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Domestic violence never shows up in statistics as much as it occurs. The elements of abusive relationships are similar for heterosexual and homosexual relationships, and there can be different tactics of control used; for instance, the abusive partner may threaten to out the other partner to family or professors. Department of Justice, Bureau of Justice Statistics (2007); Tween and Teen Dating Violence and Abuse Study, Teenage Research Unlimited for Liz Claiborne Inc. A lot of people drink and use drugs and most people do not abuse.*World Health Organization, Global and regional estimates of violence against women: Prevalence and health effects of intimate partner violence and non-partner sexual violence, (2013); **Catalano, Shannan. An individual’s size, strength, politics or personality does not determine whether she or he could be abused or an abuser. and the National Teen Dating Abuse Helpline (2008); CDC Morbidity and Mortality Weekly Report (February 2008); and Silverman et al. Not all abusers drink and not all people who drink are abusive. See What Causes Relationship Abuse for more information.In our still largely homophobic society, the threat of “outing” someone who is not ready can be used to isolate and silence a person who is experiencing relationship abuse. Violence often continues even after an abuser stops drinking. top of page Personality disorders, mental illness, poor impulse control, and generational abuse do not cause relationship abuse.Domestic violence is not only physical and sexual violence but also psychological. The responsibility for the violence belongs to the abuser. HELP IS AVAILABLE THROUGH THE VICTIM ASSISTANCE PROGRAM AND THE DOMESTIC VIOLENCE UNIT OF THE CLARK COUNTY PROSECUTING ATTORNEY.Psychological violence means intense and repetitive degradation, creating isolation, and controlling the actions or behaviors of the spouse through intimidation or manipulation to the detriment of the individual. Symptoms of Abuse - Misuse of Power And Control Abuse in a relationship is any act used to gain power and control over another person.