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Cycle of Abuse Wheel
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Cycle of Abuse Wheel

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    This article provides an overview of the cycle of abuse wheel, the different types of abuse, and ways to help clients dealing with abusive relationships. We also include a free downloadable cycle of abuse wheel PDF that you can share with clients and save to your electronic health record (EHR) for future use.


    As a mental health therapist, your role may involve helping clients understand abusive patterns, like a narcissistic cycle of abuse, and how to implement healthy boundaries to improve their mental health. 


    Sharing the cycle of abuse wheel handout, with clients who are experiencing abuse, can help them better understand the nature of their relationships.

    

    What is the cycle of abuse?


    The term “cycle of abuse” describes a pattern of abusive behavior. 


    Many clinicians who work with people who’ve experienced abuse use a cycle of abuse wheel to illustrate the different stages of abuse. 


    Everything you need in one EHR

    The 4 stages of abuse


    In her book, “The Battered Woman,” psychologist Lenore E. Walker, Ed.D, developed and documented the concept of the cycle of abuse in the late 1970s. While Walker initially used the wheel to describe four stages of domestic abuse, professionals often use the wheel to describe emotional abuse treatment in different types of relationships. 


    1. Tension


    This stage describes the building of tension due to stressors or other conflicts. The abusive person may be aggressive, impatient, or reactive. The person experiencing abuse may feel like they are “walking on eggshells” to prevent the situation from getting worse. 


    2. Incident


    This relates to the tension building to a point where the abusive person acts out with verbal, emotional, or physical abuse/violence. They may also make threats, attempt to exert control, and try to manipulate the other person.


    3. Reconciliation 


    After the incident, the abusive person attempts to reconcile through apology, showing remorse, or by using kindness, affection, and loving behavior to win back the person they’re abusing. This is also called the “honeymoon phase.”


    4. Calm 


    After reconciliation occurs, a period of harmony may follow, but this often masks the reality of the situation or minimizes the abuse.   


    As with most patterns, the cycle of abuse wheel demonstrates that the abuse is cyclical and will likely repeat itself throughout the course of the relationship. While the time period between incidents may vary, abusive patterns tend to escalate, even if the person experiencing abuse is in denial about the extent of harm being caused.  


    Everything you need in one EHR

    Types of abuse


    Educating clients about the different types of abuse may help them recognize abusive situations or dynamics in their own lives and gain a greater understanding of abusive patterns. 


    The different types of abuse include:


    Emotional abuse


    This may include harassment, bullying, intimidation, ridicule, shouting, giving the “cold shoulder,” coercion, using technology to monitor or control, isolating a person from their friends and family, and treating the survivor like a child.


    Physical abuse 


    Physical abuse involves causing some kind of physical pain or injury, including sexual violence.


    Stalking 


    This includes closely watching or monitoring an individual online or in person, which may escalate to other types of abuse.


    Verbal abuse 


    This overlaps with emotional abuse. It can include saying things to intentionally hurt or ridicule another person. This includes blaming, judging, gaslighting, using slurs, and name-calling, which can ultimately impact a person’s self-esteem.


    Neglect


    Neglect includes not taking care of basic needs of minors and vulnerable adults.


    Financial abuse 


    This is also part of emotional abuse, but relates specifically to using financial control to manipulate and abuse a partner.


    Everything you need in one EHR

    How to help clients dealing with abusive patterns


    Clinicians can use the cycle of abuse wheel to help clients in several ways:


    • To develop insight that they are a survivor of abuse


    • Highlight different types of abuse, as oftentimes, a client may minimize non-physical types of abuse


    • Support the client in building healthy boundaries


    • Help a client leave an abusive relationship


    • Provide access to resources


    • Process the trauma of abuse



    Ways to use the cycle of abuse wheel PDF


    If your client has told you anecdotes revealing common signs of abuse, such as talking about controlling behavior, feeling unsafe, receiving threats and harassment, or displaying signs of physical violence, then it’s important to provide them information about the different stages of abuse. One way to accomplish this is by using the cycle of abuse PDF.  


    Here are some ways the cycle of abuse wheel PDF can be helpful: 


    • To provide psychoeducation about the different stages of abuse


    • As a reference point for the client to discuss relational experiences that may or may not reflect stages of the cycle of abuse wheel


    • To highlight the cyclical nature of abuse


    • To refer your client to additional abuse-related resources


    Additional resources for clients


    Depending on a client’s situation, they may benefit from additional resources or services.


    Resources you may want to share with clients include:


    • National Domestic Violence Hotline: The website includes ways to identify abuse, plan for safety, get help, and support others. You can chat live, visit the website, or call 1-800-799-7233.


    • WomensLaw.org: State-based legal information regarding restraining orders and child custody information.






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