Healthcare Training Institute - Quality Education since 1979CE for Psychologist, Social Worker, Counselor, & MFT!! 
  
  
  
Section 
11 
Intimate Partner Verbal Aggression  
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In 
the last section, we talked about physical abuse and the aftermath the abuse had 
on Marian, but as you know, not all victims of abuse have been physically battered. 
 
In this section, let’s take a look at verbal abuse and the effects it has 
  on battered women. Have you found, like I have, that verbal and mental abuse is 
  damaging in an equal but different way than physical abuse? Have you also found 
  that clients who feel they’re unlovable or not worthy of love attract, if 
  not physically abusive relationships, verbally abusive relationships? 
Sandy, 
a 31 year old physical therapist, has been verbally abused by her husband, 
James, for many years. When she came into my office, she said, “It started 
out innocently enough. He told me I had beautiful eyes and asked why I didn’t 
wear a little eye shadow. But then it got worse. He would yell at me for everything, 
call me names, and make false accusations. He even contradicted himself, calling 
me ‘bossy’ in one sentence and ‘a wimp' in the next. I was so 
wound up I couldn't sleep.”  
2 Signifiers of Verbal Abuse  
  I 
explained to Sandy that she may be experiencing the two major symptoms of verbal 
abuse or signifiers: 
♦ #1. 
Loss of Autonomy 
I have found that the first symptom of Loss 
of Autonomy usually begins very slowly, just as the verbal abuse may begin slowly. 
Gradually, Sandy lost control over her own emotions. If James was happy she was 
happy. But, if James was upset, she would feel traumatized and like a failure. 
Sandy was totally unaware that she had lost her emotional autonomy. By the time 
she came into my office, she was unable to fix meals without being in tears due 
to her feelings of paranoia about provoking one of James's "temper-tantrums," 
as she put it.  
 ♦ #2. 
Disintegration of Self-Image 
I explained to Sandy, she may 
be experiencing a second symptom of verbal abuse, which occurs when her self-image 
is so badly damaged that her daily life was becoming unbearable. Since Sandy was 
a physical therapist and used to thinking of behaviors in cause and effect patterns, 
I presented these ideas to Sandy in the form of an equation. Here is the equation 
for Sandy: Feeling "I'm Unlovable" equals, or results in, a verbally 
abusive relationship. This verbally abusive relationship equals, or results in, 
a loss of her emotional autonomy in addition to a disintegration of her self-image. 
Take 
a moment to reflect on your "Sandy" client who is in a verbally abusive 
relationship. In your next session, would it be beneficial to discuss possible 
Loss of Emotional Autonomy and possible Disintegration of Self-Image which signify 
verbal abuse? 
Questions to Identify Verbal Abuse  
  Here 
are some questions I asked Sandy:  
-- 
Do you replay fights in your mind?  
-- 
When you 
are preparing a meal, even though James is not there, do you replay or imagine 
his voice criticizing you?  
 I have found verbally abused women like Sandy, who 
  feel they are unlovable or do not deserve love may answer "no" to these 
  questions initially. However, when I explained to Sandy the concept of self-talk 
  and asked her to increase her awareness of her thought process, she became aware 
  of how James's verbal abuse affected her emotional autonomy and a disintegration 
  of her self-image. 
  Reviewed 2023   
   
  Peer-Reviewed Journal Article References:  
Derrick, J. L., Testa, M., & Leonard, K. E. (2014). Daily reports of intimate partner verbal aggression by self and partner: Short-term consequences and implications for measurement. Psychology of Violence, 4(4), 416–431.  
 
Hammett, J. F., Karney, B. R., & Bradbury, T. N. (2020). When does verbal aggression in relationships covary with physical violence? Psychology of Violence. Advance online publication. 
 
Karni-Vizer, N., & Salzer, M. S. (2016). Verbal violence experiences of adults with serious mental illnesses. Psychiatric Rehabilitation Journal, 39(4), 299–304.  
 
Schmid, P. C. (2018). Less power, greater conflict: Low power increases the experience of conflict in multiple goal settings. Social Psychology, 49(1), 47–62. 
 
van den Brink, F., Vollmann, M., & van Weelie, S. (2020). Relationships between transgender congruence, gender identity rumination, and self-esteem in transgender and gender-nonconforming individuals. Psychology of Sexual Orientation and Gender Diversity, 7(2), 230–235. 
QUESTION 
11 
What are two possible results or signifiers of a verbally abusive relationship? 
To select and enter your answer go to .  
This 
CD entitled "I'm Unlovable" Changing your Client's Lifetraps has covered 
Internal vs. External Controls, Four Step Depersonalization, Deliberately Opposing 
and RET, Three-Tiered Affirmations, Power-Imbalance Questions, Closure Metaphors, 
Four R's of Regaining Self-Esteem, Emotional Roller Coasters, "Taking Back" 
Lost Needs, and Two Verbal Abuse Signifiers.  We 
appreciate that you’ve chosen the Healthcare Training Institute as a means 
for receiving your continuing education credit. I hope you have found the information 
to be both practical and beneficial. I wish you the best of luck in your practice. 
Thank you.      
 
  
 
 
 
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