Talking matters: Abused women's views on disclosure of partner abuse to the family doctor and its role in handling the abuse situation
Abstract
Objective We aimed to explore what women valued most in disclosing partner abuse to their doctor and whether disclosure played a role in handling their abuse situation.Methods A qualitative method was used to understand abused women's views and experiences with disclosure to their family doctor. Thirty-six women were interviewed within 4 weeks after disclosure to their family doctor.Results Most women went to see the doctor for some medical complaint, and only three women planned to disclose the abuse. Twenty-five women valued most their doctor's communicative approach with empathy or empowering and nine women valued most the instrumental approach. Eight women of the latter group wanted this combined with a communicative approach. After disclosure to the family doctor, a group of women (n=20) perceived a real change in their possibilities to handle their situation. They appeared to be in a position we named: 'in transition', a state in which they started or continued a process of change. Another group of women (n=13) appeared to be in a 'locked-up' position, a state without any prospect on change, feeling out of control and fearing the abuser. Three women reacted reserved towards change.Conclusion A communicative approach, providing empathy and empowerment, is important to women in disclosing partner abuse. More than half of the women perceived possibilities for a change.Practice implications Talking about abuse is an important step in a woman's process of change. Doctors should acknowledge the advantage of their position as a professional confidant and ask women about abuse.
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UK studies show that doctors and nurses rarely ask about abuse, often fail to identify signs of domestic violence and abuse in their patients and may not know how to respond to a disclosure of abuse.
“However, UK studies show that doctors and nurses rarely ask about abuse, often fail to identify signs of DVA in their patients and may not know how to respond to a disclosure of abuse.17,18”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [18]
Women often lack confidence that their primary care doctor or general practitioner can offer help, but those who do disclose abuse value the empathetic communication, validation of their situation and referral for additional help that may follow.
“Women often lack confidence that their primary care doctor or general practitioner (GP) can offer help, but those who do disclose abuse value the empathetic communication, validation of their situation and referral for additional help that may follow.[17][18][19]”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [18]
In line with previous work, the GP or family physician did not play an important role in helping abused women to resolve their problems, but an empathetic consulting style was valued.
“In line with previous work, the GP or family physician did not play an important role in helping abused women to resolve their problems, but an empathetic consulting style was valued.”
From Help‐seeking amongst women survivors of domestic violence: a qualitative study of pathways towards formal and informal support (2016) · cites this paper as [18]
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- Authors
- Lo Fo Wong, S., Wester, F., Mol, S., Römkens, R., Hezemans, D., & Lagro-Janssen, T.
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2008-03
- Volume
- 70
- Issue
- 3
- Pages
- 386-394
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2150562999
- Cited by
- 53
- References
- 43
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 2 · 2021: 2 · 2020: 4 · 2018: 1 · 2017: 1 · 2015: 4 · 2014: 6 · 2013: 8 · 2012: 4
- FWCI
- 3.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Demography › Elder Abuse and Neglect
- Keywords
- intimate partner violence, disclosure of abuse, general practitioners, battered women, physician-patient communication, empathy, empowerment, women's experiences, help-seeking
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Attitude to Health, Clinical Competence, Communication, Empathy, Female, Humans, Middle Aged, Motivation, Netherlands, Physician-Patient Relations, Physician's Role, Physicians, Family, Power, Psychological, Surveys and Questionnaires, Self Disclosure, Spouse Abuse, Battered Women, Self Efficacy, Qualitative Research
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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