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Sophomore 2 Test 5 > Family Abuse/Violence > Flashcards

Family Abuse/Violence Flashcards

1
Q

Reasons men do not report being abused

A
  1. They are not socialized to express their feelings or see themselves as victims
  2. Stereotypes of men being abusers, women being victims
  3. The abuse of men is perceived as less serious or a “joke”
  4. The belief that there is a lack of support or resources that are available to women
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2
Q

Victim of Abuse Profile

A
  • Represent all age, racial, religious, cultural, educational, and socioeconomic groups
  • Have low self esteem; blame themselves
  • Grew up in abusive homes
  • Perception that the relationship is male dominant
  • Learned helplessness
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3
Q

What is learned helplessness?

A

Occurs when a person comes to understand that regardless of his or her behavior, the outcome is unpredictable and usually undesirable

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4
Q

Profile of the Victimizer

A
  • Low self esteem
  • Pathologically jealous
  • Limited coping ability
  • Have severe stress reactions
  • Threatened by signs of independence
  • Children often ignored until old enough to try to protect mother
  • Demanding and will control through the power of intimidation
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5
Q

Cycle of Battering

A
  1. Tension-Building Phase
  2. Acute Battering Incident
  3. Calm, Loving, Respite, “Honeymoon” Phase
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6
Q

Tension Building Phase

A

Phase 1 of the Cycle of Battering

  • The man becomes angry with little aggravation
  • Could lash out, but is quick to apologize
  • Minor battering incidents may occur during this phase
  • The victim may become very nurturing and compliant in an effort to prevent his anger from escalating
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7
Q

How long does the Tension-Building Phase last?

A

May last from a few weeks to even years

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8
Q

The Acute Battering Phase

A

Phase 2 of the Cycle of Battering

  • The most violent phase and the shortest
  • Often begins with the batterer justifying his behavior to himself
  • Wants to “teach her a lesson”
  • May or may not be provoked
  • Victim feels only option is to find a safe place to hide from the batterer
  • Beatings are severe
  • By the end of the incident, the batterer cannot understand what has happened, only that in his rage he has lost control over his actions
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9
Q

How long does the Acute Battering Phase last?

A

Usually lasts up to 24 hours

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10
Q

Honeymoon Phase

A

Phase 3 of the Cycle of Abuse

  • The batterer becomes extremely loving, kind, and remorseful; will beg for forgiveness
  • Batterer will buy her gifts to “win her”
  • Batterer believes that he can now control his anger, because he has “taught her a lesson” and she will not “act up” again
  • Victim relives her original dream of ideal love and chooses to believe that this is what her partner is really like
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11
Q

Why does she (the victim) stay?

A
  1. Fear - for her life and those of her children
  2. Low self esteem - may have grown up in abusive home, this is “normal” for her
  3. Religion - “for better or for worse”
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12
Q

Child Behaviors of Physical Abuse

A
  1. Unexplained burns, bites, bruises, broken bones, or black eyes
  2. Fading bruises or other marks especially after an absence from school
  3. Appears frightened of the parents
  4. Protests when it is time to go home from school
  5. Shrinks at the approach of an adult
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13
Q

Parent Behaviors of Physical Abuse

A
  1. Offers unconvincing or even no explanation about the child’s injury
  2. Describes the child as “evil”, or in some type of negative form
  3. Uses harsh physical discipline with the child
    * * The story doesn’t always match the injury
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14
Q

Child Behaviors of Emotional Abuse

A
  1. Extremes in behavior
  2. Inappropriately adult (parenting children) or inappropriately infantile (frequently rocking or head-banging)
  3. Failure to thrive (physically or emotionally)
  4. Attempted suicide
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15
Q

Parent Behaviors of Emotional Abuse

A
  1. Constantly blames, belittles, or berates the child
  2. No concern regarding the child
  3. Overtly rejects the child
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16
Q

Child Behaviors of Neglect

A
  1. Frequent school absences
  2. Bags or steals money or food
  3. Constantly dirty or severe body odor
  4. Lacks sufficient seasonal clothing
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17
Q

Parent Behaviors of Neglect

A
  1. Appears apathetic or depressed
  2. Indifferent toward the child
  3. Irrationally or in a bizarre manner
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18
Q

Child Behaviors of Sexual Exploitation

A
  1. Difficulty in walking or standing
  2. Nightmares or bedwetting
  3. Sudden change in appetite
  4. Becomes pregnant or contracts a STI, particularly before the age of 14
  5. Lack of trust in others
  6. Seductive behavior/advanced sexual knowledge
  7. Expressing fear of a particular person
  8. Compulsive masturbation
  9. Sexual abuse of another child
  10. Increase in gifts from unknown source
  11. Sudden onset of enuresis
  12. Excessive bathing
  13. Run away from home
  14. Suicide attempt
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19
Q

Adult/Parent Behaviors of Sexual Exploitation

A
  1. Severely limits the child’s contact with other children, especially the opposite sex
  2. Secretive and isolated
  3. Jealous or controlling with family members
  4. Poor education about child development or care needs
  5. Expects child to be perfect
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20
Q

Family Dynamic of an Incestuous Relationship

A
  • Usually an impaired relationship between the parents
  • The mother is usually aware of the situation or may have a strong suspicion
  • Mother may be grateful the sexual needs of her husband are being met by someone else
  • Usually begins with touching and fondling
  • Child has a confused relationship with father (will he have a paternal role or sexual role for her?)
  • Father may isolate the child from peers out of fear that she may expose their relationship
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21
Q

Profile of the Adult Survivor of Incest

A
  • Lack of trust in others
  • Low self esteem
  • Poor sense of identity
  • They are often not believed when they do speak up
  • Inability to trust their own feelings
  • Feelings of guilt
  • Peer relationships are often delayed, altered, or perverted
  • Women may experience diminished libido, vaginismus, nymphomania, and promiscuity
  • Men may experience impotence, premature ejaculation, exhibitionism, and compulsive sexual conquests may occur
22
Q

Three Basic Types of Rape

A
  1. Date Rape
  2. Marital Rape
  3. Statutory Rape
23
Q

Date Rape

A

The victim knows the rapist. It may be date related or merely acquaintances or schoolmates

24
Q

Marital Rape

A

The spouse may be held liable for sexual abuse directed at his/her married partner against that person’s will.

25
Q

Statutory Rape

A

This type of rape is an act of unlawful intercourse between a man older than 16 years of age and a woman under the age of consent. Ages vary from state to state, ranging from 14 to 21 years of age.
** Charges are usually brought by the victim’s parents

26
Q

Profile of the Sexual Victimizer

A
  • Had a childhood that was “mother-dominated” and mother was “seductive but rejecting”
  • Mother rescued him when his delinquent acts caused problems, but she was quick to withdraw her love and attention when he went against her wishes
  • Mother was domineering and possessive of the son
  • May have grown up in an abusive home
  • Usually between the ages of 25 and 44
  • Most rapists do not have a history of mental illness
27
Q

Profile of the Sexual Abuse Victim

A
  • The victim can be any age but the highest risk age group is 20-34 years old
  • 70-75% are single
  • Attacks usually happen close to the victim’s neighborhood
    • In the In the following weeks after the attack, the victim may feel symptoms which include headache, fatigue, bruises, contusions, vaginal discharge, dysuria, rectal bleeding and pain, rage, humiliation, desire for revenge, and self-blame.
28
Q

Two emotional patterns of response that may occur within hours after a rape

A
  1. Expressed Response Pattern

2. Controlled Response Pattern

29
Q

Expressed Response Pattern

A

This is where the victim expresses feelings of fear, anger, and anxiety through such behaviors as crying, sobbing, smiling, restlessness, and tension

30
Q

Controlled Response Pattern

A

The victim’s feeling are masked or hidden, and a calm, composed, or subdued affect is seen

31
Q

Compound Rape Reaction

A

This is where the victim develops additional symptoms such as depression and suicide, substance abuse, and even psychotic behaviors

32
Q

Silent Rape Reaction

A

In which the victim tells no one. Anxiety is suppressed and the emotional load becomes overwhelming. The unresolved trauma may not be revealed until the woman is forced into another sexual crisis that reactivates the initial incidence

33
Q

Crisis Intervention Goal

A

To help victims return to their previous lifestyle as soon as possible

34
Q

Crisis Intervention Planning

A

It is important to have the victim involved in the intervention from the first visit. In doing this, this promotes a sense of competency, control, and decision-making

35
Q

Crisis Intervention: Developing Coping Strategies

A

The individual may go through a period of disorganization in which the victim has difficulty in making decisions, extreme or irrational fears, and general mistrust. Guilt and feelings of responsibility are common. The counselor will try to help the victim draw upon previous positive coping strategies to regain control over his or her life.

36
Q

Safe Houses/Shelters

A

This is a place where women can go to be assured of protection for them and their children.

  • Usually run by a combination of professionals and volunteers.
  • Group work is an important part of the service of the shelter.
  • The length of stay varies on an individual basis: outside support services, personal resources, and financial situations are determining factors of length of stay.
  • It provides a refuge of physical safety and it promotes expression of tense emotions.
37
Q

Examples of Elder Abuse: Physical

A
  1. Striking
  2. Shoving
  3. Bruising
  4. Cutting
  5. Restraining
38
Q

Examples of Elder Abuse: Psychological

A
  1. Yelling
  2. Name calling
  3. Threats
  4. Social Isolation
39
Q

Examples of Elder Abuse: Neglect

A
  1. Withholding food and water
  2. Unclean clothes
  3. Lack of corrective lenses, hearing aids, false teeth
40
Q

Elder Abuse: Financial

A

Misuse of the elderly person’s income by the caregiver

41
Q

Factors that Contribute to Elder Abuse

A
  1. Longer life span
  2. Dependency
  3. Stress
  4. Learned violence
42
Q

Factors that Contribute to Elder Abuse: Dependency

A

The most common precondition in domestic abuse. Age and illness related changes result in loss of self-sufficiency in the elderly population. Also financial dependence may cause dependency on another as well which may increase the risk of abuse

43
Q

Factors that Contribute to Elder Abuse: Stress

A

Some believe that the stress of caring for the elderly individual causes an increase risk of abuse. It is believed that even healthy individuals can become abusive due to the exhaustion one receives taking care of the aged individual

44
Q

Factors that Contribute to Elder Abuse: Learned Violence

A

Children who were abused or witnessed abusive behavior are more likely to become abusive adults. In turn, this increases the risk of elder abuse.

45
Q

Signs of Elder Abuse: Psychological

A
  1. Depression
  2. Withdrawal
  3. Anxiety
  4. Sleep disorders
  5. Increased confusion or agitation
46
Q

Signs of Elder Abuse: Physical

A
  1. Bruises
  2. Welts
  3. Lacerations
  4. Burns
  5. Punctures
  6. Evidence of hair pulling
  7. Fractures
47
Q

Signs of Elder Abuse: Neglect

A
  1. Consistent hunger
  2. Poor hygiene
  3. Inappropriate dress
  4. Constant fatigue
  5. Abandonment
48
Q

Signs of Elder Abuse: Sexual

A
  1. Pain or itching in the genital area
  2. Bruising or bleeding in the genital area
  3. Unexplained sexually transmitted infections
49
Q

Signs of Elder Abuse: Financial

A

Complaint of sudden lack of sufficient funds for daily living expenses

50
Q

Elder Victims Response to Abuse

A

Elders of abuse are often protective toward a family member or unwilling to institute legal action because of fear of retaliation. Adding to this unwillingness to report is the fact that infirm elders are often isolated so their mistreatment is less likely to be noticed by those who might be alert to symptoms of abuse.

51
Q

The healthcare worker’s responsibility in cases of suspected elder abuse

A

Health care workers are responsible for reporting any suspicion of elderly or any type of abuse. An investigation is completed by regulatory agencies, whose job it is to determine if the suspicions are accurate. Every effort must be made to determine the patient’s safety, but it is important to remember that a competent elderly patient has the right to choose his or her health options. If the patient wishes to return to the abusive home, the patient should be provided with names, phone numbers to call for assistance. A follow-up visit by an adult protective service representative should be conducted.

Sophomore 2 Test 5 (4 decks)

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