Abstract
BackgroundWomen subjected to intimate partner violence (IPV) experience different forms of abuse. Sexual violence is often under-reported because physically abused women, in particular, might see forced sex as an obligatory part of the sexual interplay. Accordingly, abused women have less sexual autonomy and experience unplanned pregnancies more often than other women.ObjectiveTo describe and analyse nine Swedish women's retrospective stories about IPV with a focus on power and coping strategies as intimate partners, particularly regarding experiences of sex, contraception, and becoming pregnant.DesignNine qualitative interviews were carried out with women who had been subjected to very severe violence in their intimate relationships and during at least one pregnancy. The stories were analysed using ‘Narrative method’ with the emphasis on the women's lived experiences.ResultsDespite the violence and many contradictory and ambivalent feelings, two of the women described having sex as desirable, reciprocal and as a respite from the rest of the relationship. The other seven women gave a negative and totally different picture, and they viewed sex either as obligatory or as a necessity to prevent or soothe aggression or referred to it as rape and as something that was physically forced upon them. The women's descriptions of their pregnancies ranged from being carefully planned and mostly wanted to completely unwelcome and including flawed contraceptive efforts with subsequent abortions.ConclusionsWomen subjected to IPV have diverse and complex experiences that have effects on all parts of the relationship. Intimacy might for some turn into force and rape, but for others sex does not necessarily exclude pleasure and desire and can be a haven of rest from an otherwise violent relationship. Accordingly, women may tell stories that differ from the ones expected as ‘the typical abuse story’, and this complexity needs to be recognized and dealt with when women seek healthcare, especially concerning contraceptives, abortions, and pregnancies.
Highlights
Women subjected to intimate partner violence (IPV) experience different forms of abuse
Qualitative methods We carried out interviews that aimed to acquire the broadest and deepest understanding of women’s experience with IPV, and we used narrative methods for the analysis
The women had a total of 25 children from 20 long-term nonviolent and violent relationships, and five women had been married to their violent partner. They told stories about how they had been subjected to different forms of brutal physical and/or sexual violence and/or threats of severe violence during a total of 14 pregnancies
Summary
Women subjected to intimate partner violence (IPV) experience different forms of abuse. Sexual violence is often under-reported because physically abused women, in particular, might see forced sex as an obligatory part of the sexual interplay. Objective: To describe and analyse nine Swedish women’s retrospective stories about IPV with a focus on power and coping strategies as intimate partners, regarding experiences of sex, contraception, and becoming pregnant. Design: Nine qualitative interviews were carried out with women who had been subjected to very severe violence in their intimate relationships and during at least one pregnancy. Women may tell stories that differ from the ones expected as ‘the typical abuse story’, and this complexity needs to be recognized and dealt with when women seek healthcare, especially concerning contraceptives, abortions, and pregnancies
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