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Counselling young immigrant women worried about problems related to the protection of ‘family honour’- from the perspective of midwives and counsellors at youth health clinics

2009; Wiley; Volume: 24; Issue: 1 Linguagem: Inglês

10.1111/j.1471-6712.2009.00681.x

1471-6712

Venus Alizadeh, Ingrid Hylander, Tahire Koctürk, Lena Törnkvist,

Migration, Health and Trauma

Scandinavian Journal of Caring SciencesVolume 24, Issue 1 p. 32-40 Counselling young immigrant women worried about problems related to the protection of 'family honour'– from the perspective of midwives and counsellors at youth health clinics Venus Alizadeh MMSc, Venus Alizadeh MMSc in Public Health (Doctoral Student) Centre for Family and Community Medicine, Karolinska Institutet, Huddinge, SwedenSearch for more papers by this authorIngrid Hylander PhD, Ingrid Hylander PhD Licensed Psychologist (Associate Professor) Centre for Family and Community Medicine, Karolinska Institutet, Huddinge, Sweden Department of Behavioural Sciences and Learning, Linkoping University, Linkoping, SwedenSearch for more papers by this authorTahire Kocturk PhD, DMSc, Tahire Kocturk PhD, DMSc (Nutritionist) Centre for Family and Community Medicine, Karolinska Institutet, Huddinge, SwedenSearch for more papers by this authorLena Törnkvist PhD, RN, Lena Törnkvist PhD, RN (Director of Continuing Education in Primary Health Care) Centre for Family and Community Medicine, Karolinska Institutet, Huddinge, SwedenSearch for more papers by this author Venus Alizadeh MMSc, Venus Alizadeh MMSc in Public Health (Doctoral Student) Centre for Family and Community Medicine, Karolinska Institutet, Huddinge, SwedenSearch for more papers by this authorIngrid Hylander PhD, Ingrid Hylander PhD Licensed Psychologist (Associate Professor) Centre for Family and Community Medicine, Karolinska Institutet, Huddinge, Sweden Department of Behavioural Sciences and Learning, Linkoping University, Linkoping, SwedenSearch for more papers by this authorTahire Kocturk PhD, DMSc, Tahire Kocturk PhD, DMSc (Nutritionist) Centre for Family and Community Medicine, Karolinska Institutet, Huddinge, SwedenSearch for more papers by this authorLena Törnkvist PhD, RN, Lena Törnkvist PhD, RN (Director of Continuing Education in Primary Health Care) Centre for Family and Community Medicine, Karolinska Institutet, Huddinge, SwedenSearch for more papers by this author First published: 08 February 2010 https://doi.org/10.1111/j.1471-6712.2009.00681.xCitations: 9 Ingrid Hylander, Centre for Family Medicine, Karolinska Institutet, Alfred Nobels Allé 12, S-141 83 Huddinge, Sweden.E-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Scand J Caring Sci; 2010; 24; 32–40 Counselling young immigrant women worried about problems related to the protection of 'family honour'– from the perspective of midwives and counsellors at youth health clinics Background: Annually, thousands of women are exposed to violence and murder by male relatives in the name of family honour. In Sweden young women with immigrant backgrounds consult primary healthcare services for problems related to the protection of 'family honour' (PFH). However, there is little knowledge about how to manage this specific type of family violence in the primary healthcare systems of industrialized countries. Aim: To generate a theoretical model to promote knowledge about how youth clinic (YC) personnel in Swedish primary care perceive and manage problems related to the PFH. Methods: Seven midwives and five counsellors at four YCs in Stockholm suburbs participated in four group interviews. Data were analysed according to the grounded theory method. Results: The YC staff's main concern is to avoid making the young womens' situation worse with their constant anxiety about having breeched the 'honour rules'. Three consecutive steps have been discerned in the worry analysis process to help the girls struggling with problems related to PFH: (i) creation of a refuge where their secret can be safely disclosed, (ii) risk assessment consisting of assessing the degree of the young women's anxiety, the risk of disclosure of the secret and the risk of repercussions if the secret is disclosed and (iii) worry-reducing measures, which may take the form of four different strategies: empowerment, keeping the secret, mediation and secondary prevention. Conclusion: Youth clinics have a key role in preventing repercussions caused by problems related to PFH. 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