impact of intimate partner violence (IPV) in clinical samples published between 2002 and 2013 to update and extend a previous review by Hamberger (Violence & Victims, 20, 131-151, 2005). Results showed that women are likely to incur more costs related to...
The present paper reviews literature published between 2002 and 2013 regarding gender differences in the perpetration, motivation, and impact of intimate partner violence (IPV) in clinical samples in order to update and extend a previous review by Hamberger (2005). Results showed that although both women and men are active participants in acts of p...
We examined the association between neighborhood-level factors and intimate partner femicide (IPF) using Wisconsin Violent Death Reporting System (WVDRS) data and Wisconsin Coalition Against Domestic Violence (WCADV) reports, in concert with neighborhood-level information. After controlling for individual characteristics, neighborhood-level disadva...
We examined the association between neighborhood-level factors and intimate partner femicide (IPF) using Wisconsin Violent Death Reporting System (WVDRS) data and Wisconsin Coalition Against Domestic Violence (WCADV) reports, in concert with neighborhood-level information. After controlling for individual characteristics, neighborhood-level disadva...
Abstract Among the barriers to routine screening for intimate partner violence (IPV) are time constraints, a lack of protocols and policies, and departmental philosophies of care that may conflict with IPV screening recommendations. To address these barriers, systems-level interventions are needed; in this article, we describe one model that may ov...
In their paper, Burge et al. (see record 2014-23812-001) describe an innovative methodology for studying real-time antecedents to intimate partner violence (IPV), as well as the methods employed to ensure the safety of research participants. Over a 12-week timespan, 200 women in moderately violent relationships were asked to make daily phone calls,...
Using an 18-month longitudinal follow-up of women receiving healthcare at intervention clinics compared to control clinics, the present study tested four hypotheses related to the effectiveness of a systems change intervention on intimate partner violence (IPV) inquiry, violence reduction and the health and wellbeing of women patients in family med...
Intimate partner violence (IPV) is an important global public health problem, affecting women across the life span and increasing risk for a number of unfavorable health outcomes. Typically conceptualized as a private form of violence, most research has focused on individual-level risk markers. Recently, more scholarly attention has been paid to th...
There is a great need to demonstrate sustained improvement in healthcare-based inquiry, intervention, and prevention provided to patients exposed to intimate partner violence (IPV). We evaluated implementation of the Healthcare Can Change from Within model (HCCW) in three primary care clinics and an emergency department within a large healthcare sy...
A growing body of work examines the association between neighborhood environment and intimate partner violence (IPV). As in the larger literature examining the influence of place context on health, rural settings are understudied and urban and rural residential environments are rarely compared. In addition, despite increased attention to the linkag...
We investigated the impact of a prompt on patient records reminding physicians to inquire about intimate partner violence (IPV) during a complete history and physical examination. During the baseline, education-only period, 2% of women patients had documented domestic violence inquiry. Following addition of the chart prompt, 92% of women received d...
In the last 20 years, research has emerged that suggests that women may be violent in intimate relationships. This article describes a qualitative study focusing on women who were classified as dominant aggressors of violence in their intimate relationships. Ten subjects participated in a detailed clinical interview and completed five written measu...
Intimate partner violence is a challenging problem that health professionals encounter on a daily basis. This volume thoroughly compiles the current knowledge and health science and provides a strong foundation for students, educators, clinicians, and researchers on prevention, assessment, and intervention.
Intimate partner violence is a challenging problem that health professionals encounter on a daily basis. This volume thoroughly compiles the current knowledge and health science and provides a strong foundation for students, educators, clinicians, and researchers on prevention, assessment, and intervention.
Intimate partner violence-assault by a spouse, ex-spouse, intimate friend or ex-friend-is the most common cause of injury for women and a serious public health problem. As a result, the American Medical Association has recognized physicians' ethical obligation to diagnose and treat partner violence, and called for new models of training. In this ar...
The problem of partner violence has assumed a level of importance in the field of medicine only within the past 5 to 10 years. Impetus for this increased interest lies with strong leadership from two previous surgeons general. Another source of impetus is a growing research body which clearly shows that violence, especially partner violence, (a) is...
It is well accepted that large numbers of men batter women. Although some data also reveal that women report assaulting men in large numbers, interpretation of the latter data has been fraught with controversy. The present article reports on a sample of women arrested for domestic violence. When questions were asked about frequency of violence init...
Health care providers and patients agree that domestic violence presents a serious health issue that falls within the purview of medical care. The patient-physician encounter has the potential to assist domestic violence victims in considering their options of living without violence and playing a critical role in preventing future violence. Despit...
The past 2.5 decades have seen explosive growth in research and practice in the area of intimate partner violence (IPV), especially of perpetrators. In the present paper, the author reflects on his observations of key developments in the field and examines research that has increased our understanding of batterers, who they are, and how we might be...
The past 2 ½ decades have witnessed explosive growth in research and practice in the area of intimate partner violence, especially regarding perpetrators. The author reflects on his observations of key community and systemic developments in the field of research and treatment with batterers. The author examines systemic changes that have facilitate...
There is an increasing emphasis on teaching community-responsive care and population health in medical education. This focus requires a multidimensional perspective on community health that examines the determinants, ranges, and variations of health status and disease in the community as a whole.
The Department of Family and Community Medicine at t...
The present study evaluated racial differences in battered women’s experiences and preferences for treatment from physicians
when seeking help for abuse-related issues. Prior research revealed unexpected findings that African American women rated
certain physician behaviors related to victim blaming and expression of sympathy for the male partner l...
Medical schools and postgraduate residency programs have largely included intimate partner violence (IPV) in their curricula. There is presently disagreement on the optimal model for implementing such training and the amount of time to be devoted to IPV. There is considerable overlap in the general content and teaching methods that focus on enhanci...
Transactional Context of Partner Violence: Domestic violence is a transaction between perpetrator and victim. It is defined not only by the perpetration of violence and abuse, but the fact that it occurs in an interpersonal relationship in which both parties actively participate. As such, the violence perpetrated is construed in more psychological...
The present study assesses barriers to identification and referral of domestic violence (DV) victims by staff at a health care institution following a 3-hr DV training program in which 752 health care providers participated. Focus groups are conducted with staff in hospital departments that serve a high volume of women. Responses to focus group que...
Researchers in the field of domestic violence have derived “typologies” to better conceptualize the differences found among
batterers (e.g., Holtzworth-Monroe and Stuart [1994]. Psychol. Bull. 116: 476–497). Efforts have since been made to evaluate clinicians' accuracy in classifying batterers into subtypes (Langhinrichsen-Rohling,
Huss, and Ramsey...
This study examined behavioral and emotional responses to partner-initiated violence reported by men and women court-ordered to domestic violence counseling. Respondents provided Likert-type ratings of behavioral and emotional responses to their partners' initiated violence. Cluster
analysis to determine heterogeneity of emotional and behavioral re...
This study examined behavioral and emotional responses to partner-initiated violence reported by men and women court-ordered to domestic violence counseling. Respondents provided Likert-type ratings of behavioral and emotional responses to their partners' initiated violence. Cluster analysis to determine heterogeneity of emotional and behavioral re...
Early research with nationally representative samples suggested that women reported initiating violence as often as men. Such research has been criticized as focusing only on participation rates, and not assessing gender differences in impact, context, and motivation for using partner violence. Furthermore, research with nationally representative s...
Gender differences among a cohort of injured patients seeking emergency medical services were examined with respect to their experiences as perpetrators and/or victims of domestic violence. Contextual issues, including violence initiation, emotional and behavioral responses to partner-initiated
violence, and injury frequency and severity were analy...
For patients with complex, multisystem chronic illness, traditional models of care that emphasize diagnosis, prescription, and cure are inadequate. The complexities of such conditions require coordinated work with other specialists. The authors argue in this article that providing optimal health care for management of psychosocial and behavioral he...
This handbook is designed to be a toolbox of quickly accessible clinical resources for the psychologist working in primary care settings. The Handbook will help codify the newly established role of the primary care psychologist by providing clinicians with background knowledge of the primary care system, orienting frameworks for practice, overviews...
This study tested four hypotheses about the impact of a 3-h domestic violence training program with 752 health care providers on attitudes and values related to screening and helping partner violence victims. Hypotheses 1, 2, and 3 were that training would be related to: 1) increased self-efficacy to identify and help partner violence victims, 2) i...
Physicians play a key part in society's response to violence against women. Their professional role affords them the opportunity to talk privately with women, identify victims of abuse, and offer support. However physicians' own history of victimization may undermine their ability to assist battered women. We used an anonymous, self-report survey t...
Experiences and impact of intimate partner violence on men and women court ordered to attend abuse abatement counseling and women in a shelter were examined. Whereas court-ordered men and women appeared similar in expressed violent acts, violence frequency, and injurious outcome, court-ordered women initiated significantly fewer violent episodes th...
The movement among states to promulgate, publish, and implement treatment standards for programs and providers of treatment for men who batter has gained increasing momentum in recent years. This movement, in turn, has created controversy. On the one hand, there are those who view the process of standards development, as well as the products, as es...
This study evaluated predictors of dropout among men who began and attended at least 1 session of a cognitive-behavioral, skills training oriented spouse abuse abatement counseling program. Based on prior research, a number of demographic, criminal justice, partner violence pattern, and personality characteristics were studied. Dropout prediction w...
Effective research and intervention into family violence require interdisciplinary collaboration between professionals in traditional research settings and grass-roots community leaders and advocates. Such interdisciplinary collaboration is frequently difficult. We identify a number of potential barriers to effective collaboration between academic...
Clients seen by therapists sometimes request the release of complete copies of their records to assist them with a variety of problems ranging from personal injury lawsuits, child custody litigation, criminal defense, and other issues. Because clients frequently do not know the contents of their records, release of complete mental health records of...
Interventions with men who batter their partners pose characteristic challenges to the therapist. It is difficult to assess the extent and actual ramifications of the abuse problem. Clients may be reluctant, having been court-ordered into treatment; they tend to minimize, deny, and externalize responsibility for their actions. The physical well-bei...
Programs that train health professionals to identify and treat battered women have not previously incorporated systematically obtained advice from battered women to guide physician behavior.
To survey battered women to (1) rate the desirability of specific physician behaviors, (2) describe their actual experiences with physicians while seeking abus...
Dating violence presents many challenges to pediatric health care providers. It spans an age range from early high school to early adult years. Prevalence of dating violence appears to be greater than for violence among married couples. In addition, both males and females appear to be at risk for perpetration and victimization. Therefore, physician...
PIP
This study evaluates gender differences in self-reported motivations for use of violence. It was hypothesized that men would report motivations related to themes of domination and control, while women would report motivations related to self-defense or retaliation. Overall, the findings suggest more differences than similarities in the type of...
Violence toward women has been declared a public health epidemic. To date, research on battered women in medical settings has focused primarily on incidence and prevalence and on identification of risk markers. Such research also has elucidated low rates of battered women identified in medical settings, as well as barriers to such identification. M...
A few common threads emerge from these studies, and some are similar to observations made in the review of the other studies given previously. Experience with violence in the family of origin, both direct and witnessed, seems to be related to the incidence of domestic violence, and violence severity, as well as to a willingness to enter and remain...
Treatment of men who batter their partners has proliferated over the past 20 years. Cognitive behavioral treatment approaches are well-suited to violence abatement treatment applications. Such approaches provide both a philosophical and skills-based foundation for violence abatement. Philosophically, cognitive behavioral approaches place behavioral...
Partner violence is an epidemic with serious medical and psychological consequences. While victims frequently seek medical and psychological help, they rarely, if ever, disclose victimization as a presenting problem. Conversely, health care professionals, including psychologists, rarely ask about violence or provide appropriate help when violence i...
Although partner violence is a common source of injury for women, physicians and female patients rarely discuss this problem. We outline a systematic approach to clinical practice that includes screening, case finding, intervention, and changes in the office environment. The clinician can begin to address partner violence by artfully applying these...
Research and understanding of parner violence among gay male couples are currently in rudimentary form. Gay male domestic violence must be analyzed and understood at multiple levels. A sociopolitical analysis includes naming the problem while coordinating efforts with domestic violence programs in the heterosexual community. Specific remedies inclu...
A number of studies have described typologies of domestically violent men. Holtzworth-Munroe and Stuart (1994) recently proposed a theoretical model for predicting violence severity and generality from personality "type." The present study, using data from 833 identified abusive men, tested the model. Personality types were determined from cluster...
Domestic violence against women occurs within and across all socioeconomic, demographic, and geographic regions of the United States. Many of the dynamics related to domestic violence, and which trap women in violent relationships, also cross these boundaries. These dynamics include societal and community attitudes toward violence, isolation, fear...
Personality characteristics of 99 domestically violent and 71 nonviolent men were studied, using the Millon Clinical Multiaxial Inventory and controlling for premorbid history. Men with poor premorbid backgrounds from 3 groups (ns = 66, 12, and 23) showed more elevations on the Millon inventory than men with good premorbid backgrounds (ns = 33, 20,...
With increasing emphasis in recent years on mandatory arrest for partner violence, there has been a concomitant increase in the number of females arrested for assaulting their partners. The present paper describes the process one community experienced to understand and appropriately intervene with women who had been arrested for domestic violence a...
[discuss] 3 main areas of [cognitive-behavioral] crisis management in the treatment of partner violence / (1) understanding and intervening in the general crisis, broadly defined, of ongoing (or past) violence in a relationship / (2) the immediate, acute crisis involved when a perpetrator or victim calls for help in a situation with imminent potent...
To identify demographic and health indicators of domestic violence.
Anonymous questionnaire survey of patients regarding violence and a chart review regarding symptoms and diagnoses.
Community-based family practice residency training center in a midwestern city.
Women 18 years of age or older visiting the center over a 2-month period in 1990. Of 47...
National surveys show that each year in the United States approximately 2 million women are battered by their husbands. Only a small percentage of these women are identified by physicians. The objective of this research was to determine the incidence and prevalence of spouse abuse among women seeking health care in a family practice clinic (or sett...
In this study, we extended previous research on racial differences on the Millon Clinical Multiaxial Inventory (MCMI) which focused on psychiatric inpatients. Subscale scores were compared for Black and White outpatient males on the MCMI. Age, education, and employment status were controlled. Results showed that Blacks scored significantly higher t...
This study assessed 87 maritally violent men (MV), 42 maritally nonviolent, maritally discordant men (NVD), and 48 maritally nonviolent, maritally satisfied men (NVS) on the California Psychological Inventory (CPI), a test of the normal personality. A MANOVA and subsequent range tests indicated that the NVD and NVS groups had significantly higher s...
This study assessed 87 maritally violent men (MV), 42 maritally nonviolent, maritally discordant men (NVD), and 48 maritally nonviolent, maritally satisfied men (NVS) on the California Psychological Inventory (CPI), a test of the normal personality. A MANOVA and subsequent range tests indicated that the NVD and NVS groups had significantly higher s...
The present study investigated personality and family-of-origin differences among three groups of domestically violent men and a nonviolent comparison group, matched for age and education. The domestic violence groups consisted of male batterers referred for treatment (agency identified batterers) who were alcoholic (n=38) or nonalcoholic (n=61), a...
Research attention on men who batter their female partners has focused on psychological and personality characteristics of the men. However, occupational status, educational attainment, and abuse history may have been confounded with the personality variables studied. This study made within-group and between-group comparisons of batterers and nonba...