Domestic Violence Institute
         Home Questionnaires Services Video

Psychological Abuse

 

What kind of psychological abuse have you experienced in this relationship?  Check off all that apply during this particular relationship. Use the following codes:

1 = has not occurred
2 = threatened
3= once
4 = two to four times
5 = five or more times, frequently
 

Psychological Torture: Isolation

 

_____

Locked in a house, room or closet

_____

Tied up with rope, chains, handcuffs, etc.

_____

Forced to live in isolated settings

_____

Frequent moves

_____

Controlled socialization with family or friends

_____

Monitored use of telephone/mail

Psychological Torture: Degradation

_____

To curse, name-call such as stupid, worthless, etc.

_____

To depreciate

_____

Public humiliation

_____

Private humiliation

_____

Denial of power or competency

_____

Forced prostitution or sex acts with others

_____

Forced pornography

_____

Rejection (emotional, intellectual, social, sexual, affectional)

 

How To Get Help
Call the national domestic violence hot line at 1-800-333-SAFE right now to find a local battered woman shelter or 1-900-772-3872 for more information from the Family Survival Network.
 

 

 

Home | About | Services | Products | Contact

Copyright © 2003. Lenore E. A. Walker, Ed.D.  All Rights Reserved.

This Web site maintained by PsychWebs.com