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What is intimate partner violence? It糖心传媒檚 not just physical abuse

Intimate partner violence, a type of domestic violence, affects millions of Americans each year and can take the form of physical, sexual, emotional, and even economic abuse. (糖心传媒 illustration / Julia Joshpe)

Victims糖心传媒� advocate Catherine Cerulli on how to spot an unhealthy relationship before domestic violence starts.

Intimate partner violence (IPV) affects millions of Americans every year. According to the Centers for Disease Control and Prevention (CDC), have experienced some form of sexual or physical violence, or stalking by an intimate partner during their lifetime. While both men and women can be victims of IPV, women are more likely to sustain serious injuries and be killed by men. Often red flags appear well before the violence starts.

糖心传媒淚 hear very rarely about incidents of physical and sexual violence where the exertion of power and control didn糖心传媒檛 come first,糖心传媒� says , director of both the聽糖心传媒糖心传媒檚 Susan B. Anthony Center and the聽. 糖心传媒淎s the level of severity increases toward physical and sexual violence, it糖心传媒檚 almost always accompanied or preceded by emotional abuse, where the abuser tries to control the victim糖心传媒檚 time and resources.糖心传媒�

IPV may also manifest as economic abuse. Cerulli has had clients who had to call their abusers from the grocery store to obtain permission to buy themselves feminine hygiene products. Others have had their social service benefits for housing and food taken away by their abuser.

Economic abuse may also include interfering with a person糖心传媒檚 ability to earn an income or hold down a job. For example, a perpetrator may engage in behavior to try to get the victim fired, showing up at the workplace to call, harass, annoy, or alarm糖心传媒攏ot just them but their coworkers as well.


Catherine Cerulli.

Rochester Voices

Catherine Cerulli has been working in a variety of roles on issues surrounding domestic violence and child abuse for over three decades:

Not only is Cerulli the director of both the University of Rochester糖心传媒檚 Susan B. Anthony Center and the Laboratory of Interpersonal Violence and Victimization, she is also a professor of psychiatry at the University of Rochester Medical Center. In 1995, as an assistant district attorney in New York糖心传媒檚 Monroe County, she created a special misdemeanor domestic violence unit.

(Photo:聽Frank Gallagher)

Q&A with Catherine Cerulli

What is intimate partner violence?

  • Intimate partner violence is violence that happens between people in an ongoing or former intimate or romantic relationship.

Cerulli: Intimate partner violence occurs between people in an intimate relationship who might be married, formerly married, dating, formerly dating, or individuals who don糖心传媒檛 necessarily have an ongoing romantic relationship but may share common children. It can manifest as emotional abuse, psychological abuse糖心传媒攊ncluding coercive control糖心传媒攅conomic abuse, physical abuse, sexual abuse, and sometimes using the children as a tool to get what the abuser wants.

What糖心传媒檚 the difference between intimate partner violence and domestic violence?

  • Intimate partner violence is a subcategory of domestic violence.

Cerulli: Broadly defined, domestic violence includes elder abuse, sibling abuse, child abuse, intimate partner abuse, parent abuse, and can also include people who don糖心传媒檛 necessarily live together but who do have an intimate relationship. Conversely, intimate partner violence is more specific; essentially, it糖心传媒檚 a specific form of domestic violence.

Victim or survivor糖心传媒攚hich term should we use?

  • Most people are victims first and later become survivors, once they are safe and able to thrive.

Cerulli: I vacillate between the two. There is a framework that some survivors who work on community-based research with me have shared: a person may go through the journey of being a victim first. Later, once they get to a safe space in their life, they become a survivor and can thrive. That糖心传媒檚 a model we use: victim糖心传媒攕urvivor糖心传媒攖hriver.

How did COVID-19 affect intimate partner violence?

  • Early data suggest that IVP increased during the pandemic.

Cerulli: Early US data suggest that IPV聽rose聽during COVID-19 for some segments of the population due to increased risk factors: homelessness, unemployment, stress, and some communities糖心传媒� lockdown provisions, which required survivors to be in close contact and monitored by their perpetrators.

When people had to shelter in place during COVID, it was very difficult for victims to escape their abuse, to go and stay with family members or friends, or even go to a hotel. Shelters were struggling with how to function during the pandemic and some social supports were cut off. Unless organizations and agencies could pivot during the pandemic to meet with survivors safely, it could put victims at greater risk.

Is it true that intimate partner violence increases during pregnancy?

  • Research findings to date are contradictory.

颁别谤耻濒濒颈:听Studies have been contradictory. Some found that more victims report abuse during pregnancy, or upon the birth of the baby. Yet, a 糖心传媒 concluded that IPV occurred before, during, and after a pregnancy, and that pregnancy did not appear to create the abuse, but that it may take on different forms.

One of the most interesting findings was that far fewer women reported IPV in the聽weeks after the baby was born, when some violence actually stopped. I would suggest that糖心传媒檚 because following the birth, visitors may be coming into the house, or there糖心传媒檚 more care given through post-birth visits for the baby and the mother. This may be a window of opportunity for intervention.

But there is no denying that bringing a child into a relationship where there is already abuse糖心传媒攅ither emotional, physical, sexual, or economic糖心传媒攖hat that extra person in the home can increase stress and could raise the level of abuse, depending on other risk factors.

How health care providers can address intimate partner violence

Catherine Cerulli created a about how to identify, protect, and support victims and survivors of intimate partner violence. Published by the Joint Commission, an independent, nonprofit organization for health accreditation, her work is part of the University糖心传媒檚 .

What are early warning signs of possible violence?

  • Abusive relationships often start with one person糖心传媒檚 controlling or limiting the partner糖心传媒檚 social interactions with others

Cerulli: Abusive relationships often start the way non-abusive relationships start: two people meet, they get together, and there糖心传媒檚 excitement. They spend a lot of time with each other, exchange frequent phone calls and texts. But after a while, there comes a point in healthy relationships where some of that initial excitement fades, and people reengage with their family and their friends. At that point, they start to enmesh the new partner into their already existing social networks. That糖心传媒檚 when the road divides: abusive relationships often start with controlling the victim糖心传媒檚 social networks糖心传媒攍imiting with whom and when they can spend time away from the abusive partner. The abuser may start monitoring the victim糖心传媒檚 telephone calls and texts. Sometimes abusers put monitoring devices in cars and on telephones, or spyware onto computers to see what websites their victims use. They start to insert themselves in all aspects of the victim糖心传媒檚 life. This isolation can be a precursor to more abusive behaviors that can be physical or sexual.

According to the , 35 percent of American teens have been in a romantic relationship. What糖心传媒檚 the best way to protect teenagers in new relationships?

  • Look for cues of a noticeable imbalance糖心传媒攊s one partner calling all the shots?

Cerulli: I糖心传媒檇 be looking to see if their new relationship turns the corner, whether the couple starts to go out together with friends. They shouldn糖心传媒檛 be completely in their own bubble once the newness of the relationship wears off. I糖心传媒檇 also pay attention to cues such as who is paying for things, who is taking the lead, who is controlling the finances for the couple, who is deciding where they go, what movie they watch, whom they spend time with.

A friend of mine, who is a domestic violence counselor, taught me a useful framework: There are healthy and safe relationships; there are unhealthy relationships; and then there are outright dangerous relationships. If we spent more time educating adolescents about how to spot and leave unhealthy relationships, we may have fewer people getting into the actually dangerous ones.

Where can victims and survivors find help?

  • Contact a domestic violence service provider, or ask your doctor for help.

Cerulli: Finding yourself in an abusive relationship can be a frightening revelation. People often blame themselves, which they shouldn糖心传媒檛. There are many options for help that might start with counseling to work on a safety plan, which might include steps on how to leave the relationship.

You most definitely want to partner with your local domestic violence service provider. Call 911 if there糖心传媒檚 an imminent risk to your safety. You can also get help from your doctor糖心传媒檚 office or a faith leader who is trained in understanding the dynamics of IPV. You might seek help from your employer糖心传媒檚 employee assistance program,聽which may offer short-term counseling and link you with care.

But the most important thing as you decide to leave an abusive relationship is safety糖心传媒攂e sure that you have covered your bases for a safety plan, know what that process is going to be, and know when you糖心传媒檙e going to execute that plan.


Resources for victims of intimate partner violence

National

  • 24/7 hotline (languages: English, Spanish and 200+ through interpretation service): 800-799-SAFE (7233) or via SMS糖心传媒攖ext START to 88788

Local

  • UR Medicine糖心传媒檚 : (585) 275 4325
  • 24/7 hotline: (585) 222-SAFE (7233)
  • 24/7 hotline: (585) 275-8686

For 糖心传媒 employees and household members

  • : (585) 276-9110

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