Gewalt gegen Frauen als Trauma für Kinder (German Edition)

In addition, details of the medical history such as, e. The following details of the incident place, time and nature of assault can be given as free texts. Examination and collection of evidence are divided into six sections. For each section the examination kit contains a labelled package unit with the appropriate securing means. For the data analysis 33 items were acquired.

In the emergency department a first-aid certificate is made out for each and every patient. Further details about the patient as well as admission and discharge times are entered here. Since not only ethical but also practical reasons do not allow an additional questioning of the patients, two items recorded in the MFF are used as surrogate parameters of patient satisfaction firstly, short waiting time for the patient; secondly, examination by female physicians.

These questionnaires contained items on field of activity, gender, and professional experience of the recipients. Personal opinions of various aspects of the care situation measured with five- or four-point ordinal scales were addressed in eight questions. In two of the questions concrete criticisms could be expressed as free texts.

These answers were sorted into thematic groups for the evaluation. Routine data were used exclusively. The ages of the patients ranged between 16 and 92 years average age: Eight forms did not include all the necessary details. In most of the cases the reported assault took place at the weekend; Table 3 presents an overview of the injuries to the assaulted women as documented in the MFF.

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In more than half of the cases Altogether over half of the patients Evidence was secured by means of a smear test from the body of the victim in almost all cases Because of the in part high personnel fluctuation in the emergency departments and the only sporadic utilisation of the emergency departments by victims of sexual violence, the total number of users of the kit in the investigated period cannot be given. The response rate for the medical staff of the gynaecology departments was Different opinions were also seen for the question if the work with victims of sexual abuse also led to mental distress even outside of working hours: Two thirds of the participants expressed the wish for supportive measures such as supervision and further training.

Sexual violence is a major health-care political problem world-wide. The first contact with the health-care system paves the way for the further courses — not only for the salutogenesis of the victim but also for the forensic processing. First of all, two possible surrogate parameters for patient-friendly treatment should be mentioned.

The long waiting times for the patients of about 1 hour on average can be explained by the generally high patient volume in the emergency departments and the usual priority-setting; patients were triaged on the basis of the Manchester triage system MTS , and were then treated according to urgency. Thus, life-threatening diseases and the classical somatic emergencies are treated first. The long overall management and treatment times arose, among others, due to additional consultations or complicated examination conditions for patients with diminished vigilance, for example, after drug consumption or those in poor mental states that required additional expenditure of time.

The relatively low number of post-exposure prophylactic PEP measures is due to the fact that here only the treatments primarily performed by the gynaecologists are presented. The results of later consultations in the departments of inner medicine or infectiology are often not included in the present statistics. Examinations by a physician of the same sex as a second surrogate parameter could only be realised in a little more than half of the cases. This is due, among other things, to the way the question is posed in the MFF.

Considering the importance of an adequate and empathic primary care for victims of sexual violence, a calm and secure environment for the examination of victims should be aimed for. However, for organisational reasons this is difficult to achieve in a hospital emergency department. An improvement in patient-oriented care could be realised by personnel changes with regard to the guaranteed provision of medical staff of the same gender as the victim.

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Furthermore, less time pressure would certainly have a positive effect on the empathy of the treating personnel and thus on the trusting relationship between the physician and the patient as well as that between nursing staff and patient. This argues in favour of — even if it is not easy to achieve organisationally — a duty rostering that takes the victims of sexual violence as a patient group into consideration from the outset.

Against the background of the ever increasing overcrowding of emergency departments 13 with, in part, critical care situations for life-threatened patients such special provisions are, however, less realistic. The emotional challenges and worries about the victims after they have left the outpatient department were burdens for most of the participants The health-care situation is examined from various aspects by evaluation of the medical findings form MFF , complemented by a survey of the involved personnel.

However, this is still a monocentric survey one hospital, three locations. On account of the high fluctuation, the entire medical and nursing staff of the emergency departments could not be included here and a selection effect cannot be discounted.

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The involved female patients were not asked to evaluate the health-care situation for ethical and practical reasons. In the framework of patient-centred health-care without time pressure and long waiting times, however, beside the regular guarantee for medical personnel of the same sex, the increased expenditure of time for the care of victims of sexual abuse should be taken into consideration in the duty rosters of the treating personnel.

In its place, the now established procedure could be coupled to a comprehensive legal clarification for the affected women with a low threshold and the offer of a so-called confidential securing of evidence which has now also been possible in Berlin since July 1, In future, attention should also be directed to psychosocial care of the victims. We are especially grateful to Ms. Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events.

Psychological Bulletin, 2 , — Intervention with children of battered women: A review of current literature. Children and Youth Services Review, 19 4 , The invention of mental illness. Journal of Constructivist Psychology, 20 4 , An exercise book for body and soul]. Prevalence study of domestic violence victims in an emergency department.

Annals Emergency Medicine, 27 6 , — Sexuelle Gewalt gegen Jungen.

Dunkelfelder [Sexual violence against boys. Incest in the lives of girls and women. Diagnosis and treatment of severe violence and neglect]. Methodological basis of a culture-specific coping approach. Violence and Victims, 23 3 , — Posttraumatic stress disorder of abused women]. Psychotherapeut, 47 2 , 90— Full report of the prevalence, incidence, and consequences of violence against women.

National Institute of Justice. Umgang mit Gewalt in Paarbeziehungen und mit sexueller Gewalt gegen Frauen. WHO clinical and policy guidelines]. A critical review of coping theories for disaster contexts. A new view of schizophrenia. Journal of Abnormal Psychology, 86 2 , — User Username Password Remember me.

Keywords AI Black Lives Matter Community psychology, curriculum, reflection, criticality, decoloniality Critical Consciousness, Relationality, Emotions, Sense of Community, Iran Filipino-Canadian Teacher evaluation, Globalization, Resilience, Quality teaching, Socio-cultural context, Greek teachers acculturation framework community community psychology educational policy, caste inequality, university community globalization measurement motivation political polarization qualitative social justice social networks social relationships social theory sociopolitical control structural violence.

Abstract In , a representative study on violence against women was published for the first time in Germany and demonstrated its large extent.

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Affected women have to deal with manifold health consequences. Violence mostly takes place in the domestic sphere. It is usually the male partner who commits violence disclosing strucutal gender inequalities that continue to exist. In this article, I review the psychological effects of violence in intimate relationships from a clinical and critical perspective.