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General Practitioner management of intimate partner abuse and the whole family: Qualitative study

Taft, Angela; Broom, Dorothy; Legge, David

Description

Objective: To explore management by general practitioners of victimised female patients, male partners who abuse, and children in the family. Design: Triangulated qualitative study comparing doctors' reported management with current recommendations in the literature. Participants: 28 general practitioners attending continuing medical education about management of domestic violence. Results: Doctors perceived partner abuse in diverse ways. Their gender, perceptions, and attitudes could all...[Show more]

dc.contributor.authorTaft, Angela
dc.contributor.authorBroom, Dorothy
dc.contributor.authorLegge, David
dc.date.accessioned2015-12-13T22:45:08Z
dc.date.available2015-12-13T22:45:08Z
dc.identifier.issn0959-535X
dc.identifier.urihttp://hdl.handle.net/1885/79613
dc.description.abstractObjective: To explore management by general practitioners of victimised female patients, male partners who abuse, and children in the family. Design: Triangulated qualitative study comparing doctors' reported management with current recommendations in the literature. Participants: 28 general practitioners attending continuing medical education about management of domestic violence. Results: Doctors perceived partner abuse in diverse ways. Their gender, perceptions, and attitudes could all affect identification and management of this difficult problem. A few doctors practised in recommended ways, but many showed stress and aversion, difficulties in resolving the tensions involved in managing all family members, and neglect of the risks to children. Some doctors used contraindicated practices, such as breaking confidentiality and undertaking or referring for couple counselling. Doctors who were not familiar with community based agencies were reluctant to use them. A lack of expertise and support could have a negative impact on doctors themselves. Conclusions: General practitioners managing partner abuse need to be more familiar with and apply the central principles of confidentiality and safety of women and children. Recommended guidelines for managing the whole family should be developed. Doctors should consider referring one partner elsewhere and avoid couple counselling; always ask about and act on the children's welfare; refer to specialist family violence agencies; and seek training, supervision, and support for the inherent stress. Medical education and administration should ensure comprehensive training and support for doctors undertaking this difficult work.
dc.publisherBMJ Publishing Group
dc.sourceBMJ - British Medical Journal
dc.subjectKeywords: article; aversion; confidentiality; domestic violence; family violence; female; general practitioner; human; male; marital therapy; medical education; medical practice; partner violence; patient care; physician attitude; priority journal; qualitative rese
dc.titleGeneral Practitioner management of intimate partner abuse and the whole family: Qualitative study
dc.typeJournal article
local.description.notesImported from ARIES
local.description.refereedYes
local.identifier.citationvolume328
dc.date.issued2004
local.identifier.absfor111717 - Primary Health Care
local.identifier.absfor111707 - Family Care
local.identifier.ariespublicationMigratedxPub8016
local.type.statusPublished Version
local.contributor.affiliationTaft, Angela, La Trobe University
local.contributor.affiliationBroom, Dorothy, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationLegge, David, La Trobe University
local.bibliographicCitation.issue7440
local.bibliographicCitation.startpage595
local.bibliographicCitation.lastpage6
dc.date.updated2015-12-11T10:19:52Z
local.identifier.scopusID2-s2.0-1542614351
CollectionsANU Research Publications

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