Abstract
The aim of this dissertation was threefold: 1) To analyze the concept of self-silencing for pertinent theoretical and clinical use; 2) To develop a theory that explains how self-silencing evolves among Hispanic women who experience IPV; and 3) To identify and integrate evidence that addresses sources of Hispanic women's well-being after experiencing IPV.
Aim 1 used a modified version of Walker and Avant's concept analysis method to identify the attributes, antecedents, and consequences of self-silencing. The concept analysis was used to craft the interview guide in Aim 2.Aim 2 involved a grounded theory study with 25 Hispanic women from Miami-Dade and Broward counties who had experienced IPV. Through individual, in-depth interviews, data was collected and analyzed using constant comparative methods described by Glasser & Strauss and Charmaz levels of analysis. Four core categories with subcategories emerged from the data. The Origins of Silencing, Perpetuating Self-Silence, Encountering Sustainers of Self-Silencing, and Losing the Self described the theory of Bearing (Aguantando) with Intimate Partner Violence. In Aim 3, a scoping review was conducted using PRISMA-ScR guidelines examining studies published from 2007 to 2022 across four peer-reviewed databases. Out of 2,292 records identified, nine articles met the inclusion criteria. The scoping review revealed sources of multidimensional well-being, including interpersonal, psychological, occupational, and economic well-being, but did not uncover studies focusing on sources of physical well-being.
This dissertation challenges current understandings of IPV among Hispanic women and addresses gaps in research and practice. The findings underscore the importance of self-silencing as a crucial element in the IPV experiences of Hispanic women and emphasize the need to support the well-being of women recovering from IPV.