Keeling June, Fisher Colleen
University of Chester, UK
The University of Western Australia, Crawley, Australia.
J Interpers Violence. 2015 Aug;30(13):2363-78. doi: 10.1177/0886260514552449. Epub 2014 Oct 20.
This study explored women's experiences of their responses from health professionals following disclosure of domestic violence within a health setting. The existence of health-based policies guiding professionals in the provision of appropriate support following disclosure of domestic violence is only effective if health professionals understand the dynamics of violent relationships. This article focuses on the findings from the interviews conducted with 15 women living in the United Kingdom who disclosed their experiences of domestic violence when accessing health care. Following thematic analysis, themes emerged that rotated around their disclosure and the responses they received from health professionals. The first two themes revealed the repudiation of, or recognition of and failure to act upon, domestic violence. A description of how the health professional's behavior became analogous with that of the perpetrator is discussed. The final theme illuminated women's receipt of appropriate and sensitive support, leading to a positive trajectory away from a violent relationship. The findings suggest that the implicit understanding of the dynamics of violent relationships and the behaviors of the perpetrator of domestic violence are essential components of health care provision to avoid inadvertent inappropriate interactions with women.
本研究探讨了女性在医疗环境中披露家庭暴力后,她们对医疗专业人员反应的经历。只有当医疗专业人员了解暴力关系的动态时,指导专业人员在披露家庭暴力后提供适当支持的基于健康的政策才会有效。本文重点关注对15名居住在英国的女性进行访谈的结果,这些女性在接受医疗保健时披露了她们的家庭暴力经历。经过主题分析,出现了围绕她们的披露以及她们从医疗专业人员那里得到的反应的主题。前两个主题揭示了对家庭暴力的否认、认可但未采取行动。讨论了医疗专业人员的行为如何变得与施暴者的行为相似。最后一个主题阐明了女性得到适当和敏感的支持,从而走上远离暴力关系的积极轨迹。研究结果表明,对暴力关系动态和家庭暴力施暴者行为的隐性理解是医疗保健提供的重要组成部分,以避免与女性发生无意的不适当互动。