Re: What is the worst thing a patient has ever said to you?
I didn't mean it in an offensive way- it's more of a cynical view born from frustation then anything else.
Most people in domestic abuse are truly victims, and rightly fear for their lives.
I wan't referring to the majority, though. There are a few dependent personalities that seem to thrive on it. It goes beyond fear or love- they need it. It doesn't just occur with the stereotypical battered-wife scenario- I've seen abused men as well.
Anyhow- I've seen women go from one abusive relationship to another. For whatever reason- and I'm not trying to imply it's not maladaptive or lessens the fact that they are victims- they want domineering men. I have had a few pts who were insulted if their man wasn't 'strong' (their words), that if he didn't have a jealous fit and 'put them in their place', he wasn't a real man and didn't really love them. Again, their words. These are women who have been offered every possible resource, over and over, but still repeat the cycle. I have had them tell me better a bit of 'knocking around' then a weak man.
You can't help them- they don't want the help. Beyond long-term institutionalization, which never happens anymore, you cannot force help onto someone who cannot be declared incompetent; who flat out and repeatedly refuses such help. Who go one step further and actively seek out dysfunctional relationships. There's an infinite number of reasons why- abused as a child, addiction, some horrible traumatic event, mental illness- whatever the reason, some victims don't want it to change. All you can do is try to give them opportunities, compassionate care, and keep the door open in case they decide to walk through.
I don't condone it, I don't think it's ok EVER to abuse another human. I don't think the 'strong man' attitude has a bit of defendable rationale. I cannot force people to live how I think best, though. I
can provide them them opportunity and support as best as they allow. I can care for their wounds as best as they will let me. I cannot force someone to be saved.
So, I wasn't really referring to the overwhelming majority of women who are scared for their/their family's lives.
I apologize to anyone whom I may have offended. It was not my intention to belittle or trivialize domestic abuse.
As for my 'soft spot' for alcoholics- being an alcoholic does not always go hand in hand with domestic abuse.
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