Time to disclose, timing disclosure: GPs’ discourses on disclosing domestic abuse in primary care
TLDR
In this article, the authors present data from a pilot study with GPs working in a city locality about their experiences of disclosure and the actual processes through which they suspect and explore domestic abuse.Abstract:
Research has demonstrated that women are more likely to disclose domestic violence to a GP during the consultation in primary health care than in Accident and Emergency. Little is known of the process of disclosure in the context of primary health care, especially from the perspective of the GP. In this article we present data from a pilot study with GPs working in a city locality about their experiences of disclosure and the actual processes through which they suspect and explore domestic abuse. We draw upon the work of, amongst others, Strong (1979) and his analysis of medical encounters to consider the consultation in which domestic abuse is disclosed in terms of a ceremonial order. The concepts of time (Adam 2000) and myths (Barthes 1972) provide crucial dimensions to our analysis. GPs employed various concepts of time as vehicles for explaining the reasons for, and circumstances surrounding, violence as well as presenting barriers to further involvement. GPs mythologised time by asserting they did not have enough time and yet revealing their ability to control and suspend time in the consultation if they consider it to be appropriate. In the process of mythologising time, the ceremonial order can become paramount. In conclusion, we contend that the sociology of health and illness might gain further conceptual and analytical understanding of the consultation by merging notions of ceremonial order with a fuller appreciation of sociological theory on time and myths, especially as this poses barriers to the disclosure of domestic abuse and other sensitive matters.read more
Citations
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How far does screening women for domestic (partner) violence in different health-care settings meet criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria.
Gene Feder,Jason Ramsay,Danielle Dunne,M. Rose,C. Arsene,Rosana E. Norman,S. Kuntze,Anne Spencer,Loraine J. Bacchus,G. Hague,Alison Warburton,Ann Taket +11 more
TL;DR: There is insufficient evidence to implement a screening programme for partner violence against women either in health services generally or in specific clinical settings, and psychological interventions may be effective, but not necessarily for women identified through screening.
Journal ArticleDOI
Is patient involvement possible when decisions involve scarce resources? A qualitative study of decision-making in primary care.
Ian Rees Jones,Lee Berney,Moira Kelly,Len Doyal,Chris Griffiths,Gene Feder,Sheila Hillier,Gillian Rowlands,Sarah Curtis +8 more
TL;DR: The way in which general practitioners in the UK manage the dual responsibilities of treating individual patients and making the most equitable use of National Health Service resources is explored in the context of the policy of greater patient involvement in decision-making.
Journal ArticleDOI
Gendered and Social Hierarchies in Problem Representation and Policy Processes: “Domestic Violence” in Finland and Scotland
Jeff Hearn,Linda McKie +1 more
TL;DR: This article identifies and critiques presumptions about gender and violence that continue to frame and inform the processes of policy formation and implementation on domestic violence, and deconstructs the agendered nature of policy as gendered, multilevel individual and collective action.
Journal ArticleDOI
Successful integration and maintenance of screening for domestic violence in the health sector: moving beyond individual responsibility.
TL;DR: It is argued that organizational, structural, social, and cultural factors, especially related to gender, also play roles in adoption and integration of DV screening programs within health care systems.
Journal ArticleDOI
Postnatal disclosure of domestic violence: comparison with disclosure in the first trimester of pregnancy.
June Keeling,Tom Mason +1 more
TL;DR: The disparity in disclosure rates of domestic violence suggests that an emotional inhibitory response to disclosure may occur at specific periods of pregnancy and that the timing of asking about domestic violence may be critical to this disclosure.
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