Figure 1. Excerpts from the Domestic Violence Survivor Assessment Form: Issues about the Relationship—Triggers of Abusive Incidents

Denies and excuses abuse. May accept blame by partner. Committed to continuing.

Rejects self-blame. Continues to make excuses to others, but realizes partner chooses to abuse. Considers change: abuse and options

Will not tolerate abuse. If left, avoids partner. If together, monitors partner for change. Establishes a new life—apart or together.

Source: Jacqueline Dienemann, Visiting Professor, University of North Carolina at Charlotte, Department of Adult Health Nursing, 9201 University City Boulevard, Charlote, NC 28223; E-mail: jadienem@uncc.edu or jpdien@bellsouth.net. Used with permission.

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