Intimate Partner Violence (IPV): Clinical and Societal Perspectives
Abstract
Intimate Partner Violence (IPV) can have a lasting impact on survivors’ emotional, physical, and psychological wellbeing. IPV is multifaceted and can influence survivors’ interactions across various institutions, including healthcare settings. This PhD project consists of both qualitative and quantitative studies aimed at exploring the clinical and societal perspectives around IPV.
Study #1 sought to explore the discourses around male IPV drawn from a social networking site (Reddit.com). While some areas related to IPV are well researched, studies on male intimate partner violence survivors are limited. The results from study #1 show that male IPV disclosure is a complex process. While some negative responses are present, overall, the responses to disclosure are positive. In addition, the study revealed multiple perceived systemic issues that negatively impact male IPV survivors.
Study #2 examined clinicians’ experiences (attitudes and perceptions regarding IPV and IPV assessment). Findings from previous research indicate musculoskeletal (MSK) injuries are the second most common trauma. As such, it is an important topic for hand therapists (HTs). The study findings show that while HTs agree dealing with IPV is part of their job responsibilities (3.8/5) they reported a neutral level of self-efficacy (2.9/5), perceived system support (3/5), and victim provider safety (3/5). Furthermore, findings indicate that majority of HTs (66%) reported that they had not assessed for IPV in the past 3 months.
Fear of offending the patient was identified from study #2 as being one of the barriers to screening for IPV. As such, study #3 sought explore patient attitudes regarding IPV inquiry in an upper limb extremity clinic. The findings indicate a majority of patients felt that neither they nor other people would be offended by IPV inquiry. However, a substantial minority felt that other people would be offended by IPV inquiry.
The results of this PhD project have implications for both rehabilitation practice and further research. Public awareness programs aimed at society, clinicians, and policy makers is imperative for fostering an environment in which conversations around male IPV victimization can take place without shame or stigma. Additionally, the results indicate the need to evaluate currently available services to males who have disclosed their sexual abuse histories to ensure their needs are effectively met. Further research on IPV assessment in the rehabilitation context is needed to ensure that needs of both male and female IPV survivors are adequately met.