









Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
The impact of domestic violence (dv) on primary health care services in indonesia, focusing on the experiences and intersubjective realities of health care professionals (hcp). The study argues that understanding the integral consciousness of hcp is crucial for constructing an integrative intervention to develop their responsiveness to dv. Research questions, methodology, and findings.
What you will learn
Typology: Slides
1 / 15
This page cannot be seen from the preview
Don't miss anything!
DV
insidence & impact
women childre
n
stat
e
IMPORTANT! preventing domestic violence, rather than just
treating its consequences
CONDITION IN INDONESIA
Started in mid of 90s: health sector involves
in handling DV cases
Consentrates on tertiary prevention: dealing
with the impact on women’s physical health
& medicolegal (visum et repertum)
Secondary prevention of DV is still new ideas,
eventhough Department of Health have
produced books related to this issue (the
concept as well as what & how to do
secondary prevention)
4
5
HEALTH sector
Crucial & Strategic
Prevention function
Individual HCP
Structural
Constraints
Early detection
Personal &
Social Barriers
Systemic
barriers
Impact Med.training
Professional
Socialization and the
Intergenerational
Transmission of
Abuse.
Efek Teori
Medicalization of
Social Problems
Limitations of Mental
Health Models.
Inadvertent
Retraumatization
Changing Theory and
Incorporating Context
global economic
pressures
standard of care:
symptomatic
reduction
Medical based
referral network
Silent
patient
Integral Psychology
(Ken Wilber, 2000a, 2000b)
interior exterior
individual
collective
collectiv
e
individual
interior exterior
“it”
Behavior & Organism
Behavioral
Self &
Consciousness
(intentional)
“We”
Culture & World view
“its”
Social system & environment
RESEARCH QUESTIONS
Does the experience of violence in HCP’s subjective
awareness and intersubjective awareness about
domestic violence and patient-victim of DV influence
the ways in which they responds to patient-victim of
DV when they encounter them
I argue that only by understanding the integral notion
of subjective consciousness of medical professionals,
their inter-subjective realities, we can construct an
integrative intervention to develop responsiveness of
the HCP services to domestic violence
LISTENING GUIDE ANALYSIS
As HCP:
strongest
memory of
patient–victim
Observation:
cases of
colleagues:
structural
violence & victim
of DV
Experience in
education
Experience in
the family:
Core Family
Parent’s In-
law
Parent
Type of V
activate the
process of
identifying
Victim of
Participan
t
Responds
Pattern
Physical
respond
judging:
perpetrator –
victim’s relation
Individual’s
characteristic &
contributions
other people (who,
how)
colleague &
superior responds
position of SELF
Violence
(what,
tolerance,
level of
seriousness
Gender
(roles,
traits,
nature)
Power
relation
Familialism
Work
place
Family
Education
curricullu
m
society
indications of
conflict, inter-intra
sphere dissonance,
traumatic experience
one’s existence
Familialism ideology very strong stir their personal & family life
influenced their implicit theory and responds tolerate DV
limitized their respond to empower the patient
Dominant responds tend to escalating danger: trivializing &
minimzing the abuse, blaming victim & not respecting patient’s
autonomy (giving prescriptive responds)
there is no institutional support related to their safety nor
building their capacity to be able to responds
instead the following norms are still strong: “5minutes/patients”,
“preserve good image of HCP as well as Puskesmas”, “curing
perspective”
Necessary conditions for HCP
willingness: Secondary
Prevention : clarity of
Intervention to the
System of Puskesmas :