'Persist. persist.': A qualitative study of women's decisions to disclose and their perceptions of the impact of routine screening for intimate partner violence
| Autor: | Anthony B. Zwi, Joanne M. Spangaro, Roslyn G. Poulos |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Health (social science) Social Psychology 030503 health policy & services Public health Poison control medicine.disease Mental health Suicide prevention 3. Good health Substance abuse 03 medical and health sciences 0302 clinical medicine 5. Gender equality medicine Self-disclosure Domestic violence 030212 general & internal medicine 0305 other medical science Psychology Psychiatry Psychological abuse Applied Psychology |
| Zdroj: | Psychology of Violence. 1:150-162 |
| ISSN: | 2152-081X 2152-0828 |
| DOI: | 10.1037/a0023136 |
| Popis: | School of Public Health and Community Medicine, University of New South Wales, Sydney, AustraliaObjective: To understand the conditions under which a group of women recruited fromantenatal, mental health, and substance abuse services disclose abuse in response toroutine screening for intimate partner violence and their constructions of the impact ofroutine screening. Method: In-depth interviews with 20 women followed up 6 monthsafter disclosing abuse in response to screening. Results: Women were in diversesituations relating to trajectories of abuse that included continued abuse despite inter-ventions and abuse cessation within relationship. Women disclosed their abuse aftermaking active judgments about safety on three dimensions: from the abuser, fromshame and from relinquishing control. Most women described valued impacts fromscreening, though this was less common for those who had previous contact withstatutory agencies. The process of asking shaped constructions of abuse, giving nameto it. Health workers responses to disclosures often helped to create a sense ofconnection. Conclusions: These effects align with Hermans work identifying namingand reconnection as important steps in recovery from trauma. The diversity of womenssituations may explain dif culties in achieving signi cant ndings by RCTs on screen-ing impacts. Screening can bring about important changes for some women and is notsimply a strategy for identi cation and referral.Keywords |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|