2005
DOI: 10.3122/jabfm.18.3.159
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Health Care Workers' Expectations and Empathy toward Patients in Abusive Relationships

Abstract: Purpose: To understand attitudes that may affect health care workers' ability to provide appropriate long-term care for patients who stay with abusive partners.Methods: We surveyed 278 health care workers in 31 primary care practices before their participation in an educational intervention.Results: More than half of participants (51% to 60%) found it easy to empathize with a patient who decided to remain in an abusive relationship if the patient was described as poor or disabled, but few (25% to 39%) could em… Show more

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Cited by 19 publications
(15 citation statements)
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“…Other examples include views concerning what problems are too “small” to warrant attention; counseling messages reinforcing traditional gender roles; and acceptance of IPV under certain circumstances. Our finding of the unfavorable influence of attitudes on physician practices corroborate findings from previous studies (Nicolaidis, Curry, and Gerrity 2005; Garimella et al 2002). Future research, including participant observation, is necessary to delineate physician norms and attitudes, and examine how these influence physician practice to ensure that select groups of women are not being intentionally or unconsciously neglected.…”
Section: Discussionsupporting
confidence: 92%
“…Other examples include views concerning what problems are too “small” to warrant attention; counseling messages reinforcing traditional gender roles; and acceptance of IPV under certain circumstances. Our finding of the unfavorable influence of attitudes on physician practices corroborate findings from previous studies (Nicolaidis, Curry, and Gerrity 2005; Garimella et al 2002). Future research, including participant observation, is necessary to delineate physician norms and attitudes, and examine how these influence physician practice to ensure that select groups of women are not being intentionally or unconsciously neglected.…”
Section: Discussionsupporting
confidence: 92%
“…Some HCPs fail to understand the barriers to leaving and the double binds that compel women to stay in abusive relationships (Nicolaidis, Curry, & Gerrity, 2005; Waalen, Goodwin, Spitz, Petersen, & Saltzman, 2000; Zink, Regan, Goldenhar, Pabst, & Rinto, 2004). For HCPs on the outside looking in, the decisions battered women make can appear inconsistent or irrational, for example, not reporting a violation of a restraining order or returning to the abuser after leaving.…”
Section: Discussionmentioning
confidence: 99%
“…However, society (including adult victims) may find it easier to see how a child did not cause the abuse or how she was powerless to stop it. Primary-care providers themselves admit that they have difficulty empathizing with women who remain in abusive relationships 30. Because of these factors, IPV survivors may have greater fear than survivors of childhood abuse that a mental health symptom or mental health referral may mean that they are crazy, that their provider believes they are crazy, or that their abuser had been right in what he or she said.…”
Section: Discussionmentioning
confidence: 99%