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APPENDIXABUSIVE BEHAVIOR INVENTORY (developed by Albert Dytch)Client #1 Client #2Past Now Past Now PHYSICAL ABUSE____ ____ ____ ____ Block the way, stand in doorway____ ____ ____ ____ Hold captive, keep from leaving the house____ ____ ____ ____ Lock out of shared home____ ____ ____ ____ Refuse to help sick, injured, or pregnant partner____ ____ ____ ____ Abandon partner in a dangerous place____ ____ ____ ____ Push or shove____ ____ ____ ____ Grab or hold____ ____ ____ ____ Pin to floor, bed, wall____ ____ ____ ____ Throw down or knock down____ ____ ____ ____ Slap____ ____ ____ ____ Hit with fist____ ____ ____ ____ Twist arm____ ____ ____ ____ Pull hair____ ____ ____ ____ Kick____ ____ ____ ____ Bite____ ____ ____ ____ Pinch____ ____ ____ ____ Pull hair____ ____ ____ ____ Butt heads____ ____ ____ ____ Choke, put hands to throat____ ____ ____ ____ Throw objects at partner____ ____ ____ ____ Hit with an object____ ____ ____ ____ Hit, shove, or kick pregnant partner____ ____ ____ ____ Use a weapon to hurt or threaten____ ____ ____ ____ Cause bruises, cuts, black eyes____ ____ ____ ____ Cause broken bones____ ____ ____ ____ Cause impaired vision or hearing____ ____ ____ ____ Burn or scald____ ____ ____ ____ Cause hospitalization____ ____ ____ ____ Injure or disfigure permanently____ ____ ____ ____ Prevent from receiving medical care____ ____ ____ ____ Kill or attempt to kill
VERBAL ABUSE
____ ____ ____ ____ Scream or holler____ ____ ____ ____ Use foul language____ ____ ____ ____ Call names____ ____ ____ ____ Put partner down, say demeaning things____ ____ ____ ____ Criticize frequently or continually____ ____ ____ ____ Make fun of a disability or shortcoming____ ____ ____ ____ Make jokes at partner's expense____ ____ ____ ____ Ridicule or insult partner____ ____ ____ ____ Create fear with your voice____ ____ ____ ____ Yell in partner's face ("nose to nose")____ ____ ____ ____ Manipulate with lies and contradictions____ ____ ____ ____ Insult or drive away partner's family or friends____ ____ ____ ____ Ridicule or insult partner's religion, heritage, race, class, beliefs
EMOTIONAL ABUSE
Domination____ ____ ____ ____ Act like the boss____ ____ ____ ____ Try to tell partner what he/she can or can't do____ ____ ____ ____ Force partner to do things against his or her will____ ____ ____ ____ Treat partner as less than your equal____ ____ ____ ____ Make important decisions without consulting partner____ ____ ____ ____ Refuse to do your share of choresIntimidation____ ____ ____ ____ Prevent or impede movement____ ____ ____ ____ Use physical size to frighten____ ____ ____ ____ Create fear with actions, gestures, and facial expressions____ ____ ____ ____ Remind partner of ability to hurt him/her____ ____ ____ ____ Drive recklessly to frighten____ ____ ____ ____ Have weapons your partner is afraid of____ ____ ____ ____ Threaten regularly to leave or to make partner leave the relationship____ ____ ____ ____ Threaten to hurt partner's family or friends____ ____ ____ ____ Threaten to take away children____ ____ ____ ____ Threaten to hit, hurt, or abuse children____ ____ ____ ____ Threaten to hit, hurt, or abuse partner____ ____ ____ ____ Threaten to kill partner____ ____ ____ ____ Threaten to hurt or kill yourselfHumiliation____ ____ ____ ____ Ridicule or ignore feelings____ ____ ____ ____ Ridicule or embarrass in public____ ____ ____ ____ Ridicule or embarrass in private____ ____ ____ ____ Force to do demeaning or degrading things____ ____ ____ ____ Talk about an affair (real or invented) to hurt partnerHarassment____ ____ ____ ____ Refuse to leave partner alone____ ____ ____ ____ Follow around the house____ ____ ____ ____ Stalk partner____ ____ ____ ____ Accuse partner of being unfaithfulIsolation____ ____ ____ ____ Prevent or discourage partner from seeing family or friends____ ____ ____ ____ Refuse to let partner leave the house____ ____ ____ ____ Refuse to let partner go to work or school____ ____ ____ ____ Take away car keys or money____ ____ ____ ____ Refuse to socialize with partner____ ____ ____ ____ Refuse to let partner be alone in public____ ____ ____ ____ Monitor partner, interrogate about where he/she has beenWithdrawal____ ____ ____ ____ Withhold approval, appreciation, or affection to punish____ ____ ____ ____ Withhold sex to punish____ ____ ____ ____ Sulk angrily to get evenSelf-destruction____ ____ ____ ____ Hit or injure yourself____ ____ ____ ____ Place yourself in dangerous situations____ ____ ____ ____ Attempt suicideUsing the children____ ____ ____ ____ Turn children against partner____ ____ ____ ____ Use visitation to harass partner____ ____ ____ ____ Punish or deprive children when angry at partnerDestruction of property and pets____ ____ ____ ____ Threaten to destroy property____ ____ ____ ____ Drop plants or dishes____ ____ ____ ____ Break a window____ ____ ____ ____ Punch or kick a wall, door, doorjamb, etc.____ ____ ____ ____ Slam doors____ ____ ____ ____ Smash objects (TV, stereo, phone, remote control)____ ____ ____ ____ Destroy something of emotional significance____ ____ ____ ____ Threaten to harm a pet____ ____ ____ ____ Neglect, harm, or kill a pet
SEXUAL ABUSE
____ ____ ____ ____ Express intense jealousy____ ____ ____ ____ Tell demeaning sexual jokes____ ____ ____ ____ Treat others as sex objects____ ____ ____ ____ Show sexual interest in others when with partner____ ____ ____ ____ Have an affair when you agreed to be monogamous____ ____ ____ ____ Minimize importance of partner's feelings about sex____ ____ ____ ____ Criticize sexual performance or frequency____ ____ ____ ____ Insist that partner dress more seductively or less seductively____ ____ ____ ____ Insist on unwanted touching or other sexual activity____ ____ ____ ____ Threaten to retaliate if partner isn't interested in sex____ ____ ____ ____ Force partner to watch pornography____ ____ ____ ____ Force your partner into sexual activity
FINANCIAL ABUSE
____ ____ ____ ____ Completely control the finances____ ____ ____ ____ Refuse to let partner have his or her own checkbook____ ____ ____ ____ Make partner ask for money____ ____ ____ ____ Threaten to hurt partner financially____ ____ ____ ____ Take money or steal property____ ____ ____ ____ Threaten to withdraw financial support____ ____ ____ ____ Refuse to pay your share of bills as agreed
LEGAL SYSTEM ABUSE
____ ____ ____ ____ Violate a restraining order____ ____ ____ ____ Violate a child custody agreement____ ____ ____ ____ Lie about partner to police or in court