The Inner Strength (IS) program (Graham-Kevan & Wilks-Riley, 2011) is a group-based, 26-session trauma-based therapeutic intervention, delivered in community settings or in prison, for people who have perpetrated partner abuse and often other forms of general violence. The intervention combines elements of dialectical behavioural therapy and mentalisation-based therapy with practical support and advocacy. This article synthesizes qualitative findings from the evaluation of the pilot version of IS in a highly deprived area of North East England. The intervention was delivered by a small team of social workers and police trained and supervised by an external clinician and coauthor of the intervention. As of June 2019, 34 individuals (31 men and 3 women) had completed the program in seven cohorts before the evaluation. Quantitative trends are reported in a separate article (redacted, forthcoming). The 34 names were randomized, and participants were contacted in order of randomization. Of the first 12 to be contacted, 10 agreed to take part in a face-to-face, semistructured interview. Next, participants’ motivation to enroll, engage in, and complete the intervention were explored. Eight of 10 interviewees were men whose primary motivation was their role as fathers and recognition of the need to change if they were to have access to and a relationship with their children. The primary motivation to engage in the intervention was a sense of trust in the practitioner developed in one-to-one sessions before the group intervention started, feeling accepted and safe within the group, acquiring skills in emotional regulation and mentalization, and the availability of practitioners after and between sessions. Participants who often felt shame in other settings experienced IS as a place of respite and valued a range of experiential learning techniques and the bonds formed with the group. Practitioners were available out of hours and postintervention to help participants apply new skills at times of crisis until the skills became habitual. These findings are congruent with two common factors across successful psychological treatment identified by Laska et al. (2014): the centrality of the therapeutic relationship and an intervention that matches the client’s needs.
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