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.

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 Stepdown, PCCN.
I think your response was pretty reasonable.

Thanks, I'm just flummoxed that people can possibly think that way.

Specializes in ICU.
Heather, what is financial abuse? Withholding money? Taking your money?

Financial abuse is pretty much taking control of all of the money and the spouse has no access to any of it. My ex hid over $80k in cash from me. I had no access to our bank accounts. I was given a small amount of money each month to buy anything I needed for me and my son that was not food. He paid all of the bills and I had no idea how much money we had at any time. He purposely did not pay any of my medical bills which not only put me $10k in debt when we divorced and I had no idea until I did a credit check after we divorced, but he destroyed my credit. He would go out and buy new snowmobiles and jet skis and I was not allowed to buy anything that wasn't considered a necessity. It is a very scary feeling not knowing if you have to go to a homeless shelter or not because you have no idea what your financial status is.

He bought himself new trucks and I was told I did not deserve a new car when the transmission went out on my old trailblazer. I did not deserve a new vehicle because I did not park properly according to him. I drove my son all over the country for his martial arts tournaments and I had a car with a bad transmission that needed tires. It wasn't safe.

He cut me off from our money because I went to Olive Garden one night with some women that were in my son's martial arts club. I spent $35 which he thought was entirely too excessive. Thirty-Five dollars!! I was dumbfounded. I was told I was too careless with our money and he could not trust me. We were not poor to say the least. He runs a million dollar HVAC company so I think we could afford for me to go our to Olive Garden. It wasn't like we were living paycheck to paycheck.

Specializes in Geriatrics, Dialysis.
As a male victim of domestic violence, I would like to correct your assumption that female on male domestic violence is rare. Ovee 2 years ago, my ex girlfriend asked to borrow my phone to call her doctor. She went through it and blocked and deleted a bunch of people on instagram, then went through my text messages and found one from a platonic female friend asking if I wanted to go hiking that day. I replied that I couldn't go that day. Over this text message, she physically attacked me, ransacked my house and stole my moms iphone. She would not stop throwing books, lamps, computer monitors etc at me and I was in my house, so I called the cops. They then arrested ME because she turned the whole story around on me and said I hit her. I almost lost my LVN license over this, but fortunately she did not show up to my trial. The DA would not drop the charges even though we had a recording of the 911 call where she can be heard admitting to hitting me and contradicting her police report in numerous other ways. I found out thay statistically speaking, men who call the cops on abusive SOs are more likely to be arrested than helped.

Absolutely agree and I am so sorry you went through this. A similar thing happened to a friend of mine. Not a nurse so no effect on his career, but his wife beats him and he is the one arrested? That is so wrong. Not to mention the not so nice responses from some of his so called friends pretty much attacking his masculinity because he "let" a woman hit him. Even though he was not at all at fault, somehow in many people's opinions it became his fault just because he was the man.

Another consideration for both male and the admittedly more common female victims of domestic violence is the culture of how your community reacts. Particularly the police department. Ours has a zero tolerance policy which means a domestic call will result in an arrest. It's unfortunately quite common for the perpetrator to literally hit and run when the police are called, so guess who gets arrested? yep, the victim. If there are kids in the house somebody has to be called to take them or the go too.

Fortunately that policy is under review and hopefully will be stopped soon as the good intentions of a zero tolerance policy are clearly backfiring.

Specializes in ICU.
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.

What?? did you read my post? My closest family lives 8 hours away. He drove away my friends. I could not pull my son out of his cozy, warm, bed to take him to a safe house. I couldn't do that to him. Those places can be scary, especially for a 6 year old boy which was his age when I filed. Maybe if I didn't have a child, but there was no way I could do that. Plus, I have epilepsy and there was a time of about 4 years that I did not drive at all. He took my keys often. One time he put them in a glass of water and froze them and refused to tell me where they were. So if he wasn't home, he would have time to get here before I got them unfrozen and tried to leave. I had to be 6 months seizure free before I was allowed to drive. I've been seizure free for a few years now, but for a long time, I was not. Was I supposed to risk my son's safety by driving?

Are you even a parent?

Specializes in ICU.
Heathermaizey........Just WOW is all I can say!

Thank you so much for sharing your story. You are an inspiration. I am so happy to hear that you are getting your life back. I celebrate with you now as you close in on that much coveted and deserved nursing degree.

Stand tall and stay strong.

Thank you so much, I smiled big when I read your response. I feel that someday, I can make a difference and help someone who was in my shoes to give them resources and hopefully they can get out.

My life has changed so much for the better. I look at life 4 years ago and life now, and I love my life. I'm the happiest I have ever been. That is due me getting myself back. My parents came out to visit me over the summer and my dad said, I finally have my daughter back. I didn't realize that people could see through what was happening because I thought I was holding it together. I thought I was projecting the happy family facade. So many people have come to me to tell me now, what I never saw. My friends are back in my life and I have a wonderful family with my boyfriend and his family. They have accepted me and my son as a part of their family which has been awesome.

Life is good!! :)

What?? did you read my post? My closest family lives 8 hours away. He drove away my friends. I could not pull my son out of his cozy, warm, bed to take him to a safe house. I couldn't do that to him. Those places can be scary, especially for a 6 year old boy which was his age when I filed. Maybe if I didn't have a child, but there was no way I could do that. Plus, I have epilepsy and there was a time of about 4 years that I did not drive at all. He took my keys often. One time he put them in a glass of water and froze them and refused to tell me where they were. So if he wasn't home, he would have time to get here before I got them unfrozen and tried to leave. I had to be 6 months seizure free before I was allowed to drive. I've been seizure free for a few years now, but for a long time, I was not. Was I supposed to risk my son's safety by driving?

Are you even a parent?

This is the second not so subtle blame the victim post this poster has made on this thread. I'll address it PRN, because I don't want to hear it here, but he may be poking just to poke.

Separate, but not really. Another cog in the wheel. Sexual harassment:

Video: Woman harassed 108 times as she walks around New York - The Washington Post

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
Separate, but not really. Another cog in the wheel. Sexual harassment:

Video: Woman harassed 108 times as she walks around New York - The Washington Post

Street harassment is a whole different thing. Domestic violence makes your HOME unsafe. The place that should be a safe refuge from things such as street harassment is the very place where you're in the most danger. I remember being so afraid to go home after my 3-11 shift (because I knew his anger was escalating) that I chose instead to hang out in a convenience store in a bad neighborhood -- it felt safer. But street harassment does deserve it's own thread and it's own discussion.

Street harassment is a whole different thing. Domestic violence makes your HOME unsafe. The place that should be a safe refuge from things such as street harassment is the very place where you're in the most danger. I remember being so afraid to go home after my 3-11 shift (because I knew his anger was escalating) that I chose instead to hang out in a convenience store in a bad neighborhood -- it felt safer. But street harassment does deserve it's own thread and it's own discussion.

You are right. At least when that woman went home, she was safe.

We hope.

There are so many brave people here. I am very touched by your stories.

My story is really bizarre and I don't want to risk outing myself because I've previously disclosed where I live. This was years ago but I still feel like I'm being watched at times. I feel really fortunate though, I guess, with the way things went down. I had been the only one working since our wedding, and had never put him on my bank accounts or car titles. I was carrying our insurance policies. Essentially, we had nothing to divide up. He took most of my furniture and belongings while I was gone, but I had already taken my beloved cats with me. He made getting a restraining order absurdly easy by confessing to everything via email. I repaired my friendships that I had become so isolated from, and made new friends. My physical wounds healed quickly.

The absolute hardest part of that ordeal was my family initially not believing the state I was in. They accused me of "drama-seeking" and discouraged me from leaving.

My boyfriend is so supportive of my independence (maintaining friendships, etc) and things have definitely not been rushed. It's such an emotional 180. I'm healing and getting closer to where I want to be.

Six days ago (I actually had to pull up a calendar to check that, it feels like a lifetime), I could have read this article, quite likely without shedding a tear. Six days ago my friend Sue hadn't been taken from us by her coward of a husband. Six days ago the image of her young daughter pleading in front of an auditorium full of Sue's family, friends and students, "I just want you guys to know that my mommy was a a really good person and she was the best mommy ever and I just want her back," wasn't burned into my brain. Today is not six days ago.

Specializes in Family Nurse Practitioner.
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.

WTH??