Crisis intervention Child Abuse, Spousal Abuse, and Sexual Abuse.

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Crisis intervention Child Abuse, Spousal Abuse, and Sexual Abuse

Transcript of Crisis intervention Child Abuse, Spousal Abuse, and Sexual Abuse.

Crisis intervention

Child Abuse, Spousal Abuse, and Sexual Abuse

Child Abuse Types of Child Abuse

Physical Sexual General Neglect Emotional abuse

Child Abuse How to detect child abuse and neglect

How to detect sexual abuse of children Presumptive indicators of sexual abuse

Direct reports from children Pregnancy Preadolescent venereal disease Genital bruises or other injuries

Child Abuse Possible indicators of sexual abuse

Precocious sexual interest or preoccupation Indiscreet masturbatory activity Vaginal discharge; more often masturbatory or

foreign body than abusive Apparent pain in sitting or walking. Be alert for

evasive or illogical explanations. Encourage physical examinations.

Child Abuse Behavioral associations of a nonspecific

nature Social withdrawal and isolation Fear and distrust of authorities Identification with authorities Distorted body image; shame, sense of ugliness,

disfigurement Depression Underachievement, distraction, daydreaming Low self-esteem, self-deprecation, self-punishment Normal, peer-appropriate behavior

Child Abuse Child Abuse Accommodation Syndrome

Abuse Secrecy Accommodation Disclosure Suppression All family members use defenses: dissociation,

repressions, denial, minimization, externalization

Child Abuse Reporting Child Abuse

Child Abuse Interventions with an abused child

Play Therapy

Family Therapy

Child Abuse The Battering Parent

Interventions for adults who were sexually abused as children

Elder Abuse Interventions with abused elderly people

Intimate Partner Abuse and Domestic Violence Prevalence

Domestic violence is the leading cause of injury for American women age 15 – 44 years.

An estimated 1.1 – 4 million are victims of partner abuse per year.

1 in 4 women will be assaulted by a domestic partner in her lifetime.

Nearly 1/3 of women report being physically abused by a husband or boyfriend.

30% of female murder victims have been killed by their intimate partners.

Intimate Partner Abuse and Domestic Violence Common Myths

Battering happens only to minorities and in lower socioeconomic families.

Women are masochistic and achieve unconscious satisfaction in being beaten.

The battered woman has a dependent personality disorder.

Battering is caused by alcohol and drug abuse. Batters are mentally ill.

Intimate Partner Abuse and Domestic Violence Why do women stay?

Intimate Partner Abuse and Domestic Violence The Battering Cycle

Honeymoon Phase Tension-Building Phase Explosive Phase Honeymoon Stage again

Intimate Partner Abuse and Domestic Violence Battered Woman Syndrome

PTSD Symptoms

Learned Helplessness

Self-Destructive Coping Responses to Violence

Intimate Partner Abuse and Domestic Violence Intervening with Battered Women

Let her know help is available Give her specific information about resources Document the battering with accurate medical

records Acknowledge her experiences in a supportive

manner Respect her right to make her own decisions

Intimate Partner Abuse and Domestic Violence The Batterer

A Phenomenological View You are very jealous. You sulk silently when upset. You have an explosive temper. You criticize and put down your partner a lot. You drink or use drugs. You believe that it is the male role to be in charge and

have contempt for women. You are protective of your partner to the point of being

controlling.

Intimate Partner Abuse and Domestic Violence The Batter

A Phenomenological View (Cont.) You are controlling of your partner’s behavior, money,

and decisions. You have broken things; thrown things at your partner;

hit shoved, or kicked your partner when angry. You were physically or emotionally abused by a parent.

Intimate Partner Abuse and Domestic Violence Interventions with the batterer

Education Individual and Marital Therapy

Intimate Partner Abuse and Domestic Violence Rape

Common Myths and Facts about Rape Myth: Rape is rare and will never happen to me. Fact: Every 6 minutes, a rape takes place. Myth: Rape is about sexual desire. Fact: Sex is a weapon – power Myth: Only strangers commit rape. Fact: 60-80% of rapes are committed by a person the

victim knows.

Intimate Partner Abuse and Domestic Violence Rape

Common Myths and Facts about Rape Myth: Rapists are psychotic or sick men. Fact: Less than 5% are psychotic. Myth: Women who get raped are asking for it. Fact: Women who try to look attractive and sexy are

asking for attention, approval, and acceptance – not victimization.

Myth: He can’t help it. Once he’s turned on, he can’t stop.

Fact: Humans can control sexual behavior.

Intimate Partner Abuse and Domestic Violence Rape Trauma Syndrome

Stage 1: Immediate Crisis Reaction

Stage 2: Reorganization

Stage 3: Reintegration

Intimate Partner Abuse and Domestic Violence Interventions with a Rape Victim

A. Achieving Contact B. Boiling Down the Problem to Basics

Supportive Statements Educational Statements Empowering Statements Reframing

C. Coping

Questions Are there any questions?