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