APA Citation
Iverson, K., Litwack, S., Pineles, S., Suvak, M., Vaughn, R., & Resick, P. (2013). Predictors of Intimate Partner Violence Revictimization: The Relative Impact of Distinct PTSD Symptoms, Dissociation, and Coping Strategies. *Journal of Traumatic Stress*, 26(1), 102-110. https://doi.org/10.1002/jts.21781
Summary
Researchers examined which factors predict revictimization—being abused again after leaving an abusive relationship. They found that PTSD symptoms, particularly emotional numbing and dissociation, increased revictimization risk. Women who used avoidant coping strategies were more likely to experience abuse again. The research illuminates how trauma responses themselves can inadvertently increase vulnerability to future abuse.
Why This Matters for Survivors
Understanding revictimization helps survivors protect themselves. If you've escaped one abusive relationship only to find yourself in another, this research explains why. PTSD symptoms—especially numbing and dissociation—can impair your ability to recognize danger signals. Understanding this mechanism helps you take protective steps rather than blaming yourself.
What This Research Establishes
PTSD symptoms predict revictimization. Women with PTSD, especially emotional numbing and dissociation, have higher risk of future abuse.
Emotional numbing impairs threat detection. When you can’t feel normally, warning signs that would trigger alarm may not register.
Dissociation increases vulnerability. Disconnecting from present experience can mean missing red flags.
Avoidant coping increases risk. Trying to avoid dealing with trauma prevents the processing and vigilance that would protect you.
Why This Matters for Survivors
Understanding your vulnerability. If you’ve escaped one abusive relationship only to enter another, this research explains why. It’s not about poor judgment—it’s about how trauma affects your ability to detect danger.
Not your fault. Revictimization results from trauma’s effects on the brain, not from character flaws or “choosing” bad partners. Understanding the mechanism shifts blame from you to the actual cause.
Targeted protection. Knowing that numbing and dissociation increase risk helps you take specific protective steps—being extra careful during numb periods, not making relationship decisions while dissociated.
Treatment reduces risk. Addressing PTSD symptoms through evidence-based treatment can reduce revictimization risk. This is another reason to seek trauma therapy.
Clinical Implications
Screen for revictimization history. In patients with abuse history, assess for multiple abusive relationships. This pattern suggests increased vulnerability.
Target specific symptoms. Address emotional numbing and dissociation specifically—these impair threat detection and increase risk.
Educate about risk. Help survivors understand why they may be vulnerable without inducing self-blame. Knowledge enables protection.
Encourage active coping. Help patients develop active coping strategies rather than avoidance. Address trauma rather than avoiding it.
How This Research Is Used in the Book
Iverson and colleagues’ work appears in chapters on revictimization:
“If you’ve escaped one abusive relationship only to find yourself in another, you may wonder what’s wrong with you. Iverson’s research provides an answer that has nothing to do with your worth: PTSD symptoms—especially emotional numbing and dissociation—impair your ability to detect danger. When you’re numb, warning signs that should trigger alarm don’t register. When you dissociate, you miss red flags you’d otherwise notice. Avoidant coping prevents the processing that would restore vigilance. This isn’t choosing bad partners; it’s trauma affecting your threat detection system. Understanding this helps you protect yourself: be especially careful during numb periods, don’t make relationship decisions while dissociated, seek trauma treatment. You’re not broken; your alarm system is temporarily impaired.”
Historical Context
Published in 2013, this study contributed to understanding revictimization—a phenomenon long noted but poorly explained. By identifying specific PTSD symptoms that increase risk, it informed both clinical treatment and prevention efforts.
Further Reading
- Classen, C.C., et al. (2005). Sexual revictimization: A review of the empirical literature. Trauma, Violence, & Abuse, 6(2), 103-129.
- Messman-Moore, T.L., & Long, P.J. (2003). The role of childhood sexual abuse sequelae in the sexual revictimization of women. Clinical Psychology Review, 23(4), 537-571.
- Walker, L.E. (2009). The Battered Woman Syndrome (3rd ed.). Springer.
About the Author
Katherine M. Iverson, PhD is a researcher at VA Boston Healthcare System and Boston University, specializing in intimate partner violence and PTSD. Her work focuses on understanding and preventing revictimization.
Historical Context
Published in 2013, this study contributed to understanding the revictimization phenomenon—why some abuse survivors experience abuse again. It identified specific PTSD symptoms and coping styles that increase risk, informing prevention efforts.
Frequently Asked Questions
Experiencing abuse again after leaving an abusive relationship. Research shows that survivors have elevated risk of future abuse—not because of any fault but because of trauma's effects on threat detection and coping.
PTSD symptoms—especially emotional numbing and dissociation—can impair ability to recognize danger signals. Avoidant coping prevents addressing trauma. These effects make detecting and escaping new abusers harder.
A PTSD symptom involving reduced emotional responsiveness—feeling detached, unable to experience positive emotions, disconnected from others. This can prevent recognizing inappropriate behavior that would otherwise trigger alarm.
Dissociation—disconnecting from present experience—can cause you to miss warning signs you'd otherwise notice. If you 'check out' during uncomfortable interactions, you may not register red flags.
No. Revictimization results from how trauma affects the brain and coping—not from choices or character. Understanding the mechanism helps you protect yourself, not blame yourself.
Address PTSD symptoms through treatment. Be especially vigilant during emotional numbing episodes. Use active rather than avoidant coping. Give yourself time to heal before new relationships.
Trying to avoid thinking about or dealing with trauma—substance use, distraction, denial. While understandable, avoidant coping prevents processing trauma and maintaining vigilance.
Yes. Treating PTSD, especially symptoms that impair threat detection, can reduce revictimization risk. Evidence-based trauma therapy addresses the vulnerability factors this research identified.