From Control to Choice: A Trauma-Informed Behavioural Model for Recovery among Women Survivors of Domestic Violence

This study examines a trauma-informed, behaviourally informed, community-based intervention for women survivors of domestic violence in rural Ireland and introduces the Trauma-Informed Behavioural Recovery (TIBR) design. Using a qualitative case study of the pilot programme for this innovative new model, the 4Empowerment Donegal programme, this research explores how applied behaviour analysis (ABA), Acceptance and Commitment Therapy (ACT), feminist trauma-informed care, and physical activity can be integrated without reproducing coercive or compliance-based service models. Drawing on programme-generated qualitative data, findings demonstrate that sustained engagement emerged through safety, choice, and structural accommodation rather than mandate, disclosure, or behavioural monitoring. Within the TIBR design, voluntary participation, flexible attendance, non-punitive re-entry, and practical supports functioned as core intervention mechanisms that reduced barriers to engagement and supported persistence over time. Physical activity operated as an embodied, non-clinical pathway to regulation, agency, and social reconnection, enabling recovery without requiring trauma narration or therapeutic performance. Recovery trajectories were non-linear and relational, shaped by ongoing coercive control, legal pressures, and material constraints. The study demonstrates that behavioural science, when embedded within the Trauma-Informed Behavioural Recovery design, can support ethical, non-coercive, recovery-oriented practice for women survivors of domestic violence. By reframing engagement as a function of safety rather than compliance, this research challenges dominant assumptions underpinning domestic violence interventions and offers a transferable model for trauma-informed, community-based service design.

coercive control, trauma-informed care, domestic violence recovery, behavioural intervention, community-based intervention, women’s empowerment

1. Baer, D. M., Wolf, M. M., & Risley, T. R. (1968). Some current dimensions of applied behavior analysis. Journal of Applied Behavior Analysis, 1(1), 91–97. https://doi.org/10.1901/jaba.1968.1-91 [Google Scholar] [Crossref]

2. Best, D., & Hennessy, E. A. (2021). The science of recovery capital: Where do we go from here? Addiction, 116(6), 1139–1145. https://doi.org/10.1111/add.15349 [Google Scholar] [Crossref]

3. Budney, A. J., Higgins, S. T., Radonovich, K. J., & Novy, P. L. (2001). Adding voucher-based incentives to coping skills and motivational enhancement improves outcomes during treatment for marijuana dependence. Journal of Consulting and Clinical Psychology, 69(6), 1051–1061. https://doi.org/10.1037/0022-006X.69.6.1051 [Google Scholar] [Crossref]

4. Carlisle, S., Bunce, A., Prina, M., McManus, S., Barbosa, E., Feder, G., & Lewis, N. V. (2025). Effectiveness of UK-based support interventions and services aimed at adults who have experienced or used domestic and sexual violence and abuse: A systematic review and meta-analysis. BMC Public Health, 25, Article 1003. https://doi.org/10.1186/s12889-025-1003 [Google Scholar] [Crossref]

5. Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Pearson. [Google Scholar] [Crossref]

6. Devries, K. M., Mak, J. Y. T., Baccus, L. J., Child, J. C., Falder, G., Petzold, M., & Watts, C. (2013). Intimate partner violence and incident depressive symptoms and suicide attempts: A systematic review of longitudinal studies. PLoS Medicine, 10(5), e1001439. [Google Scholar] [Crossref]

7. https://doi.org/10.1371/journal.pmed.1001439 [Google Scholar] [Crossref]

8. Ekers, D., Webster, L., Van Straten, A., Cuijpers, P., Richards, D., & Gilbody, S. (2014). Behavioural activation for depression: An update of meta-analysis of effectiveness and subgroup analysis. PLoS ONE, 9(6), e100100. https://doi.org/10.1371/journal.pone.0100100 [Google Scholar] [Crossref]

9. Epstein, D. H., Hawkins, W. E., Covi, L., Umbricht, A., & Preston, K. L. (2003). Cognitive-behavioral therapy plus contingency management for cocaine use: Findings during treatment and across 12-month follow-up. Psychology of Addictive Behaviors, 17(1), 73–82. https://doi.org/10.1037/0893-164X.17.1.73 [Google Scholar] [Crossref]

10. Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28(10), 857–870. https://doi.org/10.1037/h0035605 [Google Scholar] [Crossref]

11. Friman, P. C., Hayes, S. C., & Wilson, K. G. (1998). Why behavior analysts should study emotion: The example of anxiety. Journal of Applied Behavior Analysis, 31(1), 137–156. [Google Scholar] [Crossref]

12. https://doi.org/10.1901/jaba.1998.31-137 [Google Scholar] [Crossref]

13. Gallagher, J. (2026). ABA outside the spectrum: A systematic literature review. International Journal of Science and Research Archive, 18(1), 150–161. https://doi.org/10.30574/ijsra.2026.18.1.0017 [Google Scholar] [Crossref]

14. Gentsch, A., & Kuehn, E. (2022). Clinical manifestations of body memories: The impact of past bodily experiences on mental health. Brain Sciences, 12(5), 594. https://doi.org/10.3390/brainsci12050594 [Google Scholar] [Crossref]

15. Harris, M., & Fallot, R. D. (2001). Using trauma theory to design service systems. Jossey-Bass. [Google Scholar] [Crossref]

16. Harvey, M. T., Luiselli, J. K., & Wong, S. E. (2009). Application of applied behavior analysis to mental health issues. Psychological Services, 6(3), 212–222. https://doi.org/10.1037/a0015782 [Google Scholar] [Crossref]

17. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford Press. [Google Scholar] [Crossref]

18. Hayes, S. C., Villatte, M., Levin, M., & Hildebrandt, M. (2011). Open, aware, and active: Contextual approaches as an emerging trend in the behavioral and cognitive therapies. Annual Review of Clinical Psychology, 7, 141–168. https://doi.org/10.1146/annurev-clinpsy-032210-104449 [Google Scholar] [Crossref]

19. Huys, Q. J. M., Russeck, E. M., Abitante, G., Kahnt, T., & Gollan, J. K. (2022). Components of behavioral activation therapy for depression engage specific reinforcement learning mechanisms. Computational Psychiatry, 6(1), 238–255. https://doi.org/10.5334/cpsy.81 [Google Scholar] [Crossref]

20. Iguchi, M. Y., Lamb, R. J., Belding, M. A., Platt, J. J., Husband, S. D., & Morral, A. R. (1996). Contingent reinforcement of group participation versus abstinence in a methadone maintenance program. Experimental and Clinical Psychopharmacology, 4(3), 315–321. https://doi.org/10.1037/1064-1297.4.3.315 [Google Scholar] [Crossref]

21. Ingvarsson, E. T., Hanley, G. P., & Welter, K. M. (2009). Treatment of escape-maintained behavior with positive reinforcement: The role of reinforcement contingency and density. Education and Treatment of Children, 32(3), 371–401. [Google Scholar] [Crossref]

22. Kearney, B., & Lanius, R. (2022). The brain–body disconnect: A somatic sensory basis for trauma-related disorders. Frontiers in Neuroscience, 16, 950880. https://doi.org/10.3389/fnins.2022.950880 [Google Scholar] [Crossref]

23. Kelly, L. (2003). The wrong debate: Reflections on why force is not the key issue with respect to trafficking in women for sexual exploitation. Feminist Review, 73(1), 139–144. [Google Scholar] [Crossref]

24. Letourneau, N., McManus, C., Novick, J., & Silverstone, A. (2024). Impacts of peer support on coping and cortisol levels for women affected by domestic violence and coercive control. Canadian Journal of Nursing Research, 56(4), 457–467. [Google Scholar] [Crossref]

25. Lohmann, S., Cowlishaw, S., Ney, L., O’Donnell, M., & Felmingham, K. (2023). The trauma and mental health impacts of coercive control: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 25(1), 630–647. https://doi.org/10.1177/15248380221123456 [Google Scholar] [Crossref]

26. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097 [Google Scholar] [Crossref]

27. Petry, N. M., Martin, B., Cooney, J. L., & Kranzler, H. R. (2000). Give them prizes, and they will come: Contingency management for treatment of alcohol dependence. Journal of Consulting and Clinical Psychology, 68(2), 250–257. https://doi.org/10.1037/0022-006X.68.2.250 [Google Scholar] [Crossref]

28. Reid, N., Kron, A., Rajakulendran, T., Kahan, D., Noble, A., & Stergiopoulos, V. (2020). Promoting wellness and recovery of young women experiencing gender-based violence and homelessness. Violence Against Women, 26(3–4), 345–368. https://doi.org/10.1177/1077801219836731 [Google Scholar] [Crossref]

29. Rivas, C., Ramsay, J., Sadowski, L., Davidson, L. L., Dunne, D., Eldridge, S., & Feder, G. (2016). Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database of Systematic Reviews, 2016(12), CD005043. https://doi.org/10.1002/14651858.CD005043.pub3 [Google Scholar] [Crossref]

30. Skinner, B. F. (1963). Operant behavior. American Psychologist, 18(8), 503–515. https://doi.org/10.1037/h0045185 [Google Scholar] [Crossref]

31. Stark, E. (2007). Coercive control: The entrapment of women in personal life. Oxford University Press. [Google Scholar] [Crossref]

32. Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach (HHS Publication No. SMA 14-4884). U.S. Department of Health and Human Services. [Google Scholar] [Crossref]

33. Wolf, M. M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11(2), 203–214. https://doi.org/10.1901/jaba.1978.11-203 [Google Scholar] [Crossref]

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