Identified in the late eighties as the number one public health risk to adult women by the Surgeon General of the United States, domestic violence remains the leading cause of injuries to women, ages 15 to 44, more common than muggings, auto accidents and cancer deaths combined (U.S. Senate Judiciary Committee, 1992). Academics and practitioners have assessed the problem and its potential solutions using both quantitative and qualitative research methods. Yet, how far have we come and how much do we really know? This paper will attempt to answer these questions by critiquing the "current state of affairs" of domestic violence research. Common theories of causation and their applications to social work theory and practice will be delineated and an ecologically based intervention for domestic violence will be proposed.