Mahidol University, Bangkok, Thailand.
University of Alberta, Edmonton, Canada.
J Interpers Violence. 2021 May;36(9-10):NP5192-NP5214. doi: 10.1177/0886260518799457. Epub 2018 Sep 7.
Although there is literature that describes coping strategies of women who experience intimate partner violence (IPV), the definitions of common coping strategies and the two-dimensional model of coping styles (emotion-or problem-focused) may not fully delineate how these women manage their day-to-day lives. Using an Interpretive Description method and feminist standpoint principles, in-depth interviews were conducted with 40 Thai women regarding how they managed living in the context of IPV. Data were analyzed using an iterative thematic analysis procedure. In this study, the highly changeable and adaptive strategies use by participants could not be easily categorized into emotion-or action/problem-focused. Indeed, the strategies used by Thai women in this study were better described as survival focused. Based on our analysis, the process of managing their day-to-day life in the context of IPV revealed six major themes: keeping silent, disconnect between the fantasy of love and reality, seeking emotional support, ambivalence surrounding leaving, living with negative emotions, and despair and suicide. An undercurrent that was woven throughout multiple themes was the dominant lens of motherhood through which women made day-to-day decisions. These data also highlight the specific impacts that Thai society and religious beliefs have on increasing the risk of IPV and maintaining its duration. All levels of government, religious leaders, and public policy makers must engage in intersectoral initiatives to make public what is now private. Social and health service providers must create safe spaces where women can disclose IPV and where they can get funded multilevel supports to help them live independent of violence. The participants' stories give voice to why Thai health professionals need to fully engage with women to understand the past and current contexts of women's lives and how their experiences impact their health.
尽管有文献描述了经历亲密伴侣暴力（IPV）的女性的应对策略，但常见应对策略的定义和应对方式的二维模型（情绪或问题为导向）可能无法充分描绘这些女性如何管理日常生活。本研究采用解释性描述方法和女权主义立场原则，对 40 名泰国女性进行深入访谈，了解她们在 IPV 背景下如何管理自己的生活。使用迭代主题分析程序对数据进行分析。在本研究中，参与者使用的高度多变和适应性策略不易归类为情绪或行动/问题为导向。实际上，本研究中泰国女性使用的策略更适合被描述为生存导向。基于我们的分析，在 IPV 背景下管理日常生活的过程揭示了六个主要主题：保持沉默、爱情幻想与现实之间的脱节、寻求情感支持、对离开的矛盾心理、消极情绪的困扰、绝望和自杀。贯穿多个主题的一个潜在主题是母性的主导视角，女性通过这种视角做出日常决策。这些数据还突出了泰国社会和宗教信仰对增加 IPV 风险和维持其持续时间的具体影响。各级政府、宗教领袖和公共政策制定者必须参与跨部门举措，将现在的私人问题公开化。社会和卫生服务提供者必须创造安全空间，让妇女能够披露 IPV，并为她们提供多层次的资助支持，帮助她们独立于暴力生活。参与者的故事说明了为什么泰国卫生专业人员需要与妇女充分接触，以了解妇女生活的过去和现在背景以及她们的经历如何影响她们的健康。
