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NCJRS Abstract

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NCJ Number: 94454 Find in a Library
Title: Medical Care for Male and Female Incest Victims and Their Parents (From Sexual Abuse, P 35-46, 1983, by Jean Goodwin - See NCJ-94451)
Author(s): J Goodwin; A Willett; R Jackson
Date Published: 1982
Page Count: 12
Sponsoring Agency: John Wright, PSG Inc
Littleton, MA 01460
Sale Source: John Wright, PSG Inc
545 Great Road
Littleton, MA 01460
United States of America
Language: English
Country: United States of America
Annotation: The medical setting may be the most accessible and acceptable setting for treatment of the male incest victim, teenage incest victims, the battered incest mother, and the alcoholic father-perpetrator. Empathetic care during the incest victim's initial examination can provide a foundation for necessary long-term family care.
Abstract: The only procedures necessary in all first examinations of child incest victims are a detailed history of the sexual event; a thorough physical examination; blood and urine samples; pharyngeal, rectal, and vaginal swabs; and a cervical smear in some cases. Evidence collection may not be possible since incest victims may wait weeks or months before reporting the crime. The child's description of what happened, the physical signs, and the presenting symptoms will guide the physical to the appropriate laboratory tests. A pregnancy test is necessary for older children, but young children should be protected from the 'rape kit' if sexual contact occured before the examination. The physical examination should be through; physicians should look for bruises on the body and for vaginal damage, as well as take aspirates and swabs for culture for gonorrhea. Male victims tend to report physical assualts even if they are really sexual in nature. Males may seek help only when associated physical injury forces them to medical attention. Fathers, especially if they are alcoholics and violent, tend to be the perpetrators of male sexual abuse. Boy victims often have hostile or homicidal feelings toward the father. Followup medical care is necessary to ensure that venereal disease will not be a continuing problem and to allow children to touch and communicate safely again. Parents of incest victims often need medical care for alcoholism, depression, and a host of other physical problems. Physicians can support mothers in escaping a destructive marital relationship, provide advice on family planning, and create an appropriate forum for discussing sexuality. Nineteen references and seven case examples are included.
Index Term(s): Family counseling; Incest; Medical evaluation; Victim attitudes; Victim medical assistance
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