 |
|
Disclosing violence to primary care or obestetrics/gynecology physicians most beneficial
July 07, 2008(Boston, MA)-Researchers from Boston University School of Medicine (BUSM) and Boston Medical Center (BMC) found that patients who disclose intimate partner violence (IPV) to their clinicians of any type did not experience serious harm. However, those who disclosed IPV in a primary care or obstetrics/gynecology setting received the most benefit. The findings, which appear in the Biomedical Central Public Health Journal, also conclude that disclosures made in an emergency department setting were more problematic from the patient's point of view.
Researchers studied 27 IPV survivors recruited through community support programs in Massachusetts. The participants were given in-depth interviews to ascertain types of medical encounters relating to abuse, with encounters described as either single interactions or continued contact over a period of time.
Participants described disclosure of IPV to medical personnel. They also reported episodes in which they were asked about or treated for an IPV related problem in which they did not disclose. The researchers determined the medical specialty in which the encounters occurred, and limited their focus to emergency department, obstetrical/gynecological care, and primary care. The researchers also labeled whether harms occurred as a result of any disclosure as well as the perceived helpfulness (beneficial or not).
Of the 59 visits studied; 23 were in a primary care setting, 17 in the emergency department and 19 in obstetrics/gynecology. Participants reported disclosure IPV to a clinician in more than half of the encounters, and actively did not disclose in 30 percent, while sensing the clinician's knowledge without their own disclosure in 10 percent. No situations of any type resulted in serious harms. The vast majority of disclosures were deemed beneficial, whereas only a third of the non-disclosure were considered beneficial. However, in the emergency department setting, only one quarter of the disclosures were considered beneficial, compared to three quarters in obstetrics/gynecology and 100 percent in a primary care setting.
According to the research, consequences from unhelpful disclosures resulted in fear and avoidance of health care. "The most serious negative consequences of disclosure occurred when participants reported feeling endangered because of disclosure after treatment for acute injuries in the emergency department," said lead author Jane Liebschutz, MD, MPH, FACP, physician in the section of General Internal Medicine at BMC, associate professor of medicine and social and behavioral sciences at BUSM. Liebschutz added. "Participants felt that ineffective communication on safety assessment referrals and follow-up for IPV, as well as the lack of emotional connection with clinicians, were key factors in determining unhelpful disclosures."
Many participants who had a beneficial disclosure experienced a change in their circumstances such as, leaving an abusive spouse, entering a detoxification program or filing a police report. These changes occurred after a clinician worked with an individual over a period of time. Instead of immediate end to the abuse, these patient-clinician encounters resulted in a shift in the participant's self-esteem, perception of the violent relationship, or awareness of alternatives, eventually empowering the victim to seek help for the abuse independently.
"Treatment for acute injury relating to IPV should be viewed by clinicians as an opportunity to educate and empower patients, and providing options for the patient when they are ready," said Liebschutz. "Clinicians may be empowered if they feel they have a task in helping the patient, rather than just uncovering a painful problem."
Boston University
Of the 59 visits studied; 23 were in a primary care setting, 17 in the emergency department and 19 in obstetrics/gynecology. Participants reported disclosure IPV to a clinician in more than half of the encounters, and actively did not disclose in 30 percent, while sensing the clinician's knowledge without their own disclosure in 10 percent. No situations of any type resulted in serious harms. The vast majority of disclosures were deemed beneficial, whereas only a third of the non-disclosure were considered beneficial. However, in the emergency department setting, only one quarter of the disclosures were considered beneficial, compared to three quarters in obstetrics/gynecology and 100 percent in a primary care setting.
According to the research, consequences from unhelpful disclosures resulted in fear and avoidance of health care. "The most serious negative consequences of disclosure occurred when participants reported feeling endangered because of disclosure after treatment for acute injuries in the emergency department," said lead author Jane Liebschutz, MD, MPH, FACP, physician in the section of General Internal Medicine at BMC, associate professor of medicine and social and behavioral sciences at BUSM. Liebschutz added. "Participants felt that ineffective communication on safety assessment referrals and follow-up for IPV, as well as the lack of emotional connection with clinicians, were key factors in determining unhelpful disclosures."
Many participants who had a beneficial disclosure experienced a change in their circumstances such as, leaving an abusive spouse, entering a detoxification program or filing a police report. These changes occurred after a clinician worked with an individual over a period of time. Instead of immediate end to the abuse, these patient-clinician encounters resulted in a shift in the participant's self-esteem, perception of the violent relationship, or awareness of alternatives, eventually empowering the victim to seek help for the abuse independently.
"Treatment for acute injury relating to IPV should be viewed by clinicians as an opportunity to educate and empower patients, and providing options for the patient when they are ready," said Liebschutz. "Clinicians may be empowered if they feel they have a task in helping the patient, rather than just uncovering a painful problem."
Boston University
Partner Violence Current Events and Partner Violence News RSSStudy finds partner abuse leads to wide range of health problems
Women abused by intimate partners suffer higher rates of a wide variety of doctor-diagnosed medical maladies compared to women who were never abused, according to a new study of more than 3,000 women.
People with parents who fight are more likely to have mental health problems in later life
People with parents who were violent to each other are more likely to have mental health problems when they grow up.
Exposure to family violence compromises physical and mental health of older women
Older African American women exposed to high levels of family violence during their lifetimes are at significantly greater risk of poor health status, according to a report in the current issue of Journal of Women's Health, a peer-reviewed journal published by Mary Ann Liebert, Inc.
Avoiding secondhand smoke during pregnancy
Environmental Tobacco Smoke (ETS) commonly called secondhand smoke, can harm a developing fetus and may account for complications during pregnancy and birth.
Victims of intimate partner violence display distinct patterns of facial injury
Women who are victims of intimate partner violence tend to have different patterns of facial injury than women who experience facial trauma from other causes.
Study looks at the lives of boys who commit dating violence
A new study sheds light on the lives of teenage boys who abuse their girlfriends. In their own words, the young men often describe facing challenges such as growing up with troubled family lives, having little or no support when they began to fail at school, and witnessing violence in their own homes and communities.
Women in India abused by husbands at far greater risk for HIV infection
India is home to the third-largest number of human immunodeficiency virus (HIV) cases in the world and, as in the U.S. and many African nations, the rate of infection among women continues to rise faster than that among men.
Sexual violence study finds NY teens victimized at rate higher than national average
The New York City Alliance Against Sexual Assault, in collaboration with Columbia University Mailman School of Public Health's Center for Youth Violence Prevention, announced the results of a three-year, comprehensive research project on sexual and dating violence among New York City high school students, and the health impact of that violence on those victimized by it.
Victims of child maltreatment more likely to perpetrate youth violence, intimate partner violence
Some people are caught in a cycle of violence, perhaps beginning with their own abuse as a child and continuing into perpetration or victimization as an adult.
Teen girls report abusive boyfriends try to get them pregnant
Seven years ago, Elizabeth Miller was a volunteer physician in a community-based clinic in Boston, Mass., which offered confidential services to teens. She is still haunted by the memory of a 15-year old girl who asked her for a pregnancy test. It was negative, but two weeks later the girl was treated for a severe head injury in a nearby emergency room. The girl's boyfriend had pushed her down a flight of stairs.
More Partner Violence Current Events and Partner Violence News Articles
 |
Partners Starring: Ryan O'Neal, John Hurt Directed By: James Burrows Also With: Victor J. Kemper (Cinematographer), Georges Delerue (Composer), Danford B. Greene (Editor) Sergeant Benson (Ryan O'Neal) is the biggest ladies man on the force. Kerwin (John Hurt) is a gay man, works a desk job and keeps quiet about his personal life. When a double murder lands on Benson's desk, he's forced to go undercover into the gay community in order to bring the killer to justice. It's a tough job for a macho cop - but fortunately, he's got a partner. Benson and Kerwin team up to solve the crime, and find themselves doing things that were never included in their job description. Written by Francis Veber (La Cage aux folles), this hilarious fish out-of-water comedy delivers equal parts thrills and laughs. |
 |
Partner Violence: A Comprehensive Review of 20 Years of Research by Professor Jana L. Jasinski (Author), Linda M. Williams (Author) Twenty years of accumulated knowledge and research into violence towards partners are synthesized in this landmark book. Topics examined include: marital rape; effects of partner violence on children; partner violence among same sex couples; and partner violence in ethnic minority families. A final chapter examines issues of prevention and treatment, and provides empirically based recommendations for future research and practice. |
 |
Sir Ronald Cohen - Co-Founder, Apax Partners Worldwide LLP Also With: CNBC (Producer) |
 |
The Silent Partner Starring: Elliott Gould, Christopher Plummer, Susannah York, Céline Lomez, Michael Kirby Directed By: Daryl Duke Also With: Billy Williams (Cinematographer), Curtis Hanson (Producer), Curtis Hanson (Writer), Garth H. Drabinsky (Producer), Joel B. Michaels (Producer), Stephen Young (Producer), Anders Bodelsen (Writer) THE SILENT PARTNER stars Miles Cullen (Elliott Gould) as a teller who gets wind of master criminal Harry Reikle's (Christopher Plummer) scheme to rob his bank. Cullen providently squirrels away $50,000 in a safety deposit box before Reikle strikes. After the robbery, the papers report the amount of the bank's loss. Reikle realizes that there's fifty thousand extra bucks floating around that he hasn't gotten his hands on. The soft-spoken but sadistic Reikle puts the screws on Cullen to fork over the dough...but Cullen has lost the deposit box key. |
 |
Motivational Interviewing and Readiness to Change in Intimate Partner Violence by Christopher M. Murphy (Editor), Roland D. Maiuro (Editor) Motivational Interviewing has becoming increasingly widespread among counselors and therapists, but no book to date has focused exclusively on applying Motivational Interviewing to domestic and partner violence. Written by established authorities in the field, the chapters in this volume represent important applications of motivational enhancement strategies to intimate partner violence with both victims and batterers. These studies include descriptive research on victims and perpetrators of abuse, measurement issues in assessing stages of change, and real-world applications of motivational interviewing. Murphy and Maiuro illustrate both the benefits and challenges inherent in this growing area of research. |
 |
Crime Partners Starring: Ice-T, Tyrin Turner, Ja Rule, Snoop Dogg, John " Directed By: J. Jesses Smith Small time gangstas Billy Goode (Tyrin Turner) and Jackie Williams (John Bryant) are fed up with their work going unrecognized. So when a ruthless underworld crime boss with a twisted vision of justice contracts them to handle a high profile hit, it is bad news for Harlem. In the realm of Training Day and Belly, Crime Partners is relentless and action packed. |
 |
Intimate Partner Violence by Angela J. Hattery (Author) Until recently, domestic violence, as it has been referred to, was a problem to be dealt with inside the family. In this ground-breaking work, Hattery's unique approach provides a detailed theoretical discussion of race, class, and gender-effects on intimate partner violence and a thoughtful discussion of the interactions of these factors. |
 |
Silent Partner Starring: Tara Reid, Nick Moran, Gregg Henry, Patrick F. Gallagher, James D. Deck Directed By: James D. Deck Also With: Patrick F. Gallagher (Producer), James D. Deck (Writer), Andrew Stevens (Producer), Leonid Minkovski (Producer), Michael Z. Gordon (Producer), Sergei Konov (Producer), Chris Larsen (Writer) Gordon Patrick (Nick Moran), a young CIA analyst is assigned to investigate the mysterious death of a major Russian political figure. In Moscow, Gordon meets Dina (Tara Reid), a street-smart woman with a mysterious past. She leads him down a perilous journey of no return: where organized crime, assassinations, deadly betrayal and political corruption at the highest level are just the tip of the iceberg. In the end, Gordon faces the brutal reality that those you trust the most are the ones you should trust the least… Silent Partner is a fast-paced action thriller that depicts the cutthroat savagery of international politics and organized crime. |
 |
Preventing Partner Violence: Research and Evidence-Based Intervention Strategies by Daniel J. Whitaker (Editor), John R. Lutzker (Editor) In the past 30 years, the study of intimate partner violence (IPV) has advanced considerably. Previously, IPV was conceptualized narrowly as male physical violence against women due to a need for dominance. Now, experts realize that a variety of factors are associated with IPV and that IPV takes many forms--from verbal abuse or slapping to highly violent physical abuse or rape. In addition, research shows that women are often the perpetrators of IPV. As a result, IPV interventions have shifted over time from gender-focused interventions to gender-neutral interventions, with an emphasis on empirical evidence. Preventing Partner Violence presents a comprehensive overview of the most up-to-date research on IPV. Leading experts in the field cover a large range of topics, including... |
 |
Crime Partners Starring: Steve Porcelli, Snoop Dogg, Clifton Powell, Jeanette Branch, Chino XL Directed By: J. Jesses Smith Small time gangstas Billy Goode (Tyrin Turner) and Jackie Williams (John Bryant) are fed up with their work going unrecognized. So when a ruthless underworld crime boss with a twisted vision of justice contracts them to handle a high profile hit, it is bad news for Harlem. In the realm of Training Day and Belly, Crime Partners is relentless and action packed. Also starring Snoop Dogg, Ice-T and Ja Rule. |
| © 2009 BrightSurf.com |