Women in distressed relationships who had sustained severe psychological abuse and either no, moderate, or severe violence from their partner were included (N = 93). Men's and women's alcohol use did not differ with level of violence. Different patterns were found in the moderate violence group regarding women's beliefs about their partner's substance problem, men's psychological abuse, and the relationship of men's and women's quantity of alcohol use and times intoxicated. Uncertainty resulting from moderate violence may strengthen the emotional impact of psychological abuse. Even when psychological abuse is exacerbated by violence, women may use active coping techniques rather than drinking to cope with abusive relationships. The findings suggest that an inordinate focus on alcohol abuse may be ineffective in combating the problem of domestic violence.