OBJECTIVES. High rates of family violence and low rates of detection, report, and therapeutic intervention by health professionals are well documented. This study was undertaken to determine what factors influence clinicians' decision making about identifying abuse and intervening with victims. METHODS. Survey data about clinicians' experiences with and attitudes toward family violence were gathered by mailed questionnaire from a random sample of practicing clinicians in six disciplines (n = 1521). RESULTS. Data showed similarities within and wide differences among three groups of subjects: dentists/dental hygienists, nurses/physicians, and psychologists/social workers. Overall, a third of subjects reported having received no educational content on child, spouse, or elder abuse in their professional training programs. Subjects with education on the topic more commonly suspected abuse in their patients than those without; among all subjects, spouse abuse was suspected more often than child abuse while elder abuse was suspected infrequently. Significant numbers of subjects did not view themselves as responsible for dealing with problems of family violence. Subjects indicated low confidence in and low compliance with mandatory reporting laws. CONCLUSIONS. There is a need for educators to expand curricula on family violence and for legislators to reexamine mandatory reporting laws.

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Fundamental to obtaining data for qualitatie, fleld-based studies is the relationship between researcher and participant. Although sociological, anthropological, and feminist perspectives have identified some of the concerns that arise when relationships develop in the context of research, the health sciences literature provides limited information for clinicians as researchers, particularly in home settings. This article discusses the multidimensional relationships that developed between researcher and participants during an exploratory study of enrichment processes in family caregiving to frail elders. The data collection processes of intensive interviews and observations revealed the following unintended relationships: stranger-stranger, friend-friend, nurse-client, and guest-host. Suggested are topics for additional discussion regarding the experience of researcher-participant relationships in the home setting.

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