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The literature on IPV among adolescents indicates that the rates are similar for the number of girls and boys in heterosexual relationships who report experiencing IPV, or that girls in heterosexual relationships are more likely than their male counterparts to report perpetrating IPV. stated that, unlike domestic violence in general, equal rates of IPV perpetration is a unique characteristic with regard adolescent dating violence, and that this is "perhaps because the period of adolescence, a special developmental state, is accompanied by sexual characteristics that are distinctly different from the characteristics of adult." Wekerle and Wolfe theorized that "a mutually coercive and violent dynamic may form during adolescence, a time when males and females are more equal on a physical level" and that this "physical equality allows girls to assert more power through physical violence than is possible for an adult female attacked by a fully physically mature man." Regarding studies that indicate that girls are as likely or more likely than boys to commit IPV, the authors emphasize that substantial differences exist between the genders, including that girls are significantly more likely than boys to report having experienced severe IPV, such as being threatened with a weapon, punched, strangled, beaten, burned, or raped, and are also substantially more likely than boys to need psychological help or experience physical injuries that require medical help for the abuse, and to report sexual violence as a part of dating violence.They are also more likely to take IPV more seriously.Higher testosterone levels “manifests itself in various intensities and forms from; thoughts, anger, verbal aggressiveness, competition, dominance behavior, to physical violence.” A study published in the International Journal of Endocrinology and Metabolism reported, “Testosterone plays a significant role in the arousal of these behavioral manifestations in the brain centers involved in aggression and on the development of the muscular system that enables their realization.

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The results demonstrated a strong positive correlation between ten out of the twelve childhood adversities and physically violent behavior in a teen relationship, with 13.8% responding with experiences of sexual violence, and 11.6% experiencing inter-parental violence.

This points to a strong influence of experience, or nature, on violent tendencies in adolescent relationships.

By contrast, boys are more likely to report experiencing less severe acts, such as being pinched, slapped, scratched or kicked.

Girls are more likely to report committing less serious forms of IPV, including as a means of self-defense, whereas boys are more likely to report committing more severe acts of IPV, including threats, physical violence and controlling a partner.

It is important to note that although male and female adolescents do not differ in "overall frequency of violence in dating relationships," females are subject to "significantly higher levels of severe violence".

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