Did he do this to you????
My God...why do you stay with him???
 
Why does she stay???
What is wrong with her?
Is it me?? or are we asking the wrong questions here?

Welcome to Domestic Violence in the United States.

Here are the cold hard facts.
FACT:  Between two and four million women per year are victims of Domestic Violence
              in the United States.
FACT:  16% of pregnant women are currently battered.
FACT:  35% of women being treated in Emergency Rooms are victims of Domestic
              Violence.
FACT:  58% of women over 30 years of age who had been raped had been raped in the
             context of an abusive relationship.
FACT:  Among battered women who are first identified as such in a medical setting,
             75% will got on to suffer repeated abuse.

In the state of Florida alone 119,930 incidents of domestic violence were reported.  The following is a breakdown of the reported cases and the crimes with which the abuser was then charged with:
 
 

Simple Assault     89,583
Aggravated Assault     23,765
Threat/Intimidation       2,808
Forcible Sexual Offenses       2,245
Murder          230
Arson            99
Manslaughter            10
 
 Are You Being Abused?

It is important to remember that these number represent the number of reported incidents of Domestic Violence.  It is difficult to estimate the number of incidents that go unreported.

In this page we shall explore the following:
 What is Domestic Violence?
 What are the dynamics in battering relationships?
 What are the Criteria for Identifying a Victim of Domestic Violence?
 What do I ask if I suspect Domestic Violence?
 What are the general strategies for treatment or intervention?
 What Should I and Can I Do to Help??
 Important Points to Remember
 Legal Options for Survivors of Domestic Violence
 Commonly Asked Questions about Domestic Violence - and Answers
 Relative Links



What is Domestic Violence?

Domestic violence (often referred to as spousal/partner abuse or battering syndrome) can be defined as intentional violent or controlling behavior by a person who is or has been intimate with the victim(s) and may or may not reside in the same household.  Domestic violence encompasses a syndrome of coercive behaviors that may include, but are not limited to, the following:

These behaviors can occur in any combination, in sporadic episodes or chronically, over a period of up to several decades.
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What are the dynamics in battering relationships?

One of the most difficult dynamics of partner abuse for health care providers and the general public to understand is why a battered wife or partner would stay, somethimes for many years.  Gelles was one of the first sociologists to seek an answer to the question "why would a woman who has been physically abused by a man remain with him?"  Gelles hypothesized that a woman with few resources consequently has fewer alternatives to an abusive marriage, thus she is "trapped" in the marriage and reluctant to seek outside intervention. Out of the 136 formerly battered women in Bowker's (1983) research on the help-seeking strategies of battered women, women rated the police the LEAST helpful of the formal sources of help they sought.  Police arrested the batterer in just 15% of the reported incidents; Instead, they had the batterer "cool down" and urged reconciliation of the couple.  Advocates for battered women have pointed out that the question to be answered is not "Why does she stay?" but instead, "Why do so many men beat their partners?" and "What is preventing her from leaving?"
 

Generally there are three specific models which have been accepted by lay and professional helpers/advocates of domestic violence.
 

1.  Cycle of Violence

In 1984, Walker analyzed the psychological and behavioral repsonses of battered women in terms of Seligman's theory of "learned helplessness".  She also identified a "cycle theory of violence" form her extensive interviews with battered women.  Three phases were identified.  The first phase, the "tension building phase", is charecterized by an escalation of tension with verbal abuse and minor battering incidents. The woman engages in placating behavior, trying desperately to avoid serious incidents.  Her feelings of helplessness and fear escalate as the incidents worsen over time.  This phase may last for weeks or even years, unitl the tension has mounted to the breaking point.  Phase two, "the acute battering incident", is the outbreak of serious violence that may last from minutes to hours.  The woman is powerless to affect the outcome of the second phase and can only try to protect herself and her children.  In the third phase, "the aftermath", the man may be contrite and loving and promise to reform.  This phase reinforces the woman's hope that the beatings will end.  Unfortunately, the cycle almost always tends to repeat itself.  Over time, the third phase occurs less often, leaving the woman trapped between the pre-outburst tension and the battering episodes.

2.  Process of Abuse
 
In 1989, Landenburger explored the personal meaning of abusive experiences, the process of self-evaluation of the abusive relationship, and the influence of personal meaning on the choices made by women in these relationships.  Women described four phases of binding, enduring, disengaging and recovering through which they progressively pass as changes occur in the meaning ascribed to the abuse, to interactions with her abusive partner, and to herself. During the binding phase, when the relationship is new and loviing, women respond to abuse with redoubled efforts to make the relationship work and to prevent future abuse.  Logical, creative stratgegies are used to appease the abusive partner.  Over time, the futility of her problem-solving efforts becomes apparent and the woman begins to question the durability of the relationship.  In the second phase, or time of enduring, a woman tolerates the abuse because of the positive aspects of the relationship and because she feels at least partially responsible for the abuse.  Although a woman may tentatively seek outside help at this time, she does not openly disclose her circumstances to others for fear of the consequences to her safety and to her partner's social status. The phase of disengaging involves the woman labeling her situation as being abusive and herself undeserving of the abusive treatment.  A breaking point may be reached when women realize their danger, as well as the knowledge that they might attempt to kill their abuser.  As women struggle with independent living and safety concerns, they may leave and return to the abusive relationship several times.  After a time of readjustment, and successfully overcoming the many barriers that could trap her in the abusive relationship, the woman may enter a phase of recovery in which she remains separated from the abuser.  An important point to remember is that, from the woman's perspective, the abuse was just one aspect of a whole relationship that may still have some positive elements in it - the woman wants to end the abuse, but wants to maintain the good aspects of the relationship.  These two goals may be incompatible but it will take time before that is clear.

3.  Power and Control Wheel

In 1984, the Duluth Domestic Abuse Intervention Project began developing a framework for describing the behavior of men who physically and emotionally abuse their partners based on group interviews with women attending educational classes.  Many of the women criticized theories that described battery as cyclical rather than a consttant force in their relationship.  Further, these women criticized theories that attributed the violence to men's inability to cope with stress.  Form the experiences of women living with men who batter, the Power and Control Wheel was designed.  This depiction of primary abusive behaviors experienced by women who live with men who batter.  It illustrates that violence is a part of a pattern of behavior rather than isolated incidents of abuse or cyclical explorations of pent-ip anger, frustration, or painful feelings.

Men who batter often show a history of childhood abuse, exposure to male role models who are hostile toward women.  They often  have been exposed in childhood to alcoholism, racism, class oppression and woman-hating environments.  Many were denied love and nurturing as a child.

Not all batterers fit into these categories.  Some are mentally ill and have no remorse for their actions while others are truly appalled by their behavior.  These individuals tend to rationalize their actions, like others who dominate through force, by portraying or even believing themselves to be the victims of those that they abuse.  Unfortunately this belief is often reinforced by many societal institutions such as police, judges, clergy, social workers, medical professionals, etc.

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What are the Criteria for Identifying a Victim of Domestic Violence?

1.  Clinical Clues

Many practitioners have noted that chronic illnesses such as asthma, seizure disorders, diabetes, arthritis, hypertension and heart disease may be exacerbated by the stress of abuse or poorly controlled in women who are being abused.  Poor compliance may also be due to the fact that the batterer controls the victim's needs and may not let her keep her appointments.  Specific clues may include:
    a.    Chronic pain, psychogenic pain, or pain due to diffuse trauma without visible evidence.
    b.    Physical symptoms related to stress, chronic post traumatic stress disorder, other anxiety
           disorders or depression.

    c.    Gynecological problems, frequent vaginal and urinary tract infections, dyspareunia,
           pelvic pain.
    d.    Frequent use of prescribed minor tranquilizers or pain medications.
    e.    Frequent visits with vague complaints or symptoms without evidence of physical abnormality.

2.  Physical Injuries

Episodes of physical assualt in abusive relationships lead to physical injuries.  When the woman's explanation of how an injury occurred does not seem plausible, when there has been a delay in seeking medical care or when a woman has vague complaints we should consider the possibility of domestic violence.  Common types of injuries include:

3. Medical Signs During Pregnancy

According to research, a woman may be at increased risk for violence when she is pregnant.  Because of the risk to the mother and fetus presentations to watch for include:
 

4.  Mental Health/Psychiatric Symptoms

    a.    Assess for domestic violence and a history of child abuse, especially child sexual abuse.
           Psychiatric symptoms of abuse include the following:

    b.    Nearly 75% of all wives of alcoholics have been threatened, and 45% have been assaulted
           by their addicted partners.

5.  Behavioral Signs

    a.    Battered women exhibit a variety of responses to the stress of the ongoing abuse; such
           women may appear frightened, ashamed, evasive or embarrassed.  A battered woman may
           believe she deserves the abuse because the abuser tells her so, and she may take
           responsibility for his violence to maintain some sense of control over her situation.  Other
           clues may include the following:

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What do I ask if I suspect Domestic Violence?

If you suspect violence because of a response to a question, or any other reason, try asking one of the following questions to open the door for discussion:
 

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What are the general strategies for treatment or intervention?

If a victim of domestic violence has answered "yes" to any of the questions in the above section, we should then assess the danger to the victim by asking the following questions:

Most people feel frustrated in dealing with battered women because they believe the goal of any interaction is to get the woman to leave the relationship and go to a shelter.  However, that may not be what the woman wants or thinks is appropriate at that time.  She knows her situation better than anyone elsse and needs to incorporate this information into her decisions regarding leaving and safety.  The general public needs to understand that leaving a batterer is not a single event, rather, it is a process which takes time - often years.  You can help her get started or move along the road to leaving or otherwise make the violence end by giving her information about her options, and by letting her know that you are there to help and support her as she takes the necessary steps to free herself of the violence.

It is essential that people understand this process, respect the integrity of the victim, and support her efforts to make her own decision about what to do.  It is also important to understand that giving information about domestic violence to victims is, in fact, a therapeutic intervention.

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What "Should I" and "Can I" Do to Help??

It is important to be very careful not to convey to the victim that she has failed you or disappointed you if she chooses not to leave the relationship at this time.  Safety assessment is the key.  Salber and Taliaferro, noted researchers in this field have suggested eight specifics to consider during a safety assessment.

    1.  Helping her to develop a safety plan.
         It is vital to assess the woman's safety and help her develop a plan.  If your time is
         limited, refer her to another individual knowledgeable about domestic violence, such as
         a domestic violence advocate, social worker, or a psychologist to develop the safety
         plan. (Do not assume that all social workers or psychologists are trained in working
         with victims of domestic violence.  It is essential you know the capabilities of your
         referral resources.)
    2.  Questions to help assess and plan for safety.
    3.  Does she have friends or family with whom she can stay?
    4.  Where are her children or other dependents?  Does she think they are safe? Is she afraid
         they would be harmed if she didn't go home?
    5.  Does she want immediate access to a shelter or other temporary living situation?
    6.  Does she need immediate medical or psychiatric intervention?
    7.  If she wants to go home, be sure to definately follow up and that she has information about
         community referrals.
    8.  She should also be advised to have a safety plan in case she needs to leave home quickly.

The process of making a safety plan is therapeutic because it helps women face the reality of danger, make concrete plans and think about potential support systems.

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Remember This...
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Legal Options for Survivors of Domestic Violence
A number of legal remedies are available to survivors of domestic violence.  We should familiarize ourselves with these options so that we can best inform battered victims.  As state laws vary significantly, the following information should be viewed as a general guide.  You can obtain more detailed information from community domestic violence resource progrmas regarding laws and policies in their jurisdictions.  Services that may be available include free legal services for the poor, bar association referral services, legal adjuncts of shelters, criminal justice advocacy programs and immigration assistance organizations.

A.    Criminal Justice Relief
Most victims of domestic violence are victims of crimes as well.  Such crimes may include assault, battery, rape, stalking, threats, false imprisonment, destruction of property, weapon crimes and specific "domestic violence" crimes.  These women should be informed that what occurred may be a crime and that they may consider calling the police.  Whether calling the police will result in arrest, prosecution and/or jail time will depend on state and county laws and policies, as well as attitudes of the individuals handling the case.  The more informed the survivor is of her rights when navigating the criminal justice system, the better off she will be.  Her rights mya include demanding a private person's arrest if the police do not arrest the batterer, receiving a police report, demanding that the officer remain at the scene until she secures her safety and receiving assistance in the accessing of a shelter or medical aid.  She may be able to request that the criminal court issue a stay-away order or that she be notified upon the batterer's release from jail.

B.    Civil Protection Orders
The types of protection orders that are available to survivors vary from state to state and may include:  restraining the batterer from further violence, excluding him from the household, ordering him to not contact the victim, prohibiting him from possessing weapons, ordering him to attend batterer's counseling and awarding the survivor comepensation for medical bills aand other expenses incurred as a result of the violence.  Violation of a protection order is a misdemeanor in most states and my subject a perpetrator to contempt of court.  Though police, prosecutors and judges may not always respond adequately to protection order violations, studies show that such orders are often effective in reducing the violence.  Victims should be informed of the option and process of obtaining a protection order, but respect the victims judgments regarding whether or not such orders will enhance their safety.

C.    Child Custody and Visitation Orders
As batterers often use the children as a means of accessing and controlling their partners, court orders clearly specifying custody and visitation arrangements can significantly enhance the safety of the survivor and her children.  An order granting sole custody to a battered woman can help her in obtaining police assistance if the batterer tries to take the child from her.  Orders may provide for no visitation, supervised visitation, visitation conditioned on attendance in batterer's counseling or for transfer of the child through a third party so that the batterer has no contact with the victim.  Victims who have children should be advised to seek legal counsel regarding the appropriateness of custody or visitation orders

D.    Other Legal Options
Other options for battered women include divorce, legal separation, annulment and child/spousal support.  Orders dividing marital property or awarding financial support can be critical to enabling the battered woman and her children to live independantly from the batterer.

Battered immigrant women often face particular obstacles, as they may be relyiing on coercive partners to assist them in obtaining legal status.  Recently relief has been expanded that allows battered immigrant women to apply for their permanent status independantly of an abusive husband.  These victims should be referred to a domestic violence or immigration advocacy program for assistance with such recourses.

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Commonly Asked Questions about Domestic Violence - and Answers

What about men who are assaulted by women?
The National Institute of Justice reported that 95% of the reported assaults involved a male as an assailant and a female as a victim. National Crime Survey reports that of all spousal assault incidents, 91% were victimizations of women committed by husbands or ex-hubands.  The Bureau of Justice Statistics reports that women are 10 times more likely than men to be victims in cases of domestic violence.  One study by Straus and Steinmetz found that when surveyed, men amd women reported equal levels of assaultive behavior, however, it is important to understand the context of this study.  This survey involved a telephone assessment with men and women and it did not look at independent verifications such as court records.  Other research has shown that abusive men tend to minimize the extent of their violence, while women are usually painfully honest about the assaultive acts they commit, perhaps because violence is less within their narrative roles.  It also did not analyze either the intent or the effects of assaultive behavior - very important component issues.  Certainly there are cases of females who are physically assaultive towards their male partners.  However the vast majority of these cases involve a woman who has been victimized by this partner over a number of years and my now be responding with violence as either retaliation or as self defense.  There are three main intentions to violence.  One is to dominate, control and intimidate another person.  The second is to defend yourself and the third is retaliation when there's been a prior history of victimization.  The law allows people to defend their lives and therefore, violence or assaultive behavior in the interest of self defense cannot be classified in the same way as violence that is intended to intimidate.  We also know that most men are physically much larger and stronger than women and therefore when they are assaultive, they cause more serious injuries so we need to look at the effect of the violence as well as the intent.  Women are much less likely to use violence in any attempt to control but rather to use it as either self defense of retaliation, and the effects tend to be less severe than the effects of violence against her.

What is the recommended treatment for batterers and how successful are they?
Specialized batterers' treatment programs are less than 20 years old.  Twenty years agol there were no dedicated programs for this population.  Currently there are 200 programs in the United States which provide specialized treatment to men who are assaultive in intimate relationships and to date, there are approximately 20 studies which have evaluated their effectiveness.  Each of these studies have employed different methodologies.  Jeffrey Edleson and Richard Toman summarize the key findings of these studies in their chapter on group interventions for men who batter published in Intervention for Men Who Batter: An Ecological Approach.  The chapter on group interventions for men who batter includes a summary of the key findings of the 20 different studies.  Mostly what we know is that the vast majority of offenders will not seek help voluntarily.  It is only with a court order that many of these men come into treatment programs.  It's also important to realize that even once they are ordered, many offenders chose not to participate and therefore it is important that treatment be seen not as some sort of magic answer but as one part of a coordinated community response to domestic violence.  It is frequently most helpful to have treatment be backed by a court order and monitored by a probation office/agent or someone within the court to insure that if the offender does not complete treatment, there is some additional legal sanction.  The studies have shown that among men who complete treatment, a significant percent are nonviolent during the following year.  The percentage remaining nonviolent varies from 53 to 85% with lower rates reported by studies based on victim reports of violence.  Men who drop out of treament are significantly more likely to continue their violence than men who complete the treatment.  In one study, 68% of the domestic violence victims indicated no revictimization within six months of court intervention.  It's also important to realize that the research supports that simply going to court may account for a significant amount of the deterrent effect.  It is important that treatment be offered in a community based setting backed by the courts and that it be long enough for the offender to really go through the change process.  Many court programs have mandatory treatment lasting 26 to 32 weeks.

It is also important to minimize the delay between the offense and the start of treatment and to make sure that there are sanctions for noncompliance.  If the offender knows that he will either go to jail or go back to court and suffer a stiffer penalty, it can sometimes be an important motivator for change.

Couple counseling however, is not generally advised. The focus must bbe on ending the violence with no couple work until the victim is no longer afraid of being attacked if she speaks candidly about issues within the relationship.  At each point it is crucial that the offender and the victim be assessed separately and treated separately and that no couple counseling occur until the victim requests it and there is no longer a danger of violence.

We need to provide for the victim's safety while the offender is going through court ordered treatment, since this can be a time when he becomes increasingly agitated.  It is vital that the victim not have false hope.  She also need to have a protection plan in place while the offender is going through treatment.  Batterer treatment offer offenders a chance at rehabilitation, but it cannot work with those who do not attend or complete the program.  The community needs to recognize that this type of treatment is only one of an array of options that need to be in place.

Twenty years ago there were no domestic violence programs in America.  Today there are over 1500 domestic violence programs.  Most, if not all, include a shelter program where women and children can come to 24 hours a day.  The shelter offers a safe haven from the violence and can
also provide the woman with information about her rights and options.  In many programs, there are specialized services available for the children who have been traumatized by witnessing the abuse.  Women have a chance to meet other battered women and this helps them to overcome the feelings of isolation and self blame.  Most programs employ an empowerment model where women are viewed not as sick andd crazy because they have been battered, but as people who have been traumatized and need support in recovering their self esteem and beginning to make choices on how best to protect themselves and their children.  In addition, many programs offer a counseling program for those victims in the community who may not need emergency shelter but nevertheless want to deal with the trauma of being abused in the past, being currently abused or having escaped from violent relationships and needing a chance to deal with the trauma and move forward with their lives.

Many of these programs offer structured groups that deal with issues such as understanding the dynamics of violence, dealing with anger, understanding of your legal rights, understanding the effects of domestic violence on your children, making and maintaining safety plans and offering one another emotional support during important life decisions.

In addition, a growing number of programs in America offer batterers treatment as part of an array of services.  In general, these range from 12 weeks to six months although there are some programs that extend for a number of years.   In order to be eligible for these programs, men must take some responsibility for their violence and be willing to participate in a lethality assessment, have their partner be contacted in order to obtain an independent assessment of their violence and to focus on changing violent coercive behaviors.  Frequently, these programs have strong linkages with the court.

Virtually all programs now include 24 hour hotlines.  It is not unusual for many victims in the ccommunity to use the service anonymously and also to call multiple times before actually coming to an agency for help.  These hotlines are available not only to victims of domestic violence but concerned friends, family and professionals who are seeking more accurate information about community based services.  Another component in some domestic violence programs is legal advocacy and in some cases, legal representation.  Legal advocates can educate victims about their legal rights and options.  This can include helping victims apply for a protection order from domestic violence or representation in divorce and custody hearings.

The children's program focuses on providing children with a safe place, helpiing them to adjust to life in a shelter, dealing with various emotions about their father and their mother, helping to place them in a school during their term in shelter, learn about personal safety planning, how to protect themselves and beginning to recover from the trauma of witnessing the abuse of their caretaker, loved one or mother.

What happens when a family wants to come into a shelter but there is no room?
Each program has a different policy regarding this situation.  In many cases, the hotline counselor works with the woman to identity some other place that she can go on an emergency basis until there is room.  For some women, this may involve a referral to a homeless shelter.  For other women, the counselor will work with them to identify a friend or relative with whom they can stay on a short term basis.  A third option is to educate the caller about the availability of the order for protection from domestic violence.  This is a civil remedy and a victim can go to the court in their area and ask to fill out a form and to see a judge.  They can do this pro se, meaning that they do not need to have a lawyer.  They simply fill out a form where they describe the incident that put them in eminent fear or involved them in assault and battery, they then go before a judge to tell their story and the judge can grant emergency relief.  The judge can order that the abuser immediately vacate from the home upon service by a police officer.  Later both parties are summoned back to court and the judge can extend the vacte order for an additional period of time and provide other relief as well.  The important point is that it may be possible for that victim and her children to stay in the family home and the perpetrator of the violence will be the one that has to find alternative housing.  This is something that the counselor explores with the caller to find out what will be the best and safest remedy.  There is a desperate need for addtional shelter services throughtout the country.  While there are 1500 shelter programs for battered women in America, there are more than TWICE that number (3800+) shelters for abused and homeless animals.

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Relative Links
 Safe Transitions
 A Virtual Tour of a Domestic Violence Shelter
 Domestic Violence: The Facts & Resources
 Assault Prevention Information Network
 
 
 
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