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Understanding the reasons why a woman may stay with, or return to, her abuser is critical in being able to offer support. Those who work with survivors of IPV focus on having empathy and being trauma-informed.
A trauma-informed practice:
Recognizes trauma has varied, and devastating, short and long-term effects, including post-traumatic stress disorder (PTSD) and complex PTSD, hypervigilance, anxiety, depression, emotional dysregulation, and memory loss, and incorporates that framework into all interactions.
Emphasizes physical, psychological, and emotional safety for the survivor above all else.
Creates opportunities for survivors to rebuild their sense of control, personal agency, and empowerment, all of which suffer in the midst of an abusive relationship.
Meets women where they are at, suspending personal judgment and supporting the survivor rather than telling her what she “should” or “needs” to do. Whether this is the first, or fifth time, she’s left her abusive partner (research shows it takes on average seven times leaving to leave for good), the support offered must be constant.
Women who receive positive responses:
Tend to recover more quickly
Are more likely to work with authorities
Are more likely to report future instances of violence
Are more likely to access safety supports
Women who receive negative responses:
Are less likely to cooperate with authorities
Are less likely to disclose again
Are more likely to receive mental health diagnosis
Are less likely to seek out protective supports
Here are some ideas on how to take a trauma-informed approach when interacting with a survivor:
Acknowledge and name the violence
Be clear the abuser is at fault
Honour the survivor’s resistance
Challenge victim-blaming messages
Let her judge her choices
Listen and support
Language matters, particularly when interacting with survivors of violence and abuse.
Recognize that a concussion can result in mental health symptoms, including:
Worries and fears
Trouble controlling emotions or reactions
Nervousness or panic attacks
Sadness
Depression
Hopelessness
Anger or rage
Here are some ideas on what to say to a survivor:
“You didn’t deserve this. It’s not your fault”
“I’m sorry this happened to you”
“I’m concerned about you”
“How can I help?”
“It sounds like you’re doing the best you can”
“I’m here to listen”
What NOT to say to a survivor:
“You should leave him”
“Why haven’t you left him?”
“You have to call the police”
“You should go to marriage counselling”
“Why didn’t you go to the hospital?”
“Maybe you’re over-reacting”
“I always thought he was such a great guy”
Educating yourself on the dynamics of abuse and coercive control, and becoming familiar with the resources in your community, will also help you be a more effective ally and support to survivors who may otherwise not know where to turn. Women’s Shelters Canada has more information.
Learn more about how to support survivors of IPV and recognize brain injury in the CATT course for Women’s Support Workers.
The Concussion Awareness Training Tool (CATT) is a series of online educational modules and resources addressing concussion recognition, diagnosis, treatment, and management. Good concussion management is pivotal to minimizing the risk of brain damage and may reduce long-term health consequences.
The BC Injury Research and Prevention Unit is located in British Columbia, Canada, on the traditional and unceded land of the Coast Salish peoples, including the Sḵwx̱wú7mesh (Squamish), Stó:lō and Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh) and xʷməθkʷəy̓əm (Musqueam) Nations.