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Analysis of records of women at risk for abuse showed that though information about abuse was present, emergency room physicians rarely utilized it. The doctor-patient interaction tended to obscure rather than elucidate knowledge of abuse. Medicine's epistemologic model of care reconstructs abusive relationships through a medical encounter in which what is most significant is not seen. Nurses are less affected by the model but are under institutional constraints that lead to similar outcomes.
Carole Warshaw (Fri,) studied this question.
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