Becoming better helpers: rethinking language to move beyond simplistic responses to women experiencing intimate partner violence

Wilson, Denise; Smith, Rachel; Tolmie, Julia; Haan, IA De

doi:10.26686/pq.v11i1.4529

Cited by 17 publications

(20 citation statements)

References 7 publications

(12 reference statements)

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“…Barriers to seeking formal assistance reported by women include, for example, fear of repercussions from their partner, lack of trust, lack of confidentiality, fear of their children being removed, fear of deportation, potential loss of financial security (eg, if their partner is jailed), self-blame, feeling stigmatized, and the desire to not bring shame to themselves and their family [19,23-27]. Some women may have disclosed abuse in the past but received a response that minimized their abuse, was judgmental (victim blaming), or gave simplistic advice to leave their partner [28]. Barriers to effective help seeking are compounded when women experience multiple inequities.…”

Section: Introductionmentioning

confidence: 99%

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Koziol‐McLain¹,

McLean²,

Rohan³

et al. 2016

J Med Internet Res

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BackgroundAutomated eHealth Web-based research trials offer people an accessible, confidential opportunity to engage in research that matters to them. eHealth trials may be particularly useful for sensitive issues when seeking health care may be accompanied by shame and mistrust. Yet little is known about people’s early engagement with eHealth trials, from recruitment to preintervention autoregistration processes. A recent randomized controlled trial that tested the effectiveness of an eHealth safety decision aid for New Zealand women in the general population who experienced intimate partner violence (isafe) provided the opportunity to examine recruitment and preintervention participant engagement with a fully automated Web-based registration process. The trial aimed to recruit 340 women within 24 months.ObjectiveThe objective of our study was to examine participant preintervention engagement and recruitment efficiency for the isafe trial, and to analyze dropout through the registration pathway, from recruitment to eligibility screening and consent, to completion of baseline measures.MethodsIn this case study, data collection sources included the trial recruitment log, Google Analytics reports, registration and program metadata, and costs. Analysis included a qualitative narrative of the recruitment experience and descriptive statistics of preintervention participant engagement and dropout rates. A Koyck model investigated the relationship between Web-based online marketing website advertisements (ads) and participant accrual.ResultsThe isafe trial was launched on September 17, 2012. Placement of ads in an online classified advertising platform increased the average number of recruited participants per month from 2 to 25. Over the 23-month recruitment period, the registration website recorded 4176 unique visitors. Among 1003 women meeting eligibility criteria, 51.55% (517) consented to participate; among the 501 women who enrolled (consented, validated, and randomized), 412 (82.2%) were accrued (completed baseline assessments). The majority (n=52, 58%) of the 89 women who dropped out between enrollment and accrual never logged in to the allocated isafe website. Of every 4 accrued women, 3 (314/412, 76.2%) identified the classified ad as their referral source, followed by friends and family (52/412, 12.6%). Women recruited through a friend or relative were more likely to self-identify as indigenous Māori and live in the highest-deprivation areas. Ads increased the accrual rate by a factor of 74 (95% CI 49–112).ConclusionsPrint advertisements, website links, and networking were costly and inefficient methods for recruiting participants to a Web-based eHealth trial. Researchers are advised to limit their recruitment efforts to Web-based online marketplace and classified advertising platforms, as in the isafe case, or to social media. Online classified advertising in “Jobs–Other–volunteers” successfully recruited a diverse sample of women experiencing intimate partner violence. Preintervention recruitment data provi...

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Section: Introductionmentioning

confidence: 99%

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Koziol‐McLain¹,

McLean²,

Rohan³

et al. 2016

J Med Internet Res

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View full text Add to dashboard Cite

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“…Health system responses to family violence in Aotearoa New Zealand have traditionally been founded on an empowerment framework that relies on victims who have already sought help from health care services to subsequently be responsible for seeking further help from family violence services (Wilson, Smith, Tolmie, & de Haan, 2015). This response fits with the neoliberal discourse of individualistic self-management (Beddoe & Keddell, 2016;Woodall, Warwick-Booth, & Cross, 2012).…”

Section: Thinking About Intimate Partner Violencementioning

confidence: 99%

Thinking differently: Re‐framing family violence responsiveness in the mental health and addictions health care context

Short¹,

Cram²,

Roguski³

et al. 2019

Int J Mental Health Nurs

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Aotearoa New Zealand’s high rates of intimate partner violence (IPV) and child abuse and neglect point to a clear need to develop and resource equitable mental health and addiction practices that are responsive both to people experiencing and using violence, and to their families. Current responses to IPV in mental health and addiction settings in Aotearoa New Zealand require a critical re‐framing, from an individualistic autonomy and empowerment framework that constrains practitioners’ practice, to an understanding IPV as a form of social entrapment. Using a composite story constructed from 28 in‐depth New Zealand family violence death reviews, we highlight current problematic practice and discuss alternative responses that could create safer lives for people and families. Re‐framing IPV as a form of social entrapment acknowledges it as a complex social problem that requires collective steps to secure people’s safety and well‐being. Importantly, a social entrapment framework encompasses interpersonal and structural forms of violence, such as the historical and intergenerational trauma of colonization and links to ongoing structural inequities for Māori (the indigenous people of Aotearoa) in Aotearoa New Zealand.

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“…Therapists also run the risk of colluding with men through an acceptance of men's distorting language and storytelling (Adams, ; Wilson, Smith, Tolmie, & de Haan, ). Guarding against collusion requires, as Adams outlines in detail, a high degree of vigilance and skilled interventions into men's representation of themselves, their former partners, and the interactions that took place between them.…”

Section: Recognising Parental Loss Caring About Emotional Pain and mentioning

confidence: 99%

A Therapist’s Mandate?: Integrating an Ethics of Care into Custody Law by Recognising and Responding to Post‐separation Parental Loss of Connection with Children

Elizabeth

2019

ANZ J of Family Therapy

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In 1999 Smart and Neale published their seminal book Family Fragments, arguing for the replacement of the ethics of justice that currently informs custody law and practice with an ethics of care. Recognising loss is one of four principles they identify as being key to care-based processes for managing post-separation parenting arrangements. Here they had in mind the non-resident fathers in their study, who were often anxious, angry, and resentful about their diminished fatherhood. Yet gender-neutral custody laws and the greater prominence given to shared care across the West means that increasing numbers of separated mothers are also experiencing diminished connections to their children, either by becoming non-resident parents or through shared care arrangements. Research into post-separation fathers' and mothers' experiences of loss and grief in relation to their children is sparse and largely consists of small-scale qualitative studies focusing either on fathers or mothers. Nonetheless, these studies show that the grief talk of post-separated parents is strikingly similar, except that mothers who become non-resident parents commonly talk about a sense of stigma and shame, while fathers are more likely than mothers to resort to the language of anger and rights. Despite Smart and Neale's call roughly 20 years ago, custody law systems across the West continue to neglect parents' need for recognition and support. This paper seeks to rectify this social neglect through describing a dual program of therapeutically informed interventions with separated mothers and fathers. This is designed to recognise and respond to parental loss and grief experiences, whilst simultaneously fostering personal self-reflexivity and transformation. The latter is no easy task but is frequently an essential basis for workable co-parenting post-separation.

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Becoming better helpers: rethinking language to move beyond simplistic responses to women experiencing intimate partner violence

Cited by 17 publications

References 7 publications

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Thinking differently: Re‐framing family violence responsiveness in the mental health and addictions health care context

A Therapist’s Mandate?: Integrating an Ethics of Care into Custody Law by Recognising and Responding to Post‐separation Parental Loss of Connection with Children

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