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Dental care of patients exposed to sexual abuse : Need for alliance between staff and patients

Wolf, Eva ; Grinneby, David ; Nilsson, Petra and Priebe, Gisela LU (2021) In European Journal of Oral Sciences 129(3).
Abstract

The aim was to explore the experiences of sexually abused individuals as dental patients. Purposively selected were 13 informants (11 women) aged 19–56. All had experienced sexual abuse as children or adults and memories of this abuse had been triggered and expressed during a dental appointment. They were encouraged to relate in their own words their experiences of the dental appointment. The interviews were recorded digitally, transcribed verbatim, and analysed according to Qualitative Content Analysis. The overall theme illustrating the latent content was The dental appointment – a volatile base requiring predictability and a secure working alliance. The first category covering the manifest content was The dental care provider... (More)

The aim was to explore the experiences of sexually abused individuals as dental patients. Purposively selected were 13 informants (11 women) aged 19–56. All had experienced sexual abuse as children or adults and memories of this abuse had been triggered and expressed during a dental appointment. They were encouraged to relate in their own words their experiences of the dental appointment. The interviews were recorded digitally, transcribed verbatim, and analysed according to Qualitative Content Analysis. The overall theme illustrating the latent content was The dental appointment – a volatile base requiring predictability and a secure working alliance. The first category covering the manifest content was The dental care provider “assumes responsibility,” with two subcategories: (i) contradictory disclosure, and (ii) alliance formation – a levelling of power. The second category was The patient is “in focus,” with two subcategories: (i) alertness to signs of discomfort, and (ii) attention to obvious but subtle expressions of needs. On an understanding that the patient has been sexually abused, an individually tailored, patient-centered approach to treatment is suggested. Dental care providers may also need to be aware of and reflect on their position of power, in relation to the patient and its possible chairside implications.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
dental fear, dissociation, patient-centered, power, sexual abuse disclosure
in
European Journal of Oral Sciences
volume
129
issue
3
article number
e12782
publisher
Wiley-Blackwell
external identifiers
  • scopus:85102921748
  • pmid:33760322
ISSN
0909-8836
DOI
10.1111/eos.12782
language
English
LU publication?
yes
id
f95118e0-b73d-47d9-8438-e2003458de85
date added to LUP
2021-03-31 11:23:10
date last changed
2024-04-20 03:51:55
@article{f95118e0-b73d-47d9-8438-e2003458de85,
  abstract     = {{<p>The aim was to explore the experiences of sexually abused individuals as dental patients. Purposively selected were 13 informants (11 women) aged 19–56. All had experienced sexual abuse as children or adults and memories of this abuse had been triggered and expressed during a dental appointment. They were encouraged to relate in their own words their experiences of the dental appointment. The interviews were recorded digitally, transcribed verbatim, and analysed according to Qualitative Content Analysis. The overall theme illustrating the latent content was The dental appointment – a volatile base requiring predictability and a secure working alliance. The first category covering the manifest content was The dental care provider “assumes responsibility,” with two subcategories: (i) contradictory disclosure, and (ii) alliance formation – a levelling of power. The second category was The patient is “in focus,” with two subcategories: (i) alertness to signs of discomfort, and (ii) attention to obvious but subtle expressions of needs. On an understanding that the patient has been sexually abused, an individually tailored, patient-centered approach to treatment is suggested. Dental care providers may also need to be aware of and reflect on their position of power, in relation to the patient and its possible chairside implications.</p>}},
  author       = {{Wolf, Eva and Grinneby, David and Nilsson, Petra and Priebe, Gisela}},
  issn         = {{0909-8836}},
  keywords     = {{dental fear; dissociation; patient-centered; power; sexual abuse disclosure}},
  language     = {{eng}},
  month        = {{06}},
  number       = {{3}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{European Journal of Oral Sciences}},
  title        = {{Dental care of patients exposed to sexual abuse : Need for alliance between staff and patients}},
  url          = {{http://dx.doi.org/10.1111/eos.12782}},
  doi          = {{10.1111/eos.12782}},
  volume       = {{129}},
  year         = {{2021}},
}