Domestic Violence: The Elephant In The Room

October is Domestic Violence Awareness Month. It is a conversation that is difficult on either side and for every participant. But it's a conversation that could save a life. Maybe your patient's life. Maybe your best friend's or your sister's. Maybe yours. Nurses Announcements Archive Article

October is Domestic Violence Awareness month. It's a topic that has been addressed online and in print, but one that is excruciatingly difficult to bring up in a face-to-face conversation. I know this as a nurse, because it is awkward and uncomfortable to initiate the conversation with my patients, but I also know this as a survivor.

Recently, when I visited my oncologist, she brought up the topic in a perfunctory sort of way. "Do you feel safe at home?" she asked me, in exactly the same sort of manner she had asked me if my penicillin allergy is still current and if I'm taking my meds daily. She didn't make eye contact and it was clear she desperately wanted my answer to be in the affirmative because she wasn't comfortable discussing a negative. I don't blame her. It wouldn't have been comfortable for me either - on either side of that conversation. The thing is, I haven't always felt safe at home. My parents were violent and, like many survivors of childhood violence, I grew up to be a survivor of the more commonly thought-of domestic violence. Thirty years ago, I lived with a man who hurt me.

In the 1980s, no health care practitioner asked me if I was safe at home. And I wouldn't have known what to answer if one had. Domestic violence occurs at all socio-economic levels, in all strata of society. But it's one of those dirty little secrets that no one wants to admit to. I doubt you will ever encounter a man (at least not in our culture) who admits to beating his wife. (Or to being beaten by her, for that matter, because such things, while more rare, do happen.) And no one wants to be the woman who admits to being beaten. It's stigmatizing.

Thirty years ago, just before I married my abuser, I had a colleague whose live-in boyfriend commonly blackened her eyes when dinner wasn't ready on time. We all saw the black eyes. We all discussed her situation in hushed whispers so Donna wouldn't know we were talking about her. Then there was the day she showed up in our ER, left hand hanging by a thin shred of skin. Her partner had attacked her with an axe. It wasn't until then than Donna was willing to admit to being in an unsafe situation. She was scared to death he would kill her - and rightfully so. I remember discussing the situation with my friends and my soon-to-be husband. "No one would get away with that with ME," I proclaimed arrogantly. "If a man lifted his hand to me, I'd leave him." And I meant it. I thought I knew better. And I DID know better - until I didn't.

It started off slowly enough. He was transferred two thousand miles away from my friends and family. I made new friends, slowly, but that isn't the thing you discuss with a new friend. He became increasingly verbally abusive. He started throwing things. He started throwing things in my direction, which advanced to throwing things at me and then to throwing ME. There was a perfect impression of me in the drywall of our hallway, left when he slammed me against a wall. During one memorable fight, he threw me down a flight of stairs - the concrete stairs of our stoop. That could have killed me. It didn't, but it scared me. I went back into the house, packed a bag and flew to California to stay with my best friend for two weeks. I was too stupid or too ignorant to know how dangerous it was to go back into that house and pack a bag. I didn't understand that leaving is the most dangerous time for a woman. And I was too stupid not to go back when he agreed to get counseling.

Even in the counselor's office, it was excruciatingly embarrassing to admit that *I* was "an abused wife." Imagine how difficult it would be to tell your oncologist or your gynecologist or your PCP such a thing. I felt stigmatized, I felt "less than." It was now my dirty little secret, one that I didn't want anyone to know. And when it did come out, reactions were pretty much what I had envisioned. There was a lot of chest beating and proclamations that "I'd never let a man beat ME." Or "Why didn't you just leave him?"

I didn't leave him for myriad reasons, some valid and others not so much. I didn't want to admit defeat, that my marriage had failed. I had the first divorce in my extended family. I'm pretty sure I wasn't the first wife who endured physical violence. Our lives, finances and possessions were entwined. If you think that's a trivial reason, try to imagine yourself, right this moment getting up from your computer and leaving your home. Don't change your clothes, don't pack a bag. Just get up and walk out of your home with what you're wearing (flannel pajamas and comfy slippers? Ragged jeans and a T shirt) and what you can grab on your way out without slowing. Imagine that you might never be allowed to return to your home. What treasures are in that home that you'll never see again? Your grandmother's engagement ring that she gave you as she lay dying? The family Bible? Your photo albums, your purse, your dog? Your child maybe? Think about that for just a moment.

It's easy enough to SAY that things aren't worth your life. Your children, maybe but not Grandma's ring. But if you haven't lived it, you have no idea what it FEELS like. And until he actually tries to kill you, you may not get it that he might literally do so. Even if you know it in your head, it may not penetrate to that visceral level that demands action.

I left after my then-husband tried to strangle me to death. And because I met him through a blind date arranged by friends, I told those friends exactly why I left him. Then I had to endure dozens of rounds of "He's such a kind, gentle man. He would NEVER do such a thing. You must be making it up." "He's such a friendly, HUMBLE man. He'd never do that." We have all heard the rounds of praise heaped upon the head of a domestic abuser, the disbelief that "someone I know would do such a thing." Anyone who has read this board for more than a month knows that to be true. The knee-jerk expression of those beliefs is just one more type of abuse that the survivor of domestic violence has to face. I lost all of OUR friends, most of mine and even some family members because I finally found my backbone and wouldn't tolerate those kinds of comments, that kind of abuse.

It's not fair that a survivor of domestic violence has to lose her family, her friends, her reputation and her most treasured belongings. It's not fair that she has to listen to people who know HER postulate on how she must be making it up because they KNOW he "isn't that kind of man." None of it is fair.

October is Domestic Violence month. If you are in a relationship where you don't feel safe, make a plan. You don't have to leave right now if you're not ready. But have a copy of your insurance card, your social security card, your birth certificate, your passport somewhere safe where you can get to it but he can't. Keep extra keys. Have your own credit card and bank account, keep some cash. Park your car where it cannot be parked in. Keep your gas tank full. Know a safe place to go and at least three different routes to get there. Know who you would call to pick up your kids at school or daycare if you can't get to them. Have a plan. Please have a plan. Domestic violence doesn't just happen to other people. It can happen to you. It can happen in the wee hours of a holiday morning, on a Monday evening when he's had a bad day at work or his football team is losing or just before you're supposed to show up at your sister's wedding. Don't become a statistic.

For other articles in this series about domestic violence please read:

Domestic Violence: What Leaving Feels Like

Domestic Violence: Rebuilding


References

Bruised All Over - Nurses play role recognizing and stopping domestic violence.

Specializes in Dialysis.

On July 4th, 1997, my 2nd husband beat me to within an inch of my life. That day was normal, he was drunk and using cocaine, and I was tiptoeing on eggshells and keeping the kids (his 1 and my 2) quiet so as to not set him off. We had friends and his family coming by for a cookout in a few hours, and I wanted so badly to have this be a good day....It was not to be. 2 hours later, right after a few of his friends and all of his family had arrived, I laughed at a joke his mother told at his expense. To everyone's horror, he immediately began to choke me, then had me on the the ground kicking me and punching me. I wound up with a broken left clavicle, 6 broken ribs on the left, broken left femur and tibia. The only thing that saved me was his dad beating him with his cane. He was so out of it on the drugs, the few others who intervened got hurt, too. I woke up in the hospital ICU, my mother crying by my bedside, vent, TPN, and so much pain, I wished that I had died....My mother, during the 3 days I was on the vent, had moved me and my kids things out of the house. When he came to the hospital (yes the police did NOT hold him! He came from a wealthy, well connected family), my mom informed him that he may of hit me but he sure as the hell would take a beating from her before he ever had contact with me again. She had even gotten contact with the lawyer to get the ball rolling for divorce proceedings....he went to prison for solicitation of murder regarding our divorce. Yes, he tried to hire someone to kill me. Luckily, it was an undercover cop with a conscience, because he offered a lot of money....

No, he wasn't always like that. When we met, he was Prince Charming, perfect in every way. Treated me and the kids wonderfully. I didn't know that there was a drug habit, and history of abusing former girlfriends and ex-wife. No one in his family told me until the divorce became final. They were terrified of him as well. It started slowly, of course, verbal abuse and shoving. Then the slaps came and the "I'm sorry, I love you, it will NEVER happen again" apologies. I was ashamed, this only happened to uneducated girls from bad families, who let it happen. He kept my paycheck in an account with his name only after a while (long story, he did it illegally), so I had no access to my funds, and was brainwashed into thinking I had no right to my funds either. He paid all bills, went everywhere but to work with me (and sometimes he went there too!).

After that last beating, I moved 3 counties away. He lived in a getaway town, and many times when friends wanted to go there to shop and such, I would stay away out of fear of running in to him. As the years went by and we got to 2010ish, I started going to that town again but always looking over my shoulder. On July 5th 2012, it appeared on the news that he had died the previous day of a heroine overdose in his home. I've never before or since been happy that someone died. But in that circumstance I was. When people have asked me my ex husband's names, I've named #1 and #3 with no issue, with #2, I always said I was married to Satan. People may judge me on that but they never had to walk a day in my shoes with him either. On another note, his 3rd wife disappeared under mysterious circumstances, and has not been seen or heard from to this day....

To this day I walk with a slight limp and when I get a cold, each cough is a painful reminder of days that I'd rather forget

Specializes in pediatrics; PICU; NICU.

I guess it's time to open up. I got married to my first husband when I was 25 & he was 33. It was his second marriage & he had a 9 year old son from his first. He never saw his son even though they only lived about 20 miles from us. I asked him why & he said his ex was just a real b***h. I accepted that because I had no reason not to.

My parents lived 3 blocks away from us & my sister & her family lived 5 blocks away. I had always been really close with my family but after we got married he slowly started isolating me from them. First he made it clear that no one could visit without calling first. Okay, fair enough. After a while that wasn't good enough. He decided we would no longer have holidays with them. He also started alienating me from my friends, some of whom I'd been with since 7th grade. I couldn't understand at the time why none of them trusted him.

Soon after all this took place, the verbal & emotional abuse started. I was "ugly, stupid, lazy, worthless, etc.". I couldn't do anything right. At that time there wasn't any physical abuse.

When we'd been married just over 2 years he lost his job. Of course, that was my fault, too. (It had nothing to do with the fact that the company was downsizing.) He wasn't able to find a job right away & got mad because my income couldn't provide the lifestyle we had with 2 incomes. I was obviously too dumb to have a job that paid twice as much as I was making. That's when the physical stuff started. First it was a shove here & there. Then came slapping followed by punching, kicking, etc. Because he knew that I had to work, he was always very careful only to hit & kick where bruises wouldn't be seen. Therefore, I was never hit in the face.

After a few months, he decided I wasn't learning my lesson with the physical abuse so it escalated to sexual abuse. Every morning when I came home from work I had to strip & get in bed. My hands & feet were tied to the posts of the bed & I was left there all day. Whenever he thought I was sleeping, he would come in & do things that are too graphic to put in this post. This went on for 3 months before I decided I couldn't to take it any more.

I owned my condo before we got married & had never put his name on the title so getting him out was no problem. I called the police & had him escorted out. He left with the clothes on his back. I knew he'd try to come back to get his stuff while I was at work at night so my parents decided they'd stay at my house at night. Surprisingly, he didn't come back. I got a lawyer the next day, got an order of protection, & filed for divorce. My lawyer contacted him & made it clear he would have to have a police escort with him to get his belongings & that I would be there to make sure he didn't take anything that didn't belong to him. Much to my surprise he went along with all this. He had cleaned out our checking account the day I kicked him out. I still had our savings account, though, and I considered the money he took a small price to be rid of him.

Our divorce was finalized 2 months later but when I walked out of court that day (in the middle of downtown Chicago), I had the first of many years of panic attacks. I was terrified he was going to be around every corner waiting to kill me. I never heard from him again but I had such bad & frequent panic attacks that it got to the point where I had agoraphobia & was a prisoner of my own home for 3 years. With lots of therapy I was able to overcome that & go back to work but, to this day, I still have occasional panic attacks.

After our divorce, I contacted his first wife & found out she had wanted to warn me about him but was afraid of what he would do to her & their son if she did. He abused her for several years after their son was born. That's why he wasn't allowed to see his son. Court order!

I'm one of the lucky ones. I "woke up" & was able to fight for my life & I won. I am not a victim. I am a survivor!

It's been very difficult putting this out there for the world to see but my hope is that maybe my story can help someone else who's in an abusive relationship to realize there might be a way out for them.

Specializes in ORTHO, PCU, ED.

Hugs to you ((((Poppycat)))) Congratulations on being such a survivor. As I posted to Ruby...I'm REALLY counting my blessings now. To you all that have posted your stories...hugs and thank you for the courage to share with others. I'm without words.

Another thank you to those who opened up. I know it's not easy- It was hard for me even just with what I wrote before.

One thing I want to add just to be aware of is gaslighting. I'll try to include a link: The National Domestic Violence Hotline | What is Gaslighting? It is a red flag that I wish I would have known about years ago. Basically the abusive person makes you second guess yourself. Like denying things that definitely happened (or saying things happened that did not). When it happens to you over and over it's hard to be sure of yourself anymore.

((((everyone)))) because I want to hug everyone but I'm way too lazy to do each one individually.

Specializes in Dialysis.

Soon after all this took place, the verbal & emotional abuse started. I was "ugly, stupid, lazy, worthless, etc.". I couldn't do anything right.

I understand...I am 5'4" and at the time weighed 84lbs...yes, 84. But he told me I was too fat...he even controlled my food intake to the point 1 small meal a day...I was severely malnourished. When I hear of anyone being told that they are too anything, it makes me want to scream!
Specializes in ORTHO, PCU, ED.

Hugs to all from me too!!! I don't want to leave any of you out. Wow. You all are some strong girls.

Specializes in Addictions Nursing, LTC.
I guess it's time to open up. I got married to my first husband when I was 25 & he was 33. It was his second marriage & he had a 9 year old son from his first. He never saw his son even though they only lived about 20 miles from us. I asked him why & he said his ex was just a real b***h. I accepted that because I had no reason not to.

My parents lived 3 blocks away from us & my sister & her family lived 5 blocks away. I had always been really close with my family but after we got married he slowly started isolating me from them. First he made it clear that no one could visit without calling first. Okay, fair enough. After a while that wasn't good enough. He decided we would no longer have holidays with them. He also started alienating me from my friends, some of whom I'd been with since 7th grade. I couldn't understand at the time why none of them trusted him.

Soon after all this took place, the verbal & emotional abuse started. I was "ugly, stupid, lazy, worthless, etc.". I couldn't do anything right. At that time there wasn't any physical abuse.

When we'd been married just over 2 years he lost his job. Of course, that was my fault, too. (It had nothing to do with the fact that the company was downsizing.) He wasn't able to find a job right away & got mad because my income couldn't provide the lifestyle we had with 2 incomes. I was obviously too dumb to have a job that paid twice as much as I was making. That's when the physical stuff started. First it was a shove here & there. Then came slapping followed by punching, kicking, etc. Because he knew that I had to work, he was always very careful only to hit & kick where bruises wouldn't be seen. Therefore, I was never hit in the face.

After a few months, he decided I wasn't learning my lesson with the physical abuse so it escalated to sexual abuse. Every morning when I came home from work I had to strip & get in bed. My hands & feet were tied to the posts of the bed & I was left there all day. Whenever he thought I was sleeping, he would come in & do things that are too graphic to put in this post. This went on for 3 months before I decided I couldn't to take it any more.

I owned my condo before we got married & had never put his name on the title so getting him out was no problem. I called the police & had him escorted out. He left with the clothes on his back. I knew he'd try to come back to get his stuff while I was at work at night so my parents decided they'd stay at my house at night. Surprisingly, he didn't come back. I got a lawyer the next day, got an order of protection, & filed for divorce. My lawyer contacted him & made it clear he would have to have a police escort with him to get his belongings & that I would be there to make sure he didn't take anything that didn't belong to him. Much to my surprise he went along with all this. He had cleaned out our checking account the day I kicked him out. I still had our savings account, though, and I considered the money he took a small price to be rid of him.

Our divorce was finalized 2 months later but when I walked out of court that day (in the middle of downtown Chicago), I had the first of many years of panic attacks. I was terrified he was going to be around every corner waiting to kill me. I never heard from him again but I had such bad & frequent panic attacks that it got to the point where I had agoraphobia & was a prisoner of my own home for 3 years. With lots of therapy I was able to overcome that & go back to work but, to this day, I still have occasional panic attacks.

After our divorce, I contacted his first wife & found out she had wanted to warn me about him but was afraid of what he would do to her & their son if she did. He abused her for several years after their son was born. That's why he wasn't allowed to see his son. Court order!

I'm one of the lucky ones. I "woke up" & was able to fight for my life & I won. I am not a victim. I am a survivor!

It's been very difficult putting this out there for the world to see but my hope is that maybe my story can help someone else who's in an abusive relationship to realize there might be a way out for them.

((((poppycat))))

Specializes in OR, Nursing Professional Development.

So many stories that have left me speechless, crying, and just no words to offer. All I can say is ((((all)))) who have shared their stories. My story isn't the traditional thoughts of domestic violence but of childhood sexual abuse. I've shared it elsewhere here at AN, but just don't have the mindset to share it here.

Specializes in as above.

use your imagination..friends, relatives. local safe house. Or next time, call the cops. There is so much domestic abuse going on, its on the rise, since many men cant or wont control themselves, sober or wasted. Sometime we forget that women cause abuse. Women use verbal abuse. Men are more physical. But its media savvy that women get the attention, since its children who are involved.

use your imagination..friends, relatives. local safe house. Or next time, call the cops. There is so much domestic abuse going on, its on the rise, since many men cant or wont control themselves, sober or wasted. Sometime we forget that women cause abuse. Women use verbal abuse. Men are more physical. But its media savvy that women get the attention, since its children who are involved.

Yea. Everything in this thread is incredibly sexy.

Victim blaming.

Seriously?