Identifying and treating wife abuse.

Judith Belle Brown · Barbara Lent

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Intimate Partner and Family Violence Child Abuse and Trauma Elder Abuse and Neglect

Abstract

BACKGROUND: Wife abuse, acknowledged as a critical problem in our society, is often undetected by family physicians. The purpose of this study was to identify the problems and potential solutions encountered by family physicians in the identification and treatment of wife abuse in London, Ontario. METHODS: Family physicians in London were recruited to participate in four focus groups. The groups' discussions were audiotaped and transcribed. The transcripts were analyzed using qualitative methodology to determine relevant themes. RESULTS: Thirty-two physicians (16 male and 16 female) participated in the focus groups. The majority were in group practice (81%). The average number of years in practice was 11.75. An analysis of the focus group session identified two major clinical themes with subcategories: (1) physician issues (ie, identification, treatment); and (2) patient issues (ie, barriers to identification, symptom presentation). CONCLUSIONS: The focus groups served as an effective method to engage family physicians in isolating their own as well as their patients' difficulties in confronting this serious problem.

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References

1997Focus Groups as Qualitative Research 1979The Battered Woman 1992Primary care physicians' response to domestic violence. Opening Pandora's box 1985Children of battered women: The relation of child behavior to family violence and maternal stress.1989LIMITATIONS OF THE MEDICAL MODEL IN THE CARE OF BATTERED WOMEN

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1999The use of focus group methodology — with selected examples from sexual health research 2006Focus Groups 1996Overcoming Barriers to Physician Involvement in Identifying and Referring Victims of Domestic Violence 2002Domestic violence compared to other health risks 1996Domestic violence: a hidden problem for general practice.2006Improving the statistics on violence against women 2005Patients' Advice to Physicians About Intervening in Family Conflict 2002Partner violence intervention in the busy primary care environment

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