15th INTERNATIONAL EURACT BLED COURSE

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15th INTERNATIONAL EURACT BLED COURSE

• LEARNING AND TEACHING ABOUT COMMUNITY
• ORIENTATION IN GENERAL / FAMILY PRACTICE,
• BLED, SLOVENIA, SEPTEMBER 19 23, 2006

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FAMILY VIOLENCE

• VIOLENCE AGAINST WOMEN AND VIOLENCE AGAINST MEN
  vs FAMILY VIOLENCE
• ALBERTO C. F. DE CARVALHO
• FAMILY MEDICINE DEPARTMENT
• UNIVERSITY OF COIMBRA
• PORTUGAL
• SEPTEMBER 2006

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FAMILY VIOLENCE

• Opening quote

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FAMILY VIOLENCE

• In this narrative book of Maitê Proença I
  learned that not only man cry, women also do. And
  as Maitês words show, they cry with the normal
  things that make human beings cry the pain of
  loss, of missing someone, the loneliness,
  jealousy, love, betrayal, abandonment.
• Miguel Sousa Tavares in Prefácio de entre
• 
  ossos e a escrita,
• Maitê Proença, Oficina do Livro, 1st edition,
  September 2005.
  
  

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FAMILY VIOLENCE

• Introduction
• The great importance of the context
• The gender, as one of the most significant
  elements of analysis.
• The personality features are social
  constructions.
• The feminine and masculine categories are
  nowadays mere and simple abstractions when we
  intend to approach issues related to violence
  the family dimension.

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FAMILY VIOLENCE

• Violence against women and violence against men
  vs family violence.

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FAMILY VIOLENCE

• It is clear to most people that violence against
  women has through time acquired a greater
  visibility than violence against men.
  Nonetheless, family violence is the one that,
  mixing both kinds, regrettably in a balanced way,
  shows percentage equity when analysed as a whole.

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FAMILY VIOLENCE

• The new contextualisations of Family.
• New ways of violence.
• Violence a social problem Violence that brings
  together and/or intersects the previous ways with
  these new ones and also with all the risk factors
  that contribute to generate it, contextualising
  it in a much more inclusive way, in a global way.

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FAMILY VIOLENCE

• Risk factors, imbalance factors or
  disfunctionality factors

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FAMILY VIOLENCE.

• Factors related to types of violence as
• . life landmarks . disease .
  social factors . life transitions .
  family disfunctionality . phisical and
  psychological abuse . external factors as
  elements that generate disfunctionality and
  promote attitudes and behaviours related to ways
  of violence.
• Other risk factors

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FAMILY VIOLENCE

• The indispensability of family dysfunction
  precocity diagnosis indicators,
• of data basis,
• of reflexive need,
• of multidisciplinary teams
• of operationalisation.

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FAMILY VIOLENCE

• Reference to the innovative concepts of
• Violence Potencial
• Support Provision Programmes
• Bio-Psycho-Socio-Educative Model (transformative
  )

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FAMILY VIOLENCE

• Unrest (concern)

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FAMILY VIOLENCE

• Illustrative descriptions of real scenarios of
  family violence patterns.

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FAMILY VIOLENCE

• 1 Male individual, 78 years old, ill with
  comorbidity, with a predominantly depressed
  attitude, widower for the past three years, lives
  alone, performing all household tasks including
  preparing his own meals. He opted not to attend
  any social support institutions and equally
  refuses any help provided by any team of
  domiciliary support. Bruised, assaulted and
  robbed twice in the street. Recently, his house
  was assaulted and robbed twice, once when he was
  absent and the other in his presence.

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FAMILY VIOLENCE

• 2 Family affected by the serious health
  condition of the youngest son, a 26 months baby,
  a persistent condition that has put him in life
  danger a few times. This problem is the main
  reason why the family was abandoned by the father
  and the husband. They live alternatively
  supported by some family members outside of the
  family nucleus, which represent substitutes of
  the absent element.

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FAMILY VIOLENCE

• 3 Family comprised of wife and husband that
  live a conflictive relationship for a long-time.
  This conflictuality lays purely in a constant
  competitiveness between the two, permanently
  evaluated, discussed, valorised or undervalued.
  The conflictuality is built upon a list of
  problems that offers greater dominance and based
  on who has the more and more serious health
  problems, but also in which of both is the most
  victimised one with the suffering of the other,
  in a constant and mutual personality and
  competence deconstruction.

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FAMILY VIOLENCE

• 4 Enlarged nuclear family by the presence of
  the father of the couples male element that
  suffers comorbidity, laid in bed, lucid,
  systematically used for the opportunistic
  attainment of social benefits and statute for
  only some of the other members of the family
  nucleus. This situation causes disagreements,
  uneasiness and family ruptures that occur in
  cascade, in a latent conflictuality, often
  boiling, magnificently described and shown by
  Ettore Scola in Brutti, Sporchi e Cattivi.

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FAMILY VIOLENCE

• Conclusion

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FAMILY VIOLENCE

• Multidisciplinary teams,
• Support programmes,
• Global intervention more effective,
• The great challenge of an innovative approach,
• The communitarian dimension the
  multidisciplinary intervention.

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FAMILY VIOLENCE

• Bibliography

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FAMILY VIOLENCE
E-mail aferreiracarvalho_at_gmail.com
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