Identifying Emotional Abuse in Relationships

Know how to define emotional abuse to prevent toxic relationships.

Emotional abuse is a form of domestic violence, there’s no doubt about that.

In fact, emotional abuse is the most harmful form of domestic violence that people report experiencing.

There are several risk factors that make emotional abuse so harmful. For one, many tend to rationalize or normalize emotional abuse because you can’t “see the bruise”.

However, there is a very real bruise.

The signs of emotional abuse and domestic violence are not always visible or physical. Chronic abuse is internalized by the victim as a negative sense of self-esteem, which lasts a lifetime unless treated.

Furthermore, many do not get treatment for emotional abuse because the scars are not visual or physical, so they do not know that they have been harmed or need help. A further risk factor is the fact that emotional abuse is often a precursor to physical abuse.

In my 20 years of clinical practice, the form of domestic abuse and violence that is most common and most often causes mental health issues is emotional abuse.

Many people do not understand this, because there is no adequate information and education regarding emotional abuse.

7 Things That Look Like Love (But Are Actually Emotional Abuse)

In fact, there are some facts about emotional abuse that will help you dispel myths or misconceptions:

  • Emotional abuse is perpetrated by men and women.
  • Emotional abuse is perpetrated in spousal relationships and in parent/child relationships.
  • Naturally empathic people or children are more likely to internalize emotional manipulation or abuse as inherently “their fault”.

Some people find it difficult to understand how emotional abuse is “violence”. The term “violence” refers to intentional harm done on another.

In physical violence, the harm is physical and visible. In emotional violence, the defining quality remains the intention to do harm to another, and the harm is not visible to the eye, but it is still real.

Emotional abuse signs are not always visible. So, a helpful means of distinguishing violence, abuse, and manipulation from the normal range of fighting or hurt feelings in any relationship is the presence or absence of empathy.

While people in healthy relationships will absolutely hurt one another’s feelings, disappoint one another, and even say things that are hurtful, emotional abuse is defined by the sustained inability to meaningfully consider how your actions have affected another.

Here is an example of how a conversation can go in an emotionally abusive relationship:

Mary: “John, I”m so angry, you came home late last night again, you’re always late, you just don’t care about me.”

John: “I”m sorry I was late again last night, but it’s an exaggeration to say I”m always late, you know I’ve made an effort and been home for dinner 3 times this week.”

Mary: “Right, sure, you’ve made an ‘effort’. Whatever. You obviously don’t care about anyone. I’m obviously not important to you. Just go on making your ‘efforts’, good luck with that, no one would ever be happy with this.”

Here Mary is using manipulative techniques including the induction of guilt to get the desired response. (“You’re always late! You don’t care about me.”)

She is also using sarcasm, which infers that John’s response is unworthy of her consideration and respect (using air quotes around ‘efforts’), and making a criticism of John that infers he, as a person, is not worthy of respect or love (no one would ever be happy with this), rather than critiquing John’s choices or behaviors while making clear that he as a person is worthy of respect.

There is also an implied threat in this statement. (“Good luck, no one would be happy with this subtle threat that I will leave you and you’ll be alone because you’re no good.”)

But, in a healthy relationship, the conversation might look like this:

Mary: “John, I’m so angry, you came home late again last night. When you’re late, it’s really hard for me to feel important to you.”

John: “I’m sorry I was late again, I understand how important it is for you that I’m here for dinner. This is why I made an extra effort to be home for dinner 3 other days this week. Is there anything I can do to remind you how important you are to me?”

Mary: “You’re right, you did make an effort, I appreciate that. I am really struggling still to feel important. I honestly don’t know what to ask for right now, but I’ll think about it.”

You can see how the lack of manipulative statements from Mary, from the get-go, opened up a different response from John. While John’s response wasn’t manipulative in the first example, he was feeling more defensive than supportive.

You can also see how Mary, in the healthy example, was able to talk about her feeling state and need and refrained from defining who John is as a person, insulting him, undermining his efforts, or inducing guilt.

When Mary was less manipulative, she got more of her needs met.

If Mary were to stay stuck in that manipulative manner of relating, then their relationship is not healthy for either of them.

Here’s an example of a more extreme case:

Ellen (to her boyfriend): “You wouldn’t believe what we did last night, we went out to the lake after the dance, and we all ended up skinny-dipping after dark! I’m not sure how I feel about that but it was such a warm night and everyone had such a good time, I just wanted to tell you, and let you know nothing unsafe or untoward happened. I wish you were there!”

Jake: “I can’t believe you did that. You would seriously do that to me? Only a slut would do that. You are so untrustworthy.”

Jake then ends the conversation and refuses to talk to Ellen for an entire day. Later he continues to blame her for the demise of the relationship.

In this example, Jake is insulting Ellen’s personhood. (“Only a slut would do that, you’re untrustworthy.”)

He is also inducing guilt, without any empathy or concern for Ellen.

Despite Ellen’s attempts to build trust through transparency, Jake is essentially gaslighting her by telling her that she is untrustworthy and has been willfully destructive to the relationship.

Gaslighting is defining the reality in a way that willfully ignores what one person is saying or doing in a way that suggests that Ellen should doubt her own perception of her own intentions. Over time, gaslighting is enormously destructive to the victim’s mental health.

6 Heartbreaking Ways Emotional Abuse Changes You

Jake is also stonewalling by refusing to talk further with Ellen. Stonewalling is a very toxic behavior that controls the relationship and the other person by means of withdrawing empathy, dialogue, consideration, and mental flexibility.

The healthy version of this conversation would look something like:

Jake: “Wow! Really? I don’t know what to think about that, I guess I need a minute. I guess I thought we would never, ever be naked in front of anyone but each other. I feel pretty confused right now. To be honest, I’m even having trouble believing that nothing else happened, but I know you’ve never lied to me before, so let’s try to work through that. We need to have a serious talk and make sure we’re on the same page about some things, can we make some time to do that?”

In this example, again, Jake is able to state his own feelings, fears, and needs. Emotional manipulation and abuse occur when a person lacks the ability or willingness to state their own needs and feelings.

This self-ownership and transparency replace the former attack and blame on his girlfriend. Jack has every right to feel confused, scared, even betrayed, but he is able to approach those feelings with a basic empathy for Ellen, and conveying respect for her, even if he strongly disagrees with her decision.

Knowing the difference between healthy critique, fighting fairly, and emotional manipulation or abuse is the key to avoiding toxic relationship patterns!

If you find yourself in an abusive situation and need help, the National Domestic Violence Hotline can be reached at 1-800-799-7233.

This guest article was originally published on YourTango.com: This Is What Emotional Abuse In A Relationship Looks Like.

Mylan agrees to $30 million settlement following EpiPen controversy

Mylan agrees to $30 million settlement following EpiPen controversy submitted by /u/MountainsMan55
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source https://www.reddit.com/r/Health/comments/darctm/mylan_agrees_to_30_million_settlement_following/

Mylan agrees to $30 million settlement following EpiPen controversy

Mylan agrees to $30 million settlement following EpiPen controversy
Mylan agrees to $30 million settlement following EpiPen controversy submitted by /u/MountainsMan55
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https://ift.tt/2mJnmiP September 29, 2019 at 11:25AM https://ift.tt/1R552o9

THC products like 'Dank Vapes' are playing a major role in outbreak of lung illnesses, CDC says

THC products like 'Dank Vapes' are playing a major role in outbreak of lung illnesses, CDC says submitted by /u/The_Necromancer10
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CVS suspends sales of Zantac brand and generic heartburn drug during safety review

CVS suspends sales of Zantac brand and generic heartburn drug during safety review
Reuters: Health
CVS Health Corp said on Saturday it will discontinue sales the popular Zantac heartburn treatment and its own generic ranitidine products from its pharmacies after traces of a known carcinogen were found in some of the products by the U.S. Food and Drug Administration.


Three Simple Approaches to Dream Analysis

Last night my 5-year-old woke up startled and needed a hug. He told me he had dreamt of me, and in the dream I fell from a great height and was hurt. I explained that sometimes we dream things like that because we have a feeling that we need to work out. Dreams can feel very real and very scary, but they are really just ways of exploring something that we need to process, even if it is uncomfortable.

As adults we tend to place a great emphasis on the meaning of our dreams. We are, after all, meaning making beings. Our survival depends on deriving the meaning of our experiences to better inform our existence.  

Many people derive satisfaction from analyzing the symbolism of objects in their dreams. There are many books published as encyclopedia type manuals that give insight into the possible meaning of symbols found in dreams. These symbols are usually associated with common feelings associated with the objects or ancient mythology about their power.

There are many other approaches to dream analysis, as well. It is important to remember dreaming is a complicated brain activity from which deriving any meaning requires taking into consideration many individual factors. Below, I have listed three simple, overarching approaches to consider:

  1. What did you feel?

The feeling you experience overall throughout the dream can sometimes be more significant than events that actually transpire. Maybe you’ve dreamt about your teeth falling out or standing naked in front of a crowd. But how did those things make you feel? Embarrassed? Anxious? Exposed? Those feelings are often powerful indicators of messaging your subconscious is trying to express. Our minds use experiences we’ve had or experiences we could imagine that would produce the type of emotional response in our bodies that would communicate the feeling that should be addressed.

Once you’ve identified the feeling, try to think of other, real experiences in which you felt that way. Did something happen recently that evoked the same emotion?

This concept can work in reverse, too. Often people will wake up highly confused after they recount having dreamt of someone from their past. Their focus is often on the surprise of remembering someone from long ago or that does not seem important or relevant to their daily lives anymore. 

But I would ask them the same question, what did that person make you feel? What did you feel during the time of your life that you were close to that person? The clue is often not about the person, at all. It is more about your subconscious searching for representations in which to bring a certain emotional response to your attention. 

  1. What did you leave out?

Sigmund Freud’s psychoanalysis theory was built on the supposition that there is always a less obvious, underlying cause to our behavior. It makes sense that his theories on dream analysis followed a similar pattern. Freud believed there to be both an obvious meaning and a latent, or hidden, meaning within dreams. His work was sometimes criticized for how often he interpreted the latent meaning to be sexual in nature. Regardless of the actual interpretation, I think it’s true that we can easily become distracted by the overt messaging in our dreams, when really, the more significant meaning is found in details less dramatic or obvious.

Whenever someone tells me about a dream they had, I patiently listen and wait for them to finish. And then, I ask them, “Now, what part did you almost tell me, but then you decided to leave out? Maybe because you thought it wasn’t important enough to include? Or it involved complicated emotions that might convolute the storyline? Or maybe it just seemed like a minuscule detail?”

That may actually be the part to which you want to pay attention.

  1. Detach from the literal.

Dreams are abstract. They are the complementary opposite to our rational, organized, waking ways of thinking. Our dreaming minds tend to draw from our literal experiences, but they do not have the same physical and social limitations that we operate under during waking life. Creativity abounds in the production department of dream making. When deriving meaning from dreams, try to detach yourself from literal, linear interpretation. Telling someone else about your dream can sometimes open up new perspectives you may not have otherwise considered. Brainstorming the relationships between events or representations in your dreams can help draw new connections beyond the obvious ones. 

Our dreams can be a fascinating, mirrored landscape of our everyday lives. As individual as our waking lives and dynamics can be, so too is our interpretation of our own dreams. Only you will know the true source of a dream representation, because it comes from your own unique, dreaming mind. 

Psychology Around the Net: September 28, 2019

Dive into this week’s Psychology Around the Net for the latest on better understanding the nuances of today’s casual relationships, how Americans feel politics are affecting their stress levels, relationships, and sleep, tips to reduce your exaggerated emotions, and more!

Stressed Out: Americans Making Themselves Sick Over Politics: Surely this comes as a surprise to no one. New research from the University of Nebraska-Lincoln reports that nearly 40% of survey participants says politics is stressing them out; 4% said they’ve had suicidal thoughts related to politics. One in five participants report losing sleep over politics, and 20% said political disagreements have damaged their friendships. Says political scientist and the study’s lead author Kevin Smith: “If we understand what’s causing it, that can lead us to ameliorative strategies. I think it’s critically important that we push this out to other political scientists. We’ve already handed it over to a couple of psychologists to include on some of the surveys they’re doing, so we will start to get a little clearer picture and a little bit more traction on some of the questions we have.

Change Yourself Without Judging Yourself: Learn how to use kind attention and determination, rather than judgment and shame, to catch and correct those nasty mental habits you’re working to change.

Casual Relationships: Are There More Than One Kind? Not only are there multiple kinds of casual relationships, but also there are multiple reasons for engaging in them. A recent Canadian study ran four focus groups with 23 participants between the ages of 18 and 24; afterward, they were able to identify four types of casual relationships (omitting “casual dating”), five characteristics that influence each type of casual relationship, and several reasons why casual relationships can have both positive and negative aspects.

The NBA Has a New Mental Health Plan. What About the WNBA? Back in August, the NBA made policy changes to provide more mental health resources for its athletes after they pushed for better coverage. The WNBA finals begin on Sunday (September 29, 2019) and once they’re over the league is expected to enter some crucial off-season discussions of its own, including — you guessed it — discussions about its own mental health care coverage. Among the female athletes’ chief concerns are having access to the same resources as the male athletes, creating a congruency in mental health care from team to team, and tailoring the program so that it fits their chaotic schedules. The Jed Foundation’s chief medical officer Dr. Victor Schwartz works with both the NBA and WNBA and says the programs must be catered to the athletes for them to be successful: “An excellent mental health program for a sports league should look like an excellent program for any community, in that it’s tailored to the specific needs, challenges and resources of the particular population.”

Man’s Brain Tumor Was Misdiagnosed as Mental Illness for Six Years: 68-year-old New Zealander Frank Sullivan was diagnosed with depression and anxiety back in 2008, and spent six years trying — unsuccessfully — to treat his symptoms with numerous medications and psychiatric hospital stays. Finally in 2014, Sullivan found a doctor who performed a physical neurological and cognitive exam and found a benign tumor deep in the cranium cavity between the brow and nose called an olfactory groove meningioma. Four weeks later, he underwent surgery, the tumor was successfully removed, and a spotlight’s been shone on all the easily preventable mistakes made along the way.

Tips to Reduce Exaggerated Emotions: As Aaron Karmin points out, some stress is healthy; it can help us conquer challenges and give us a sense of purpose in life. However, too much tension and pressure for long periods of time can take a serious toll on our lives, including our relationships and health. We all know there are ways to combat and reduce stress, but too often we’re sucked into thinking if we just follow this one tip or this particular set of steps, we can manage all stressors. Well, that’s not feasible. That’s why Karmin provides more than three dozen techniques for us to mix and match and find the perfect combos for various stressful times in our lives.