Hamberg K, Johansson E E, Lindgren G
Department of Family Medicine, Umeå University, Sweden.
Fam Pract. 1999 Jun;16(3):238-44. doi: 10.1093/fampra/16.3.238.
We aimed to explore experiences of abuse of women, and the way it was described and hinted at, in a group of women suffering from biomedically undefined long-term musculo-skeletal pain (UMSD).
Twenty women patients participated. Data were gained through repeated semi-structured interviews conducted over 2 years and qualitatively analysed according to grounded theory.
Eleven participants had experienced abuse. Abuse was difficult to disclose due to shame, fear of the listener's preconceptions and fear of the abuser. In the interviews it was diminished, 'sugar-coated' and renamed. However, the women gave hints of abuse before avowing it. 'An understanding listener', who was expected to apprehend the hints, ask about abuse and confirm that it was valid to talk about it, was described as a precondition for disclosure.
This study suggests that it is important to explore woman abuse when investigating and treating UMSD. When there are hints of abuse, one should avoid blaming, stand by, be patient and ask about abuse even if the woman has once negated it. Fear of the abuser permeated the narratives and it is therefore suggested that doctors must consider carefully the danger involved.
我们旨在探究一群患有生物医学上无法明确的长期肌肉骨骼疼痛（UMSD）的女性遭受虐待的经历，以及这种经历的描述和暗示方式。
20名女性患者参与研究。通过在两年内进行的反复半结构化访谈收集数据，并根据扎根理论进行定性分析。
11名参与者曾遭受虐待。由于羞耻感、担心倾听者的先入之见以及害怕施虐者，虐待情况很难被披露。在访谈中，虐待被淡化、“美化”并重新命名。然而，女性在承认之前会给出虐待的暗示。被期望能够领会这些暗示、询问是否遭受虐待并确认谈论此事是合理的“善解人意的倾听者”被描述为披露虐待情况的一个前提条件。
本研究表明，在调查和治疗UMSD时，探究女性遭受的虐待情况很重要。当有虐待暗示时，即使女性曾否认，也应避免指责，给予支持、保持耐心并询问是否遭受虐待。对施虐者的恐惧贯穿于叙述中，因此建议医生必须仔细考虑其中涉及的危险。
