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Exploring the health service response to women experiencing domestic violence in Wakefield: adopting a discursive approachLavis, Victoria J., Horrocks, Christine, Kelly, Nancy 12 1900 (has links)
This report presents the findings of a research study exploring the health service response to domestic violence
within Wakefield. Recent international, national and local research has identified domestic violence as a serious
health care issue resulting in a wide range of long and short term health implications for women1 (Butler, 1995:
Stark and Flitcraft, 1995, 1996: Campbell, 2002). The research highlights the changing face of domestic violence
considering the implications of the recent reframing of domestic violence from a social care issue into an
integrated health and social care issue (Glendinning, 2003). Explored is the impact of such changes for health
policy makers, health professionals and women who having experienced domestic violence then access health
care services in the District. / Eastern Wakefield Primary Care Trust
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Domestic violence and health care: opening Pandora's Box - challenges and dilemmasLavis, Victoria J., Horrocks, Christine, Kelly, Nancy, Barker, V. 08 1900 (has links)
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.
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