Violence within the family, whether directed against children, partners or elders, profoundly disturbs our notions of what the relationship between the family and the discipline of general practice should be. GPs are doctors to whole families and yet their relationships with patients are individual ones, drawing their strength from the principles of confidentiality, mutual trust and positive regard. Violence and abuse within families necessarily challenges all of these, creating a profusion of ethical, interpersonal and practical difficulties and dilemmas. At the same time the nature of general practice confers unique opportunities to deal effectively with family violence. GPs and GP registrars will find this book an invaluable and empowering resource. It brings together a broad range of expertise and opinion from relevant specialities and disciplines and sets family violence in its historical, epidemiological and societal context. It describes in separate sections, child abuse, domestic violence and elder abuse, its presentations, diagnosis and treatment; and suggests ways forward for its prevention and early detection. It draws throughout on the experience of GPs, health visitors and social workers, providing practical safe and workable guidelines. Family violence can present to any member of the primary care team and there is much here that will be of relevance and interest to them all.
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