|  |  |  Healthcare Training Institute - Quality Education since 1979CE for Psychologist, Social Worker, Counselor, & MFT!!
 Section 
4Increasing Client Awareness of Verbal Aggression
 related to Intimate Partner Violence
  |  | 
 Read content below or listen to audio.
 Left click audio track to Listen; Right click  to "Save..." mp3
 
 In the previous section, we talked 
about the three control tactics: Can't-You-Take-a-Joke; Betrayal-of-a-Confidence; 
Breaking-an-Agreement. 
 Now we will look at how these three tactics are linked 
with client depression.
 Many 
clients experiencing controlling-abusive behavior suffer from symptoms of depression. 
As you know, the DSM symptoms include: Problems with eating and sleeping, guilt 
feelings, loss of energy, trouble concentrating, and thoughts about death. 
 3 Tactics that are Linked with Client Depression
 
 ♦ Tactic #1: Being Unaware
 I'll 
talk about Shannon in a minute, who did not realize that she was being abused. 
She often thought that her relationship with Aaron had normal fights. She refused 
to believe that her "Great Catch," whom she loved and trusted, was slowly 
chipping away at her self-esteem. Think of the phrase I just said, "Chipping 
away at her self-esteem." Does that phrase apply to one of your current clients?
 
 Ask yourself, to what extent are the following three ways in which your client 
is not aware of the controlling abusive behavior?
 
 1. She doesnt think 
it still happens in this day and age.
 2. She just expects that 
her relationship with her "Great Catch" was supposed to be supportive.
 3. She didnt realize that this controlling-abusive relationship was 
happening under her nose.
 Ask yourself, to what extent in the following three 
ways is your client unaware of the controlling, abusive behavior?
 A 
more subtle form of "killing the spirit" than that of the Cant-you-take-a-joke 
tactic is that of teasing. Here's how Shannon described the chipping away of her self-esteem 
process.  ♦ Tactic #2: Teasing Shannon, 
age 31 said, I feel like Ive lost my energy and drive. Im just 
not as sure of myself anymore. As she talked more, she mentioned some of 
the things her husband, Aaron, said. He teases me a lot. He teases me about 
the way I drive. I don't drive in the exact middle of the lane, but to the right. 
He teases me about the way I walk. He says I look like a duck with my toes pointed 
out. Sometimes he'll even quack as I walk past him in the hall.
 
 "I know my toes 
do turn out. It's just hard to concentrate on pointing them straight all the time, 
especially when I have a laundry basket full of clothes. He even teases me about 
the way I make the bed in the morning. He says, 'There you go again with those 
messy corners. That would never pass a Marine Corps inspection.' I know hes 
just affectionately teasing me. Aaron probably thinks my stupid little ways are 
cute, but after a while, it makes me feel stupid and inadequate. I am not sure 
I can do anything right. Maybe I am really stupid and can't do anything right. 
I hate myself sometimes.
 As 
you know, depression is self-hate turned inward. Her spiraling self-hate and depression 
were facilitated by lack of support of her family.  Shannon's 
family told her that Aaron's teasing was nothing to worry about, and that she 
was being too sensitive. They would then reinforce the myth of what a "Great 
Catch" he was by telling her how lucky she was to get anybody to marry her. 
As you can see, neither Shannon nor her family realized that this affectionate 
teasing wasnt affectionate at all. It was slowly chipping away her 
self-esteem. After a few sessions together, Shannon and I realized that she was 
walking on egg shells around Aaron in an attempt to avoid his teasing.  ♦ Tactic #3:  3 Factors of Verbal Abuse As 
you are aware, a way to help your clients, who deal with controlling and abusive 
relationships by their "Great Catch," is to make them aware that they 
are being abused. How would you proceed with Shannon? See if any of the following 
three forms of verbal abuse come to mind.
 a. Recognizable verbal abuse: Pause after reading each of these to give 
yourself a chance to think of and apply them to a client you are treating or have treated: 
belittling, smirking, mimicking, insulting, and ignoring.
 The incident that 
brought Shannon into my office, as she described it, "Aaron, in addition 
to teasing, repeatedly has started to use name-calling, like Stupid bitch, 
again and again and again. Just yesterday he left the apartment screaming, 'I'm 
not going to stay here and take this, you stupid bitch, as if he were the 
injured party. Other times, he would use a taunting tone in his voice. Then just 
roll his eyes, turn, and walk away. I felt like I wanted to die."
 b. In addition or instead of recognizable verbal abuse, the "Great Catch" 
may use eloquent-sounding words, or jargon, or academia, or trendy words to sound 
superior. I had a client whose significant other would yell things like, "Your 
profound ignorance is appalling!" "Your disgraceful neglect is not to 
be condoned." So think for a moment about this second form of verbal abuse 
of using words to sound superior; would it be appropriate to reframe a situation 
in your next session regarding the superior language form of verbal abuse. c. Controlling behavior number three goes hand-in-hand with the superior language 
we have just discussed. Number three is treating a partner like he or she 
is a child, for example repeating statements as if the partner would not understand 
or over-explaining simple tasks. "This is how you correctly place the jelly 
lid on the jelly jar. You turn it until it is tight like this." I 
feel the main problem here is validation of Shannons feelings. Shannon dismissed 
these as the small things that she should overlook because, after all, she was 
lucky to have snagged such a "Great Catch," like Aaron, who had a stable 
job. I found Shannon had to give herself permission to have negative feelings 
about her "Great Catch Aaron.  ♦ The 
Cold Weather AnalogyI 
use the following visualization to facilitate the process of Shannon expressing 
her negative feelings towards Aaron regarding his belittling, smirking, mimicking, 
insulting, and ignoring. I stated, "Compare the negative feelings you have 
towards Aaron to going outside in winter weather. You hold your body tight with 
teeth clenched, shivering and chattering, and are barely breathing; avoiding contact 
with the cold. When you decide to relax, your shoulders, jaws, eyebrows, and knees 
loosen, and the chill is no longer an enemy; the cold now feels energizing."
 The 
    cold weather analogy helped Shannon to accept her feelings and give herself permission 
to have them. She began to feel she didnt have to have a doormat facade 
to keep Aaron.  - Gaman, A., McAfee, S., Homel, P., & Jacob, T. (Jun 2017) Understanding Patterns of Intimate Partner Abuse in Male-Male, Male-Female, and Female-Female Couples. Psychiatric Quarterly, 88(2), p335-347. In 
the next section, I will discuss what I say when a client asks, How could I 
have known my Great Catch would be so cruel? Are there any warning 
signs or patterns that I missed?Reviewed 2023
 
 Peer-Reviewed Journal Article References:
 Derrick, J. L., Testa, M., & Leonard, K. E. (2014). Daily reports   of intimate partner verbal aggression by self and partner: Short-term   consequences and implications for measurement. Psychology of Violence, 4(4), 416–431.
 
 Figueredo, A. J., Jacobs, W. J., Gladden, P. R., Bianchi, J., Patch, E. A., Kavanagh, P. S., Beck, C. J. A., SotomayorPeterson, M., Jiang, Y., & Li, N. P. (2018). Intimate partner violence, interpersonal aggression, and life history strategy. Evolutionary Behavioral Sciences, 12(1), 1–31.
  Flanagan, J. C., Gordon, K. C., Moore, T. M., & Stuart, G. L. (2015).Women’s stress, depression, and relationship adjustment profiles as   they relate to intimate partner violence and mental health during   pregnancy and postpartum. Psychology of Violence, 5(1), 66–73.
  Foster,   E. L., Becho, J., Burge, S. K., Talamantes, M. A., Ferrer, R. L., Wood,   R. C., & Katerndahl, D. A. (2015). Coping with intimate partner   violence: Qualitative findings from the study of dynamics of husband to   wife abuse. Families, Systems, & Health, 33(3), 285–294.  Gaman, A., McAfee, S., Homel, P., & Jacob, T. (Jun   2017). Understanding Patterns of Intimate Partner Abuse in Male-Male,   Male-Female, and Female-Female Couples. Psychiatric Quarterly, 88(2), 335-347.
 Poole, G. M., & Murphy, C. M. (2019). Fatherhood status as a predictor of intimate partner violence (IPV) treatment engagement. Psychology of Violence, 9(3), 340–349.
  Spencer,   C., Mallory, A. B., Cafferky, B. M., Kimmes, J. G., Beck, A. R., &   Stith, S. M. (2019). Mental health factors and intimate partner violence   perpetration and victimization: A meta-analysis. Psychology of Violence, 9(1), 1–17. 
 Willie, T. C., Powell, A., Callands, T., Sipsma, H., Peasant, C., Magriples, U., Alexander, K., & Kershaw, T. (2019). Investigating intimate partner violence victimization and reproductive coercion victimization among young pregnant and parenting couples: A longitudinal study. Psychology of Violence, 9(3), 278–287.
 QUESTION 
  4What is one application of the Cold-Weather Analogy? To select and enter 
  your answer go to .
 
 
 
 
 
 
 |