Flashcards in Interpersonal Violence Deck (5)
Cycles of violence
1. Quiet period ("walking on eggshells")
2. Escalating nature
- accusations of cheating; jealous outbursts
- cut off victim from family/friends
- demeaning, shaming, often in front of children
- taking away money, anything that would give the victim opportunity for freedom/escape
3. Physical abusive episode
- can be life-threatening
- victim wants to believe things are better
Identifying physical abuse as a provider
- victim will typically present to family doc with complaints of back pain, headache; otherwise complaints are vague and nebulous (ill-defined)
- stories about falling/tripping to explain bruises, black eyes
- victim will present multiple times before questions about DV are asked by provider
- rarely will they say CC is "my partner is abusing me"
- other suspicious scenarios: pregnant women comes in many times saying she hasn't felt the baby move; young girls with multiple presentations for pelvic pain; 16yo with miscarriage and no parents
Why don't victims just leave?
- they truly believe their partner is the only one who could love them
- the money is held by abuser, victim has no resources
- threats are made against children/pets*, victim is worried about getting killed
- 1/5 victims are killed w/in 2d of obtaining order of protection
- 1/3 victims are killed w/in 1mo of leaving
*many shelters don't accept pets, and that's a reason victims stay
What do you say to screen for abusive relationships?
- Do you feel safe at home?
- Are you in a relationship that you'd like to disclose?
- It's normal for couples to argue, but not okay for hitting/threatening. Do you experience this from your partner?