Rape
penetration of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person without the consent of the victim
Acquaintance Rape
forced sex by a person the victim knows
Date Rape
assault occurs within a dating or marriage situation
Statutory Rape
sexual activity b/t an adult and a person under 18 years
Intimate Partner Violence
actual or threatened physical or sexual violence or psychological/emotional abuse
Generation to Generation Continuum Violence
Violence is a “learned behavior”
-children who witness one parent abuse another are more likely to become delinquents or batterers themselves b/c they see abuse as an integral part of a relationship
The Cycle of Violence
Phase 1-Tension Building
Phase 2-Acute Battering
Phase 3-Honeymoon
-the cycle will increase in intensity overtime
Tension Building Phase
Longest phase
- tension escalates b/t the couple
- excessive drinking, jealousy, etc…
- partner believes the tension is their fault and they deserve it
Acute Battering Phase
The explosion of violence
- batterer loses control both physically and emotionally and this is when the victim may be assaulted or murdered
- Victims consider themselves lucky the abuse was not worse, often deny seriousness, refuse medical treatment
Honeymoon Phase
Period of calm, loving, contrite behavior on the part of the batterer
- attempts to make up for behavior
- victim may feel responsible
Emotional Abuse
- promising, swearing, or threatening to harm the victim
- forcing the victim to perform degrading acts
- threatening to harm what’s important to the victim
- isolating victim from friends and family
- controlling victims every move
Physical Abuse
- hitting or grabbing the victim and leaving marks
- throwing things at victim
- attacking victim with weapons
- controlling access to healthcare for injuries
Financial Abuse
- preventing victim from getting a job
- sabotaging current job
- controlling how money is spent
- failing to contribute financially
Sexual Abuse
- forcing victim to have vaginal, anal, or oral intercourse against their will
- biting the victims breasts or genitals
- shoving objects into victim’s vagina or anus
- forcing to do something sexual the victim finds degrading
- forcing victim to perform sexual acts on others or animals
Victims Abuse Profile
Rarely describe themselves as abused
- may feel they are flawed or inadequate
- many abused as children
Battered Woman Syndrome
woman has experienced repeated and deliberate physical or sexual assault by an intimate partner
Abusers Profile
Feelings of insecurity, powerlessness, and helplessness
-refusal to share power, use violence to control victims
What is the strongest predictor of abuse during pregnancy?
Abuse prior to pregnancy
Factors leading to abuse during pregnancy:
- inability to cope w/ stressors of pregnancy
- insecurity and jealousy
- financial burden
- physical and emotional changes that make the woman vulnerable
Violence against Older Women-Elder mistreatment
intentional actions that cause harm or create a serious risk of harm to a vulnerable elder by a caregiver or other person who stands in a trust relationship to the elder
-abuse and neglect
What are the 4 phases of rape recovery?
Acute phase
Outward adjustment phase
Reorganization
Integration and recovery
Acute Phase
shock, fear, disbelief, anger, shame, guilt, feelings of uncleanliness, insomnias, nightmares, and sobbing
Outward adjustment phase
Appears outwardly composed and returns to work or school; refuses to discuss the assault and denies need for counseling
Reorganization Phase
Survivor attempts to make life adjustments by moving or changing jobs and uses emotional distancing to cope
Integration and Recovery
survivor begins to feel safe and trust others; may become an advocate for other rape victims
Symptoms of PTSD 3 Groups
Intrusion
Avoidance
Hyperarousal
Intrusion Group
re-experiencing the trauma: nightmares, flashbacks, recurrent thoughts
Avoidance Group
avoiding trauma related stimuli, social withdrawal, emotional numbing
Hyperarousal Group
increased emotional arousal, exaggerated startle response, irritability
Female Genital Cutting/Mutilation
“Female circumcision”
a procedure involving any injury of the external female genitalia for cultural or nontherapeutic reasons
Complications from Female Genital Mutilation
infertility, dysmenorrhea, dyspareunia, sexual dysfunction, infection, hemorrhage, vaginal stenosis, chronic vaginitis, PID, chronic UTI, incontinence, genital fistulas, difficulty walking, difficult child birth
Human Trafficking
recruitment, transportation, transfer, harboring, or receipt of persons by means of the threat or use of force of abduction, fraud, or deception to achieve the consent of a person having control over another person for the purpose of exploitation
Who are typically victims of human trafficking?
Women and children who lack education, employment, and economic opportunities
Health risks associated with human trafficking:
rape, burns, fractures, bruises, torture, HIV/AIDS, STI’s, cervical cancer, violence, hazardous work environments, poor nutrition, drug and alcohol addiction
What is the goal of nursing management for abused victims?
Enable them to gain control of their life