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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 |
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Locked in a house,
room or closet |
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Tied up with rope, chains,
handcuffs, etc. |
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Forced to live in isolated
settings |
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Frequent moves |
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Controlled socialization with
family or friends |
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Monitored use of telephone/mail |
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Psychological Torture: Degradation |
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To curse, name-call such as
stupid, worthless, etc. |
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To depreciate |
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Public humiliation |
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Private humiliation |
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Denial of power or competency
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Forced prostitution or sex acts
with others |
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Forced pornography |
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Rejection (emotional,
intellectual, social, sexual, affectional) |
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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.
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