Testimonial Smothering and Domestic Violence Disclosure in Clinical Contexts

Episteme ◽  
2021 ◽  
pp. 1-18
Author(s):  
Jack Warman
Keyword(s):  
Public Health ◽  
Domestic Violence ◽  
Recent Work ◽  
Social Epistemology ◽  
Empirical Work ◽  
Health Sciences ◽  
Epistemic Injustice ◽  
Global Public Health ◽  
Personal Histories ◽  
Domestic Violence And Abuse

Abstract Domestic violence and abuse (DVA) are at last coming to be recognised as serious global public health problems. Nevertheless, many women with personal histories of DVA decline to disclose them to healthcare practitioners. In the health sciences, recent empirical work has identified many factors that impede DVA disclosure, known as barriers to disclosure. Drawing on recent work in social epistemology on testimonial silencing, we might wonder why so many people withhold their testimony and whether there is some kind of epistemic injustice afoot here. In this paper, I offer some philosophical reflections on DVA disclosure in clinical contexts and the associated barriers to disclosure. I argue that women with personal histories of DVA are vulnerable to a certain form of testimonial injustice in clinical contexts, namely, testimonial smothering, and that this may help to explain why they withhold that testimony. It is my contention that this can help explain the low rates of DVA disclosure by patients to healthcare practitioners.

scholarly journals EPISTEMIC INJUSTICE IN THE SPACE OF REASONS

Episteme ◽  
2015 ◽  
Vol 12 (1) ◽  
pp. 75-93 ◽  
Author(s):  
Matthew Congdon
Keyword(s):  
Critical Race Theory ◽  
Recent Work ◽  
Social Epistemology ◽  
False Belief ◽  
Epistemic Injustice ◽  
John Mcdowell ◽  
Race Theory ◽  
Space Of Reasons ◽  
Miranda Fricker ◽  
Epistemological Framework

AbstractIn this paper, I make explicit some implicit commitments to realism and conceptualism in recent work in social epistemology exemplified by Miranda Fricker and Charles Mills. I offer a survey of recent writings at the intersection of social epistemology, feminism, and critical race theory, showing that commitments to realism and conceptualism are at once implied yet undertheorized in the existing literature. I go on to offer an explicit defense of these commitments by drawing from the epistemological framework of John McDowell, demonstrating the relevance of the metaphor of the “space of reasons” for theorizing and criticizing instances of epistemic injustice. I then point out how McDowell’s own view requires expansion and revision in light of Mills' concept of “epistemologies of ignorance.” I conclude that, when their strengths are used to make up for each others' weaknesses, Mills and McDowell’s positions mutually reinforce one another, producing a powerful model for theorizing instances of systematic ignorance and false belief.

DOMESTIC VIOLENCE AND OBESITY IN EGYPTIAN WOMEN

2010 ◽  
Vol 43 (1) ◽  
pp. 85-99 ◽  
Author(s):  
KATHRYN M. YOUNT ◽  
LI LI
Keyword(s):  
Public Health ◽  
Body Mass Index ◽  
Domestic Violence ◽  
Sexual Violence ◽  
Pregnant Women ◽  
Health Survey ◽  
Dose Response ◽  
Global Public Health ◽  
Egyptian Women ◽  
Adjusted Dose

SummaryDomestic violence and obesity are global public health problems. This study explores associations of domestic violence and obesity in 5015 ever-married, non-pregnant women aged 15–49 years who took part in the 2005 Egypt Demographic and Health Survey (EDHS). Women's mean body mass index (BMI) was 30.4 kg/m2, and 48% were obese. Thirty-seven per cent reported any prior psychological, physical or sexual domestic violence. Compared with their counterparts, the adjusted odds of being obese were marginally higher among women who reported any prior sexual (aOR=1.31), physical or sexual (aOR=1.18), or psychological, physical or sexual (aOR=1.17) domestic violence. Women who experienced severe or repeated domestic violence – as measured by reported exposure to three or more acts of physical (aOR=1.25), psychological or physical (aOR=1.18), physical or sexual (aOR=1.36), and psychological, physical or sexual (aOR=1.26) domestic violence – had higher adjusted odds of being obese. Marginally significant adjusted dose–response relationships remained between obesity and the number of specific acts of: (1) physical or sexual violence and (2) psychological, physical or sexual domestic violence. Obesity among women in poorer settings like Egypt may partly have its roots in gender subordination, as manifested in women's exposure to multiple acts of domestic violence.

Domestic violence and abuse and mental health

2020 ◽  
pp. 1451-1460
Author(s):  
Louise M. Howard ◽  
Deirdre MacManus
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Partner Violence ◽  
Public Health Problem ◽  
Global Public Health ◽  
Sexual Assaults ◽  
Health It ◽  
Increased Risk ◽  
Domestic Violence And Abuse ◽  
Global Public Health Problem

Domestic violence and abuse (DVA) is a global public health problem, accounting for up to 7% of the overall burden of disease among women, mostly due to its impact on mental ill health. It includes partner violence and violence perpetrated by other family members on adults, and may involve mutual violence or can involve coercive and controlling behaviours. Women are at greatest risk of serious physical and sexual assaults, including being victims of domestic homicide. There is growing evidence that men and women with mental disorders, particularly severe disorders, are at increased risk of being both victims and perpetrators of DVA. Despite barriers to disclosure, psychiatric services are well placed to identify and reduce the risk of future DVA and treat the mental health consequences.

scholarly journals Determinants of Domestic Violence in Women of Reproductive Age in Rwanda

2018 ◽  
Vol 10 (1) ◽  
pp. 101
Author(s):  
Faustin Habyarimana ◽  
Temesgen Zewotir ◽  
Shaun Ramroop
Keyword(s):  
Public Health ◽  
Domestic Violence ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Health Workers ◽  
Public Health Problem ◽  
Reproductive Age ◽  
Wife Beating ◽  
Global Public Health ◽  
Women Of Reproductive Age

Domestic violence is a global public health problem. It is prevalent in both the developed world and developing countries. The objective of this study is to identify the factors that are associated with domestic violence against women of reproductive age in Rwanda. The data from the 2014/2015 Rwanda demographic and health survey were used. Generalized linear mixed model was used to account for random effects, overdispersion of residual and heterogeneity. The findings of this study revealed that wealth quintiles, education level of the husband or partner, polygamy, alcohol status of husband or partner, size of the family, number of sexual partners including the husband in the last 12 months, the province the victim lived in, the ownership of an asset in the form of a house or land and the societal attitude towards wife-beating, were the determinants of domestic violence in women of reproductive age. The findings of the risk factors in the current study can help the policy makers, public health workers and institutions in charge of gender monitoring in Rwanda to come up with effective strategies to reduce the domestic violence levels directed against women. 

scholarly journals Determinants of Domestic Violence in Women of Reproductive Age in Rwanda

2018 ◽  
Vol 10 (1(J)) ◽  
pp. 101-111
Author(s):  
Faustin Habyarimana ◽  
Temesgen Zewotir ◽  
Shaun Ramroop
Keyword(s):  
Public Health ◽  
Domestic Violence ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Health Workers ◽  
Public Health Problem ◽  
Reproductive Age ◽  
Wife Beating ◽  
Global Public Health ◽  
Women Of Reproductive Age

Domestic violence is a global public health problem. It is prevalent in both the developed world and developing countries. The objective of this study is to identify the factors that are associated with domestic violence against women of reproductive age in Rwanda. The data from the 2014/2015 Rwanda demographic and health survey were used. Generalized linear mixed model was used to account for random effects, overdispersion of residual and heterogeneity. The findings of this study revealed that wealth quintiles, education level of the husband or partner, polygamy, alcohol status of husband or partner, size of the family, number of sexual partners including the husband in the last 12 months, the province the victim lived in, the ownership of an asset in the form of a house or land and the societal attitude towards wife-beating, were the determinants of domestic violence in women of reproductive age. The findings of the risk factors in the current study can help the policy makers, public health workers and institutions in charge of gender monitoring in Rwanda to come up with effective strategies to reduce the domestic violence levels directed against women. 

scholarly journals Stigma, prejudice and discrimination in global public health

2012 ◽  
Vol 28 (1) ◽  
pp. 164-169 ◽  
Author(s):  
Richard Parker
Keyword(s):  
Public Health ◽  
Political Process ◽  
Empirical Work ◽  
Global Public Health ◽  
Health It ◽  
Health And Human Rights ◽  
Prejudice And Discrimination ◽  
Relations Of Power ◽  
The Impact ◽  
The Relationship

This article reviews the development of international research on the relationship between discrimination and health. It provides an overview of theoretical and empirical work on stigma and prejudice and their impact on discrimination and health. It argues that the literature on these issues has drawn primarily from social psychology and has focused on the impact of attitudes associated with stigma and prejudice on discriminatory practices and consequently health outcomes. It also identifies a growing trend in recent research towards a reconceptualization of stigma, prejudice and discrimination from the perspective of social inequality and structural violence, highlighting relations of power and exclusion that reinforce vulnerability within a complex social and political process. It concludes by briefly examining the ways in which this reconceptualization of discriminatory practices has generated a growing interest in the linkages between health and human rights and renewed interest in health and social justice; two major trends in the field of global public health.

Life Lessons of the Pandemic ”Covid - 19”

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 469-471 ◽  
Author(s):  
Bhagyashri Vijay Chaudhari ◽  
Priya P. Chawle
Keyword(s):  
Public Health ◽  
Review Article ◽  
Public Health Emergency ◽  
The Novel ◽  
Global Public Health ◽  
Strange Situation ◽  
Republic Of China ◽  
Lifetime History ◽  
The People ◽  
Life Lessons

“A lesson learned the hard way is a lesson learned for a lifetime.” Every bad situation hurts; however, it sure does teach us something a lesson. In the same manner of a new lesson for Human lifetime, history is observing 'The Novel COVID-19 ’, a very horrible and strange situation created due to fighting with a microscopic enemy. WHO on 11 February 2020 has announced a name for new disease as - 19 and has declared as a global public health emergency and subsequently as pandemic because of its widespread. This began as an outbreak in December 2019, with its in Wuhan, the People Republic of China has emerged as a public health emergency of international concern. is the group of a virus with non-segmented, single-stranded and positive RNA genome. This bad situation of pandemic creates new scenes in the life of people in a different manner, which will be going to be life lessons for them. Such lessons should be kept in mind for the safety of living beings and many more things. In this narrative review article, reference was taken from a different article published in various databases which include the view of different authors and writers on the "Lessons to be from Corona".

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