With its focus on the connection between health and mental health symptoms, this seminal, groundbreaking work continues to forge new directions in the field of domestic violence. Describing a condition that is the basis for the battered woman defense--cited in cases of physically and psychologically abused women who have killed their abusers--it continues to be used as a defense to explain premeditated assault or murder. Completely updated, the fourth edition reflects the significant changes in the field since the book was last published, incorporating Affordable Care Act (ACA) guidelines on health care and domestic violence and data from the Adverse Childhood Experiences Study. It examines new research regarding battered women and cross-cultural and cross-national issues, and includes several new chapters addressing issues ranging from murder--suicide in domestic violence cases to proposed legislation and congressional resolutions.

The fourth edition provides new findings worldwide that reinforce the cycle theory of violence. It reflects new research on traumatic responses, and addresses trauma-informed and trauma-specific psychotherapy, interventions with youth in juvenile detention centers, information from government task forces regarding children exposed to violence and juvenile justice, and new findings regarding the application of psychology to the legal system. Entirely new to the fourth edition is a section about reforming family court and divorce presumptions. This is crucial reading for nearly all health and mental health workers who may be called upon to ask clients about experiences of domestic violence and must respond knowledgeably and effectively.

New to the Fourth Edition:

• Fully revised and updated
• Incorporates ACA guidelines on health care and domestic violence
• Includes data from the Adverse Childhood Experiences Study
• Addresses findings regarding battered women and cross-cultural and cross-national issuesNew chapter on murder--suicide in domestic violence cases


• New chapter on trauma treatment for victims of intimate partner violence (IPV)


• New chapter on human trafficking and sexual exploitation of children


• New chapter on false confessions of battered women