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Abuse - Forms, Consequences, and Effects

When we think of abuse, we primarily think of sexual abuse. But abuse of people occurs in various forms.

Abuse is initially defined as the exploitation of a special relationship, in which the perpetrator gains an advantage (sexual, material, power, etc.) at the expense of the victim.

Abuse is always carried out by a person who is superior to the victim.

The perpetrator very often exploits:

  • Trust
  • Ignorance
  • Dependence
  • The victim’s fear

Children are most at risk, as they do not yet possess the personality strength to defend themselves.


Emotional abuse often begins as early as infancy, right after birth:

  • The child is “unwanted” or perceived as a nuisance
  • Being left alone
  • Withdrawal of love
  • Indifference
  • Not responding to the child’s needs
  • Demeaning behavior
  • Humiliation
  • Confinement (grounding)
  • Ridicule
  • Being mocked in front of others
  • Destroying self-esteem
  • Forced eating behavior

This is the root cause of why people with borderline personality disorder later repeatedly enter destructive relationships or relationships in which they are emotionally abused.

Sexual abuse encompasses many levels. Sexual abuse, especially in childhood, triggers trauma.

This includes, among others:

  • French kissing
  • Touching of genital areas
  • Insertion of objects
  • Oral, vaginal, anal intercourse
  • Penile abuse
  • Forced participation in pornography
  • Inducement to sexual acts
  • Ritual abuse
  • Rape

Physical abuse includes:

  • Hitting with objects
  • Beating
  • Kicks
  • Punches
  • Slaps
  • Use of physical force
  • Restraining, binding
  • Choking
  • Scalding
  • Other physical injuries of any kind
  • Deprivation of basic needs (sleep, food)

Emotional, sexual, or physical abuse can lead to a variety of short-term and long-term consequences.

  • Sleep disorders, nightmares
  • Concentration difficulties
  • Speech disorders
  • Pelvic problems, menstrual problems
  • Skin conditions (neurodermatitis)
  • Allergies
  • Disturbed body awareness
  • Anxiety and panic attacks
  • Sexual dysfunctions

Regarding why people with borderline personality disorder repeatedly — and at an elevated rate — fall victim to rape:

The patterns experienced in childhood and the resulting self-perception (“I’m not worth it,” “it’s my fault”) lead those affected to:

  • Place themselves in dangerous situations
  • Not recognize warning signs
  • Be unable to protect themselves adequately
  • Blame themselves

If you are currently affected by abuse or have been in the past:

  • Crisis hotline: 0800 111 0 111 (free, 24/7 - Germany)
  • Sexual Abuse Helpline: 0800 22 55 530 (Germany)
  • Weisser Ring: Victim support for violence
  • Seek therapeutic support