Families in Psychiatry

Helping patients bring an end to domestic violence


 

• Family change. Individuals in the family may differ in their support of honor killings. Those who do not support honor killings may have difficulty speaking out for fear of becoming a future target. When we meet with families who have a belief in honor killings, we can discuss how patriarchal societies have encouraged families to maintain a firm hand on the behavior of their members. This practice encourages repression of women’s individuality and also may consider women to be possessions. Patriarchal societies control their populations by supporting values and beliefs in their citizens that support the patriarchal structure. In this way, they can exert social control easily by having members of the society act as enforcers. Open and clear discussion with families about the ways in which cultural practice affects individual behavior may allow families that are unsure to explore alternative new beliefs.

Families must understand that, under U.S. law, perpetrators of honor killings and domestic violence can be prosecuted.

• System change. According to the U.S. Justice Department, 9 out of 10 honor killings were victims who had become “too Westernized.” Leaders of the American Muslim community and members of the Council on American-Islamic Relations have condemned all honor killings, stating that the practice stems from sexism and tribal behavior that predates the religion. In February 2009, after the high-profile killing of Aasiya Zubair Hassan in New York, Muslim leaders began a nationwide effort entitled, “Imams Speak Out: Domestic Violence Will Not Be Tolerated in Our Communities,” asking all imams and religious leaders to discuss domestic violence in their weekly sermon or their Friday prayer services. The group, “Muslim Men Against Domestic Violence,” was founded soon after the murder, which came just a few days after she had filed for divorce. (After a 3-week trial, Mrs. Hassan’s estranged husband, Muzzammil “Mo” Hassan, was found guilty of second-degree murder and received a 25-year to life sentence).

Our laws reflect our values as a society. As citizens, we must actively work for the enforcement of domestic violence laws. Our mental health organizations can support the training of police and health agencies to identify victims and perpetrators.

References

1. The World Factbook, Central Intelligence Agency, 2009.

2 Forensic Sci Med Pathol. 2014;10(1):76-82.

3. “Lives Together, Worlds Apart: Men and Women in a Time of Change,” United Nations Population Fund report, 2000.

4. “Pakistan’s Honor-Killing Law Isn’t Enough,” The New York Times, Oct. 27, 2016.

5. “Controlling or Coercive Behaviour in an Intimate or Family Relationship,” Home Office, December 2015.

Dr. Heru is professor of psychiatry at the University of Colorado Denver, Aurora. She is editor of “Working With Families in Medical Settings: A Multidisciplinary Guide for Psychiatrists and Other Health Professionals” (New York: Routledge, 2013). She has no conflicts of interest to disclose.

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