'You certainly don't go back to the doctor once you've been told, "I'll never understand women like you."' Seeking candidacy and structural competency in the dynamics of domestic abuse disclosure
'You certainly don't go back to the doctor once you've been told, "I'll never understand women like you."' Seeking candidacy and structural competency in the dynamics of domestic abuse disclosure
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DOI：
10.1111/1467-9566.12893
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发表时间：
2019-07-01
影响因子：
2.9
通讯作者：
Feder, Gene
中科院分区：
文献类型：
--
作者：
Mackenzie, Mhairi;Gannon, Maria;Feder, Gene
妇女不愿向家庭医生透露家庭虐待情况，加上一线的反应并不总是反映出对家庭虐待的结构和动态的了解，这妨碍了提供专业支助。使用数据从20定性访谈的妇女谁经历了DA，本文探讨了他们的话语与家庭医生互动。这是第一个通过狄克逊伍兹的候选人透镜来探索这些互动的第一手资料的研究。它发现披露是一个内在的动态过程，并扩大候选人的透镜考虑：（一）受害者和肇事者的候选人冲突;（二）转移披露策略部署肇事者，（三）全科医生（GP）在想象候选人的潜在作用，从结构的角度来看。通过探索动态披露的概念，“结构能力”，它发现，在遇到的妇女谁经历过虐待的全科医生不可避免地传达他们的意见，对妇女的支持索赔的合法性，这些反过来又塑造未来的候选人资格和寻求帮助。全科医生对造成和维持虐待的因素有了更多的认识，这就有可能提供更好的护理，减少对受虐待妇女的污名化。
A reticence on the part of women to disclose domestic abuse (DA) to family doctors, allied to front-line responses that do not always reflect an understanding of the structure and dynamics of DA, hampers the provision of professional support. Using data from 20 qualitative interviews with women who have experienced DA, this paper explores their discourse about interacting with family doctors. It is the first study to explore firsthand accounts of these interactions through Dixon Woods' lens of candidacy. It finds disclosure to be inherently dynamic as a process and expands the candidacy lens by considering the: (i) conflicting candidacies of victims and perpetrators; (ii) diversionary disclosure tactics deployed by perpetrators and, (iii) the potential role of General Practitioner (GPs) in imagining candidacies from a structural perspective. By exploring the dynamics of disclosure through the concept of 'structural competency' it finds that in encounters with women who have experienced abuse GPs ineluctably communicate their views on the legitimacy of women's claims for support; these in turn shape future candidacy and help-seeking. Greater GP awareness of the factors creating and sustaining abuse offers the potential for better care and reduced stigmatisation of abused women.