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Battered woman syndrome

Battered person syndrome
Classification and external resources
Specialty emergency medicine
ICD-10 T74.1
ICD-9-CM 995.81
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Battered person syndrome (BPS) is a physical and psychological condition of a person who has suffered (usually persistent) emotional, physical, or sexual abuse from another person. It is classified as ICD-9 code 995.81 "Battered person syndrome" not elsewhere classified (NEC).

The condition is the basis for the battered spouse defense that has been used in cases of physically and psychologically abused spouses who have killed their abusers. The condition was first researched extensively by Lenore E. Walker, who used Martin Seligman's learned helplessness theory to explain why abused spouses stayed in destructive relationships.

ICD9 code 995.81 shows the syndrome as including "battered person/man/spouse syndrome NEC", and any person presenting with identified physical descriptors rather than psychological descriptors falls under the general heading of "Adult physical abuse", classified under "Injury and Poisoning". DSM-IV-TR does not provide a distinct diagnostic category for reactions to battering. Rather the diverse reactions of battered people are treated as separate diagnoses, for example, posttraumatic stress disorder (PTSD) or depression.

When battered person syndrome (BPS) manifests as PTSD, it consists of the following symptoms: (a) re-experiencing the battering as if it were recurring even when it is not, (b) attempts to avoid the psychological impact of battering by avoiding activities, people, and emotions, (c) hyperarousal or hypervigilance, (d) disrupted interpersonal relationships, (e) body image distortion or other somatic concerns, and (f) sexuality and intimacy issues.

Additionally, repeated cycles of violence and reconciliation can result in the following beliefs and attitudes:


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