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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