OBJECTIVE To describe the experiences of four elderly abused women to
better understand the influence of violence on their lives and the imp
lications for intervention by family physicians. DESIGN Qualitative ca
se presentations of four elderly women who participated in a hospital-
based domestic violence intervention program. SETTING The Domestic Vio
lence Program of Vancouver Hospital and Health Sciences Centre, an int
ervention program based in the emergency department. PARTICIPANTS Four
English-speaking working-class women ranging from 63 to 73 years of a
ge who had experienced battering by male partners and who volunteered
after expressing interest in follow-up service by the Domestic Violenc
e Program. METHOD Qualitative analysis of the oral narratives of the f
our participants. FINDINGS Eleven themes emerging from the women's nar
ratives were identified and illustrated with verbatim quotations: the
marriage licence as a hitting licence, violence in the family of origi
n, powerlessness, women treated as objects, survival, barriers to leav
ing, memories linked to children's ages, community support, turning po
ints, integrating and processing experiences of abuse, and witnessing
and helping other women. CONCLUSIONS The abuse these women endured gre
atly influenced their lives and health.