1. Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Chapter 30 Family and Community Violence

2. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Violence is the Intentional Use of Physical force against another person or oneself Resulting in injury, death, psychological harm (U.S. Department of Health and Human Services, 2000)

3. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Perspectives on Violence International perspective Prevalence Impact on women and children

4. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Theories of Violence Biological  Relationship with substance abuse

5. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Theories of Violence (cont.) Psychoanalytic  Prominent theories  View aggression as instinctive

6. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Theories of Violence (cont.) Social learning  Prominent theorists  View violence as a learned response

7. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Theories of Violence (cont.) Feminist  Prominent theorists  Patriarchal society  View violence as a social problem

8. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Community Violence Community-based strategies to decrease violence  Gun control  Education  Conflict resolution  Community policing programs

9. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Community Violence Gangs Children’s exposure to violence Guns and violence Terrorism  Bioterrorism

10. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Hate Crimes Hate Crimes Statistics Act of 1990 May be motivated by  Race  Sexual orientation  Religious orientation

11. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Violence against Woman Physical violence, rape, homicide, genital mutilation Community concern Nurses in key position to intervene

12. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Sexual Violence Continuum of violence Disregards a person’s right to freedom Emotional response

13. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Sexual Assault Rape Incest Acquaintance rape

14. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Sexual Assault (cont.) Attitudes toward rape victims Myths and realities Victim response to sexual assault Interventions for survivors Partner response to rate Intervention for sex offenders

15. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Violence in intimate relationships Domestic violence Types of abusive relationships  Spousal abuse  Wife abuse  Partner abuse  Child abuse  Elder abuse

16. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Dynamics of intimate partner violence Lesbian battering Gay male violence Learned helplessness Cycle of violence

17. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Interventions Intimate partner violence victims Batters

18. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Relationship Violence and Its Effects on the Family

19. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Risk Factors for Violence Depression Alcohol use Personal history of abuse Low self-esteem Need for power and control Rigid sex role stereotypes

20. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Child Abuse Characteristics Risk factors

21. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Child Abuse - Nursing Assessment Child neglect Physical abuse Sexual abuse Emotional abuse

22. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Child Abuse Nursing intervention Violence and adolescents

23. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Elder Abuse Prevalence Nursing assessment  Physical indicators of abuse Nursing intervention

24. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Homicide Prevalence Females at greater risk for relationship homicide

25. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Mandated Reporting of Violence Reporting laws Ethical dilemma Fear of retaliation

26. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Prevention Primary Secondary Tertiary

27. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 High Risk Indicators for Violence Threats of violence Violent writings High stress event Preoccupation with violence Means to commit violence Family history of violence

28. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 30 Key Concepts - Violence Can affect anyone Crosses all racial, cultural, socioeconomic, and educational boundaries Is a community and societal issue No single explanation for violence