One needs to keep in mind, that in all studies concerning children who witness domestic violence, there are substantial proportions of children who do not demonstrate any measurable negative effects. Though it is not clear what factors promote resilience in a mother and child, it is important that the clinician support and reinforce positive behaviors. Paying attention to only maladaptive behaviors will underestimate strengths and positive coping mechanisms and can further lower self-esteem for both child and parent. This also places a woman and her family at greater risk for homelessness. It is important that pediatricians screen mothers regarding their exposure to domestic violence.
Perpetrators often attempt to maintain complete control over a women's life.
A woman may be isolated by the perpetrator, limiting access to family, friends, community, and social service agencies. It is not uncommon for women to report being locked in an apartment or even restrained. Sometimes the pediatric office visit may be the only instance in which a victim is separated from the abuser and able to disclose her condition in a safe manner. The pediatrician needs to take advantage of this window of opportunity and intervene. The immediate safety of a child, exposed to domestic violence, may depend upon physician intervention.