“Unprofessional feelings” – a qualitative study of general practitioner survivors’ experiences, when working with people who use domestic and family violence
Jennifer NEIL, Clare DELANY, Elizabandh MCLINDON and Kelsey HEGARTY
Domestic and family violence (DFV) is very common worldwide with one in four women being subjected to intimate partner violence and one in two adults being survivors of child abuse. General practitioners (GPs) are not immune from being affected by DFV. GPs are unique in that they manage whole families with longitudinal, comprehensive care. Yet, people who use DFV, (most commonly, but not exclusively, men) are more likely to attend their GP than people who don’t use DFV, meaning that GP survivors of DFV will encounter them in their clinics.What are the experiences of survivor GPs when working with people who use DFV?This study used a phenomenological qualitative approach to gain a deep understanding of [country] GP DFV survivors’ experiences when working with people who use DFV, whether it be a patient or a parent/carer of a patient who is being abused. Participants were [country] GPs who self-identified as survivors of all forms of DFV. Purposive sampling was used to recruit participants from two [country] GP online groups. Semi-structured interviews took place and were audio recorded and transcribed verbatim. Reflexive thematic analysis was undertaken.Participants (20) were female and worked in a range of locations throughout [country]. All participants worked with people who used DFV. Three themes were identified: Feeling unsafe; Unprofessional feelings; and tension in the relationship. Changes in the doctor/patient relationship were evident with multiple participants firing patients due to either feeling ‘triggered’ or feeling that they were unable to work with the patients or parents of abused children due to judgement, hatred or anger. These feelings were identified as a direct result of their own experiences of abuse.This is the first qualitative study investigating GP survivors’ experiences working with people who use violence. There is little in the health professions literature on this topic. Survivor GPs would benefit from support when working with people who use DFV due to secondary re-traumatisation.Survivor GPs would benefit from support when working with both people who use DFV and their families. Further research is recommended to investigate how best to support survivors GPs.
