Physicians' Experiences with Male Patients Who Perpetrate Intimate Partner Violence

被引:14
作者
Penti, Brian [1 ]
Huong Tran [1 ]
Timmons, Joanne [2 ]
Rothman, Emily F. [3 ]
Wilkinson, Joanne [4 ]
机构
[1] Boston Univ, Dept Family Med, Sch Med, 1 Boston Med Ctr Plaza,Dowling 5 South, Boston, MA 02118 USA
[2] Boston Med Ctr, Domest Violence Program, Boston, MA USA
[3] Boston Univ, Dept Community Hlth Sci, Sch Publ Hlth, Boston, MA 02215 USA
[4] Brown Univ, Dept Family Med, Sch Med, Providence, RI 02912 USA
基金
美国医疗保健研究与质量局;
关键词
Disclosure; Emotions; Grounded Theory; Interpersonal Relations; Qualitative Research; Spouse Abuse; DOMESTIC VIOLENCE; MENTAL-HEALTH; ABUSE; INTERVENTION; CONSEQUENCES; BATTERERS; ADULTS;
D O I
10.3122/jabfm.2017.02.160258
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction: Despite the prevalence of intimate partner violence (IPV), there is a paucity of research exploring the role that physicians might play in intervening with IPV perpetrators. Methods: A qualitative study explored interactions between family medicine physicians and male perpetrators of IPV. Fifteen physicians were purposefully sampled from 1 hospital system. The physicians were individually interviewed using a semistructured interview guide, and interview transcripts were analyzed using techniques from grounded theory. Results: Three main themes relating to physicians' experiences were identified: (1) how physicians learned of or identified IPV perpetration by men (usually disclosure by the victim, but perpetrators also disclosed it); (2) how physicians assessed for comorbidities or responded to IPV perpetration by men; and (3) facilitators of and barriers to physician identification of and response to IPV perpetration by men. Facilitators identified include having a trusting relationship with the perpetrator and support services, whereas barriers consisted of strong negative emotions and a lack of training. Conclusions: Family medicine physicians in this sample reported feeling underprepared to serve patients whom they know are perpetrators of IPV, particularly if they are also providing care to the victim. Additional research is needed to develop interventions and effective trainings.
引用
收藏
页码:239 / 247
页数:9
相关论文
共 40 条
  • [1] American Academy of Family Physicians, 2014, VIOL POS PAP
  • [2] [Anonymous], 2002, Qualitative Research and Evaluation Methods
  • [3] Collaborative care for depression and anxiety problems
    Archer, Janine
    Bower, Peter
    Gilbody, Simon
    Lovell, Karina
    Richards, David
    Gask, Linda
    Dickens, Chris
    Coventry, Peter
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (10):
  • [4] Does batterers' treatment work? A meta-analytic review of domestic violence treatment
    Babcock, JC
    Green, CE
    Robie, C
    [J]. CLINICAL PSYCHOLOGY REVIEW, 2004, 23 (08) : 1023 - 1053
  • [5] Primary Care-Based Interventions for Intimate Partner Violence A Systematic Review
    Bair-Merritt, Megan H.
    Lewis-O'Connor, Annie
    Goel, Swati
    Amato, Paula
    Ismailji, Tasneem
    Jelley, Martina
    Lenahan, Patricia
    Cronholm, Peter
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2014, 46 (02) : 188 - 194
  • [6] Breiding M. J., 2015, Intimate partner violence surveillance: Uniform definitions and recommended data elements
  • [7] Patients' advice to physicians about intervening in family conflict
    Burge, SK
    Schneider, FD
    Ivy, L
    [J]. ANNALS OF FAMILY MEDICINE, 2005, 3 (03) : 248 - 254
  • [8] Health consequences of intimate partner violence
    Campbell, JC
    [J]. LANCET, 2002, 359 (9314) : 1331 - 1336
  • [9] Health care use by perpetrators of domestic violence
    Coben, JH
    Friedman, DI
    [J]. JOURNAL OF EMERGENCY MEDICINE, 2002, 22 (03) : 313 - 317
  • [10] Physical and mental health effects of intimate partner violence for men and women
    Coker, AL
    Davis, KE
    Arias, I
    Desai, S
    Sanderson, M
    Brandt, HM
    Smith, PH
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2002, 23 (04) : 260 - 268