|  Healthcare Training Institute - Quality Education since 1979CE for Psychologist, Social Worker, Counselor, & MFT!!
 Section 2 Helping your Client Identify Psychological Abuse
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 Increasing 
  AwarenessIn the last section, I asked you to assess 
    a client in the two areas: loss of power and disintegration of self-image. In 
      this section, I will discuss ways in which victims of the power imbalance, caused 
    by feeling they have hooked their Great Catch, come to increase their 
    awareness to recognize the fact that controlling abusive behavior is taking place.
 As 
  you know, there are many reasons women accept verbal abuse from their "Great 
  Catch." And just to recap a point made at the beginning of section #1, for 
  purposes of brevity, I am using the pronoun "her" and female names for cases of 
  the recipient of the abuse. However, I like you, have treated many males involved 
  in abusive relationships and same-sex relationships. Tina 
  was married for eight years to Jerry. She described how small things could ignite 
  Jerry's temper. When she stated her negative feelings about his outbursts, Jerry 
  refused to speak to her for hours or even days. Tina felt rejected and frustrated, 
  because she didn't know how to calm him down without causing further retaliation. 
  Tina said, "There was never any give and take in the relationship. I felt 
  I was doing all the giving. 
 ♦ He was Perfect
 The worst thing was that in Jerrys eyes he was 
  perfect, and I was the cause of most of his problems. I've been divorced for three 
  years now, but his standard list of criticisms still ring in my ears. He'd 
  yell, 'You are such a slob. You're a bitch. You're lazy. How can you stand your 
  lazy self?' I still struggle against that sense of feeling like a failure. I wonder 
  if Jerry was really right all along. Maybe I am a horrible, terrible, 
  nothing of a person."
 ♦  Name-CallingAs 
  you can see, Tina is unable to validate her pain. She's in denial that Jerry's 
  name-calling was abusive. She felt paralyzed and unable to shift her self-esteem 
  from the negative Jerry had created to a positive focus. She wasnt sure 
  if she was really suffering verbal abuses or not. Thus, as you can see, without 
  this awareness that abuse is taking place, Tina like Sandra, whom we discussed 
  in the previous section, could not change.
 Do 
  you have a client who you feel you may have overlooked this basic step of client-awareness? 
  Perhaps you are trying to focus your session on actions to change, and the real 
  focus should be on first increasing your client's awareness of the abusive-controlling 
  relationship.
 Once I helped Tina truly define and become aware of her abuse, she began to be able to talk about it and express the pain of the abuse 
  as being a legitimate feeling. Ask yourself, How can I get my verbally abused 
  clients to recognize the validity of what they are feeling? Heres 
  a tool I used with both Sandra and Tina.
 Over 
  the course of several sessions, I discussed with Sandra and Tina two questions 
  they might consider in evaluating whether they felt they were experiencing abusive-controlling behavior in the relationship, where the felt they had gotten the Great 
  Catch. 
 ♦ Two Awareness-Increasing Questions
 As you listen to these two awareness-increasing questions, think 
  about a client you are treating and how he or she might respond:
 Question 
  #1. Increases awareness of the instant-replay syndrome. "Do 
  you repeatedly replay his voice mimicking or mocking you?" To what extent 
  does your abused client internalize their controlling partner's behaviors by replaying 
  his or her voice in their mind? I call this the instant replay syndrome.
 Question 
  #2. Increases awareness of the guilt trip strategy. "Do you 
  often feel that his verbal attacks were an attempt to make you feel guilty as 
  a means of controlling your behavior?" By labeling the Great Catch's 
  behavior as a guilt trip controlling strategy, both my clients, Sandra 
  and Tina were able to separate and identify their partners abusive behaviors 
  as being their partners problem rather than as a defect within themselves.
 ♦ LabelingDo 
  you need to go back to this basic therapy technique of labeling, to move unconscious 
  behavior into the light of consciousness to assist your clients to grow? You might 
  use my label of the instant replay syndrome and my label of the 
  guilt trip. I find dusting off these "oldie-but-goodie" labels 
  can be a very effective therapy technique.
 Heres 
  how I initiated this labeling technique in a session with Sandra. I asked her 
  to be an objective observer of her thoughts. Have you found, like I, this thought-observing-method 
  especially helpful when clients have negative self-comparisons? I find three benefits 
  of thought-monitoring or observation: the separation from the thought process, 
  reduction of the attachment to the thoughts, and objectifying the abuse.  I 
  stated to Sandra, "Examine your thoughts objectively, the way you would study 
  someone elses thoughts, as if you had no emotional attachment to them." 
  For example, Sandras significant other, James, would say, "Our house 
  is never as clean as my mother's" 
or, "Your Polish sausages never 
  taste as good as Moms." After practicing this thought-observing-method, 
  Sandy was able to recognize the source of these abuses as being her partner's 
  controlling behaviors.  - Karakurt. G. and Silver, K. E. (2013). Emotional Abuse in Intimate Relationships: The Role of Gender and Age. Violence Victim, 28(5). 804-821. The 
  next section will describe three tactics I used to initiate this labeling technique 
  with Sandra.Reviewed 2023
 
 Peer-Reviewed Journal Article References:
 Adams, A. E. & Beeble, M. L. (Sep 2019). Intimate partner violence and psychological well-being: Examining the effect of economic abuse on women’s quality of life. Psychology of Violence, 9(5), 517-525.
 
 Bornstein, R. F. (2019). Synergistic dependencies in partner and elder abuse. American Psychologist, 74(6), 713–724.
 DePrince, A. P., Labus, J., Belknap, J., Buckingham, S., & Gover, A. (Apr 2012). The impact of community-based outreach on psychological distress and victim safety in women exposed to intimate partner abuse. Journal of Consulting and Clinical Psychology, 80(2), 211-221.
 Harrington, A. G., Overall, N. C., & Cross, E. J. (2020). Masculine gender role stress, low relationship power, and aggression toward intimate partners. Psychology of Men & Masculinities. Advance online publication.
 Karakurt. G. and Silver, K. E. (2013). Emotional Abuse in Intimate Relationships: The Role of Gender and Age. Violence Victim, 28(5), 804-821. Marshall, Amy D., Holtzworth-Munroe, Amy (2010) Recognition of wives’ emotional expressions: A mechanism in the relationship between psychopathology and intimate partner violence perpetration. Journal of Family Psychology, 24(1), 21-30. Sullivan, T. P., McPartland, T. S., Armeli, S., Jaquier, V., & Tennen, H. (Apr 2012). Is it the exception or the rule? Daily co-occurrence of physical, sexual, and psychological partner violence in a 90-day study of substance-using, community women. Psychology of Violence, 2(2), 154-164. QUESTION 2  The "instant-replay syndrome" and "guilt trip strategy" 
  are examples of what? To select and enter your answer go to .
 
 
 
 
 
 
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