Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
What are the causes or risk factors for intimate partner violence?
Although there is no specific cause for domestic violence, women at the
highest risk for being the victim of domestic violence include those with male
partners who abuse drugs (especially alcohol), are unemployed or underemployed,
have not graduated from high school, and are or have been in a romantic
relationship with the victim. Unmarried individuals in
heterosexual relationships tend to be more at risk for becoming victims of
intimate partner abuse. A mind-set that gives men power over women puts
individuals at risk for becoming involved in an abusive relationship, either as
a perpetrator or as a victim. Domestic violence
against women tends to be reported more often by victims who are in a
relationship with a man with more conservative religious views than their own,
regardless of whether or not the couple is of the same or different religions or
denominations. Regular attendance at religious services is apparently
associated with less reported intimate partner abuse. Research shows that those
who grew up in a household in which domestic violence took place are more likely
to become either perpetrators or victims of intimate partner violence as adults. Teenagers who suffer from mental illness are also at risk
for being an abusive relationship as young adults. African-American and Hispanic
teens have been found to be at higher risk for being victims of teen domestic
violence. Another risk factor for teen dating/domestic violence includes lower
grades.
What are the warning signs and symptoms of intimate partner abuse?
PscyhCentral provides a list of several screening questions for people who wonder if they
are the victim of any form of domestic abuse. In addition to asking questions
about whether the reader feels excessively controlled (such as having their
partner keep excessive track of daily activities and associations, or being
demeaned by critical remarks, insults and name calling), the list of questions
further explores whether more obvious acts of abuse have occurred, like kicking,
punching, or throwing objects. The acronym AARDVARC (An Abuse, Rape, Domestic Violence
Aid and Resource Collection) describes a number of warning signs for
friends, family members, and coworkers for recognizing people who may be
victims of intimate partner abuse. Specifically, teens, men, or women who are
often absent from school or work, have numerous injuries they try to explain
away,
low self-esteem, show a change in their personality, fear of conflicts, passive-aggressive behavior, blame themselves, seem isolated, or demonstrate
stress-related physical symptoms (for example, headaches, stomach upset, sleep problems,
or skin rashes) may be experiencing abuse in their relationship.
Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting into trouble with the law.
Drug addiction is a chronic disease that causes drug-seeking behavior and drug use despite negative consequences to the user and those around him. Though the initial decision to use drugs is voluntary, changes in the brain caused by repeated drug abuse can affect a person's self-control and ability to make the right decisions and increase the urge to take drugs. Drug abuse and addiction are preventable.
Child abuse falls into four categories: neglect, physical abuse, sexual abuse, and emotional abuse. There are certain risk factors that predispose a child to being abused and an adult to abusing a child. Risk factors for children are age, children with learning disabilities, adopted and foster children, children with congenital abnormalities, and a past history of abuse. Parental risk factors include young or single parents, those who suffered abuse themselves, adults with substance-abuse problems or psychiatric disease, and those who didn't graduate from high school.
Cocaine is an addictive stimulant that is smoked, snorted, and injected. Crack is cocaine that comes in a rock crystal that is heated to form vapors, which are then smoked. Cocaine has various effects on the body, including dilating pupils, constricting blood vessels, increasing body temperature, heart rate, and blood pressure.
Compulsive gambling is a disorder that affects millions in the U.S. Symptoms and signs include a preoccupation with gambling, lying to family or loved ones to hide gambling, committing crimes to finance gambling, and risking importance relationships and employment due to gambling. Treatment may incorporate participation in Gamblers' Anonymous, psychotherapy, and medications like carbamazepine, topiramate, lithium, naltrexone, antidepressants, clomipramine, and fluvoxamine.
There are many forms of sexual assault, including rape, attempted rape, child molestation, sexual intercourse that you say no to, inappropriate touching, and vaginal, anal, or oral penetration. Sexual assault can also be anything that forces someone to join in unwanted sexual contact or attention, such as voyeurism, exhibitionism, incest, and sexual harassment.