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Helping women

During the contemplation stage of women coming to terms with the abuse and control by their male partner, women begin to accept that there is a problem that is not resolving itself. Dienemann and colleagues (2007) call stage 2 a time when women continue to be committed to the relationship but begin to question it.

At this time women waiver between talking about and then not talking about the abuse. They start to consider advantages and disadvantages of making change and considering a different future.

Because women are still committed they may sacrifice themselves in order to maintain the relationship. Our society stresses the idea that it is a woman’s role to make relationships work. However at this stage she may begin to question whether she is to blame and ask her partner to get help. Therefore she will continue to seek answers to the logic underpinning his behaviours.

Coping with physical violence compared with psychological abuse and control

For women who are experiencing physical violence they may begin to fear for their lives and admit to not feeling safe. For women who never experience physical violence, but are being abused and controlled psychologically, there is no visible evidence of abuse. Outsiders might see bruises on women who are beaten, but psychological abuse is far more private – hence the abuser seems innocent. There is a move in our society to oppose violence against women – this helps women start to name the man’s violence as wrong and to push for him to get help. It is much more difficult to begin to label tactics of psychological abuse and control as wrong because our society avoids defining it and talking about it as a public issue.

In my work with women over the years I have observed the same distinctions as Valerie Chang has in her book I Just Lost Myself: Psychological Abuse of Women in Marriage.  Women who experience physical violence (and other forms of abuse and control) respond differently compared with women who are psychologically abused and controlled independent of physical violence. Women who are psychologically abused (but never physically hit) detach emotionally before separating and usually don’t attempt to reconcile after the relationship ends. These women are very hesitant to commit to another relationship because psychological abuse and control is a pattern over time, is confusing, insidious and very difficult to detect the warning signs. Whereas women who are physically hit may separate for the first time while they are still emotionally attached. Women who experience physical violence (compared with abused and controlled women who do not) are more likely to make many attempts to reconcile and they are optimistic about future relationships. Of course this is not always the case, however, as a friend or family member who is trying to help, it is important to understand some of the nuances.

Stage 2 is all about exploring pros and cons

Ultimately, stage 2 means women may start to explore options but are not ready to end the relationship. Women may feel trapped, may be desperate to make the relationship work for the sake of the children, will not want to humiliate her partner by calling the police, or by making the abuse too public. Many women believe their partner is insecure and needs their loving. At this stage women are not ready to give up trying and are very willing to give their partner another chance. Therefore some women may reverse or withdraw protection orders.

Women will likely seek information, some might leave at this stage, but don’t be surprised if they return. They are not stupid and they do not like or want to be abused. They want their relationship to work and they want to feel safe and carry out their commitment to be in relationship “for better or worse”. This requires incredible strength and resourcefulness. On the other hand women at this time may feel a lack of trust in themselves, their partner and people in general and believe that no one can help.

What can you do to help?

  • Help the woman talk through costs and benefits of the relationship – now and in the future
  • Discuss her fears of leaving, e.g. lack of resources – money, accommodation, social support, not wanting to be alone, shame, feelings of failure
  • Ask for her views of danger to her, her children, to others – whether she stays or leaves (Remember there is an increased chance of a woman being murdered after she leaves a man who has a history of being controlling)
  • Affirm that what she is experiencing is abusive and that she does not deserve it, nor is she to blame
  • Ask her for all the ways she (and her children) are being affected – psychologically, ability to function at work, ability to pursue dreams
  • Help her make a safety plan
  • Respect her decisions

References:

Burman, Sondra. (2003). Battered women: Stages of change and other treatment models that instigate and sustain leaving. Brief Treatment and Crisis Intervention, 3, 83-98.

Burnett, Lynn Barkley & Adler, Jonathan. (2008). Domestic violence. Retrieved 5 April, 2009, from http://emedicine.medscape.com/article/805546-overview

Chang, Valerie Nash. (1996). I Just Lost Myself: Psychological Abuse of Women in Marriage. Westport, CT: Praeger.

Dienemann, Jacqueline A., Glass, Nancy, Hanson, Ginger & Lunsford, Kathleen. (2007). The domestic violence survivor assessment (DVSA): A tool for individual counselling with women experiencing intimate partner violence. Issues in Mental Health Nursing, 28, 913-925.

Kramer, Alice. (2007). Stages of change: Surviving intimate partner violence during and after pregnancy. Journal of Perinatal and Neonatal Nursing, 21, 285-295.

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As Yolantha in this video says, she did not recognise she was in a domestic violence situation. She was attracted to her man because he was passionate about things. She had never heard of psychological abuse and control and what it entailed. But when she was given some information, she still didn’t want to believe it.

Not all women who are being controlled and abused ever experience physical violence and not all men initiate leaving. So how do you help a woman who is denying, minimising or excusing her partner’s abuse and control? It depends on what stage she is at.

The first stage is known as precontemplation – the stage before contemplating changing the status quo. Dienemann and her colleagues (2007) suggest this stage equates to when the woman is fully committed to the relationship.

When a woman in a relationship marked by one-sided power and control is fully committed to the relationship, she might talk about the positives, hiding any evidence of being abused. She might relabel the man’s abuse as the result of a stressful job, problems with his childhood, or that he is just being a ‘normal’ man. Our society places a great deal of emphasis on the notion that it is the woman’s role to make the relationship work. While a woman is fully committed she may not separate herself from the relationship. She may placate or submit to his requests and demands – not because she is codependent, but because it is a strategy to try to stop him from denigrating her. She may spend years trying hard to please him, or to improve herself to gain his acceptance and approval – in an attempt to reduce or stop his anger, or to reduce his suspicions that she is not a good enough housekeeper or mother, or that she is having an affair with another man. She might start to silence herself and stop ‘answering back’ – stop arguing the point – which are yet more attempts on her part to help him revert to the loving caring man he once was.

She may become more and more isolated

In the meantime he may have criticised her friends or threatened them so they may have stopped visiting, or stopped calling her. He may have explicitly told her she could not see her family or friends, he may have threatened to harm her family or friends . . . so over time she becomes more and more dependent on him for closeness and more and more isolated.

Friends and family may have tried to intervene

Friends and family may have mentioned to her that, “He’s controlling you”. She may have argued the point and made a seemingly valid excuse for his behaviours. Often friends and family might say, “He’s abusing you”, or “Leave him”. But at the time when she is very committed to making the relationship work, committed to helping him change and she is in fear of the relationship failing she may reject friends and family believing that “no one understands”.

Increasing psychological and physical harm

As months and years pass, she may become more demoralised because she has not changed him, he has continued to blame her while not taking responsibility and she has accepted the blame. It is highly probable that her self-esteem has become battered, she has lost confidence, she has become confused, numb, developed depression, post traumatic stress and anxiety. Many women by this stage may have developed physical health problems such as stomach pain, indigestion problems, fibromyalgia, headaches and chronic fatigue. She may be told by her partner she is crazy and she may feel as if she is going crazy.

Friends and family often feel helpless, powerless and hopeless

Friends and family often cannot work out how to help her or the right things to say. She may ask for help but reject it, she may just want to be heard and not want to have her problems solved. She wants to be understood. She wants to save her relationship while at the same time she wants the abuse and control to stop. If there is no physical violence it is very very difficult to define and name psychological abuse and control. It is difficult for the woman to do this. It is difficult for the man to define his behaviours as abuse – he may feel completely justified in his domination and control and disciplinarian behaviours – as a man – as head of the house. It is very difficult for friends and family and colleagues to – firstly even see psychological abuse and control because so much of it is subtle – and secondly to define it and name it even if they do suspect something.

This is stage 1 in a long process – so what can you do to help at this stage?

  1. At this stage it is highly likely the woman will only want to talk and be understood
  2. Tell her she does not deserve abuse, does not deserve to be controlled and she is not to blame

You could also do the following, but you may be rejected because she may just want to be heard

  1. Raise doubt in the woman’s mind – explain the ways this is not a healthy relationship
  2. Provide her with information about psychological abuse and control
  3. Tell her the difference between a healthy relationship and a relationship marked by one-sided power and control
  4. Do not force her to do anything – that is probably already a tactic used by her abusive and controlling partner
  5. Know that she probably sees any abuse as temporary – inform her of the risk of further abuse and control by a man who so far has refused to take responsibility for his behaviour

References:

Burman, Sondra. (2003). Battered women: Stages of change and other treatment models that instigate and sustain leaving. Brief Treatment and Crisis Intervention, 3, 83-98.

Dienemann, Jacqueline A., Glass, Nancy, Hanson, Ginger & Lunsford, Kathleen. (2007). The domestic violence survivor assessment (DVSA): A tool for individual counselling with women experiencing intimate partner violence. Issues in Mental Health Nursing, 28, 913-925.

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