Dr. A Prabhu Dessai Consultant Psychiatrist
Panaji , Goa 403001
India
ph: 9096660920
http://www.helpguide.org/mental/domestic_violence_abuse_types_signs_causes_effects.htm#dv#dv
What is Domestic Violence?
http://www.medicinenet.com/domestic_violence/article.htm
Long Term Consequences of Abuse
http://www.medscape.com/viewarticle/702560?src=mpnews&spon=12&uac=101660BT
http://www.helpguide.org/articles/abuse/help-for-abused-men.htm
http://www.apa.org/about/division/abuse.html
Intimate Violence – The causes and consequences of Abuse in the American Family
http://pubpages.unh.edu/~mas2/books.htm
Understanding and Treating Feelings of Shame in Children Who Have Experienced Maltreatment
http://cmx.sagepub.com/cgi/content/abstract/10/4/364
Domestic Violence Awareness Handbook – Guide to domestic violence covers common myths, what to say to a victim, and what communities can do about the problem.
Domestic Violence: The Cycle of Violence – Learn about the cycle of violence common to abusive relationships.
The Problem – Offers a checklist of behaviors and feelings that will help you assess whether you are in an abusive relationship.
Domestic Violence Warning Signs – Describes common warning signs that a woman is being emotionally abused or beaten.
Intimate Partner Abuse Against Men – Learn about domestic violence against men, including homosexual partner abuse, sexual abuse of boys and male teenagers, and abuse by wives or partners.
Abuse in Same-Sex Relationships– Describes myths about same-sex abuse; unique problems of the victims of same-sex abuse; and what society and professionals can do to help.
Information for Immigrants – Domestic violence resources for immigrant women.
For Teens
Dating Violence– Guide to teen dating violence, including early warning signs that your boyfriend or girlfriend may become abusive.
Teens: Love Doesn’t Have To Hurt(PDF) – A teen-friendly guide to what abuse looks like in dating relationships and how to do something about it. (American Psychological Association)
Violence Against Women– Domestic violence resource provided by the federal. Includes a list of state resources and a fact sheet on identifying abuse.
Minnesota Center Against Violence and Abuse– Electronic clearinghouse of information about domestic violence and abuse, including a searchable online library of articles.
Co- Dependency
Codependency involves a habitual system of thinking, feeling, and behaving toward ourselves and others that can cause pain.
Codependent behaviors or habits are self-destructive.
We frequently react to people who are destroying themselves; we react by learning to destroy ourselves. These habits can lead us into, or keep us in, destructive relationships that don't work.
These behaviors can sabotage relationships that may otherwise have worked. These behaviors can prevent us from finding peace and happiness with the most important person in our lives.... ourselves. These behaviors belong to the only person we can change.. ourselves. These are our problems.
The following are characteristics of codependent persons: (We started to do these things out of necessity to protect ourselves and meet our needs.)
Care Taking
Codependents may,
1. Think and feel responsible for other people---for other people's feelings, thoughts, actions, choices, wants, needs, well-being, lack of well-being, and ultimate destiny.
2. Feel anxiety, pity, and guilt when other people have a problem.
3. Feel compelled --almost forced -- to help that person solve the problem, such as offering unwanted advice, giving a rapid-fire series of suggestions, or fixing feelings.
4. Feel angry when their help isn't effective.
5. Anticipate other people's needs
6. Wonder why others don't do the same for them.
7. Don't really want to be doing, doing more than their fair share of the work, and doing things other people are capable of doing for themselves.
8. Not knowing what they want and need, or if they do, tell themselves what they want and need is not important.
9. Try to please others instead of themselves.
10. Find it easier to feel and express anger about injustices done to others rather than injustices done to themselves.
11. Feel safest when giving.
12. Feel insecure and guilty when somebody gives to them.
13. Feel sad because they spend their whole lives giving to other people and nobody gives to them.
14. Find themselves attracted to needy people.
15. Find needy people attracted to them.
16. Feel bored, empty, and worthless if they don't have a crisis in their lives, a problem to solve, or someone to help.
17. Abandon their routine to respond to or do something for somebody else.
18. Over commit themselves.
19. Feel harried and pressured.
20. Believe deep inside other people are somehow responsible for them.
21. Blame others for the spot the codependents are in.
22. Say other people make the codependents feel the way they do.
23. Believe other people are making them crazy.
24. Feel angry, victimized, unappreciated, and used.
25. Find other people become impatient or angry with them for all of the preceding characteristics.
Low Self Worth
Codependents tend to:
1. Come from troubled, repressed, or dysfunctional families.
2. Deny their family was troubled, repressed or dysfunctional.
3. Blame themselves for everything.
4. Pick on themselves for everything, including the way they think, feel, look, act, and behave.
5. Get angry, defensive, self-righteous, and indigent when others blame and criticize the codependents -- something codependents regularly do to themselves.
6. Reject compliments or praise
7. Get depressed from a lack of compliments and praise (stroke deprivation)
8. Feel different from the rest of the world.
9. Think they're not quite good enough.
10. Feel guilty about spending money on themselves or doing unnecessary or fun things for themselves.
11. Fear rejection.
12. Take things personally.
13. Have been victims of sexual, physical, or emotional abuse, neglect, abandonment, or alcoholism.
14. Feel like victims.
15. Tell themselves they can't do anything right.
16. Be afraid of making mistakes.
17. Wonder why they have a tough time making decisions.
18. Have a lot of "shoulds".
19. Feel a lot of guilt.
20. Feel ashamed of who they are.
21. Think their lives are not worth living.
22. Try to help other people live their lives instead.
23. Get artificial feelings of self-worth from helping others.
24. Get strong feelings of low self-worth ---embarrassment, failure, etc...from other people's failures and problems.
25. Wish good things would happen to them.
26. Believe good things never will happen.
27. Believe they don't deserve good things and happiness.
28. Wish others would like and love them.
29. Believe other people couldn't possibly like and love them.
30. Try to prove they're good enough for other people.
31. Settle for being needed.
Repression
Many Codependents:
1. Push their thoughts and feelings out of their awareness because of fear and guilt.
2. Become afraid to let themselves be who they are.
3. Appear rigid and controlled.
Obsession
Codependents tend to:
1. Feel terribly anxious about problems and people.
2. Worry about the silliest things.
3. Think and talk a lot about other people.
4. Lose sleep over problems or other people's behavior.
5. Worry
6. Never Find answers.
7. Check on people.
8. Try to catch people in acts of misbehavior.
9. Feel unable to quit talking, thinking, and worrying about other people or problems.
10. Abandon their routine because they are so upset about somebody or something.
11. Focus all their energy on other people and problems.
12. Wonder why they never have any energy.
13. Wonder why they can't get things done.
Controlling
Many codependents:
1. Have lived through events and with people that were out of control, causing the codependents sorrow and disappointment.
2. Become afraid to let other people be who they are and allow events to happen naturally.
3. Don't see or deal with their fear of loss of control.
4. Think they know best how things should turn out and how people should behave.
5. Try to control events and people through helplessness, guilt, coercion, threats, advice-giving, manipulation, or domination.
6. Eventually fail in their efforts or provoke people's anger.
7. Get frustrated and angry.
8. Feel controlled by events and people.
Denial
Codependents tend to:
1. Ignore problems or pretend they aren't happening.
2. Pretend circumstances aren't as bad as they are.
3. Tell themselves things will be better tomorrow.
4. Stay busy so they don't have to think about things.
5. Get confused.
6. Get depressed or sick.
7. Go to doctors and get tranquilizers.
8. Become workaholics.
9. Spend money compulsively.
10. Overeat.
11. Pretend those things aren't happening either.
12. Watch problems get worse.
13. Believe lies.
14. Lie to themselves.
15. Wonder why they feel like they're going crazy.
Dependency
Many codependents:
1. Don't feel happy, content, or peaceful with themselves.
2. Look for happiness outside themselves.
3. Latch onto whoever or whatever they think can provide happiness.
4. Feel terribly threatened by the loss of any thing or person they think proves their happiness.
5. Didn't feel love and approval from their parents.
6. Don't love themselves.
7. Believe other people can't or don't love them.
8. Desperately seek love and approval.
9. Often seek love from people incapable of loving.
10. Believe other people are never there for them.
11. Equate love with pain.
12. Feel they need people more than they want them.
13. Try to prove they're good enough to be loved.
14. Don't take time to see if other people are good for them.
15. Worry whether other people love or like them.
16. Don't take time to figure out if they love or like other people.
17. Center their lives around other people.
18. Look for relationships to provide all their good feelings.
19. Lost interest in their own lives when they love.
20. Worry other people will leave them.
21. Don't believe they can take care of themselves.
22. Stay in relationships that don't work.
23. Tolerate abuse to keep people loving them.
24. Feel trapped in relationships.
25. Leave bad relationships and form new ones that don't work either.
26. Wonder if they will ever find love.
Poor Communication
Codependents frequently:
1. Blame
2. Threaten
3. Coerce
4. Beg
5. Bribe
6. Advise
7. Don't say what they mean.
8. Don't mean what they say.
9. Don't know what they mean.
10. Don't take themselves seriously.
11. Think other people don't take the codependents seriously.
12. Take themselves too seriously.
13. Ask for what they want and need indirectly --- sighing, for example.
14. Find it difficult to get to the point.
15. Aren't sure what the point is.
16. Gauge their words carefully to achieve a desired effect.
17. Try to say what they think will please people.
18. Try to say what they think will provoke people.
19. Try to say what they hope will make people do what they want them to do.
20. Eliminate the word NO from their vocabulary.
21. Talk too much.
22. Talk about other people.
23. Avoid talking about themselves, their problems, feelings, and thoughts.
24. Say everything is their fault.
25. Say nothing is their fault.
26. Believe their opinions don't matter.
27. Want to express their opinions until they know other people's opinions.
28. Lie to protect and cover up for people they love.
29. Have a difficult time asserting their rights.
30. Have a difficult time expressing their emotions honestly, openly, and appropriately.
31. Think most of what they have to say is unimportant.
32. Begin to talk in Cynical, self-degrading, or hostile ways.
33. Apologize for bothering people.
Weak Boundaries
Codependents frequently:
1. Say they won't tolerate certain behaviors from other people.
2. Gradually increase their tolerance until they can tolerate and do things they said they would never do.
3. Let others hurt them.
4. Keep letting others hurt them.
5. Wonder why they hurt so badly.
6. Complain, blame, and try to control while they continue to stand there.
7. Finally get angry.
8. Become totally intolerant.
Lack of Trust
Codependents
1. Don't trust themselves.
2. Don't trust their feelings.
3. Don't trust their decisions.
4. Don't trust other people.
5. Try to trust untrustworthy people.
6. Think God has abandoned them.
7. Lose faith and trust in God.
Anger
Many Codependents:
1. Feel very scared, hurt, and angry
2. Live with people who are very scared, hurt, and angry.
3. Are afraid of their own anger.
4. Are frightened of other people's anger.
5. Think people will go away if anger enters the picture.
6. Feel controlled by other people's anger.
7. Repress their angry feelings.
8. Think other people make them feel angry.
9. Are afraid to make other people feel anger.
10. Cry a lot, get depressed, overact, get sick, do mean and nasty things to get even, act hostile, or have violent temper outbursts.
11. Punish other people for making the codependents angry.
12. Have been shamed for feeling angry.
13. Place guilt and shame on themselves for feeling angry.
14. Feel increasing amounts of anger, resentment, and bitterness.
15. Feel safer with their anger than hurt feelings.
16. Wonder if they'll ever not be angry.
Sex Problems
Some codependents:
1. Are caretakers in the bedroom.
2. Have sex when they don't want to.
3. Have sex when they'd rather be held, nurtured, and loved.
4. Try to have sex when they're angry or hurt.
5. Refuse to enjoy sex because they're so angry at their partner
6. Are afraid of losing control.
7. Have a difficult time asking for what they need in bed.
8. Withdraw emotionally from their partner.
9. Feel sexual revulsion toward their partner.
10. Don't talk about it.
11. Force themselves to have sex, anyway.
12. Reduce sex to a technical act.
13. Wonder why they don't enjoy sex.
14. Lose interest in sex.
15. Make up reasons to abstain.
16. Wish their sex partner would die, go away, or sense the codependent's feelings.
17. Have strong sexual fantasies about other people.
18. Consider or have an extramarital affair.
Miscellaneous
Codependents tend to:
1. Be extremely responsible.
2. Be extremely irresponsible.
3. Become martyrs, sacrificing their happiness and that of others for causes that don't require sacrifice.
4. Find it difficult to feel close to people.
5. Find it difficult to have fun and be spontaneous.
6. Have an overall passive response to codependency -- crying, hurt, helplessness.
7. Have an overall aggressive response to codependency -- violence, anger, dominance.
8. Combine passive and aggressive responses.
9. Vacillate in decisions and emotions.
10. Laugh when they feel like crying.
11. Stay loyal to their compulsions and people even when it hurts.
12. Be ashamed about family, personal, or relationship problems.
13. Be confused about the nature of the problem.
14. Cover up, lie, and protect the problem.
15. Not seek help because they tell themselves the problem isn't bad enough, or they aren't important enough.
16. Wonder why the problem doesn't go away.
Progressive
In the later stages of codependency, codependents may:
1. Feel lethargic.
2. Feel depressed.
3. Become withdrawn and isolated.
4. Experience a complete loss of daily routine and structure.
5. Abuse or neglect their children and other responsibilities.
6. Feel hopeless.
7. Begin to plan their escape from a relationship they feel trapped in.
8. Think about suicide.
9. Become violent.
10. Become seriously emotionally, mentally, or physically ill.
11. Experience an eating disorder (over- or under eating)
12. Become addicted to alcohol or other drugs.
Domestic Violence and Abuse
Emotional or psychological abuse can be verbal or nonverbal. Its aim is to chip away at your feelings of self-worth and independence. If you’re the victim of emotional abuse, you may feel that there is no way out of the relationship, or that without your abusive partner you have nothing. Emotional abuse includes verbal abuse such as yelling, name-calling, blaming, and shaming. Isolation, intimidation, and controlling behavior also fall under emotional abuse. Additionally, abusers who use emotional or psychological abuse often throw in threats of physical violence.
You may think that physical abuse is far worse than emotional abuse, since physical violence can send you to the hospital and leave you with scars. But, the scars of emotional abuse are very real, and they run deep. In fact, emotional abuse can be just as damaging as physical abuse—sometimes even more so. Furthermore, emotional abuse usually worsens over time, often escalating to physical battery.
Physical Abuse
When people talk about domestic violence, they are often referring to the physical abuse of a spouse or intimate partner. Physical abuse is the use of physical force against someone in a way that injures or endangers that person. There’s a broad range of behaviors that come under the heading of physical abuse, including hitting, grabbing, choking, throwing things, and assault with a weapon.
Physical assault or battering is a crime, whether it occurs inside or outside of the family. The police have the power and authority to protect you from physical attack.
Sexual Abuse
Sexual abuse is common in abusive relationships. According to the National Coalition Against Domestic Violence, between one-third and one-half of all battered women are raped by their partners at least once during their relationship. Any situation in which you are forced to participate in unwanted, unsafe, or degrading sexual activity is sexual abuse. Forced sex, even by a spouse or intimate partner with whom you also have consensual sex, is an act of aggression and violence. Furthermore, women whose partners abuse them physically and sexually are at a higher risk of being seriously injured or killed.
Economic or Financial Abuse
Remember, an abuser’s goal is to control you, and he will frequently hurt you to do that. In addition to hurting you emotionally and physically, an abusive partner may also hurt you in the pocketbook.
Economic of financial abuse includes:
Controlling the finances.
Withholding money or credit cards.
Giving you an allowance.
Making you account for every penny you spend.
Stealing from you or taking your money.
Exploiting your assets for personal gain.
Withholding basic necessities (food, clothes, medications, shelter).
Preventing you from working or choosing your own career.
Sabotaging your job (making you miss work, calling constantly)
Domestic Violence Warning Signs Take Precautions
Call 911 or the police in your community if you suspect a case of domestic violence.
It's impossible to know with certainty what goes on behind closed doors, but there are some telltale signs and symptoms of domestic violence and abuse. If you witness a number of warning signs in a friend, family member, or co-worker, you can reasonably suspect domestic abuse.
Frequent injuries, with the excuse of “accidents”
Frequent and sudden absences from work or school
Frequent, harassing phone calls from the partner
Fear of the partner, references to the partner's anger
Personality changes (e.g. an outgoing woman becomes withdrawn)
Excessive fear of conflict
Submissive behavior, lack of assertiveness
Isolation from friends and family
Insufficient resources to live (money, credit cards, car)
Depression, crying, low self-esteem
Warning Signs and Symptoms of Abusive Relationships
Domestic abuse, also known as spousal abuse, occurs when one person in an intimate relationship or marriage tries to dominate and control the other person. An abuser doesn’t “play fair.” He or she uses fear, guilt, shame, and intimidation to wear you down and gain complete power over you. He or she may threaten you, hurt you, or hurt those around you. Domestic abuse that includes physical violence is called domestic violence.
Victims of domestic abuse or domestic violence may be men or women, although women are more commonly victimized. (Note:this article will use the pronoun “he” for convenience only) This abuse happens among heterosexual couples and in same-sex partnerships. Except for the gender difference, domestic abuse doesn’t discriminate. It happens within all age ranges, ethnic backgrounds, and financial levels. The abuse may occur during a relationship, while the couple is breaking up, or after the relationship has ended.
Despite what many people believe, domestic violence is not due to the abuser’s loss of control over his behavior. In fact, violence is a deliberate choice made by the abuser in order to take control over his wife or partner.
Violent Behavior is an Abuser's Choice
Reasons we know
An abuser's behaviors are not about anger and rage: May look hysterical.If he were truly "out of control" he would not be able to stop himself when it is to his advantage to do so.
The abuser very often escalates from pushing and shoving to hitting in places where the bruises and marks will not show. If he were "out of control" or "in a rage" he would not be able to direct or limit wherHe does not batter other individuals - the boss who does not give him time off or the gas station attendant that spills gas down the side of his car. He waits until there are no witnesses and abuses the person he says he loves.
If you ask an abused woman, "can he stop when the phone rings or the police come to the door?" She will say "yes". Most often when the police show up, he is looking calm, cool and collected and she is the one whom his kicks or punches land.
Spousal abuse and battery are used for one purpose:to gain and maintain total control over the victim. In addition to physical violence, abusers use the following tactics to exert power over their wives or partners:
Dominance - Abusive individuals need to feel in charge of the relationship. They will make decisions for you and the family, tell you what to do, and expect you to obey without question. Your abuser may treat you like a servant, child, or even as his possession.
Humiliation - An abuser will do everything he can to make you feel bad about yourself, or defective in some way. After all, if you believe you're worthless and that no one else will want you, you're less likely to leave. Insults, name-calling, shaming, and public put-downs are all weapons of abuse designed to erode your self-esteem and make you feel powerless.
Isolation:In order to increase your dependence on him, an abusive partner will cut you off from the outside world. He may keep you from seeing family or friends, or even prevent you from going to work or school. You may have to ask permission to do anything, go anywhere, or see anyone. Source: Domestic Abuse Intervention Project, MN
Threats - Abusers commonly use threats to keep their victims from leaving or to scare them into dropping charges. Your abuser may threaten to hurt or kill you, your children, other family members, or even pets. He may also threaten to commit suicide, file false charges against you, or report you to child services.
Intimidation - Your abuser may use a variety of intimation tactics designed to scare you into submission. Such tactics include making threatening looks or gestures, smashing things in front of you, destroying property, hurting your pets, or putting weapons on display. The clear message is that if you don't obey, there will be violent consequences.
Cycle of Violence
Domestic abuse falls into a common pattern, or cycle of violence:
Abuse —The abuser lashes out with aggressive or violent behavior. The abuse is a power play designed to show the victim "who is boss."
Guilt — After the abusive episode, the abuser feels guilt, but not over what he's done to the victim. The guilt is over the possibility of being caught and facing consequences.
Rationalization or excuses — The abuser rationalizes what he's done. He may come up with a string of excuses or blame the victim for his own abusive behavior—anything to shift responsibility from himself.
"Normal" behavior — The abuser does everything he can to regain control and keep the victim in the relationship. He may act as if nothing has happened, or he may turn on the charm. This peaceful honeymoon phase may give the victim hope that the abuser has really changed this time.
Fantasy and planning — The abuser begins to fantasize about abusing his victim again, spending a lot of time thinking about what she's done wrong and how he'll make her pay. Then he makes a plan for turning the fantasy of abuse into reality.
Set-up — The abuser sets up the victim and puts his plan in motion, creating a situation where he can justify abusing her.
The Full Cycle of Domestic Violence
A man abuses his partner. After he hits her, he experiences self-directed guilt. He says, "I'm sorry for hurting you." What he does not say is, "Because I might get caught." He then rationalizes his behavior by saying that his partner is having an affair with someone. He tells her "If you weren't such a worthless whore I wouldn't have to hit you." He then acts contrite, reassuring her that he will not hurt her again. He then fantasizes and reflects on past abuse and how he will hurt her again. He plans on telling her to go to the store to get some groceries. What he withholds from her is that she has a certain amount of time to do the shopping. When she is held up in traffic and is a few minutes late, he feels completely justified in assaulting her because "you're having an affair with the store clerk." He has just set her up. Source: Mid-Valley Women's Crisis Service
Your abuser’s apologies and loving gestures in between the episodes of abuse can make it difficult to leave. He may make you believe that you are the only person who can help him, that things will be different this time, and that he truly loves you. However, the dangers of staying are real.
Domestic abuse often escalates from threats and verbal abuse to physical violence and even murder. And while physical injury may be the most obvious danger, the emotional and psychological consequences of domestic abuse are also severe. No one deserves this kind of pain—and your first step to breaking free is recognizing that your situation is abusive. Once you acknowledge the reality of the abusive situation, then you can get the help you need.
Signs Of An Abusive Relationship
There are many signs of an abusive relationship. The most significant sign is fear of your partner. Other signs include a partner who belittles you or tries to control you, and feelings of self-loathing, helplessness, and desperation.
To determine whether your relationship is abusive, answer the questions in the table below. The more “yes” answers, the more likely it is that you’re in an abusive relationship.
Your Inner Thoughts and Feelings
Do you:
Your Partner’s Belittling Behavior
Does your partner:
Does your partner:
Your Partner’s Controlling Behavior
Does your partner:
http://www.helpguide.org/mental/domestic_violence_abuse_types_signs_causes_effects.htm#dv#dv
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Dr. A Prabhu Dessai Consultant Psychiatrist
Panaji , Goa 403001
India
ph: 9096660920