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Revista Latinoamericana de Bioética
Print version ISSN 1657-4702
Abstract
BOLANOS CEBALLOS, Fernando and HERNANDEZ CASTREJON, Ariadna. Effectiveness of Interventions in Intimate Partner Violence and Ethics. rev.latinoam.bioet. [online]. 2018, vol.18, n.2, pp.33-61. ISSN 1657-4702. https://doi.org/10.18359/rlbi.3380.
This article intends to identify methodological problems in studying the effectiveness of Cognitive Behavior Therapy (CBT)-based interventions for men who abuse their female partners and who voluntarily attend treatment. Using the systematic review method, only one study was found that met the specified criteria but had significant methodological limitations. Subsequently, a comparison was made with two other assessments to identify explanations for such limitations and the poor conduct of these studies. We corroborated that studies are scarce, and their evidence is of moderate or low quality; thus, it is not possible to draw conclusions on their effectiveness. There are theoretical-methodological challenges in the design and implementation of these interventions that increase the probability of negative outcomes when evaluated based on experimental designs as an ideal parameter. We identified assessments of treatment effect from an experimental logic and multidisciplinary works that evaluate particular aspects of the program. There are theoretical-methodological problems in interventions and the assessment of effectiveness, arising from the standards of programs with a "restricted view," and in studies with experimental designs as an ideal parameter to know the impact of interventions. It is necessary to include these debates in the ethical discussion of public health.
Keywords : cognitive therapy; effectiveness; ethics; intimate partner violence; men; public health.