A Qualitative Exploration of Doctor-Patient Relationship Experiences in Trauma Survivors and Primary Care Physicians

Date
2016-09
Authors
Kokokyi, Seint
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Faculty of Graduate Studies and Research, University of Regina
Abstract

The Diagnostic Statistical Manual of Mental Disorders, fifth edition, defines trauma as “any event or events that may cause or threaten death, serious injury, or sexual violence to an individual, or his or her close family member or close friend” (American Psychiatric Association, 2013, p. 830). As a result of trauma exposure, there may be a change in the ways survivors think, behave, and relate to others. Survivors’ ability to trust others may be distorted such that they may be unwilling to trust others, including professionals who can provide help. Trauma survivors are also at risk for developing multiple medical and psychological problems. This often results in multiple trips to medical clinics as survivors often depend on primary care physicians as the first line of treatment. Research shows that survivors of childhood abuse, sexual assault, and intimate partner violence have positive and negative experiences with their healthcare providers. Preliminary research suggests that the negative thinking and behaviours as a result of trauma exposure may transfer into survivors’ interactions with healthcare providers. In turn, many physicians report they do not have adequate time or training to address the multiple physical and mental health complaints of trauma survivors, due to the perceived complexity of such problems. It appears that both trauma survivors and physicians who treat them perceive difficulties in their interactions. This study was the first to examine healthcare experiences of trauma survivors and primary care physicians’ experience when interacting with these individuals. Fifteen trauma survivors from Saskatchewan were interviewed to inquire about their healthcare experiences and 11 family physicians (nine practicing physicians and two medical residents) from the province were asked about their professional experience with trauma survivors.

Description
A Thesis Submitted to the Faculty of Graduate Studies and Research In Partial Fulfillment of the Requirements for the Degree of Master of Arts in Clinical Psychology, University of Regina. xiii, 249 p.
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