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Ch. 11 domestic violence Questions and Answers
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Ch. 11 domestic violence
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Ch. 11 domestic violencewhat are personal and social barriers related to domestic violence? - answer1.
healthcare theoretical framework, training process, and changing clinical practice
2. Psychological impact of gender socialization, traumatic effects of social
disenfranchisement, and ways in which the denial of intolerable feelings can shape our
perceptions and lead to protectively rationalized ways of viewing ourselves, others, the
world
3. Clinicians absorb a range of societal views regarding gender and power, around
which their own identities are constructed
4. Doctors listening to patients describe violence in their lives can have a negative
social impact on a provider
how is healthcare framework and training a social barrier to domestic violence -
answerMajority of healthcare professionals have not learned about domestic violence
during their training
-More recent trainees have been exposed to the topic during graduate and
postgraduate years
-But the amount of time devoted to domestic violence is limited
-"Clinical" responses (attitudes) are shaped by an interplay of a physician's own
personal experiences and social, cultural, religious beliefs (all interpret how we respond
to events
-Step beyond the traditional paradigm of we see, diagnose, treat
how is gender socialization a social barrier related to domestic violence - answer-
Paternal society leads to women being victims
-Constructs our identities
-Ex: psychological need to protect ourselves from certain feelings can solidify into
beliefs and values that may then appear as givens to us
how do clinicians range of societal views serve as a social barrier for domestic violence
- answerAssumptions often permeate our own culture and provide and unconscious
backdrop through which we understand our/other experiences
how does doctors listening to patients describe violence in their lives serve as a social
barrier for domestic violence - answer-When doctors are not trained to deal with
psychological trauma, they are forced to rely on their own capacities to address the
issue
-Also, given prevalence of gender based violence, significant amount of doctors will
have experienced/witnessed domestic violence in their own life
-Can be reluctant to have their own painful experiences evoked while trying to work
, t or f: domestic violence is a public health issue - answertrue
how is healthcare making progress with domestic violence - answer1. guidelines for
treatments now exist
2. initiatives include awareness, guidelines and strategies
3. ACA requires screening and counseling coverage
what are systematic barriers to domestic violence - answer1. impact of medical training
2. professional socialization
describe the impact of medical training on domestic violence - answer-Gaps in medical
education
Lax in equipping doctors to deal with difficult social and personal issues
Process of professional socialization may actually diminish their capacity to respond
Pain, anger, frustration, sadness are common responses to hearing about abuse
-Without specific training, many clinicians deals with these situations through techniques
designed to protect and distance themselves from stressful encounters
-May choose to stay away from domestic violence because they do not feel competent
May focus on problem they can control the outcome of
Time pressure (Time only magnifies difficulties)
describe professional socialization and the intergenerational transmission of abuse -
answer-Abusive training environments might also affect a clinician's abilities to deal with
abuse among women
-Medical training can be physically publishing, emotionally draining, socially isolating
-Students/staff reorient their identities in terms of medicine's values, to internalize its
constructs and judge themselves by its terms
Thus, medical training itself can create some of the same dynamics as abuse
-Structure of medicine is hierarchical: reflects gendered power arrangements of society
-Sexual harassment and gender discrimination are common among female doctors
-Difficult to empathize with those who are abused because of inability to recognize
abuse in their own lives
-The need to maintain a sense of power and control in order to be recognized as
competent within that system and the pressure to avoid feelings that arise when one
cannot do so reinforce this dynamic on individual and systemic levels
-Shift from a problem-centered diagnosis to a more complex model is needed
-Process of professional socialization within current structure of medicine serves as a
vehicle for intergenerational transmission of abuse
professional socialization - answerprocess through which people learn, during their
education and training, the skills, knowledge, values, behaviors and attitudes needed to
take up their professional role
there is often a connection between ___ problems and clinical diagnosis - answersocial
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