PubMed · 7624700
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V F Parker. 1995. Battered.. https://pubmed.ncbi.nlm.nih.gov/7624700/
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Domestic violence is endemic in U.S. society and is seen in nearly every venue of medical care. A history of abuse should be considered and routinely queried in all women who present for emergency care, should be suspected in any woman who presents with an injury, and should be routinely screened for in primary care settings. Clinical manifestations, suggested diagnostic strategies, obstacles to leaving the abusive relationship, and the barriers that patients face in obtaining and that physicians face in providing optimal care in situations of domestic violence are discussed. Physicians can play a pivotal role in primary prevention, early intervention, and follow-up care during and after an episode of intimate partner violence. Clinical competence in the treatment and prevention of family violence is an important component of the new agenda for health care, particularly in generalist fields such as general internal medicine.
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Many women who are victims of battered-spouse syndrome are unable to disclose their abuse, yet cannot leave the relationship either. This frustrates health care professionals who want to help them and can lead to tragedy, as it did in the case of an Alberta woman who was recently acquitted of murder after using a battered-woman defence. The psychiatrist who testified at her trial says the challenge for physicians is to be alert for patients who may be victims of battery, and to try to encourage the confidence and self-esteem they need to break free from violently abusive relationships.