The document provides information on risk and lethality dynamics between victims and abusers. It discusses abuser characteristics like blaming others, lack of boundaries, and viewing family as property. It also examines victim characteristics like low self-esteem and isolation. The document outlines lethality indicators like threats, forced sex, and weapons use. It emphasizes that risk assessment must consider the totality of risks faced by the individual victim. The document also discusses safety planning and protective orders as tools but notes that separation carries the highest risk and safety can never be guaranteed.
WATCH this presentation here: https://www.youtube.com/watch?v=HLBoiSbl9GM
This hour will include a definition of Extreme Abuse (EA) with examples divided into three categories: Pedophile-Porn Rings (PPR’s), Occult-Themed Abuse (commonly called “Ritual” or “Ritualized” Abuse), and Deliberate Trauma or Technical-Based Dissociation (DT-TBD), sometimes referred to as “Mind Control.” Practitioners will be given a tool for self-care when working with these extraordinary, yet often intense, clients.
Participants will be able to:
Define the four characteristics of Extreme Abuse (EA).
Name three categories of Extreme Abuse (EA).
Identify five strategies for practitioner self-care when working with EA survivors.
45 slides I have made which consists of three important learning theories; Classical Conditioning Theory, Operant Conditioning Theory and Observant Conditioning Theory and empirical studies of each.
WATCH this presentation here: https://www.youtube.com/watch?v=HLBoiSbl9GM
This hour will include a definition of Extreme Abuse (EA) with examples divided into three categories: Pedophile-Porn Rings (PPR’s), Occult-Themed Abuse (commonly called “Ritual” or “Ritualized” Abuse), and Deliberate Trauma or Technical-Based Dissociation (DT-TBD), sometimes referred to as “Mind Control.” Practitioners will be given a tool for self-care when working with these extraordinary, yet often intense, clients.
Participants will be able to:
Define the four characteristics of Extreme Abuse (EA).
Name three categories of Extreme Abuse (EA).
Identify five strategies for practitioner self-care when working with EA survivors.
45 slides I have made which consists of three important learning theories; Classical Conditioning Theory, Operant Conditioning Theory and Observant Conditioning Theory and empirical studies of each.
MSUM's 2nd Annual Walk A Mile In Her Shoes® - Rape & Abuse SignsMSUM Dragon Athletics
Walk a Mile in Her Shoes® is a International Men’s March to Stop Rape, Sexual Assault & Gender Violence. This will be the second year the All-American has lead this event. The event is on Sunday, March 25 in the CMU Main Lounge and Ballroom, and all members of the Fargo-Moorhead community are welcomed.
During the walk, women and men together will walk a mile around the campus of MSUM. Men will be given the opportunity to wear high heels to signify putting yourself in her shoes.
Last year’s event was a huge succes and all the Dragon teams had players that participated. Again this year student-athletes will be in attendance for the event, and you really should see a men’s basketball center in six inch heels.
Homicide Victims Impact Training Through Cold Case Public Unit. This is a Certificate Course and can be used in understanding the Impact on Families that have Been Victimized through Homicide.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
1. Learning Unit 3 Risk and Lethality: Victim and Abuser Dynamics A mini content lecture designed as a supplemental learning resource for CRJ 461 by Bonnie Black.
2. Who is the Abuser Appearances can be deceiving!
4. Abusers Develop Strategies That: Hide emotional vulnerability and skill deficits. Create a conscious deception to protect image – pattern. Prevent real character and weaknesses from being exposed. Calculated 4
5. Abuser Characteristics Limited Tolerance for Change Dependent/ Insecure No Delayed Reinforcement Low Self-Esteem No Boundaries Dysfunctional Family Avoids Facts Better/Different Than Others Use Anger to Intimidate/Control Can’t Express Emotions Views Family as Ownership Avoids Responsibility “Entitled” 5
6. Defendant Statements Pick out the key words! Think about It! Is there minimization and attempts to avoid responsibility? 6
7. Defendant Statement - #1 “I became angry and so did she. We started arguing. I hit her with a tire iron, but didn’t mean to. I was just trying to scare her. I love my wife and believe she exaggerated her injuries.” Hit in back w/tire iron “I became angry and so did she. We started arguing. I hit her with a tire iron, but didn’t mean to. I was just trying to scare her. I love my wife and believe she exaggerated her injuries.” 7
8. Defendant Statement - #2 “It was one of those family arguments in which I was coming home from a basketball game and I was accused of being around other women. Arguing started which ended up to this.” Victim hit in head with ax handle “It was one of those family arguments in which I was coming home from a basketball game and I was accused of being around other women. Arguing started which ended up to this.” 8
9. Defendant Statement - #3 “My wife and I had stopped communicating so I set up a tape recorder to record her phone calls so I could find out what was bothering her. As I listened to the tape, I found out my wife was having an affair. I was angry and fearful at the same time I confronted her with the tape. I yelled at her and pushed her to the couch and floor a couple times. I waved my gun at her and noticed it was cocked. I did not want it to go off and I attempted to de-cock it. My hands were shaking so badly, they slipped and the gun accidentally discharged.” 9
10. Defendant Statement - #3 Choked wife/gun fired on floor “My wife and I had stopped communicating so I set up a tape recorder to record her phone calls so I could find out what was bothering her. As I listened to the tape, I found out my wife was having an affair. I was angry and fearful at the same time I confronted her with the tape. I yelled at her and pushed her to the couch and floor a couple times. I waved my gun at her and noticed it was cocked. I did not want it to go off and I attempted to de-cock it. My hands were shaking so badly, they slipped and the gun accidentally discharged.” Witnessed by 14 yr old daughter 10
11. Expect Abusers to Avoid Responsibility 1.Deny…………………….. Did not happen that way! 2. Minimize………………… Downplays significance of abuse! 3. Externalize...…………… Actions caused by others! 4. Rationalize...…………… Justifies behavior! NOT ME! 11
12. Patterns of Thinking and Behavior Blaming Shifts responsibility to others Immediate Gratification Now oriented Grandiose Presents image of self-importance Build Up Better than others Unique Different than others Lying Used to control information, confuse or gain the advantage Lack of Boundaries “I do what I want” You’re Mine Owner of others; like property 12
13. Abuser Types Theory 1: Low self-esteem/inadequate Theory 2: High self-esteem/egoism Theory 3: Pit Bulls vs. Cobras Theory 4: One size doesn’t fit all 13
15. Theory 2: DV Stems From: Inflated ego/invincible Better than others/grandiose sense of self 15
16. Theory 3: Pit Bulls vs. Cobras Pit Bulls Great Guys Charming to Others Emotionally Dependent Stalkers/Jealous No Criminal Record Cobras Sociopaths Antisocial Cold, No Emotional Bond - Needs Victim Aggressive towards Anyone when Challenged Has Criminal Record, Substance Abusers Studied 201 married couples, 63 were abusive. Is this a valid sample? 16 Source: http://www.nytimes.com/1998/03/17/science/battered-women-face-pit-bulls-and-cobras.html
17. Theory 4: Abusers are All Different One size doesn't fit all. Underlying issues may vary but common characteristics exist! 17
21. Identifying Abusers: What To Look For Cites good intentions for abuse Can’t show empathy Often compliant with criminal justice system or creates an appearance of Socially isolated Traditionalist 19
22. Identifying Abusers: Continued Past battering Controlling in relationships Accepts behavior as normal/right Jealousy Blames victim Master at manipulation 20
23. What Victims Should Look For Reactive Hypersensitive Intensive Rapid escalation of emotion/ dramatic Depth Lack of emotional substance in relationships (no growth) Oppositional Manipulates conflicts and argument to maintain controlling position False Front Disparity in private and public self Historical No info about previous life Information Hard to gain access to other life activities and relationships Monopoly “All I need is you!” 21
25. Every Victim is Different Recognize individuality of every situation. 23
26. Victim Safety is #1 Priority Extends to children, family members and community. Ongoing risk can result in homicide. 24
27. Safety: A Victim Perspective How does she define it? Does she feel safe at this time? When does she feel safe? Does her partner know she is talking to you? What does she think will be her partner’s next move? What can I do to improve your safety? 25
28. Through the Eyes of a Victim “I asked the victim if she was safe and she said yes. I removed the candlesticks by the front door so I am now safe.” (Boyfriend use to threaten her with them.) “I asked the victim if she was safe and she said yes. I asked where her husband was. ‘In the bedroom” she replied. Has he been drinking? ‘Yes, but only a six pack.’ Are there weapons in the house? ‘Yes, he has a gun in the bedroom.” Victim was directed to leave the house immediately. 26
29. Different Views of Risk Criminal Justice Professional’s View ofVictim Risk: Loss of life Physical abuse and injuries Victim’s View of Risk: Losing custody of children Loss of job due to court hearings, etc. Impact on children who may be removed from school Public and/or family shame Victim’s concerns extend well beyond traditional definitions of “safety.” 27
31. What is Risk? Source: “Risk assessment approach for the prevention of recidivism…” by Anna CostanzaBaldryIntervict, PowerPoint. Likelihood “Probability” 29
32. Predictions History of violence is one of the best predictors of future violence! Homicide most difficult to predict because it’s rare! 30
33. Predictions of Risk are Based on: INTUITION KNOWLEDGE EXPERIENCE BIASES INSTRUMENTS Source: Assessing Dangerousness by Jacquelyn C. Campbell 31
34. Computerized Risk Assessment Instruments CAN: Be a tool to think through the elements of a case and compare it to other cases that resulted in serious injury or death. Be a good reminder to do a thorough investigation and analyze elements. CAN NOT: Predict the behavior of any given individual. Interpret the world of the battered victim’s problem solving; D.V. is about coercive control not just a problem of assaultive behavior. Source: Metro Nashville Police Department, Stalking, Safety and Assessment. 32
35. Because abuse is such a serious risk factor for homicide between intimates, cases should be routinely assessed for homicide risk. Knowledge of risk factors allows potential victims and officers to gauge the degree of danger and make decisions. 33
36. One Size Does Not Fit All D.V. assessment must be case-specific and based on an ongoing analysis of the totality of risks the victim faces. 34
37. Lethality Indicators Frequency/severity of violence Drug/alcohol abuse Threats to harm children Threats to kill Forced sex Suicide threats/ attempts Weapons Pet abuse Psychiatric impairment Proximity Level of obsession/stalking Perceived ownership Separation Indifference to public consequences Service of court papers Adapted from Lenore Walker, 1996 35
38. Don’t Discount Threats Does victim believe it? Made private or public? Detailed and specific? Have the means? Has there been “rehearsals” of act? Does it extend to others? Involve murder, suicide or both? 8-8-10 Source: Metro Nashville Police Dept; Stalking, Safety, Assessment 36
39. Presence of Lethality Indicators Increases Risk of Victim Killing Abuser Frequency of violent incidents Severity of injuries Abuser’s threat to kill Victim’s threats of suicide Abuser’s frequency of intoxication Abuser’s drug abuse Forced sexual acts 37
40. Victim Safety Options Information on D.V. Resources/Services Available Explain role of D.V. Shelter Identify a Support Person – Not Alone Protective Orders Safety Planning *Priority of criminal justice response should be victim safety! 38
41. Do Orders of Protection Work? Think About it! 39
42. Protective Orders: A Tool for Safety? An Important Option For Victims: Allows for police intervention Interfering with Judicial Proceedings is a D.V. crime Majority follow court order Creates a paper trail of abusive history Legal finding by judge 40
43. Cautions with O.P. Only a piece of paper. Nothing ensures safety. Homicide risk increases following service of court papers. Separation most dangerous time. Must be taught how to use it: When to call police Keep copy Full Faith and Credit Valid in ALL states Modifications by judge only Think About it! Does invitation by victim invalidate the protective order? 41
44. Answer to Think About it! NO Protective orders are against the defendant only; not the plaintiff. An invitation by victim may influence arrest and charging decisions. 42
45. Safety Plans Thinking about what you would do in a crisis. Low risk rooms vs. dangerous rooms Create signals/code words Escape plan -- rehearsed Safety planning with children Plan is individualized and varies if staying, having contact or in hiding. Extend beyond home. SAFETY 43
46. Risks of Separation Leads to high risk situations: Stalking Service of court papers Victim independence Secret is revealed/exposing abuser Suicidal tendencies Abusers feels loss of control/need to exert control: Revenge Teach lesson Boundaries broken-”nothing more to lose” 44
47. Push by the C. J. System to Protect Victims Increased state and Federal legislation with stronger laws and harsher punishments. Example: Violence Against Women Act More funding to support victim assistance programs and crisis intervention teams. Full Faith and Credit Protective orders valid in ALL States should victim need to flee. What else? 45
48. Conclusions Abusers are manipulative and calculating; presenting a different public and private image. Separation is the most dangerous time for a victim. Risk assessment within the criminal justice process is important and must be ongoing. Defining victim’s perspective on safety is important. The criminal justice system has a moral responsibility to provide victims with resources and options that will promote safety. Victim safety can NEVER be guaranteed! 46