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加强后天性脑损伤(ABI)与家庭暴力之间的联系:持续监测、研究及包容性术语的重要性。

Strengthening the Connection Between Acquired Brain Injury (ABI) and Family Violence: The Importance of Ongoing Monitoring, Research and Inclusive Terminology.

作者信息

Lansdell Gaye T, Saunders Bernadette J, Eriksson Anna, Bunn Rebecca

机构信息

Faculty of Law, Monash University, Wellington Rd, Clayton, Melbourne, VIC 3800 Australia.

Department of Social Work, Faculty of Medicine, Nursing and Health Sciences, Monash University, Caulfield East, VIC Australia.

出版信息

J Fam Violence. 2022;37(2):367-380. doi: 10.1007/s10896-021-00278-1. Epub 2021 May 8.

Abstract

Family violence (FV) harms communities worldwide so FV prevention strategies and effective responses are urgently needed. This article reports on FV apparent in a study which explored the experiences of people with both ABI and justice system encounters in Victoria, Australia. One hundred interviews and one focus group consulted people with ABI, their families and carers, and various stakeholder groups in the Victorian justice system in Australia. Qualitative content analysis determined dominant themes and sub-themes and the less common themes. Inductive interpretive content analysis identified themes commonly found in previous published research and themes that appeared unique to, or unanticipated in, our data, such as the FV theme upon which this article focuses. Our findings reveal that FV has adversely affected many people with ABI who came into contact with Victoria's justice system. Further, as ABI and FV often co-occur with substance abuse, mental health problems, socio-economic and many other significant disadvantages, for some FV perpetrators with an ABI, their ABI symptoms and characteristic co-morbidities may be a mitigating factor in their offending. The connection between ABI and family violence emerged as a troubling research theme. Indeed, the impact of FV on too many of our participants with an ABI compels us to call for further related research and secondary prevention programs targeted at FV victims, and offenders, living with ABI. An intersectional understanding of family violence and TBI/ABI in social ecological contexts is required to better understand brain injury at both individual and population levels.

摘要

家庭暴力(FV)危害着全球各个社区,因此迫切需要预防家庭暴力的策略和有效的应对措施。本文报道了一项研究中显现出的家庭暴力情况,该研究探讨了澳大利亚维多利亚州同时有脑损伤(ABI)经历和司法系统接触经历的人群的情况。通过对100次访谈和1个焦点小组的调查,咨询了澳大利亚维多利亚州司法系统中患有ABI的人、他们的家人和护理人员以及各种利益相关者群体。定性内容分析确定了主要主题和子主题以及不太常见的主题。归纳解释性内容分析确定了先前已发表研究中常见的主题以及在我们的数据中显得独特或未曾预料到的主题,比如本文所关注的家庭暴力主题。我们的研究结果表明,家庭暴力对许多与维多利亚州司法系统有接触的ABI患者产生了不利影响。此外,由于ABI和家庭暴力常常与药物滥用、心理健康问题、社会经济及许多其他重大不利因素同时出现,对于一些患有ABI的家庭暴力肇事者而言,他们的ABI症状和典型的共病情况可能是其犯罪的一个减轻因素。ABI与家庭暴力之间的联系成为一个令人困扰的研究主题。事实上,家庭暴力对我们众多患有ABI的参与者产生的影响促使我们呼吁针对患有ABI的家庭暴力受害者和肇事者开展进一步的相关研究和二级预防项目。需要在社会生态背景下对家庭暴力与创伤性脑损伤/ABI进行交叉理解,以便在个体和人群层面更好地理解脑损伤。

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