University:
Boston University
Course:
SAR HP 151 | Introduction to Health Professions
Academic year:

2022
Views:

156

Pages:

24
Author:

caitlinbright981p

Reality Abusers commonly attempt to manipulate interveners, with - Denial and minimization - Excuses - Quick fix strategies - Expressions of remorse Remorse and apologies are part of the cycle of abuse Excuse-making Most common excuses used by abusers: 1) “She provoked me” 2) “I lost control” 3) Good intentions (e.g. “I just wanted her to see how unreasonable she is”, “Its because I care so much”) 4) Stress, Frustration 5) Alcohol or drugs Excuse-making Most Common Excuses: 6) Self-defense 7) Jealous rage 8) Insecurity 9) Being tired 10) “It was an accident” Examples of “provocation” (from Emerge intake files) “She won’t keep her mouth shut” “She has a big mouth” “She always has something to say” “She doesn’t talk to me respectfully” “She won’t listen” “She’s not sexual enough” “She was being like a slut” “She doesn’t respond quickly enough” More examples of “provocation” “She’s too stubborn” “She’s not as nice as she used to be” “She jokes around too much” “She was battered in her first marriage” “She just so stupid” “She nags, nags, nags” Award for most Excuses Description of violent incident: “I grabbed her and pulled her arm and threatened to kill her” What was your reason for doing this? “I was drunk and I was sleeping at two in the morning when the incident started. I felt rejected. I was angry and drunk. She pushed my arm after I touched her and I lost control”. Myth 6 6) It the violence has only occurred once, there isn’t a pattern Reality Most often, the first incident that comes to light isn’t the first incident Both the victim and the abuser may be minimizing There may be a prior history of nonphysical abuse Myth 7 7) Abusers don’t change Reality Outcomes of abuser intervention programs are quite positive - program completers are 2-4 times less likely to re-offend - In Massachusetts, outcomes for certified batterer intervention programs are better than anger management programs, and substance abuse only interventions - Outcomes are enhanced with strong support of referral sources Myth 8 8) Just because a person has abused his partner doesn’t mean he is a bad parent Reality There are two important aspects of parenting: 1) How you treat your children 2) How you treat the other parent of your children Children are greatly affected by both of these Boys who grow up witnessing their fathers seriously abusing their mothers are 10 times more likely to grow up to become abusers -M.Strauss Interview Protocol Should ideally involve full psychosocial assessment Mental and physical health history Substance use history Education and Occupational Attainment Isolation and Social Support Family History Criminal History Interview Protocol Should include history of current/most recent relationship Eg. Genogram Timeline, including, Acts of alleged abuse, child welfare and police involvement, separations, significant events Assessment of abusive behavior Tools might include: Controlling and Violent Behaviors (Emerge) Relationship History (Emerge) Conflict Tactics Scale (Straus) Tolman PMWI Scale Marshall Scale Abuse Assessment Use tools at end of interview after doing enquiry about alleged abusive behavior Two basic approaches: 1) Direct approach: ask him to describe his version of what happened, then proceed to asking about prior and subsequent incidents of admitted or alleged similar acts 2) Indirect approach: ask him to describe how he handles arguments, conflicts, what he does when he is angry, upset, frustrated, then ask follow-up questions to explore details Assessment of Abuse Direct Approach: ask follow-up questions about specific kinds of physical and verbal abuse: What about hitting? (Was this a slap or with a closed fist?) Grabbing? (Where did you grab her?) Pushing? (Where did you push her? Did she fall down or onto something?) Throwing things: (What did you throw? Did you hit her with it?) Damaging things: (Walls? Windows? Your own or her possessions? Telephone?) Assessment of Abuse Banging table? Slamming doors? What’s the worst it has gotten? What about choking? Have you ever used a weapon? (if not identified), What about your fists?, Your car? Have there been any injuries? Have you ever made threats? (What is an example of what you said?) Assessment of Abuse Do you think (partner’s name) has ever felt intimidated or frightened by any of your behavior? How so? How do you think it has affected her? Assessment of Abuse How many times have these things happened? When was the last time? How about the time before that? (with each described incident) Did any of the children witness or hear it? (How so?) Do you think the children knew about it? (How so?) How do you think it has affected them? Assessment of Abuse How about yelling? Swearing? (What specific words?) Name-calling? (What names?) Criticisms? (What are some examples?) How often have these occurred? Do you think the children witnessed or overhead it? How do you think it has affected them? Assessment of Abuse Indirect approach: (Enquire about ways of handling conflict, frustration, anger) How do you handle conflicts between you and your partner? (if not identified, prompt with): Do you ever raise your voice?, Criticize her? How do you handle frustration? (Can you give an example?) (if not identified): Do you ever yell? Leave? Assessment of Abuse How do you handle when you get angry? (if not identified): Do you ever raise your voice?, Criticize her? Do you leave the house or the room? Have you ever done anything physical? (if not identified) How about slamming a door? Banging the table? Pushing? Hitting? Throwing something? Have you ever made a threat? (for all identified incidents) How often has this happened?, When did this occur? Were there any injuries?, Was this incident witnessed or overhead by children? Assessment of Abuse Access Third Party Sources, including Police Reports Court records Restraining Order Applications Victim affidavits Criminal Record Treatment Records

Who Attends Emerge - Reality

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