The Client Who Has Been Abused

Question 1

Risk factors for people who abuse people

Answer 1

1. Issues in the anatomy of the brain dealing with inhibition of aggression impulses
2. Biochemical neurotransmitters
3. Genetics
4. Brain disorders
5. Underdeveloped ego and weak superego (unmet satisfaction and security needs)
6. Witnessed/have been abused as a child
7. Negative role modeling
8. Societial norms and culture

Question 2

Battering

Answer 2

A pattern of control founded on and supported by physical and/or sexual violence or threat of violence of an intimate partner

Question 3

Intimate Partner Violence

Answer 3

A pattern of abusive behavior that is used by an intimate partner to gain or maintain power and control over the other intimate partner. Can by physical, sexual, emotional, economic, or psychological actions or threats of actionsthat influence another person. Includes any behaviors that intimidate, manipulate, humiliate, isolate, frighten, terrorize, coerce, threaten, blame, hurt, injure, or wound someone

Question 4

Profile of the Victim (IPV)

Answer 4

1. All ages, races, religions, cultures, educational backgrounds, and socioeconomical groups
2. Married or single
3. Housewives or business executives
4. Low self-esteem
5. Commonly adhere to feminine sex-role stereotypes
6. Accept blame for the batterer’s actions
7. Feelings of guilt, anger, shame, fear
8. May be isolated from family and support systems
9. Some may have grown up in abusive homesand may have left those homes at a very young age in order to escape the abuse
10. Views relationship as male dominant
11. Learned helplessness (progressing inability to act on her own behalf)

Question 5

The Tension-Building Phase

Answer 5

1. Women senses that the man’s tolerance for frustration is declining
2. Man becomes angry with little provocation but after lashing out a her may be quick to apologize
3. Woman may become very nurturing and compliant - trying to prevent anger from escalating or may stay out of his way
4. Minor battering incidents occur during this phase
5. Denies her anger and rationalizes his behavior
6. Abuser begins to feel his partner willleave him, jealousy andprotectiveness increase
7. Abuser threatens to keep her around

Question 6

The Acute Battering Incident Phase II

Answer 6

1. Most violent and shortest, usually lasting upto 24 hours
2. Woman feel their only optionis to find a safe place to hide from the batterer
3. Beating is severe
4. Batterer minimizes the severity of the abuse
5. Help is sought only in the event of severe injury or if the woman fears for her life orthose of her children

Question 7

Calm, Loving, Respite (“Honeymoon”) Phase III

Answer 7

1. Batterer becomes extremely loving, kind, and contrite
2. Promises that the abuse will never recur and begs for forgiveness
3. Uses charm to ensure his fear of her leaving does not happen
4. Believes he can control his behavior because he has taught her a lesson and she won’t act out again
5. Plays guilt on her and she wants to believe him

Question 8

Why does she stay?

Answer 8

1. Fear of retaliation (if you leave I will find you and kill you and the children)
2. For for children (fear of losing custody of the children)
3. For financial reasons
4. Lack of a support network
5. Religious reasons
6. Hopefulness (rembers goodtimes and lovein the relationship and has hope that her partner will change his behavior and they can have a good time again)

Question 9

Rape-Trauma Syndrome TNIs

Answer 9

1. You are safe here
2. I’m sorry that it happened.
3. I’m glad you survived.
4. It’snot your fault. No one deserves to be treated this way.
5. You did the best that you could.
6. Explain assessment procedures and why they are being conducted
7. Ensure that client has adequate privacy for allimmediate post-crisis interventions
8. Encourage theclient togivean account ofthe assault but do not probe
9. Discuss who to call for support or assistance, provide referrals

Question 10

Powerlessness r/t cycle of battering TNIs

Answer 10

1. Ensure that all physcial wounds, fractures, and burns receive immediate attention. Take photographs if the individual will permit
2. Private area for interview
3. Assure her of her safety
4. Encourage her to discuss thebattering incident - has it happenedbefore, whether the abuser takes drugs, whether the woman has a safe place to go, and if she’s interesting in pressing charges
5. Offer support but remember that the final decision must be made by the client
6. Stress the imporance of safety
7. Reference to hot lines, safe places
8. Her choices must be respected

Question 11

Granny-bashing

Answer 11

abuse of elderly individuals

Question 12

Risk factors for victims of elder abuse

Answer 12

1. White female over age 70
2. Mentally or physically impaired
3. Unable to meet daily self-care needs
4. Having care needs that exceed the caretaker’s ability

Question 13

Granny-dumping

Answer 13

Abandoning elderly individuals a emergency departments, nursing homes, or other facilities - literally leavving them in the hands of others when the strain of caregiving becomes intolerable

Question 14

Physical Elder Abuse

Answer 14

1. Striking, hiting, beating
2. Shoving
3. Bruising
4. Cutting
5. Restraining

Question 15

Psyhological Elder Abuse

Answer 15

1. Yelling
2. Insulting, name calling
3. Harsh commands
4. Threats
5. Ignoring, silence, social isolation
6. Withholding of affection

Question 16

Neglect Elder Abuse

Answer 16

1. Withholding food or water
2. Inadequate heating
3. Unclean clothes and bedding
4. Lack of needed medication
5. Lack of eyeglasses, hearing aids, false teeth

Question 17

Financial Elder Abuse

Answer 17

1. Misuse of the elderly person’s income by the caregiver
2. Forcing the elderly person to sign over financial affairs to another person against his or her will or without sufficient knowledge about the transaction

Question 18

Sexual Elder Abuse

Answer 18

1. Sexual molestation
2. Rape
3. Any type of sexual intimacy against the elderly person’s will

Question 19

Factors contributing to Elder abuse

Answer 19

1. Longer life, more assistance and care needed from family members
2. Dependency
3. Caregiver stress
4. Learned violence

Question 20

Manifestations of Elder Abuse

Answer 20

1. Depression, withdrawal, anxiety, sleep disorders, and increased confusion or agitation (psychological abuse)
2. Bruises, welts, lacerations, burns, punctures, avidence of hair pulling, and skeletal dislocations and fractures (physical abuse)
3. Hunger, poor hygiene, inappropriate dress, consistent lack of supervision, consistent fatigue or listlessness, unattended physical problems or medical needs, or abandoment (neglect abuse)
4. Pain or itching in the genital area, bruising or bleeding in external genitalia, vaginal, or anal area, or an unexplained sexually transmited disease (sexual abuse)
5. Obvious disparity between assets and satisfactory living conditions, elderly compains of sudden lack of sufficient funds for daily living expenses (financial abuse)