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'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.

Authors :
Mackenzie, Mhairi
Gannon, Maria
Stanley, Nicky
Cosgrove, Katie
Feder, Gene
Source :
Sociology of Health & Illness. Jul2019, Vol. 41 Issue 6, p1159-1174. 16p.
Publication Year :
2019

Abstract

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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
01419889
Volume :
41
Issue :
6
Database :
Academic Search Index
Journal :
Sociology of Health & Illness
Publication Type :
Academic Journal
Accession number :
137359156
Full Text :
https://doi.org/10.1111/1467-9566.12893