Starting the conversation
Even if you suspect abuse might be occurring, it can still be difficult to bring up it up. Many professionals have reported feeling reluctant to ask patients about DVA. However, the evidence suggests that patients are not offended when asked. And for those who have experienced DVA, this could be an important first opportunity to disclose their experiences. In this article, we’ll explore how to start a conversation about DVA.
Start with an open mind
Some women who have experienced IPV have reported that healthcare professionals did not demonstrate compassion or concern for their situation (Yam, 2000). A lack of empathy and attentiveness are real barriers for identifying DVA and affect the victim’s ability and willingness to disclose their experiences.
The victim may already be experiencing feelings of shame, embarrassment, helplessness and hopelessness. Therefore, it is vital that they are not subjected to prejudiced, patronising or pressurising behaviour.
The first step in starting a conversation about DVA is to make sure you have an open mind and a non-judgemental attitude.
Conversation starters
If you think someone in your care may be experiencing DVA, you should not be afraid to ask them about it. The way you approach the subject will depend on how well you know them and what signs and symptoms you have observed.
Some example conversation starters include:
- How are things at home?
- Is there anything else happening that may be affecting your health?
- You seem anxious. Is everything all right at home?
- When I see injuries like this, I wonder if someone could have hurt you?
- Is there anything else that we haven’t talked about that might be contributing to this condition?
Even if you suspect DVA is happening, the victim may still deny it. It is important to remember that opening up is not easy and it can take some time for the victim to gather the courage to disclose their experiences. You may have to try several times before they will confide in you.
Active listening
Active listening is the process of listening attentively while someone else speaks, paraphrasing and reflecting back what they say, whilst withholding your own judgment and advice.
Give your full attention
Respond by reflecting and paraphrasing their words
Don’t interrupt with your own judgement or advice
Summarise the conversation
What do you think?
Can you think of other ways of starting a conversation about DVA?
