Objectives:Coercive control (CC) represents a significant proportion of intimate partner violence (IPV) cases in the UK and globally. While theoretical models on CC exist, none so far includes a psychological perspective. As cognitive behavioural theory (CBT) has a robust evidence base as an IPV intervention for women survivors, it can also be used in the development of a psychological model for CC, from the perspective of survivors. Such a model may have utility as a psychotherapeutic formulation tool and providing training on psychological aspects and impact of CC to other professionals involved in survivors’ care.
Results:Six theoretical codes were developed: vulnerability factors (difficult childhood experiences, negative previous romantic relationships, and low self-esteem), cognitions (thoughts about worthlessness, isolation, being deserving of the abuse, confusion, hope, being treated unfairly, and suicidal ideation), affect (shame, fear, sadness, and anger), maintaining factors (perceived consequences of leaving, financial situation, low self-esteem, and social norms), behaviours (unhelpful coping strategies of dissociation, subjugation, avoidance, and substance misuse, and protective factors were spending time with loved ones, physical activity, and committing to career and interests), and impact (poor physical health, depression, anxiety, trauma, financial difficulties, and chronic mistrust).
Conclusions:The results of this study constitute a preliminary CBT model of women survivors’ experiences of CC. Further research is required to test and further develop the model, especially the vulnerability factors and mental health implications of experiencing CC.