Domestic Violence - Hamberger Flashcards Preview

M2 Neuro/Psych > Domestic Violence - Hamberger > Flashcards

Flashcards in Domestic Violence - Hamberger Deck (12):
1

 

What is intimate partner violence?

 

What are the four ways in which it can manifest?

 

Assaultive behaviors that function to dominate, control or punish a partner in what is supposedly an equal relationship

 

Physical violence

Sexual violence

property/pet destruction

Psychological battering

2

 

Who is a woman most likely to be raped by?

 

What percentage of women will be sexually assaulted in their lifetime?

 

Someone they are in love with (46%)

 

22% of all women, 16.9% by a partner

3

 

What are differences between violence against men and violence against women?

 

The perpetrator

Women are more likely to be attacked by a partner (64%); men are more likely to be attacked by a stranger (84%) 

 

Co-morbidities

Women are more likely to experience physical injury, psychological injury than men

4

 

Which gender mostly attacks men?

 

How does sexual preference affect intimate partner violence?

 

 

 

Men are typically attacked by other men

 

Homosexual couples experience equal rates of intimate partner violence; bisexual individuals experience higher rates.  

5

 

Women in violent relationships are more likely to have hospitalizations than women who are not.  True or False?

 

Facial and head injuries are more characteristic of abuse than of car crashes or falls.  True or False?

 

Women in abusive relationships are more likely to have psychological problems, including depression.  True or False?

 

True

 

True

 

True

6

 

What are common presentations of intimate partner violence?

 

 

Depression

Anxiety

Alcohol/Drug abuse

Sexual dysfunction

Child behavioral problem

High blood pressure

7

 

How can intimate partner violence affect health?

 

Increased risk of chronic disease, especially if witnessed as a child.

 

Sleep disruption

Increased sickness

Depression

8

 

What problems can be barriers to treatment for partner violence?

Patient:

Lack of trust in provider

Safety jeopardized

Financial support jeopardized

Shame

Resignation/sense of futility

Provider:

Lack of knowledge

Fear of offending patient

lack of training

9

 

How should IPV screening be approached?

 

What questions should be asked?

 

Approach it as 'prevention and safety,' Think of it as asking about sexual preference, can be invasive, but important information!

 

Have you been hit, kicked, etc by someone in the past year?  If so by whom?

Do you feel safe in your current relationship?

Is a partner from a previous relationship making you feel unsafe?

10

 

If screening for IPV is positive, how should interviewing proceed?

 

What makes an interview question effective?

 

Start with open ended questions and move to specific behaviors.

 

Asks about specific behaviors

Avoids charged terms like 'abuse' 'violence' 

Asks about responses to violence

Avoids asking 'why it happened'

11

 

What is the medically appropriate response to intimate partner violence?

 

SOS DOC

 

Support

Options

Safety

DOCument 

 

When documenting, use rulers, take pictures, and include victim's face 

12

 

What are common pitfalls doctors face when treating patients with IPV?

 

Frustration at patient

- denial

-revolving door syndrome

- magnitude of the problem

 

Denial of service

- too helpless

- not my area

- opening pandora's box