Showing posts with label Sexual abuse. Show all posts
Showing posts with label Sexual abuse. Show all posts

Wednesday, December 29, 2010

The Continuum of Psychological and Physical Abuse

Psychological abuse is very real, but quite often hard to recognize and even harder to prove. When a person is physically abused, there is more often than not physical evidence left behind in the form of bruises or broken bones, swollen areas etc. Emotional and psychological abuse are different. The victim has scars on the inside that can manifest throughout their lives in the form of fear, withdrawal, low self worth and a low quality of relationship with others. Their personality begins to change over time and even their desire to interact with others on a social level can be compromised. These scars are not visible and are hard to prove, unfortunately.

Before I give you the escalating continuum, I want to give you the definitions of abuse and of trauma:

According to Dictionary.com, abuse is defined as:

–verb (used with object)
1. to use wrongly or improperly; misuse: to abuse one's authority.
2. to treat in a harmful, injurious, or offensive way: to abuse a horse; to abuse one's eyesight.
3. to speak insultingly, harshly, and unjustly to or about; revile; malign.
4. to commit sexual assault upon.
5. Obsolete . to deceive or mislead.

–noun
6. wrong or improper use; misuse: the abuse of privileges.
7. harshly or coarsely insulting language: The officer heaped abuse on his men.
8. bad or improper treatment; maltreatment: The child was subjected to cruel abuse.
9. a corrupt or improper practice or custom: the abuses of a totalitarian regime.
10. rape or sexual assault.

Trauma is defined as:

A serious bodily injury or shock, as from violence or an accident.

An emotional wound or shock that creates substantial lasting damage to one's psychological development, often leading to neurosis.


Interestingly enough, the main difference I see between abuse and trauma is that trauma is abuse that lasts over time, or whatever has happened to the victim is not able to be dismissed or healed quickly. The wound or shock creates lasting damage. The first time I read through those definitions I was very shocked to see that even in simple definitions, we can determine whether our behavior is abusive or not.

Often, when women talk with me about abuse they don't seem to have a gauge as to how bad the abuse is. There are some women who say, "well, he only choked me once"...or "he pushed me down the hall but I know he really didn't mean it". Abuse progresses as each boundary is crossed and it becomes easier the next time for the abuser to do the same and worse behavior the next time. As time goes on, abuse becomes more severe and more dangerous. In regard to the above examples, on the continuum of physical abuse, choking appears about 2/3 of the way down the list towards the end result of killing the victim. On that scale, it is a high probability that the victim is going to be hurt, maimed or killed if the abuse continues for any length of time. As I've told my clients, it only takes 8lbs of pressure around your neck for 11 seconds to kill you so why would you wait for the next time. It doesn't matter what the intent is, if you are dead there is no coming back from that.

The continuum for Psychological abuse looks like this:


Psychological Abuse (in order of increasing severity and danger)


  • "Jokes" or put-downs that demean the victim
  • Acting like the victim's feelings, needs, and ideas don't matter
  • Enforcing rigid roles and rules for women
  • Controlling through jealousy
  • Isolating the victim
  • Insults and name-calling
  • Yelling and raging
  • Humiliation, throwing food
  • Fist through wall
  • Threats and intimidation
  • Destruction of her property
  • Hurting or killing pets
  • Displaying guns, sleeping with guns
  • Depriving the victim of sleep
  • Abuser threatens suicide
  • Tries to get the victim to commit suicide
  • Threatens to kill her and/or the children
  • Death
If any of these things are happening to you, you would be wise to see where they lie on this continuum and determine how long it has taken the person to get to that place in the relationship.  If an abuser is threatening suicide, that one alone is a huge manipulation which often results in the victim feeling responsible for the life of the abuser and it holds them in a place they would not be otherwise.  My best advice, no matter what the circumstance is would be to call 911 every time there is a suicide threat.  The reason is that if you are not a medical or mental health professional, you do not have the skill set to help a suicidal person.  If they truly need help, they need to be in a safe place with people who can stabilize them and keep them safe.  If they are simply manipulating you, the consequences of that manipulation will be quite distasteful and the person will quickly learn that threatening suicide is not something they want to do.  Either way, calling 911 is a very good and effective way to deal with the issue at hand.  If the person does end up committing suicide there are two very difficult things that may result - 1) the authorities will be asking you why you didn't get appropriate help for the person and 2) you may be left with a burden of guilt that will take you time and counseling to overcome.  The truth is, you are not responsible for a suicidal person....their decision to choose that path is strictly theirs.  What you are responsible for is to do the most appropriate thing for them and that is always to get them the help they need.

The physical abuse continuum looks like this:
  • Holding down, blocking, pinning
  • Pushing or shoving
  • Shaking or jerking
  • Slapping and bruising
  • Throwing objects
  • Punching
  • Kicking
  • Black eyes, cuts, chipped teeth
  • Burning with hot drinks, cigarettes, etc.
  • Causing serious falls
  • Choking
  • Severe beatings
  • Broken bones
  • Hitting with objects
  • Back injuries, paralysis
  • Internal injuries
  • Use of weapons
  • Death
Notice that in each list, the end result is death.  Women don't often think of that as an end result, but our bodies, even though quite resilient at times, are not meant to deal with the type of physical punishment that an abuser can consistently meet out.  Additionally, it is important to point out that in any healthy relationship, these types of behaviors are non-existent.  Abuse destroys on every level so there shouldn't be any huge question as to why relationships that contain these behaviors don't work.  

If this type of thing is happening to you, call your nearest Women's Center to get help, counseling, advocacy or whatever type of help you need to deal with the situation.  There are individuals at these centers who are  trained in domestic violence and abuse, and these centers usually offer their services at little to no cost. If your husband or partner is displaying behavior such as that listed here, understand that he/she will not be able to help themselves.  Even if they promise never to do it again, they will...simply because they need outside, professional help to deal with the issues they have underneath the outside behavior.  


Sunday, November 28, 2010

The Difference Between a Sociopath and a Psychopath

As I was cruising around the internet doing some research, I found this little tidbit that I thought might be good information for some.  There are a few terms that seem to get thrown around to mean the same thing and they are not.  There is a category of behaviors that falls under the DSM - IV grouping of personality disorders called Anti-social.  Under this heading there are several different qualifications and I thought it might be helpful to understand the difference between a few of them.  Word of Caution: You may be tempted to relate these sociopath characteristics to your unreasonable friends, family and folks. However, only an expert and learned individual can diagnose a person as a sociopath. Hence, refrain from jumping to conclusions. 
Difference Between Sociopath and Psychopath

There are very few differentiations between sociopaths and psychopaths. There are many medical dictionaries that consider them synonymous. Both, sociopaths and psychopaths are involved in antisocial behavior that is related to extreme violence. Though psychiatrists group sociopaths and psychopaths together, criminologists have given some difference between sociopaths and psychopaths.
Behavior of a Sociopath
Behavior of a Psychopath
Sociopaths are very disorganized people
Psychopaths are obsessively organized people
Sociopaths cannot maintain normal relationships with their family, friends and co-workers
Psychopaths tend to have normal relationships with the people around them and are even able to take care of old parents and get married.
Sociopaths are not able to maintain a steady employment or house.
Psychopaths are very successful career-wise . Their ability to organize makes them very likable and trustworthy among people. Psychopaths tend to understand the emotions of others, but they themselves do not feel any emotions. Thus, it is very easy for them to manipulate people with emotional games.
Sociopaths are found living at the periphery of the society. A study carried out with the homeless people of New York as subjects, showed that most of them were sociopaths.
Psychopaths are found living in large apartments and houses and cannot be distinguished from normal people.
Sociopaths are very erratic and unplanned with their acts of extreme violence. There inability to plan ahead and be organized, makes them leave trails of clues. This makes it very easy to identify and zero-in on them.
Psychopaths tend to plan for years before they carry out their act of violence. They plan every single detail of their crime and ensure that they remain undetected. This organized and detailed planning makes it very difficult to catch them.


Sociopaths tend to see their victim as an instrument to be used for personal gains. They try to dominate others and humiliate their victims. They have no qualms lying and it becomes very difficult for them to be truthful. This, makes them believe falsely about their own greatness and powers. It is seen that they can easily pass a lie detector test. They have problems keeping friends, show cruelty towards people and even animals, etc. They have no problems when they play havoc in the lives of others and break their dreams. They do not feel guilty about their act, instead play the blame game and make others responsible for their acts committed. They tend to have promiscuity, involved in child sexual abuse, rape and indulge in sexual acting out of all types. They tend to change their image very often and their life story so convincingly that it helps them avoid prosecution. 
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Truly scary stuff....I believe that I have had a few individuals who had many of the characteristics listed here walk through the doors of my office and they are definitely a force to be reckoned with.  As human beings, we are used to dealing with a population who has self imposed boundaries.  We innately trust that people will just not do certain things but when those boundaries disappear, it can be very frightening.  It's similar to the trust that we have that our home is safe if we lock the doors, yet all it would take for a robber to get in would be to break a window.  We live behind the illusion that no one will do that, yet someone who has no boundaries and no conscience would have no problem doing that kind of thing.  For the most part, these types of individuals have no place in our society, yet 1% of the population is dealing with these kinds of disorders.  Women who marry this type of individual spend their lives trying to figure out what is wrong and often pay a very high price for doing that.

For those who ask the question, "Can they be helped?"   The answer is not often.  There are people in our society who have dedicated their lives to helping individuals with these kinds of disorders, but the most common obstacle is that the disorder itself causes them to believe that they are OK and the rest of the world is out of order.  They are superior and the rest of us are flawed....therefore they do not need help.  There are a few who have recognized that they need help, and once that happens it is a long, tenuous journey to a manageable life.