1. Victims of Abuse or Neglect
developed by
Tim Corbett RN, MA, LMHC

2. The Cycle of Battering Phase I-Tension-Building Phase
victim senses that batterer’s frustration tolerance is declining
victim may become very nurturing and compliant in effort to prevent anger of batterer from escalating

3. The Cycle of Battering Phase II-Acute Battering Incident
triggering event occurs & violence ensues
victim often feels need to find safe place to hide

4. The Cycle of Battering Phase III-Calm, Loving, Respite Phase
batterer acts kind and contrite
victim wants to believe that batterer can and will change

5. Child Abuse Physical Injury
any non-accidental injury that may consist of puncing, beating, kicking, biting, shaking,or burning the child
Indicators: bruises, welts, bite marks, fractures, lacerations, burns, etc.
fear of parent or caretaker
extreme anger, passivity, withdrawal

6. Child Abuse Emotional Injury
a pattern of behavior resulting in serious impairment of child’s social, emotional, or intellectual functioning
indicators: age-inappropriate behaviors,
unrealistic fears, inappropriate affect,
nightmares & sleep problems, anxiety,
self-destructive behaviors

7. Child Abuse Physical Neglect
refusal of/delay in seeking health care, abandonment, expulsion from home or refusing to allow a runaway to return, inadequate supervision
indicators: soiled clothing or clothing in need of repair, or inappropriate for weather, hunger, steals/hoards food, poor hygiene/body odor, infected sores, abscessed teeth, emaciation

8. Child Abuse Emotional Neglect
chronic failure by parent/caretaker to provide emotional support/nurturance
Indicators: refusing to acknowledge child’s presence &/or attempts to establish meaningful interaction
ignoring child’s basic emotional needs,
denying child opportunities for positive reinforcement

9. Sexual Abuse of a Child
sexual exploitation in which child is coerced/induced to engage in sexual acts
any situation in which child is used for sexual pleasure
physical Indicators: STDs, difficulty/pain in sitting/walking, sleep problems, nightmares, foreign matter in body parts, vaginal discharge, genital/rectal bleeding, itching, rashes, bruises in genital area
behavioral indicators: promiscuity, seductive behavior, prostitution, compulsive masturbation, excessive anxiety

10. Sexual Assault
Date Rape
Marital Rape
Statutory Rape

11. Treatment Modalities Crisis Intervention Safe House or Shelter
Family Therapy

12. Case Scenarios
Case #1—Natalie is a battered woman who lives with “D,”a violent batterer.
Her co-worker advises her to get help
from the EAP office. Natalie is resistant saying that “D” has reformed. Honey suggests that she buy a gun or move in with her. Gertrude insists that she press charges. What do you think?

13. Case Scenarios
Case #2-- Yvonne and her spouse come to the ER. She has a swollen, black eye and various cuts and bruises, some of which are bleeding. The husband tells the ER nurse that she fell off the back porch. What should the nurse do?