One other possibility to this is psychological abuse, not just abuse is the physical sense.

The doctor that delivered my brother, by C-section no less, was Dr. Slice.

This past summer I saw a guy who had just been released from the Emergency Room and was signing his discharge papers. Down the back of both arms was tattooed WHITE POWER. I couldn't believe that this young man would label himself like that. I found out later that he had come to the Emergency Room because he had just had the crap beat out of him. I hope he gets used to that.