This document discusses family violence and domestic abuse as growing public health concerns. It defines domestic violence, abuse, and what constitutes a family. It outlines the various forms of abuse including physical, emotional, economic, and digital/cyber abuse. The document discusses who can be abused, noting that it can affect anyone regardless of gender, age, sexual orientation, socioeconomic status or other factors. Statistics about the prevalence of domestic violence in the US and its human costs are provided. Risk factors for abuse and myths about abuse are debunked. The trajectory of violence and cultural and structural barriers to care are examined. Guidelines for assessing, intervening in, and preventing domestic violence are proposed.
The document discusses domestic violence, including its definition, types, causes, effects, statistics, prevention, and solutions. It defines domestic violence as behaviors used by one person in a relationship to control the other, whether married or not. The types of domestic violence include physical, emotional, isolation, intimidation, economic, and sexual abuse. Causes include environment, poor self-esteem, and drug and alcohol abuse. Effects involve low self-esteem, depression, suicide, sleep disruption, and inability to trust. Prevention involves ending the violence, reporting it, filing charges, documenting abuse, and seeking support.
This document discusses domestic violence, defining it as a pattern of abusive behavior used to gain power and control over an intimate partner. It can include physical, sexual, emotional, economic or psychological abuse. The document provides statistics on domestic violence victims in the US and California. It outlines the various types of abuse and discusses the health, economic, cultural and psychosocial impacts of domestic violence. It also discusses the role of public health nurses in addressing domestic violence through prevention, screening, assessment and referrals to local resources and agencies.
Family, family as system, crisis, crisis intervention, adaptive qualities, family therapy and approaches, stages of family therapy, 12 family strengths by Otto
Domestic violence is characterized by abusive behavior intended to gain power and control over an intimate partner or family member. It can include physical, sexual, emotional, economic or psychological abuse. Witnessing domestic violence as a child is the strongest risk factor for continuing the cycle of violence as an adult. Resources for victims include national hotlines and local women's shelters that provide crisis intervention and long-term support services.
School counselling provides professional services in K-12 public and private school settings to facilitate student achievement, behavior, attendance and social-emotional development. It began in the early 20th century with vocational guidance and has evolved to address students' academic, career and personal needs through various services including instruction, counselling, early intervention, special needs support and collaboration with parents, teachers and students. Common activities of school counsellors involve academic, social-emotional and career counselling through individual, group and classroom sessions.
This document discusses violence against women from a medico-legal perspective. It begins by defining violence against women according to the UN and noting that it is a global issue. The key areas of violence are physical, sexual, and psychological violence within the family and community. The types of violence include domestic, sexual, commercial exploitation, and female genital mutilation. The causes include traditional attitudes, overcrowding, financial issues, and power imbalances. Effects are psychological, physical, and reproductive. Constitution and laws provide protections but more needs to be done like improving law enforcement response and increasing support for victims.
The document discusses learning objectives for a lecture on family violence, including explaining what constitutes family violence, identifying remedies for adult victims, recognizing signs that a client is being abused, and responding appropriately when a client is a victim or perpetrator of abuse. The objectives cover defining family violence, remedies like protective orders and criminal charges, recognizing abuse through client cues, and prioritizing client safety by suggesting protective actions and respecting their decisions.
The document discusses domestic violence, including its definition, types, causes, effects, statistics, prevention, and solutions. It defines domestic violence as behaviors used by one person in a relationship to control the other, whether married or not. The types of domestic violence include physical, emotional, isolation, intimidation, economic, and sexual abuse. Causes include environment, poor self-esteem, and drug and alcohol abuse. Effects involve low self-esteem, depression, suicide, sleep disruption, and inability to trust. Prevention involves ending the violence, reporting it, filing charges, documenting abuse, and seeking support.
This document discusses domestic violence, defining it as a pattern of abusive behavior used to gain power and control over an intimate partner. It can include physical, sexual, emotional, economic or psychological abuse. The document provides statistics on domestic violence victims in the US and California. It outlines the various types of abuse and discusses the health, economic, cultural and psychosocial impacts of domestic violence. It also discusses the role of public health nurses in addressing domestic violence through prevention, screening, assessment and referrals to local resources and agencies.
Family, family as system, crisis, crisis intervention, adaptive qualities, family therapy and approaches, stages of family therapy, 12 family strengths by Otto
Domestic violence is characterized by abusive behavior intended to gain power and control over an intimate partner or family member. It can include physical, sexual, emotional, economic or psychological abuse. Witnessing domestic violence as a child is the strongest risk factor for continuing the cycle of violence as an adult. Resources for victims include national hotlines and local women's shelters that provide crisis intervention and long-term support services.
School counselling provides professional services in K-12 public and private school settings to facilitate student achievement, behavior, attendance and social-emotional development. It began in the early 20th century with vocational guidance and has evolved to address students' academic, career and personal needs through various services including instruction, counselling, early intervention, special needs support and collaboration with parents, teachers and students. Common activities of school counsellors involve academic, social-emotional and career counselling through individual, group and classroom sessions.
This document discusses violence against women from a medico-legal perspective. It begins by defining violence against women according to the UN and noting that it is a global issue. The key areas of violence are physical, sexual, and psychological violence within the family and community. The types of violence include domestic, sexual, commercial exploitation, and female genital mutilation. The causes include traditional attitudes, overcrowding, financial issues, and power imbalances. Effects are psychological, physical, and reproductive. Constitution and laws provide protections but more needs to be done like improving law enforcement response and increasing support for victims.
The document discusses learning objectives for a lecture on family violence, including explaining what constitutes family violence, identifying remedies for adult victims, recognizing signs that a client is being abused, and responding appropriately when a client is a victim or perpetrator of abuse. The objectives cover defining family violence, remedies like protective orders and criminal charges, recognizing abuse through client cues, and prioritizing client safety by suggesting protective actions and respecting their decisions.
The document discusses various topics related to family socialization and policy, including:
1) The ABCX model of stress, which examines how stressor events, resources, perceptions of crisis, and stress levels interact within families.
2) Types of family violence such as child abuse, intimate partner violence, and elder abuse. Causes discussed include social and cultural factors.
3) Goals of family policy including maintaining traditional family structures or recognizing diverse forms. Levels of policy control and private versus public approaches are also addressed.
4) Types of family policy including preventative versus ameliorative and how they target families differently. Children's rights and limiting physical punishment are given as an example.
Domestic violence involves physical, psychological, and sexual abuse in intimate relationships aimed at establishing control over the victim. It is not a single incident, but rather a pattern of behavior over time. Victims can be of any gender, age, social class, or occupation. Psychological abuse, such as threats and isolation, is often the most hurtful type. Domestic violence has serious short- and long-term health impacts for victims and their children. It is a major public safety issue that accounts for a large percentage of police calls. Addressing the underlying causes and helping victims escape the cycle of violence are crucial to reducing its harms.
Children's interpretation of the abuse, whether or not they disclose the experience, and how quickly they report it also affects the short- and long-term consequences. Children who are able to confide in a trusted adult and who are believed experience less trauma than children who do not disclose the abuse. Furthermore, children who disclose the abuse soon after its occurrence may be less traumatized than those children who live with the secret for years.
I believe that Learning the facts about childhood sexual abuse helps to prevent it.
Talking about it helps to prevent it.
Getting involved helps to prevent it.
Pratima Nayak
Structural Family Therapy (SFT) focuses on the family system and interactions between family members. The founder, Salvador Minuchin, believed families have innate abilities to solve their own problems and therapists should work collaboratively to uncover these abilities. SFT aims to restructure family dynamics by altering boundaries between subsystems and the hierarchy of power. Therapists map the family structure, highlight interactions, and use enactments to diagnose issues and facilitate change. The goal is to activate healthy patterns of relating rather than impose new structures.
Child abuse or child maltreatment is physical, sexual, or psychological maltreatment or neglect of a child or children, especially by a parent or other caregiver. Child abuse may include any act or failure to act by a parent or other caregiver that results in actual or potential harm to a child, and can occur in a child's home, or in the organizations, schools or communities the child interacts with.
Domestic violence can take many forms including physical, sexual, verbal and emotional abuse as well as intimidation, isolation, and economic abuse. Women are much more likely to experience domestic violence than men. Children who witness domestic violence often experience anxiety, low self-esteem, depression and anger. Safety planning helps victims develop tools to confront dangerous situations and plan for leaving an abusive relationship.
Domestic Violence Warning Signs And Preventionagarmon
Domestic violence is abuse that occurs within intimate relationships and can include physical, sexual, emotional and financial abuse. Warning signs of domestic violence include injuries, absence from work or activities, and low self-esteem in the victim. Emotional abuse involves behaviors like intimidation and isolation, while physical abuse includes acts that cause bodily harm. United Family Services and the National Domestic Violence Hotline are resources that can help victims of domestic violence.
This document discusses the ethical standards and guidelines that counselors must follow. It explains that counselors have responsibilities of beneficence, nonmaleficence, and autonomy towards their clients. Counseling relationships can be complicated due to power imbalances and clients' personal issues. Ethical codes provide guidance for counselors on what they can and cannot do. These codes are developed by counseling organizations and aim to safeguard clients' welfare, inform counselors' conduct, and hold counselors accountable.
Bullying and Violence Prevention PresentationSafeAndCaring
The document discusses bullying, violence, and strategies for prevention. It defines bullying as a relationship problem involving an imbalance of power, deliberate and repeated harmful actions. Violence is defined as the actual or threatened use of power to harm others physically, psychologically or socially. The document outlines types of bullying such as physical, verbal, relational and cyberbullying. It also discusses the consequences of bullying and provides a SMART approach for victims and bystanders to address bullying situations safely and effectively. Finally, it introduces the Safe and Caring Schools program which takes a comprehensive, whole-school approach to building respect, self-esteem and preventing bullying through curriculum, teaching, and community engagement.
This document defines and discusses various forms of violence against women, including physical, emotional, sexual, and societal oppression. It notes that violence against women is a means for exerting power and control. At-risk groups include women of color, immigrants, LGBT women, poor women, and women with disabilities. Forms of violence covered include domestic violence, sexual assault, rape, stalking, sexual harassment, and child sexual abuse. Resources for support and reporting are provided.
Group counseling involves 5-8 people meeting regularly with a facilitator to learn about themselves and how they relate to others. It allows members to share experiences of dealing with particular issues like anger management, which can help counteract isolation. The group setting provides unique insights as members explore issues in depth and help each other. While it costs less than private therapy, group counseling may not work if a group is too large or small, or if one person monopolizes discussions.
Domestic violence can be present in anyone’s relationship; it is not limited by economic status, age, race, education level, or even sexual preference.
October is time for raising domestic violence issues within our communities. It is extra special to survivors like me for people to help spread the facts about domestic violence instead of letting rumors fly around.
The document discusses child abuse and the laws protecting children from abuse. It notes that child abuse violates children's basic human rights. The Convention on the Rights of the Child and UN Committee on the Rights of the Child emphasize prohibiting all forms of physical punishment and degrading treatment of children. The Protection of Children from Sexual Offences Act of 2012 in India defines and criminalizes different types of child sexual abuse and creates child-friendly procedures to handle abuse cases. A Ministry of Children and Women study found high rates of physical, sexual, and emotional abuse of children in India.
Family systems theory views the family as an interconnected system where each member and part influences the others. It focuses on relationships and interactions rather than individuals. Key concepts include family roles that members take on, rules that regulate the system, and homeostasis that resists change to maintain equilibrium. When one part of the system changes, all other parts must adapt to maintain balance.
Domestic violence occurs in all societies and affects people from all backgrounds. It can take many forms including physical, sexual, verbal, emotional and economic abuse. Laws have been enacted to help protect victims, especially women who represent the majority of victims. However, domestic violence often goes unreported due to social stigmas. Raising awareness and providing support to all victims is important to address this issue.
This document outlines various counseling techniques and qualities of an effective counselor. It discusses that counseling is an intimate guidance practice that is as old as human societies. It then describes different counseling methods like prescriptive, non-directive, and directive techniques. The document also lists qualities of counselors like interpersonal skills, personal adjustment, and leadership abilities. Finally, it discusses recent developments in counseling like using experiences and imagination to treat fears.
Gender based violence refers to violence directed at women that results in harm. It is perpetuated by unequal gender norms and roles in society. Types of gender based violence include intimate partner violence, sexual coercion, sexual abuse, rape, trafficking, and harmful traditional practices. Violence can be physical, sexual, or psychological in nature. Gender based violence has serious health impacts and is a public health issue. Case studies show examples of intimate partner violence, dowry deaths, harmful traditional practices against young girls, and efforts by NGOs and government to address gender based violence through counseling centers, women's police stations, and by establishing violence against women as a crime.
Types and areas of counseling multicultural counselingDr. Satish Kumar
Group counseling provides a unique social setting for individuals to make changes by interacting with peers facing similar issues. Through group interactions and sharing experiences, members can learn to modify behaviors and seek new, appropriate behaviors. Group counseling attempts to counteract feelings of isolation by assembling people with similar issues so individuals realize their problems are not unique. Family therapy views individuals' problems in the context of the larger family unit and understands how family dynamics influence the development and perpetuation of issues. Parental and adolescent counseling aim to provide guidance, skills, and support to address issues commonly faced at different life stages.
Adobe Captivate es un programa que permite crear y grabar videos instructivos. Se abre el programa y se crea un nuevo proyecto para comenzar a grabar las acciones realizadas dentro del programa y así generar un video tutorial.
- Mahindra & Mahindra was established in 1945 as Mahindra & Mohammed and renamed in 1948. It introduced Jeeps to India and became a public company in 1955.
- It is the largest tractor manufacturer in India having been in business over 25 years. It entered the two-wheeler market through an acquisition and has plants internationally.
- It restructured its business, pursued e-business initiatives and joint ventures, and is a market leader in tractors and utility vehicles in India with a strong domestic customer base.
The document discusses various topics related to family socialization and policy, including:
1) The ABCX model of stress, which examines how stressor events, resources, perceptions of crisis, and stress levels interact within families.
2) Types of family violence such as child abuse, intimate partner violence, and elder abuse. Causes discussed include social and cultural factors.
3) Goals of family policy including maintaining traditional family structures or recognizing diverse forms. Levels of policy control and private versus public approaches are also addressed.
4) Types of family policy including preventative versus ameliorative and how they target families differently. Children's rights and limiting physical punishment are given as an example.
Domestic violence involves physical, psychological, and sexual abuse in intimate relationships aimed at establishing control over the victim. It is not a single incident, but rather a pattern of behavior over time. Victims can be of any gender, age, social class, or occupation. Psychological abuse, such as threats and isolation, is often the most hurtful type. Domestic violence has serious short- and long-term health impacts for victims and their children. It is a major public safety issue that accounts for a large percentage of police calls. Addressing the underlying causes and helping victims escape the cycle of violence are crucial to reducing its harms.
Children's interpretation of the abuse, whether or not they disclose the experience, and how quickly they report it also affects the short- and long-term consequences. Children who are able to confide in a trusted adult and who are believed experience less trauma than children who do not disclose the abuse. Furthermore, children who disclose the abuse soon after its occurrence may be less traumatized than those children who live with the secret for years.
I believe that Learning the facts about childhood sexual abuse helps to prevent it.
Talking about it helps to prevent it.
Getting involved helps to prevent it.
Pratima Nayak
Structural Family Therapy (SFT) focuses on the family system and interactions between family members. The founder, Salvador Minuchin, believed families have innate abilities to solve their own problems and therapists should work collaboratively to uncover these abilities. SFT aims to restructure family dynamics by altering boundaries between subsystems and the hierarchy of power. Therapists map the family structure, highlight interactions, and use enactments to diagnose issues and facilitate change. The goal is to activate healthy patterns of relating rather than impose new structures.
Child abuse or child maltreatment is physical, sexual, or psychological maltreatment or neglect of a child or children, especially by a parent or other caregiver. Child abuse may include any act or failure to act by a parent or other caregiver that results in actual or potential harm to a child, and can occur in a child's home, or in the organizations, schools or communities the child interacts with.
Domestic violence can take many forms including physical, sexual, verbal and emotional abuse as well as intimidation, isolation, and economic abuse. Women are much more likely to experience domestic violence than men. Children who witness domestic violence often experience anxiety, low self-esteem, depression and anger. Safety planning helps victims develop tools to confront dangerous situations and plan for leaving an abusive relationship.
Domestic Violence Warning Signs And Preventionagarmon
Domestic violence is abuse that occurs within intimate relationships and can include physical, sexual, emotional and financial abuse. Warning signs of domestic violence include injuries, absence from work or activities, and low self-esteem in the victim. Emotional abuse involves behaviors like intimidation and isolation, while physical abuse includes acts that cause bodily harm. United Family Services and the National Domestic Violence Hotline are resources that can help victims of domestic violence.
This document discusses the ethical standards and guidelines that counselors must follow. It explains that counselors have responsibilities of beneficence, nonmaleficence, and autonomy towards their clients. Counseling relationships can be complicated due to power imbalances and clients' personal issues. Ethical codes provide guidance for counselors on what they can and cannot do. These codes are developed by counseling organizations and aim to safeguard clients' welfare, inform counselors' conduct, and hold counselors accountable.
Bullying and Violence Prevention PresentationSafeAndCaring
The document discusses bullying, violence, and strategies for prevention. It defines bullying as a relationship problem involving an imbalance of power, deliberate and repeated harmful actions. Violence is defined as the actual or threatened use of power to harm others physically, psychologically or socially. The document outlines types of bullying such as physical, verbal, relational and cyberbullying. It also discusses the consequences of bullying and provides a SMART approach for victims and bystanders to address bullying situations safely and effectively. Finally, it introduces the Safe and Caring Schools program which takes a comprehensive, whole-school approach to building respect, self-esteem and preventing bullying through curriculum, teaching, and community engagement.
This document defines and discusses various forms of violence against women, including physical, emotional, sexual, and societal oppression. It notes that violence against women is a means for exerting power and control. At-risk groups include women of color, immigrants, LGBT women, poor women, and women with disabilities. Forms of violence covered include domestic violence, sexual assault, rape, stalking, sexual harassment, and child sexual abuse. Resources for support and reporting are provided.
Group counseling involves 5-8 people meeting regularly with a facilitator to learn about themselves and how they relate to others. It allows members to share experiences of dealing with particular issues like anger management, which can help counteract isolation. The group setting provides unique insights as members explore issues in depth and help each other. While it costs less than private therapy, group counseling may not work if a group is too large or small, or if one person monopolizes discussions.
Domestic violence can be present in anyone’s relationship; it is not limited by economic status, age, race, education level, or even sexual preference.
October is time for raising domestic violence issues within our communities. It is extra special to survivors like me for people to help spread the facts about domestic violence instead of letting rumors fly around.
The document discusses child abuse and the laws protecting children from abuse. It notes that child abuse violates children's basic human rights. The Convention on the Rights of the Child and UN Committee on the Rights of the Child emphasize prohibiting all forms of physical punishment and degrading treatment of children. The Protection of Children from Sexual Offences Act of 2012 in India defines and criminalizes different types of child sexual abuse and creates child-friendly procedures to handle abuse cases. A Ministry of Children and Women study found high rates of physical, sexual, and emotional abuse of children in India.
Family systems theory views the family as an interconnected system where each member and part influences the others. It focuses on relationships and interactions rather than individuals. Key concepts include family roles that members take on, rules that regulate the system, and homeostasis that resists change to maintain equilibrium. When one part of the system changes, all other parts must adapt to maintain balance.
Domestic violence occurs in all societies and affects people from all backgrounds. It can take many forms including physical, sexual, verbal, emotional and economic abuse. Laws have been enacted to help protect victims, especially women who represent the majority of victims. However, domestic violence often goes unreported due to social stigmas. Raising awareness and providing support to all victims is important to address this issue.
This document outlines various counseling techniques and qualities of an effective counselor. It discusses that counseling is an intimate guidance practice that is as old as human societies. It then describes different counseling methods like prescriptive, non-directive, and directive techniques. The document also lists qualities of counselors like interpersonal skills, personal adjustment, and leadership abilities. Finally, it discusses recent developments in counseling like using experiences and imagination to treat fears.
Gender based violence refers to violence directed at women that results in harm. It is perpetuated by unequal gender norms and roles in society. Types of gender based violence include intimate partner violence, sexual coercion, sexual abuse, rape, trafficking, and harmful traditional practices. Violence can be physical, sexual, or psychological in nature. Gender based violence has serious health impacts and is a public health issue. Case studies show examples of intimate partner violence, dowry deaths, harmful traditional practices against young girls, and efforts by NGOs and government to address gender based violence through counseling centers, women's police stations, and by establishing violence against women as a crime.
Types and areas of counseling multicultural counselingDr. Satish Kumar
Group counseling provides a unique social setting for individuals to make changes by interacting with peers facing similar issues. Through group interactions and sharing experiences, members can learn to modify behaviors and seek new, appropriate behaviors. Group counseling attempts to counteract feelings of isolation by assembling people with similar issues so individuals realize their problems are not unique. Family therapy views individuals' problems in the context of the larger family unit and understands how family dynamics influence the development and perpetuation of issues. Parental and adolescent counseling aim to provide guidance, skills, and support to address issues commonly faced at different life stages.
Adobe Captivate es un programa que permite crear y grabar videos instructivos. Se abre el programa y se crea un nuevo proyecto para comenzar a grabar las acciones realizadas dentro del programa y así generar un video tutorial.
- Mahindra & Mahindra was established in 1945 as Mahindra & Mohammed and renamed in 1948. It introduced Jeeps to India and became a public company in 1955.
- It is the largest tractor manufacturer in India having been in business over 25 years. It entered the two-wheeler market through an acquisition and has plants internationally.
- It restructured its business, pursued e-business initiatives and joint ventures, and is a market leader in tractors and utility vehicles in India with a strong domestic customer base.
The document discusses various taxability issues related to real estate transactions in India. Some key points:
1) The Income Tax Act allows the Assessing Officer to refer cases of understated consideration to the Valuation Officer to determine the fair market value of the capital asset for capital gains purposes.
2) For sellers of property, Section 50C deems the stamp duty valuation to be the full value of consideration if it is higher than the stated value.
3) For buyers, Section 142A allows reference to the Valuation Officer to estimate the value of investments if the source of funds is not adequately explained under Sections 69, 69A or 69B.
4) Agricultural land may be exempt from
Culture Trails offers unique networking and bonding experiences through fun culture workshops on Saturdays and Sundays led by expert "fun-gurus". The workshops include pottery, block printing, photography, and movement classes and last 3 hours. Participants learn new skills while bonding with family and friends. Culture Trails aims to keep the city's culture alive through hands-on workshops and provide a quality weekend experience for learning and socializing.
O documento descreve um projeto pedagógico interdisciplinar sobre a história da formação e desenvolvimento da cidade de Cabeceiras-PI. O projeto envolverá pesquisas, entrevistas e visitas ao local para investigar aspectos políticos, culturais e socioeconômicos da cidade. Os alunos se reunirão quinzenalmente e apresentarão seus achados ao final do projeto.
Here are the steps to view an assembly:
1. Create a simple class in Visual Basic or C#:
```vb
Public Class MyClass
Public Function SayHello() As String
Return "Hello World"
End Function
End Class
```
2. Compile the class into an assembly (DLL file):
In Visual Studio, build the project. This will compile the code and create an assembly file.
3. View the assembly:
Use Ildasm.exe, the IL Disassembler. This is a tool that comes with the .NET Framework SDK.
Open a command prompt, navigate to the bin folder containing your assembly, and run:
```
ildasm
Addressing the issue of mortgage arrears in Ireland: a good practice guide fr...HML Ltd
The document discusses addressing mortgage arrears in Ireland. It provides context on the current situation where mortgage arrears have increased significantly since the economic downturn. The Central Bank of Ireland is putting pressure on banks to propose sustainable solutions to customers in arrears.
The document outlines HML's approach to managing mortgage arrears, which begins with predictive analytics to segment customers based on risk factors. However, in Ireland predictive analytics rely more on payment and contact history due to differences in credit data availability. HML then implements tailored collections strategies based on the customer segments. The goal is to engage customers in the Mortgage Arrears Resolution Process and establish sustainable repayment plans where possible. HML believes its experience and analytics
Acne is a disease of the pilosebaceous unit caused by multiple factors including abnormal keratinization, increased sebum production, proliferation of P. acnes bacteria, and hormones. The primary lesions are closed and open comedones, papules, pustules, nodules, cysts, and scars. Treatment focuses on correcting keratinization, modulating the immune response, reducing sebum production, and decreasing androgenic effects to inhibit P. acnes growth. Topical therapies include retinoids, benzoyl peroxide, and azelaic acid, while systemic options include isotretinoin, hormonal contraceptives, and spironolactone.
This document provides information about a child's third grade classroom. It includes:
1) The teacher's philosophy which focuses on student success and meeting them where they are.
2) An overview of the curriculum including math, language arts, science, social studies and SOL tests.
3) Upcoming projects and activities the class will participate in during the first quarter.
4) Methods for parents to communicate with the teacher such as email, notes in the daily planner, and parent information nights.
5) A question asked of parents regarding their thoughts on appropriate amounts of homework.
1. Psychologists work in three main categories: teaching and research at universities; providing health or mental services; and conducting research or applying findings in non-academic settings.
2. There are two main types of psychological research: basic research aims to increase knowledge for its own sake, while applied research studies issues with direct practical significance or applies findings.
3. Psychologists practice in various settings like hospitals, schools, and private practice to understand and improve physical and mental health. Their credentials and training vary depending on their specific role, such as psychotherapist, clinical psychologist, psychoanalyst, or psychiatrist.
Second Life is a virtual world platform developed by Linden Lab that allows users to interact with each other through avatars and provides them with the ability to create, trade, and monetize virtual goods and services. Users can explore, meet other residents, socialize, participate in individual and group activities, and create and trade virtual property and services with one another. The virtual world of Second Life has its own economy and currency called Linden Dollars that can be exchanged for real world money.
Este documento ofrece instrucciones sobre cómo hacer una monografía, incluyendo los pasos a seguir como elegir un tema, limitar el alcance, recopilar información, organizar los datos, estructurar la monografía con una introducción, cuerpo, conclusión y bibliografía, y citar las fuentes de manera adecuada usando notas al pie. El autor explica cada paso del proceso de manera detallada para guiar a los estudiantes en la realización correcta de una monografía.
Domestic violence can take many forms including physical, sexual, psychological, and emotional abuse. It is a pattern of behaviors used by one partner to maintain power and control over the other through fear and intimidation. While women are most often the victims, anyone can experience domestic violence regardless of gender, age, race, sexuality, religion or other identity. Abusers may appear friendly to outsiders but use violence and other tactics behind closed doors to control their victims. There are often myths and misconceptions around the causes of domestic violence, but the only one truly responsible is the abuser themselves.
This document outlines an agenda for a presentation on bullying and cyberbullying among children, youth, LGBT individuals, those with special needs, and in the workplace. The presentation will define bullying, discuss its prevalence and implications, explore different types of bullying including cyberbullying and bullying in specific populations. It will also cover treatment modalities, clinical applications, and legal/ethical issues. Real life examples and statistics about bullying are provided to illustrate its serious impacts. The roles and perspectives of different individuals involved in bullying situations, such as bullies, victims, bystanders and parents, are also examined.
Domestic violence is a pattern of coercive behavior used by one person against family or household members to gain power and control over the other party. It can cause physical and psychological harm to victims, especially women and children. Common causes include illiteracy, economic hardship, stress, and the desire to control one's partner. To eradicate domestic violence, communities must educate themselves on the signs, change attitudes, follow religious teachings of respect, and implement strict laws and consequences.
DOVE, Inc provides shelter, advocacy, and support services to victims of domestic violence. It operates an 18-bed shelter that accepts families, individuals, children, and people of all genders and orientations. It also offers community advocacy programs, legal assistance, counseling, and educational workshops. The organization works to promote safety and empower victims by addressing the complex health, social, and legal impacts of domestic violence.
This document discusses domestic violence and provides statistics. It defines both criminal and non-criminal domestic violence behaviors. It notes that every day, 4 women, 1 man, and almost 5 children die from domestic violence. Children who witness domestic violence are physically abused at a rate 1500% higher than average. The document outlines consequences for victims of domestic violence and provides encouragement for victims to leave dangerous situations and begin living freely without abuse.
This document discusses domestic violence and its effects on children. It defines domestic violence and outlines the power and control wheel model. Statistics are provided showing that millions of children witness domestic violence each year. Living with domestic violence can negatively impact children's psychological and physical health, development, behavior, and brain development. The effects of domestic violence exposure can last into adulthood and include increased risks of perpetrating or experiencing domestic violence, mental health issues, and criminal behavior. Theories like social learning theory and intergenerational transmission of violence help explain the intergenerational nature of domestic violence. The document discusses implications for social work practice, including the need for education, advocacy, and policy work to address this issue.
This document discusses the impact that a history of childhood sexual abuse can have on parenting. Mothers who experienced CSA often struggle with high levels of fear, anxiety, shame and guilt. They may have trouble establishing boundaries with their children and providing emotional support. Other issues that can arise include post-traumatic stress disorder, depression, substance abuse, unhealthy sexual behaviors, and difficulty forming attachments. Therapy and support systems can help mothers process their trauma and develop skills for healthy parenting.
Child Abuse Awareness from Fairfax County PoliceFairfax County
Fairfax County Police offer these important facts, myths, guidelines and tips about child abuse to help at everyone recognize the signs and reduce the risk of physical and sexual abuse.
Best Practice in Suicide Prevention, Assessment,Dr Pete Marcelo
This document discusses best practices for suicide prevention, assessment, and intervention. It provides statistics on suicide in the United States, noting that in 2002 there were 31,655 suicides, making it the 11th leading cause of death. It also discusses youth suicide, noting that suicide is the third leading cause of death for those aged 15-19. The document includes a fact sheet on youth suicide and a "Test Your Adolescent Suicide IQ" quiz.
This document discusses sexuality and nursing homes. It begins by outlining the objectives of discussing normal changes in sexuality with aging, expressions of sexuality in nursing home residents, and assessing and treating hypersexuality. It then explores how sexuality may change with aging and dementia. Several case studies are presented involving intimate behaviors between residents and ways staff may respond. The document notes that most elderly still desire intimacy and outlines barriers like lack of privacy. Treatment options discussed include non-pharmacological approaches like environmental changes and pharmacological approaches like SSRIs to reduce sex drive.
Victoria Ybanez presented to the Kalispel Tribe on July 31 and August 1, 2013 about domestic and sexual violence. The presentation explored how native women experience the highest rates of domestic violence and sexual assault in the US. It defined domestic violence, sexual assault, and stalking. It discussed myths and facts about these issues, barriers victims face in reporting, and the impact on victims. It also outlined the complex systems victims may navigate and emphasized enhancing victim safety.
This document provides objectives and information for nurse-midwives about intimate partner violence and its impacts on the childbearing experience. The objectives are to describe how IPV impacts maternal and neonatal health, identify ways to support mothers with trauma histories, identify safety resources for patients, articulate barriers to leaving abusive situations during pregnancy, familiarize oneself with the Power and Control wheel, and describe guidelines to enhance IPV screening and response. The document defines IPV and reproductive coercion and outlines some prevalence statistics. It discusses the complex roots and overlapping nature of violence, the intersection of violence and pregnancy, and potential short and long-term physical, psychological and developmental impacts of violence on mothers and children.
This document discusses adolescence and issues facing adolescent girls in India. It covers physical, psychological, and social changes during adolescence. It notes challenges adolescent girls face such as gender discrimination, child marriage, lack of access to information and healthcare, malnutrition, and violence. It provides statistics on India's adolescent population and discusses the importance of focusing on their health and development given their numbers. It also outlines strategies to promote adolescent health such as life skills education, counseling, and empowerment.
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Osteoporosis is an increasing cause of morbidity among the elderly.
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1. FamilyFamily
Violence:Violence:
A GrowingA Growing
Public HealthPublic Health
ConcernConcern
Mary M. Conklin, JD, MSN, RNMary M. Conklin, JD, MSN, RN
Margaret M. Gorman, PhD, RNCMargaret M. Gorman, PhD, RNC
mconklin3615@sbcglobal.netmconklin3615@sbcglobal.net
mgorman@madonna.edumgorman@madonna.edu
3. Who is Family?Who is Family?
A spouse or former spouse
Someone with whom the person resides
or has resided
Someone the person has or had dated
Continued…….
4. Who is Family?Who is Family?
Someone the person is or has had a
sexual relationship
Someone who is related or was formerly
related to by marriage
Someone with whom the person has a
child
5. What is Abuse ?What is Abuse ?
The Physical, Emotional/PsychologicalThe Physical, Emotional/Psychological
and Economic Control of Another.and Economic Control of Another.
Abuse is about Power and Control andAbuse is about Power and Control and
not Love.not Love.
6. Physical AbusePhysical Abuse
Pushing and ShovingPushing and Shoving
Pulling HairPulling Hair
PunchingPunching
BitingBiting
Sexual CoercionSexual Coercion
7. Emotional AbuseEmotional Abuse
Belittling/Put DownsBelittling/Put Downs
TauntingTaunting
Threats to Her or Her FamilyThreats to Her or Her Family
Destruction of Things She LovesDestruction of Things She Loves
8. Economic AbuseEconomic Abuse
Demanding an Accounting of EveryDemanding an Accounting of Every
Penny SpentPenny Spent
Absolute control over their MoneyAbsolute control over their Money
9. Digital or CyberDigital or Cyber
StalkingStalking
Teens can be victims of someone whoTeens can be victims of someone who
demands they respond with a picturedemands they respond with a picture
with a clock to prove they are not out withwith a clock to prove they are not out with
someone else.someone else.
Teen’s parents may not be aware theirTeen’s parents may not be aware their
teen is a victim until they are harmed.teen is a victim until they are harmed.
10. Who Can Be Abused ?Who Can Be Abused ?
Young or OldYoung or Old
Male or FemaleMale or Female
Straight or GayStraight or Gay
Rich or PoorRich or Poor
Educated or IlliterateEducated or Illiterate
Anyone, Anytime, Anywhere,Anyone, Anytime, Anywhere,
11. Violence AgainstViolence Against
WomenWomen
1 in 5 murders in the U.S. are DV related1 in 5 murders in the U.S. are DV related
Women abused during pregnancy have aWomen abused during pregnancy have a
threefold increase in risk of beingthreefold increase in risk of being
murderedmurdered
In the U.S., the percentage of women killedIn the U.S., the percentage of women killed
by an intimate partner rose from 40% toby an intimate partner rose from 40% to
45% over a 10-year period45% over a 10-year period
Data significantly underestimateData significantly underestimate
prevalence of DVprevalence of DV
12. AssaultAssault
M Civ JI 115.01 Definition
An assault is any intentional, unlawful
threat or offer to do bodily injury to
another by force, under circumstances
which create a well-founded fear of
imminent peril, coupled with the apparent
present ability to carry out the act if not
prevented.
13. BatteryBattery
M Civ JI 115.02 Definition
A battery is the willful or intentional
touching of a person against that
person’s will [by another / by an object or
substance put in motion by another
person].
14. 95,024 Offenses of DV95,024 Offenses of DV
including Rape wereincluding Rape were
Reported in 2011Reported in 2011
Michigan Uniform Crime Reports 2011Michigan Uniform Crime Reports 2011
15. Human Costs of AbuseHuman Costs of Abuse
in Michiganin Michigan
3,290 cases of rape in 20113,290 cases of rape in 2011
576 children were under 10 years old576 children were under 10 years old
Michigan Uniform Crime Report (2011)Michigan Uniform Crime Report (2011)
16. WHY ?WHY ?
No single factor explains why one person
and not another behaves in a violent
manner. Violence is a complex problem
rooted in the interaction of many factors
Biological, Social, Cultural, Economic
and Political,” (WHO, 2002).
17. He Can Stop!He Can Stop!
Past Behavior PredictsPast Behavior Predicts
Future Behavior!Future Behavior!
18. Abuser CharacteristicsAbuser Characteristics
Charming at firstCharming at first
Quick CommitmentQuick Commitment
IsolationIsolation
Verbal AbuseVerbal Abuse
ThreatsThreats
Cruelty to animals and childrenCruelty to animals and children
19. Abuse Is A ChoiceAbuse Is A Choice
Drugs and Alcohol do not CauseDrugs and Alcohol do not Cause
AbuseAbuse
Stress does not Cause AbuseStress does not Cause Abuse
His Partner did not Cause the AbuseHis Partner did not Cause the Abuse
Abuse is Learned BehaviorAbuse is Learned Behavior
Abusers, Abuse to get what they WantAbusers, Abuse to get what they Want
20. Characteristics ofCharacteristics of
People in AbusivePeople in Abusive
RelationshipsRelationships
Traditional Female Roles orTraditional Female Roles or
CharacteristicsCharacteristics
Low Self-Esteem or Self-BlameLow Self-Esteem or Self-Blame
Depression or VulnerabilityDepression or Vulnerability
Lack of Social SupportLack of Social Support
21. Myths of AbuseMyths of Abuse
He Promised Never to do it AgainHe Promised Never to do it Again
I Pushed his ButtonsI Pushed his Buttons
If I am Just Good Enough he will StopIf I am Just Good Enough he will Stop
I can Help him get BetterI can Help him get Better
He Would Never Hurt the BabyHe Would Never Hurt the Baby
It’s My FaultIt’s My Fault
23. Subordination of theSubordination of the
Abused PersonAbused Person
CultureCulture
ReligionReligion
Women Viewed as PropertyWomen Viewed as Property
Vulnerable ElderlyVulnerable Elderly
DependentDependent ChildrenChildren
Vulnerable Mentally IncompetentVulnerable Mentally Incompetent
24. Gorman’s B. S.Gorman’s B. S.
Trajectory ofTrajectory of
ViolenceViolence
Building--ShoutsBuilding--Shouts
Bullying--ShovingBullying--Shoving
Battering--She’s to blameBattering--She’s to blame
Begging--Sorry, Sorry, SorryBegging--Sorry, Sorry, Sorry
Believing--Shame--flowers at workBelieving--Shame--flowers at work
Burying--Suffering has ended--flowersBurying--Suffering has ended--flowers
again; this time for the groundagain; this time for the ground
25. Cultural Barriers toCultural Barriers to
CareCare
ReligionReligion
Family NormsFamily Norms
Traditions of SilenceTraditions of Silence
The Man is the Head of the HouseholdThe Man is the Head of the Household
26. Structural Barriers toStructural Barriers to
CareCare
TransportationTransportation
Economics—Financial DependenceEconomics—Financial Dependence
Communication—No Phone orCommunication—No Phone or
Computer AccessComputer Access
Locked in the HouseLocked in the House
27. Domestic Violence Is ADomestic Violence Is A
CrimeCrime
Majority of states categorize DV as aMajority of states categorize DV as a
misdemeanormisdemeanor
DV may also be a FelonyDV may also be a Felony
28. Pregnancy IncreasesPregnancy Increases
DVDV
Abuse often begins in PregnancyAbuse often begins in Pregnancy
Missed AppointmentsMissed Appointments
Late or Inadequate Prenatal CareLate or Inadequate Prenatal Care
LBW and PrematurityLBW and Prematurity
Homicide is the Leading Cause ofHomicide is the Leading Cause of
Death for Pregnant WomenDeath for Pregnant Women
29. DV During PregnancyDV During Pregnancy
Most women abused before pregnancy willMost women abused before pregnancy will
be abused during pregnancybe abused during pregnancy
Abuse may happen for first time duringAbuse may happen for first time during
pregnancypregnancy
Peaks during the first trimesterPeaks during the first trimester
Pregnant adolescents are abused at higherPregnant adolescents are abused at higher
rates than are adult womenrates than are adult women
Risk of fetal injury is highRisk of fetal injury is high
30. Intentional Injury to A PregnantIntentional Injury to A Pregnant
WomanWoman
Is Guilty of A Felony if both A and BIs Guilty of A Felony if both A and B
ApplyApply
(a)The person intended to cause a miscarriage
or stillbirth by that individual or death or great
bodily harm to the embryo or fetus, or acted in
wanton or willful disregard of the likelihood that
the natural tendency of the person's conduct is
to cause a miscarriage or stillbirth or death or
great bodily harm to the embryo or fetus.
(b) The person's conduct resulted in a
miscarriage or stillbirth by that individual or
death to the embryo or fetus.
31. Plan and InterventionPlan and Intervention
ABCDESABCDES of caring for abused womenof caring for abused women
AloneAlone
BelieveBelieve
ConfidentialityConfidentiality
DocumentationDocumentation
EducationEducation
SafetySafety
32. Assessing for DVAssessing for DV
AWAY FROM HER ABUSERAWAY FROM HER ABUSER
Every Woman at Every VisitEvery Woman at Every Visit
Assess the Bathing Suit AreaAssess the Bathing Suit Area
Document in WritingDocument in Writing
Photograph injuriesPhotograph injuries
Inpatients Referred to Social ServicesInpatients Referred to Social Services
33. How to Ask About DVHow to Ask About DV
Frame the questionsFrame the questions
We ask all our clients if someone is hurtingWe ask all our clients if someone is hurting
them, someone in their family or close tothem, someone in their family or close to
them. No one has the right to hurt you. I willthem. No one has the right to hurt you. I will
ask you about your relationships, and if youask you about your relationships, and if you
are experiencing violence, we haveare experiencing violence, we have
resources and referrals for you.resources and referrals for you.
34. Three Questions toThree Questions to
AskAsk
Have you been emotionally or physicallyHave you been emotionally or physically
hurt by someone close to you? Y or Nhurt by someone close to you? Y or N
Within the last year have you been hit,Within the last year have you been hit,
slapped or otherwise physically hurt byslapped or otherwise physically hurt by
someone? Y or Nsomeone? Y or N
If yes, by whom and how many times?If yes, by whom and how many times?
TOTAL______TOTAL______
35. Safety PlanningSafety Planning
You Don’t Leave Something to go toYou Don’t Leave Something to go to
NothingNothing
Provide her InformationProvide her Information
Give her ChoicesGive her Choices
BELIEVE HERBELIEVE HER
Document What You DidDocument What You Did
Document What She SaidDocument What She Said
36. Leaving theLeaving the
RelationshipRelationship
Leaving is a ProcessLeaving is a Process
She Needs to Know She can SurviveShe Needs to Know She can Survive
Without HimWithout Him
The Greatest Danger is when SheThe Greatest Danger is when She
LeavesLeaves
Only She can Decide When to Leave,Only She can Decide When to Leave,
OR IF TO LEAVE!OR IF TO LEAVE!
37. Care For SexualCare For Sexual
AssaultAssault
Collaborative careCollaborative care
Sexual assault examination-Same GenderSexual assault examination-Same Gender
Preservation of dignity during the examinationPreservation of dignity during the examination
HistoryHistory
Collection of evidenceCollection of evidence
DocumentationDocumentation
Physical examination and laboratory testsPhysical examination and laboratory tests
Immediate careImmediate care
38. Prevention is worth aPrevention is worth a
Pound of CurePound of Cure
Violence against women is a major socialViolence against women is a major social
and health care problemand health care problem
Thousands of livesThousands of lives
Billions of dollars in direct and indirect healthBillions of dollars in direct and indirect health
care costscare costs
DV includes physical, sexual, emotional,DV includes physical, sexual, emotional,
psychological, and economic abusepsychological, and economic abuse
39. Key PointsKey Points
Cultural influences regarding violentCultural influences regarding violent
behaviors and relationships sensitize thebehaviors and relationships sensitize the
nurse to the special needs of womennurse to the special needs of women
from various ethnic groupsfrom various ethnic groups
Battering affects young, middle-aged,Battering affects young, middle-aged,
and elderly of all races; alland elderly of all races; all
socioeconomic, educational, religioussocioeconomic, educational, religious
groups, and pregnant womengroups, and pregnant women
40. Key PointsKey Points
Follow-up and collaborative careFollow-up and collaborative care
important in all instances of abuseimportant in all instances of abuse
Public Health Providers need to bePublic Health Providers need to be
knowledgeable about reportingknowledgeable about reporting
requirements and available communityrequirements and available community
service for women who have beenservice for women who have been
sexually assaultedsexually assaulted
41. Mandatory ReportingMandatory Reporting
ChildrenChildren
ElderlyElderly
VulnerableVulnerable
BUT OtherBUT Other Adults Make Their OwnAdults Make Their Own
DecisionsDecisions
42. Reporting Abuse,Reporting Abuse,
NeglectNeglect
If you suspect abuse or neglect, call 855-444-3911 any
time day or night. This toll-free phone number allows you to report abuse or
neglect of any child or adult to the Michigan Department of Human Services.
43. Why Doesn’t SheWhy Doesn’t She
Leave?Leave?
I will not leave him, because we live withI will not leave him, because we live with
his parents. I have nowhere to go.his parents. I have nowhere to go.
My parents are old and sick. I lost my jobMy parents are old and sick. I lost my job
when they found out I was pregnant.when they found out I was pregnant.
I want to leave, but I do not haveI want to leave, but I do not have papers,papers,
and I do not speak English. Atand I do not speak English. At leastleast
with him, the kids have food,with him, the kids have food, clothesclothes
and a warm bed.and a warm bed.
44.
45. Help Her Make theHelp Her Make the
CallCall
National Domestic Violence Hotline atNational Domestic Violence Hotline at::
1-800-799-SAFE (7233)1-800-799-SAFE (7233)
or TTY for the Deaf:or TTY for the Deaf:
1-800-787-32241-800-787-3224
www.ndvh.orgwww.ndvh.org
www.michigan.gov/domesticviolencewww.michigan.gov/domesticviolence
46. Abuse should never be fashionableAbuse should never be fashionable
Questions?Questions?
Editor's Notes
My interest in DV began when I was hired as a nurse consultant to be part of a 10 year chart review of women who died within 360 days of being pregnant. When young women of childbearing age die, they seldom die of one thing, they die of everything. If we can intervene and prevent this stressor in her life, than we may save her life. The case that haunted me. Fever of unknown origin. Burn on her upper arm that did not match her story. Backing into an iron. This burn was treated, but her infection got worse and she died. Her explanation of the treated burn did not match the shape and size of the injury. On autopsy another infected burn was found in the bathing suit area. She told no one about this and died protecting her abuser. Don’t misunderstand the until death do us part!
Abuse should never be fasionable.
He isolates, escalates and promises never to do it again, if she will only take him back. Abuse is about power and control, not love. The cost of DV exceeds $4.1 billion in direct medical and mental health care services. Victims of DV account for 22-35% of all women seeking emergency medical care. $150 million is spent annually on the medical care of women’s injuries. As many as 324,000 women each year experience violence during pregnancy with deleterious effects on both the woman and her fetus including LBW and prematurity for the baby, with a 25% increased risk of attempted suicide as well as substance abuse for the mother.
One teen got three of his buddies to constantly instant message his victim pretending to be the boyfriend in 6 hour shifts, so she could not sleep. She was attacked when she could not continue responding. Teens do not have the life experience to know that abuse is not love. Love should not hurt.
DV can start any time, but it is particularly evident in times of stress…a lost job, economic difficulties and debts and of course, pregnancy. Men can be abused but the most likely to be abused are women, with 1 in 4 women likely to be beaten or raped by a partner during her lifetime. On the average day in America, 3 women are killed by a current or former partner.
Why don’t women report abuse: shame, his promises that it will never happen again. Abuse is NEVER a one time occurance. 2013 the Violence Against Women Act was signed (national).
One in 6 women and one in 33 men have been victims of a completed or attempted rape. MDCH investigates about 60 cases a year of women who died within a year of being pregnant. I currently serve on the medical Review committee of the Maternal Mort Study. We determine whether a case was pregnancy related or pregnancy associated or not related at all. If you are in the wrong place at the wrong time and your car is struck by a 16 wheeler, then it had nothing to do with having been pregnant. But there are other cases that are not this clear cut. Death certificates and pregnancy can be correlated, non fatal violence is hard to determine, because many women do not report abuse.
We know it increases with drugs, and alcohol. We know it increases in severe economic downturns. We know that some men are taught to “control their wives” Rule of thumb in early America. You can beat your wife with a stick that is no larger than your thumb.
But why should he stop? His partner treats him like a king. The chances are good that he will escalate the frequency and the violence of his attacks and isolate her from family and friends. She is alone, and he tells her no one will believe her, because he is such a nice guy. He may even send her flowers at work. What a nice guy, they say. He goes to every doctor’s appointment with her to make sure she does not tell. He is charming to the staff, but he may make disparaging jokes about how clumsy she is, particularly now that she is pregnant. You may find her looking at him as she answers you to make sure she gives the right answers. He has convinced her she is stupid and can’t make it on her own. He tells her she is a bad mother. After awhile she believes what he says because he has isolated her. He says he can’t stop. He says its your fault that you made him do it, and he will never do it again, but these are the lies he wants you to believe. Love should not hurt (Oprah), The greatest predictor of future behavior is what has gone on before (Dr. Phil) and Believe him the first time when he shows you who he is (Maya Angelou). Who he is, is when he hits her, not when he is begging her to stay.
What is abuse, It is the systematic pattern of abusive behaviors, occurring over a period of time, that may become more frequent and severe. The behaviors are done for the purpose of control, domination and /or coercion (Schornstein, 1997, p. 3). An intimate partner is someone with whom you are or have been intimately involved. Abuse can happen to anyone. He can’t help himself she says. It’s not his fault. I made him do it. Abusers can stop. If his mother comes to the door while he is abusing you, what will he do? He will answer the door. He can stop! Abuse is a learned behavior. It is learned in the home of origin by watching a parent be abused. Not everyone chooses to become an abuser who drinks, does drugs or is under stress. He says he can’t help himself and it is NEVER his fault! Newspaper account, pregnant women, hit her stomach, then he hit her in the face causing her frontal sinus bones to fracture. They had to put her back together with metal plates. He originally told police she hit herself, but changed his testimony in court. Remember, Abusers abuse, because they can. Who wouldn’t like to be treated like a king?
He isolates her from family and friends. She feels she is alone.
One young mother told her nurse that her boyfriend had hit her while she was pregnant, but she was not abused, because she “fought back”. She went on to say that he would never hurt the baby. Her nurse asked her who she thought he was hurting when he punched her belly?
The pie shaped headings are the tactics used to maintain power and control over the another.
Fundamentalist beliefs of any religion may subordinate the woman to her husband as “head of the household”. He may convince her that she has to follow his orders to be true to her religion and her marriage vows. Women from other countries, who have become more independent, may be at greater risk from violence, especially if they have been perceived as being seen and not heard in the traditional culture. Women may be viewed as property by men who have recently immigrated or who have lived here for generations.
I came up with the B. S. Cycle of violence preparing for this talk. I thought it was a useful way to remember the trajectory violence can take. Not everyone who is abused gets all of it, but all of those who are abused get some of it. According to Jackie Campbell, violence needs to be stopped at the shoving stage. Why do men abuse? Because they can. That does not mean that women cannot be abusers, but most abuse is perpetrated by men. Why does he do it? Did she push his buttons? She made him do it. He can’t control his anger. If he just would not drink, then things would be fine. He promised never to do it again. He would not beat me if he did not love me. If I am just good enough, will he stop? The only behavior we can control is our OWN! I am frequently asked, “Will he change?” The answer is yes. He will probably get worse. He can get better, but only with treatment. He is responsible for his behavior. As nurses what is our responsibility? We have to document all injuries. That means we check the whole body. Pictures are best to go along with descriptions of injuries and how she said she got them. Beware of stories that do not match bruises or burns. Document what you saw and what she said.
If you are unable to read English, drive a car or have money for public transportation, you will have difficulty getting help for abuse. Many immigrants are dependent upon family and friends to take them to health care appointments. If we let them translate for her, they will know the secret. These are also people the abused woman does not wish to know about her abuse, and they may well report back to her abuser.
This is the time when we have healthy young women come for routine prenatal care. Walk-ins have a reason for not coming for care. Some studies found that pregnant women were over 60% more likely to suffer violence than those who were not pregnant. Asking once on a check off form is not enough. The abuse may not start until later in the pregnancy, if you only ask once, you may miss the opportunity to find out what is going on. Asking at every visit may convince the woman that you are really interested in the answer and you will offer her help. Remember, homicide is the leading cause of death for pregnant women.
Starting at age 14 we need to assess every woman at every interaction with the health care system. Document in writing and with photographs or drawings when suspected abuse has occurred. She may have run into a door for her black eye, but she is more likely to have run into a fist. Document what she said happened. Be sure to check her whole body for abuse. The areas covered by a bathing suit are often targeted, because they are hidden under clothes. “ I assess all my clients for violence, I am wondering if this could be happening to you?” or “Many of my clients tell me they are being hurt; when I see bruises like yours, I always ask about abuse” If you don’t ask, she won’t tell.
She has to have a plan. When you share phone numbers and safety planning information, give her options about where he is unlikely to look for documents. Hide the shelter numbers in Shoes, tampon box, back of refrigerator. Document, document, document. Take pictures of her injuries.
I was at a conference where a woman said she had to leave her abuser 8 times before she finally stayed away. Sometimes leaving is practicing to see if she can survive without him. Women have a six times greater risk of harm when they leave their abuser. It is when she is most likely to be killed.
We file form 3320 for children who we suspect are being abused. We report on the elderly and those who are handicapped. Hospitals and pharmacists are mandated to report a person who has suffered a wound or injury with a deadly weapon or by other means of violence. A woman must give her consent for a referral for counseling that is covered by a third party payer. Her partner may see the statement for services which would put her in danger. Also, her insurance can be cancelled if it is states she is suffering from IPV. When you document suspected abuse, you are creating a legal document that she may need in the future. It is shows a pattern of abuse and will be useful in filing for personal protection, divorce or custody hearings.
What if I am wrong? One of my students asked before we filed a 3200. I said, “And what if you’re not?” Funding for the Violence Against Women Act 2013: provides resources to law enforcement and nonprofit organizations; strengthens the capabilities of tribes to respond to violence against Native American women; increases access to support services for lesbian, gay, bisexual and transgender victims of domestic violence; assists in providing funding to ensure that rape kits are promptly tested; and increases safety on college campuses by improving reporting and prevention programs.
When she has a plan to leave, she needs to take a bag with the important papers she has, and she needs a place to go. That may mean leaving with the clothes on her back if the situation is likely to be volatile. Is there room for her and her children at the shelter? Let her use your phone, so if he finds her phone, he does not have a head start on where to look for her or use a national hotline. She can use a computer at a library or in your office. Help is available 24/7.
This number works. I called it to make sure. They have interpreters in 260 languages. This website also works, but remind her to use a computer other than her own.
Flowers for the grave are a gift too late and do nothing to help the person abused. Don’t misunderstand “until death do us part”.