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    Domestic Violence and Health Care: Opening Pandora¿s Box ¿ Challenges and Dilemmas

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    Publication date
    2005-08
    Author
    Lavis, Victoria J.
    Horrocks, Christine
    Kelly, Nancy
    Barker, V.
    Keyword
    Discourse
    Domestic abuse
    Health care response
    Intimate partner violence
    Medical model
    Medicalisation
    Relational change
    Subject positions
    Domestic violence
    Rights
    The final, definitive version of this paper has been published in Feminism and Psychology. Vol. 15, No. 4, pp.441-460 by SAGE Publications Ltd. All rights reserved. © 2005 SAGE Publications Ltd.
    Peer-Reviewed
    Yes
    
    Metadata
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    Abstract
    In this article we take a critical stance toward the rational progressive narrative surrounding the integration of domestic violence within health care. Whilst changes in recent UK policy and practice have resulted in several tangible benefits, it is argued that there may be hidden dilemmas and challenges. We suggest that the medical model of care and its discursive practices position women as individually accountable for domestic violence-related symptoms and injuries. This may not only be ineffective in terms of service provision but could also have the potential to reduce the political significance of domestic violence as an issue of concern for all women. Furthermore, it is argued that the use of specific metaphors enables practitioners to distance themselves from interactions that may prove to be less comfortable and provide less than certain outcomes. Our analysis explores the possibilities for change that might currently be available. This would appear to involve a consideration of alternative discourses and the reformulation of power relations and subject positions in health care.
    URI
    http://hdl.handle.net/10454/2551
    Version
    Accepted Manuscript
    Citation
    Lavis, V., Horrocks, C., Kelly, N. and Barker, V. (2005). Domestic violence and health care: opening Pandora's box, challenges and dilemmas. Feminism and Psychology. Vol. 15, No. 4, pp.441-460.
    Link to publisher’s version
    http://fap.sagepub.com/cgi/content/abstract/15/4/441
    Type
    Article
    Collections
    Health Studies Publications

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