A community-based perspective on living with domestic violence.

Women living within a violent relationship suffer from a multitude of somatic and psychological complaints. The constant erosion of their self-esteem undermines their confidence and decision-making abilities, eventually leading to a learned helplessness and apathy. In association with this is the significant deleterious effect on the psychological and physical health of any children witnessing this abuse within the home. Community health care providers such as district nurses, practice nurses and GPs are in close contact with the family and can observe the family dynamics. They are often the only health care professionals in a position to be able to build a rapport with the family. Consequently a survivor of domestic abuse may confide in them, enforcing the health professional to play a pivotal role in empowerment and the initiation of essential support services. This article highlights the detrimental effects of domestic abuse and the necessity to raise awareness within the community forum.