9.4 Freedom from Violence and Abuse
Alexandra Olsen
Freedom from violence and abuse is an essential aspect of families’ ability to create safety. Violence and abuse are common issues for families. They are significant barriers that keep families from creating a true sense of safety. Similarly, many types of families experience violence and abuse—both those who have resources and are served well by social institutions and those who are not. Even if a family has many of their macro-level needs met, families are prevented from creating positive and compensatory experiences for children if there is violence and abuse. Violence and abuse also can prevent the development of quality relationships within and outside of the family.
This section looks at common violence and abuse: IPV, sexual violence, child abuse, elder abuse, and intergenerational trauma. First, we’ll define these terms and discuss how common these types of violence and abuse are. Next, we’ll outline the problems that must be addressed if we want all families and individuals to experience safety and stability. One of the major takeaways from this discussion is that institutions are critical to addressing the impact of violence and abuse on families, as their role is to promote safety. If institutions can effectively promote safety, families and individuals will be better positioned.
It is important to note that these are serious and difficult topics to discuss, mainly because these social problems impact many people. Still, by better understanding the dynamics of violence and abuse, we can find ways to make our society safer for all individuals.
Intimate Partner Violence
The United States recognizes IPV as a significant public health issue. This type of violence is universally condemned due to its heinous nature. Intimate partner violence (IPV) is defined as any incident or pattern of behaviors (physical, psychological, sexual, or verbal) used by one partner to maintain power and control over the relationship.
Historically, in the United States, IPV has been considered an act of violence committed by men toward women. While heterosexual women commonly experience IPV, it can occur to people of any gender and sexuality. Young women are particularly at risk as IPV declines with age. Perpetrators of IPV are most often heterosexual men. Engaging in IPV has been linked with being unemployed, low income, involved with aggressive peers, and having conduct problems or antisocial behavior (Capaldi et al., 2012). Figure 9.6 shows the gender contrast (in a binary system) between the rates of experience and reporting of IPV.
There are three kinds of IPV:
- Physical violence consists of touching or painful physical contact, including intimidation of the victim through pushing, slapping, hair pulling, arm twisting, disfiguration, bruising, burning, beating, punching, and use of weapons.
- Sexual violence consists of making degrading comments, touching in unpleasant means of harm, addressing a partner in a degrading way during sexual intercourse, and marital rape.
- Psychological and emotional violence consists of threatening, intimidating, killing of pets, deprivation of fundamental needs (food, clothing, shelter, sleep), and distorting reality through control and manipulation.
Many abusers may use a combination of these tactics to establish power and control over the person they are abusing, frequently using physical and sexual violence to reinforce the subtle methods of physical and emotional abuse.
Community organizations have worked to provide services to help people experiencing IPV. These organizations offer a wide range of services to individuals and families experiencing this kind of violence: safety planning, counseling, legal assistance, shelter, and other social services. These organizations provide services that are integral to helping individuals safely leave abusive relationships. These resources are essential because the threat of violence is highest when a victim of IPV leaves their abuser.
Sexual Violence
Sexual violence includes harassment, assault, and rape. It is a common misperception that women are at greater risk of sexual violence from strangers. In reality, women are most likely to experience sexual violence from men they are intimate with or know. More than 1 in 3 women and 1 in 4 men have experienced sexual violence involving physical contact during their lifetimes. Nearly 1 in 5 women and 1 in 38 men have reported experiencing completed or attempted rape, and 1 in 14 men was made to penetrate someone (completed or attempted) during their lifetime. Men are overwhelmingly the perpetrators of sexual violence. Still, similar to IPV, sexual violence can affect individuals of any gender or sexuality. Men are significantly less likely to report sexual assault, so these numbers may be higher.
College students are particularly vulnerable to sexual violence compared to non-students. Male college-aged students (18 to 24) are 78% more likely than non-students of the same age to be victims of rape or sexual assault (Centers for Disease Control and Prevention, 2022a). Female college-aged students (18 to 24) are 20% less likely than non-students of the same age to be victims of rape or sexual assault (Centers for Disease Control and Prevention, 2022a).
There are several reasons that sexual violence is rampant, especially on residential four-year campuses. On many campuses, students lack knowledge of reporting sexual violence when it occurs. When it does get reported, colleges and universities rarely punish perpetrators of sexual violence and remove them from campus. College students engage in unsupervised heavy alcohol consumption, especially in Greek life and high-powered athletic programs. This party culture creates an environment where predators have more opportunities to assault people sexually. Finally, there is a lack of education about consent.
One of the significant issues in the United States is that our society has failed to adequately address sexual violence and support victims. In fact, out of every 1,000 instances of rape, only 13 cases get referred to a prosecutor, and only seven cases will lead to a felony conviction (Rape Abuse and Incest National Network, n.d.). Instead of a culture where institutions hold perpetrators of sexual violence accountable, American society is one where rape culture is common. Rape culture refers to a society or environment where there is a culture of disbelief and lack of support for sexual violence survivors through normalizing and trivializing sexual violence despite its prevalent occurrence.
There are many examples of rape culture in institutions. Rape culture is when administrators ask, “What were you wearing?” or “How much did you have to drink?” as a student is trying to report a rape that occurred at a fraternity party to a campus administrator.
Rape culture is also present in the criminal justice system. The 2015 case against rapist Brock Turner highlighted how rape culture can manifest. Turner brutally raped an unconscious college student behind a dumpster and was caught in the act by two men. During the trial, Turner’s father declared that he should not have his life ruined over “20 minutes of action.” Ultimately, the California judge gave Turner only three years of probation (Stack, 2016). This example captures how rape culture exists in individual attitudes and how institutions function. Despite the egregious and substantiated nature, Turner faced few consequences for his actions, and the court system did not treat this as a serious offense. More broadly, this case reflects the dismal statistics on prosecution and convictions of rape in the United States.
Finally, rape culture can be found in pop culture, such as lyrics in popular music. A particularly blatant example of this is found in Rick Ross’s 2013 song “U.O.E.N.O.” In this song, he raps, “Put molly all in her champagne, she ain’t even know it / I took her home, and I enjoyed that, she ain’t even know it.” These lyrics trivialize sexual assault and glorify rape. These examples show how rape culture is deeply embedded in societal institutions and must be challenged if we want all individuals and families to feel safe.
Child Abuse
Child abuse is the intentional emotional, negligent, physical, or sexual mistreatment of a child by an adult (Bell, 2013). Neglect is the failure to meet a child’s basic needs. Child abuse is common. At least one in seven children has experienced child abuse or neglect in the past year (Centers for Disease Control and Prevention, 2022b). One of the many reasons these statistics are so concerning is that child abuse is trauma. According to SAMHSA (2014), trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life-threatening and that has lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being.
Abuse comes in many forms, including physical, emotional/verbal, and sexual abuse. According to the National Child Traumatic Stress Network (National Child Traumatic Stress Network, 2021), physical abuse is defined as any act, completed or attempted, that physically hurts or injures a child. The National Child Traumatic Stress Network also describes that acts of physical abuse include hitting, kicking, scratching, pulling hair, and more. Child Protection Services typically get reports of bruises and other noticeable marks when investigating a report of physical abuse.
Emotional abuse is nonphysical maltreatment of a child through verbal language. The National Society for the Prevention of Cruelty to Children (NSPCC) states that emotional abuse includes humiliation, threatening, ignoring, manipulating, and more (National Society for the Prevention of Cruelty to Children, 2017). Abusers can combine emotional abuse with other forms, like physical and sexual abuse. Most reports of emotional abuse are harder to prove; thus, physical or sexual abuse tends to be the main cause of removal from a home.
Sexual abuse is maltreatment, violation, and exploitation where a perpetrator forces, coerces, or threatens a child into sexual contact for sexual gratification and/or financial benefit. Sexual abuse includes molestation, statutory rape, prostitution, pornography, exposure, incest, or other sexually exploitative activities. (American Society for the Positive Care of Children, 2017). Sexual abuse is also a common ACE. About 1 in 4 girls and 1 in 13 boys experience child sexual abuse at some point in childhood (Centers for Disease Control and Prevention, 2022c). Like other forms of child abuse, sexual abuse is overwhelmingly perpetrated by someone close to the child. Data show that 91% of child sexual abuse is perpetrated by someone the child or their family knows (Centers for Disease Control and Prevention, 2022c).
Abuse does not always have to be physical, sexual, or verbal assault. It can also be neglect. According to the NSPCC, neglect is the failure to meet a child’s basic needs.
Elder Abuse
Elder Abuse is when older people are deprived of care or intentionally harmed by their caretakers. Abuse, including neglect and exploitation, is experienced by about 1 in 10 people aged 60 and older who live at home. Elder abuse and neglect are under-reported in the United States for many reasons, including fear and embarrassment by the elderly (O’Connor & Rowe, 2005). Elder victims of abuse risks include functional disability, lack of social supports, poor physical health, cognitive impairment, mental health issues, lower socioeconomic status, gender, age, and financial dependence (Pillemar et al., 2016). There is not one specific cause for elderly abuse and neglect. These reasons include various dynamics, cultural norms, negligence, and lack of education and support (Muehlbauer & Crane, 2006). Potential causes of abuse could be due to mental illness, substance abuse, and the need to abuse the perpetrator (Pillemar et al., 2016).
Forms of elder abuse can take the following shapes (National Center on Elder Abuse, 2005):
- Physical abuse: use of physical force that may result in bodily injury, physical pain, or impairment.
- Sexual abuse: nonconsensual sexual contact of any kind with an elderly person.
- Emotional abuse: infliction of anguish, pain, or distress through verbal or non-verbal acts.
- Financial/material exploitation: illegal or improper use of an elder’s funds, property, or assets.
- Neglect: refusal, or failure, to fulfill any part of a person’s obligations or duties to an elderly person.
- Abandonment: desertion of an elderly person by an individual who has physical custody of the elder or by a person who has assumed responsibility for providing care to the elder.
- Self-neglect: behaviors of an elderly person that threaten the elder’s health or safety.
There are several strategies that can help prevent elder abuse. These strategies include learning about and educating others on the signs of elder abuse, providing help for overburdened caregivers, listening to older adults and their caregivers about their struggles, and reporting abuse or suspected abuse to adult protective services.
Intergenerational Trauma
The American Psychological Association defines intergenerational trauma as “a phenomenon in which the descendants of a person who has experienced a terrifying event show adverse emotional and behavioral reactions to the event that are similar to those of the person himself or herself” (American Psychological Association, 2022). They note that these reactions can vary but often include (American Psychological Association, 2022):
- Shame
- Increased anxiety and guilt
- A heightened sense of vulnerability and helplessness
- Low self-esteem
- Depression and suicidality
- Substance abuse
- Dissociation
- Hypervigilance
- Intrusive thoughts
- Difficulty with relationships and attachment to others
- Difficulty in regulating aggression
- Extreme reactivity to stress
Many groups have experienced intergenerational trauma, including descendants of Holocaust survivors, Rwandan genocide survivors, Native American boarding school survivors, and enslaved persons. Scientists think that trauma responses are passed down by parents and grandparents who model and teach relationship skills, behaviors, values, and beliefs. There is also some evidence that the transmission of these reactions may be biological (Yehuda et al., 2015).
Epigenetics is the study of how your behaviors and environment can cause changes that affect the way your genes work. Unlike genetic changes, epigenetic changes are reversible. They do not change your DNA sequence, but they can change how your body reads a DNA sequence (Centers for Disease Control and Prevention, 2022d). A 2016 study found evidence of epigenetic changes transmitted across generations to descendants of Holocaust survivors. This was the first human evidence that intergenerational trauma may also have a biological mechanism (Yehuda et al., 2015).
Regardless of the means of transmission—social, biological, or both—intergenerational trauma can threaten a family’s sense of safety and create problems within families. This kind of trauma may impact the bonds grandparents, parents, and children can form with one another, frequently making these relationships difficult and emotionally stunted. At the same time, more significant issues can emerge. These include suicidality, substance use disorders, and difficulty regulating aggression. These problems can lead to negative outcomes like ACEs and family instability. The research on intergenerational trauma is still being done. We still have much to learn about how it functions. Consequently, strategies to address intergenerational trauma are also in the early stages of development. Even without specific evidence-based treatments, therapy can address intergenerational trauma.
Comprehension Self Check
Licenses and Attributions for Freedom from Violence and Abuse
Open Content, Original
“Freedom from Violence and Abuse” by Alexandra Olsen is a remix of “Chapter 7: Child Welfare and Foster Care” by Eden Airbets in Introduction to Social Work at Ferris State University, “Chapter 8: Gerontology and People with Disabilities” by Ainslee McVay in Introduction to Social Work at Ferris State University, “Chapter 9: Social Work and the Health Care System” by Kaitlin Ann Hetzel in Introduction to Social Work at Ferris State University, “Chapter 13: Aging Population: Emma and Kim Capstone Document” by Emma Rutkowski and Kimberly Bomar in Introduction to Social Work at Ferris State University, “Fast Facts: Preventing Intimate Partner Violence” by the Centers for Disease Control and Prevention, and “Chapter 4: Violence Against Women” by the Bureau of International Information Programs, U.S. Department of State in Global Women’s Issues: Women in the World Today, Extended Version. License: CC BY 4.0. Substantial modifications and edits have been made.
Open Content, Shared Previously
Figure 9.6. “Fast Facts: Preventing Intimate Partner Violence” by the Centers for Disease Control and Prevention. Public domain.
References
American Psychological Association. (2022). Intergenerational Trauma Definition. APA Dictionary of Psychology. https://dictionary.apa.org/intergenerational-trauma
American Society for the Positive Care of Children. (2017). Child sexual abuse. Retrieved from http://americanspcc.org/child-sexual-abuse/
Bell, K. (2020, June 24). Child Abuse. Open Education Sociology Dictionary. https://sociologydictionary.org/child-abuse/
Capaldi, D. M., Knoble, N. B., Shortt, J. W., & Kim, H. K. (2012). A Systematic Review of Risk Factors for Intimate Partner Violence. Partner Abuse, 3(2), 231–280. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3384540/
Centers for Disease Control and Prevention. (2022a). Fast Facts: Preventing Sexual Violence. https://www.cdc.gov/violenceprevention/sexualviolence/fastfact.html
Centers for Disease Control and Prevention. (2022b). Fast Facts: Preventing Child Abuse & Neglect. https://www.cdc.gov/violenceprevention/childabuseandneglect/fastfact.html
Centers for Disease Control and Prevention. (2022c, April 6). Fast Facts: Preventing Child Sexual Abuse. https://www.cdc.gov/violenceprevention/childsexualabuse/fastfact.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fviolenceprevention%2Fchildabuseandneglect%2Fchildsexualabuse.html
Centers for Disease Control and Prevention. (2022d, August 15). What is Epigenetics? Genomics and Precision Health. https://www.cdc.gov/genomics/disease/epigenetics.htm
Elder Abuse. (2013). In K. Bell (Ed.), Open education sociology dictionary. Retrieved from https://sociologydictionary.org/elder-abuse/
SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach (No. 14–4884). (2014). Substance Abuse and Mental Health Services Administration. https://ncsacw.acf.hhs.gov/userfiles/files/SAMHSA_Trauma.pdf
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making degrading comments, touching in unpleasant means of harm, or addressing a partner in a degrading way during sexual intercourse, which includes marital rape.
the intentional emotional, negligent, physical, or sexual mistreatment of a child by an adult.
when older people are deprived of care or intentionally harmed by their caretakers.
a phenomenon in which the descendants of a person who has experienced a terrifying event show adverse emotional and behavioral reactions to the event that are similar to those of the person who experienced the event.
the state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
a socially constructed expression of a person’s sexual identity which influences the status, roles, and norms for their behavior.
the pattern of romantic and/or sexual attraction to others in relation to one’s own gender identity.
the developmental changes and transitions that come with being a child, adolescent, or adult.
a social construct composed of two parts that are framed as absolute and unchanging opposites.
nonphysical maltreatment through verbal language.
the shared meanings and shared experiences passed down over time by individuals in a group, such as beliefs, values, symbols, means of communication, religion, logics, rituals, fashions, etiquette, foods, and art that unite a particular society.
a society or environment where there is a culture of disbelief and lack of support for sexual violence survivors through normalizing and trivializing sexual violence despite its prevalent occurrence.
concerned with equity, equality, fairness and sometimes punishment.
failure to meet a child's basic needs.
maltreatment, violation, and exploitation where a perpetrator forces, coerces, or threatens someone into sexual contact for sexual gratification and/or financial benefit.
any act, completed or attempted, that physically hurts or injures someone.
a state of mind characterized by emotional well-being, behavioral adjustment, relative freedom from anxiety and disabling symptoms, and a capacity to establish relationships and cope with the ordinary demands and stresses of life.
a wide range of mental health disorders that affect your mood, thinking, and behavior.
the deliberate destruction, in whole or in part, by a government or its agents of a racial, sexual, religious, tribal, or political minority. It can involve not only mass murder but also starvation; forced deportation; and political, economic, and biological subjugation.
the study of how your behaviors and environment can cause changes that affect the way your genes work.
a systematic investigation into a particular topic, examining materials, sources, and/or behaviors.