Domestic Abuse and psychological factors Flashcards
what makes domestic abuse different from other types of abuse
occurs between partners or ex partners
usually occurs in private homes making witnesses few
situational couple violence
fighting or verbal aggression not involving control
coercive and controlling behaviour
aims to isolate a person from family and friends, degrade then and microregulate all aspects of life e.g what they can wear, where they can go, how late they can stay out
violence may or may not be present
gender based violence
spectrum of things seeing violence directed against a person on the basis of gender. domestic abuse falls under this
name 3 non fatal outcomes of domestic abuse
mental health issues - anxiety , depression
physical issues - trauma
reproductive health issues
chronic conditions
health harming behaviours - alcohol, smoking, drugs
what might be a consequence to children living in a domestic abuse home
anxiety and depression
sleeping issues and nightmares
behavioural issues
lowered feelings of self worth and feelings of guilt
ACE
adverse childhood events
give 3 examples of adverse childhood events
abuse , neglect, household dysfunction (substance abuse, divorce, domestic abuse between parents)
what might multiple adverse childhood events make these children more likely to develop
medical problems
binge drinking
involvement in violence
name 5 potential indicators of domestic abuse you might see a patient present
TMJ problems
dento/ maxillofacial injuries
constant phoning/ texting a partner whilst in appointment - particularly if appointment running late
partner present and doing all the talking
low self esteem
unlikely explanations for injuries
bruising/ strangle marks round neck
what is a strategy (acronym) for suspected domestic abuse
A - ask
V - validate
D - document
R - refer
discuss the AVDR method of addressing domestic abuse
A - ask the question , in a private setting away from family members and partners (x rays is a good excuse) , use non judgemental language e.g i’ve noticed you have bruising on your neck has someone hurt you
V - validate the persons situation , show them you are concerned, you believe them and that you’re taking it seriously - ‘i am concerned about your safety’
D - document your findings, be specific and detailed, use patients own words as well as clinical notes. Could end up in court years later
R - signpost rather than refer, highlight appropriate services but leave it to them to take action
what is the core scottish organisation for helping victims of domestic abuse
scottish domestic abuse helpline
what does the biopsychosocial model encompass
biological factors - genetics, viruses , bacteria
Psychological factors - cognitions, emotions , behaviours
Social Factors - social norms, pressures to change, social class
CBT 5 areas model
(cognitive behavioural therapy)
problems can be in one of 5 areas
- body - physical , medical e.g rotten tooth
- thoughts
- emotions - includes pain and fear
- behaviour - things people do
- situation - social elements
