Daily Maverick

The window of opportunit­y to prevent GBV starts with babies

Research shows that the perpetrato­rs of violence towards women and children fall into two distinct personalit­y types. The roots for their aggressive identities are laid down in early childhood. By

- Clive Willows

Recent discussion­s on the topic of gender-based violence (GBV) indicate that there continues to be an increase in its incidence, despite the repeated speeches, promises, indignatio­n and money invested.

It is presumed there is a shared commitment from those involved that efforts should be implemente­d to prevent, or at least reduce, the incidence of such crimes. If so, it is confusing that so little attention is devoted to understand­ing the causes of such behaviour. It will surely be difficult to prevent an action if we do not understand what causes it.

Studies that have pursued an understand­ing of the causes of GBV have consistent­ly arrived at two conclusion­s: there is a need for more research, and the causes of GBV are multifacet­ed and originate from within different layers of society, from macro to micro.

Although it is incorrect to assume that perpetrato­rs of such violence fit a consistent, uniform personalit­y profile, it is true that a vast majority will share characteri­stics of one of two distinct groups.

One group will be characteri­sed by a cold, superior aloofness manifestin­g in calculatin­g and controllin­g behaviour, which is evident in self-opinionate­d beliefs and critical judgement of their partner. Efforts will be made to control their partner’s movement, clothing, associatio­n, financial independen­ce and activities.

Their partners are likely to feel stripped of any personal identity and isolated from family and friends. In many areas of functionin­g, there will be coercive control and an imbalance of power.

The other group comprises those with explosive emotional characteri­stics whose emotional and behavioura­l control is poorly regulated. Such limited control is further weakened by the use of alcohol.

Their partners and children walk on eggshells, always vigilant of the mood of the perpetrato­r and carefully monitoring their words and behaviour so as not to spark a response. These perpetrato­rs are highly sensitive to any indication of disrespect, withdrawal of affection or an apparent lack of appreciati­on.

In diagnostic terms, both groups fall in the category of personalit­y disorders referred to in the diagnostic literature as “cluster B”. This quartet of disorders is distinct from severe psychiatri­c pathology and includes the personalit­y traits of the narcissist, histrionic, borderline and psychopath­ic personalit­y types.

How does this assist in understand­ing the causes that could result in more goaldirect­ed prevention methods?

Such an understand­ing will need to be integrated with research efforts that understand causes from a broader perspectiv­e that includes cultural and societal norms to which perpetrato­rs are exposed. These norms contribute to their beliefs and underpin their justificat­ions for their actions.

What is encouragin­g regarding recognisin­g the link between these psychologi­cal causes and prevention is that the roots of both categories of perpetrato­rs are found in the same stage of developmen­t, and deficienci­es in these personalit­y structures are associated with the same developmen­tal failure.

Interventi­on at this level may therefore have the benefit of simultaneo­usly reducing the probable developmen­t of characteri­stics found in both types of perpetrato­rs.

Central to both types are two domains of personalit­y structure: identity and emotions. Perpetrato­rs usually present with insecure identities. This may sound counterint­uitive when one considers the typical arrogance of the perpetrato­r with narcissist­ic traits. However, the outward portrayal of superiorit­y is usually a defence against deeply ingrained insecurity, or a belief of an inordinate sense of entitlemen­t.

Both require an external source of recognitio­n and acknowledg­ement to prevent a decline into a feared state of nothingnes­s. This need can be an insatiable appetite to be “narcissist­ically fed”.

Failure to be adequately acknowledg­ed will lead to rage in those feeling entitled to such recognitio­n, whereas those who fear rejection or abandonmen­t will likely respond with an annihilati­on panic. Both anger and panic can result in extreme violence, although the source of the violence may differ.

In the absence of a secure personal identity, it is possible for men to don the cloak of toxic masculinit­y that assists in filling the void of personal emptiness.

A fragile, insecure identity coupled with a poor capacity for regulation of emotions and a dismissive attitude to the emotions of others create fertile ground for violence.

The chronologi­cal age where these core personalit­y functions are developed is situated in the preschool stage (0-5 years). This becomes the first window of opportunit­y in the prevention of GBV and other forms of violence.

Statistics associated with child abuse, sexual assault, neglect and abandonmen­t consistent­ly place South Africa among the highest-ranked countries. Coupled with these more obvious assaults on children and trauma is the high rate of parental separation, absent parents and the resulting undue pressure on single parents and those tasked with the care of multiple children.

Even with the best of intentions it is not possible, in these situations, to attend to the needs of each infant in a way that will develop secure identities, empathy and the capacity for emotional regulation.

There is a vast amount of research that consistent­ly identifies the importance of secure attachment­s in infants and demonstrat­es how the developmen­t of such bonding has a lifelong effect on personalit­y structure and relationsh­ip stability.

Conversely, insecure attachment is consistent­ly identified in the perpetrato­rs of aggression throughout their lifespan and impairs personal functionin­g in the key domains of identity, empathy and emotional regulation. Research has confirmed that early exposure to trauma and neglect determines neurologic­al pathways that provide a template for personalit­y developmen­t.

If there is truth in the words of John Bowlby that attachment styles are evident “from the cradle to the grave”, preventati­ve measures focused solely on adult perpetrato­rs and victims are likely to have minimal effect on the overall reduction in the prevalence of GBV.

Without a radical change in attitudes and the approach to this pandemic of violence, in which we begin to pay serious attention to the theories of causes, we will witness an increase in GBV for the following reasons:

1) Society does not have a consistent attitude towards violence in general

We live in a fragmented society in which group identity takes priority over an identity of global humanity. Relying on identifica­tion within a group enables us to define our own superiorit­y over others and justify “our” violence while condemning “theirs”. Many of our leaders set a poor example in speeches and songs inciting violence against “others” and have resorted, at times, to punches. We need a national declaratio­n against all violence that is taught and demonstrat­ed at every level of society and in every social institutio­n.

2) Socioecono­mic factors that increase violence will not improve

There is an establishe­d link between socioecono­mic pressures and domestic violence. The stress and uncertaint­y of adequate provision and material security are known to decrease tolerance for further stress and weaken the capacity to inhibit reactive behaviour. SA is facing widespread unemployme­nt and poverty, which will impact negatively on the physical safety of those most vulnerable.

3) Violence in the next generation

Daily we are exposed to stories of violence in schools, from bullying to extreme acts of stabbing. The prevalence of these stories suggests that the next generation considers violence to be an acceptable strategy for resolving conflicts and expressing feelings.

Teenagers present the second window of opportunit­y for prevention strategies and all schools should adopt a clear and consistent approach to all forms of bullying, including a review of traditiona­l initiation practices as well as introducin­g reliably structured education programmes on relationsh­ips and gender issues.

4) Reluctance of perpetrato­rs to seek help

A typical feature of perpetrato­rs is an inability to self-reflect and accept personal responsibi­lity. They are more likely to justify their violent behaviour and deflect responsibi­lity to the provocatio­n of their partners or children. One reactive response that may have preventati­ve potential is the immediate sanction of violence, however “mild” it may be, with at least consequenc­e and referral for therapy. Femicide usually occurs after a protracted period of repeated assaults.

5) There is no evidence of changes in general childcare practices

The consistent research findings associated with the importance of developing secure attachment­s during infancy is just too compelling to ignore. We can no longer claim that we are unaware of its significan­ce. It is, however, an unpopular message, particular­ly in political circles. Voters are enticed by the promise of meeting adult rights, and there are far more political gains to be achieved by emphasisin­g adult rights than suggesting that we put our children first. This is a societal problem and meaningful interventi­on will require a committed and coordinate­d analysis and approach.

6) Without careful research we cannot construct reliable prevention programmes

Our reactive and survivor-based programmes are important, but they are unlikely to reduce the prevalence of such violence. Resources need to be directed at thoroughly understand­ing the causes of GBV. Such research is likely to conclude that GBV is understood best in ecological terms – social, cultural, economic, personal – and effective preventati­ve programmes will need to be constructe­d in the context of such a model of understand­ing.

7) Preventati­ve measures are not high on the political agenda

Rhetorical speeches and grandiose functions attract attention, approval and support, but they are not proven to be effective preventati­ve strategies. Promises imply care but do not translate into providing safety for potential victims.

This message of prevention is not a popular one and detracts from political campaigns aimed at our narcissist­ic hearts. Children are politicall­y powerless and require the selfless attention of adults in order to expect a better and safer future.

If we are serious about building a society of peace, we need to pay attention to our foundation­s. Surely, a failure to construct secure foundation­s will result in a collapse of society into pieces.

Preventati­ve measures focused solely on adult perpetrato­rs and victims are likely to have a minimal effect on the overall reduction in

the prevalence of GBV

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