It's an ugly subject. It shouldn't exist. It's one of those taboo issues we like to sweep under the rug, ignore, and pretend doesn't happen. Unfortunately, abuse of the elderly, like abuse of women or children, is a fact of life which might be increasing throughout the world. "Abuse takes one of four forms," explained professor of social work, Howie Litwin. "There is physical abuse, the 'battered grandma syndrome,' which includes blows, burns or even restraints, such as tying a patient to his chair or gagging him." There is also psychological abuse, which includes threatening, shaming or frightening an elderly person.