‘You certainly don't go back to the doctor once you've been told, “I'll never understand women like you.”’ Seeking candidacy and structural competency in the dynamics of domestic abuse disclosure

Mackenzie, M. , Gannon, M., Stanley, N., Cosgrove, K. and Feder, G. (2019) ‘You certainly don't go back to the doctor once you've been told, “I'll never understand women like you.”’ Seeking candidacy and structural competency in the dynamics of domestic abuse disclosure. Sociology of Health and Illness, 41(6), pp. 1159-1174. (doi: 10.1111/1467-9566.12893) (PMID:31001866)

Abstract

A reticence on the part of women to disclose domestic abuse (DA) to family doctors, allied to front‐line responses that do not always reflect an understanding of the structure and dynamics of DA, hampers the provision of professional support. Using data from 20 qualitative interviews with women who have experienced DA, this paper explores their discourse about interacting with family doctors. It is the first study to explore firsthand accounts of these interactions through Dixon Woods’ lens of candidacy. It finds disclosure to be inherently dynamic as a process and expands the candidacy lens by considering the: (i) conflicting candidacies of victims and perpetrators; (ii) diversionary disclosure tactics deployed by perpetrators and, (iii) the potential role of General Practitioner (GPs) in imagining candidacies from a structural perspective. By exploring the dynamics of disclosure through the concept of ‘structural competency’ it finds that in encounters with women who have experienced abuse GPs ineluctably communicate their views on the legitimacy of women's claims for support; these in turn shape future candidacy and help‐seeking. Greater GP awareness of the factors creating and sustaining abuse offers the potential for better care and reduced stigmatisation of abused women.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Gannon, Ms Maria and Mackenzie, Professor Mhairi
• Authors: Mackenzie, M., Gannon, M., Stanley, N., Cosgrove, K., and Feder, G.
• College/School: College of Social Sciences > School of Social and Political Sciences > Urban Studies
• Journal Name: Sociology of Health and Illness
• Publisher: Wiley
• ISSN: 0141-9889
• ISSN (Online): 1467-9566
• Published Online: 18 April 2019
• Copyright Holders: Copyright © 2019 Foundation for the Sociology of Health & Illness
• First Published: First published in Sociology of Health and Illness 41(6):1159-1174
• Publisher Policy: Reproduced in accordance with the copyright policy of the publisher

Project Code	Award No	Project Name	Principal Investigator	Funder's Name	Funder Ref	Lead Dept
64838	1	Police to Primary Care - Testing the feasibility and acceptability of a high risk domestic abuse notification pilot	Mhairi Mackenzie	Office of the Chief Scientist (CSO)	CZH/4/990	SPS - INST. OF HEALTH & WELLBEING