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They may have an antisocial (sociopathic, psychopathic) or narcissistic personality disorder, and they may have anger or impulse control issues and substance abuse issues on top of that!
By choosing to be the aggressor and abuser, they may get their first sense of taking control over their own destiny and not being at the mercy of others.
Why (adult) people who are being abused choose to stay in abusive relationships is another. Their early history consisted of receiving abuse themselves and/or seeing others abused (one parent abusing the other or their sibling, etc.).
Neither of these questions have easy answers and even the strongest attempt to educate yourself as to why people might make these seemingly irrational choices will not lead to complete understanding. The first question, "Why do people abuse other people? As a consequence, abuse is the normal condition of life for these people.
That they hurt others in the process may go unregistered or only occur as a dim part of their awareness.
Abusive behavior can also result from mental health issues or disorders.We're told Mackenzie discovered her blood sugar was "dangerously high" after testing with a home kit last night.