scholarly journals EVALUATION OF THE INCEST CASES WHO APPLIED TO MERSİN UNIVERSITY MEDICAL FACULTY DEPARTMENT OF FORENSIC MEDICINE IN 2019

2021 ◽  
pp. 123-132
Author(s):  
Gökhan AKTÜRK ◽  
Hakan KAR

Incest relationship, which has many different definitions, is a form of sexual abuse that is more difficult to manifest and its effects on the victim are much more severe. In our study, it was aimed to develop solutions by evaluating the sociodemographic and forensic medical characteristics of the incest victims who were sent to Mersin University Forensic Medicine Department. Method: The forensic investigation documents and medical reports of 34 incest cases that were sent to us for forensic reports with the allegation of sexual assault between January 2019 and January 2020 were analyzed retrospectively. Findings: It was found that most of the cases (85.3%, n: 29) were women, average age being 15.41, with the majority (41.2%, n: 14) between the ages of 6-12. It was observed that in 44.1% of the cases (n: 15) the defendant was the victim's biological father, in 47.1% (n: 16) of the cases the incident took place in the shared house where the victim and the defendant lived. In 32.4% of the cases (n: 11), the incident was reported by school counselors, the person to whom the victim told the event first was most frequently their mother (35.3%, n: 12). In 70.6% of the cases (n: 24), the first person to whom the victim told the incident supported the forensic reporting process. Biological evidence was detected in 8.8% (n: 3) of the cases, the victim's mental health deteriorated in 61.8% (n: 21) of the cases, most common psychopathology being Post Traumatic Stress Disorder (41.2%, n: 14). Conclusion: Our study reveals the importance of schools, where children can communicate with others, in the emergence of incest. On that account, it should be ensured that children continue their education and benefit from guidance services. All teachers, especially counselors, should be made aware on the matter of sexual abuse of children. In addition, "systematic sexual education" for children should be included in the curriculum. Since incest cases are mostly reported late, more often than not biological evidence cannot be obtained. The occurrence of psychopathology in most of the victims shows the importance of mental evaluation. In addition, it should be ensured that all procedures, including clinical treatment, are carried out in centers where multidisciplinary approach can be provided, to prevent secondary suffering due to reinterrogations and examinations of the victim in the judicial process.

2013 ◽  
Vol 25 (3) ◽  
pp. 201-205 ◽  
Author(s):  
Betsy S. O’Brien ◽  
Leo Sher

Abstract Background: Child sexual abuse (CSA) is widespread and is associated with various psychopathologies, including Axis I and II disorders, maladaptive and impulsive behaviors, and suicidal behavior in adolescence and adults. The pathophysiology of this association is not well understood; however, it is clear that suicidal behavior in individuals with a history of CSA is a significant social and medical problem that warrants further investigation. Methods: An electronic search of the major behavioral science databases (limited to the most recent studies in the last 20 years) was conducted to retrieve studies detailing the social, epidemiological, and clinical characteristics of child sexual trauma and their relation to suicidal behavior in adolescents and adults. Results: Studies indicate that CSA is related to an increase in Axis I and II diagnoses, including depression, post-traumatic stress disorder, conduct disorders, eating disorders, alcohol and drug abuse, panic disorders, and borderline personality disorder. CSA not just related to an increase in impulsivity and risky behaviors, it has also been linked to an increase in suicidality as well. Conclusion: CSA makes both direct and indirect contributions to suicidal behavior. It is a complex process involving multiple variables, which include psychopathology, maladaptive personality features and the direct contribution of CSA itself. Psychopathologies, such as impulsivity and mood and personality disorders, may modulate the relationship between CSA and suicidal behavior. Some preventive measures for decreasing the prevalence of CSA and suicidality may include education as well as increased access to mental health services.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026773 ◽  
Author(s):  
Susan Rees ◽  
Lisa Simpson ◽  
Clare A McCormack ◽  
Batool Moussa ◽  
Sue Amanatidis

ObjectivesSexual abuse is a strong predictor of future psychiatric problems. A more nuanced qualitative understanding of mental health outcomes, in the context of interpersonal responses from family members towards survivors after sexual abuse, may help to better inform prevention and interventions.DesignA mixed-methods approach included a qualitative timeline method to map and identify contextual factors and mediating emotional responses associated with mental disorder following sexual abuse.SettingParticipants were adult survivors of sexual abuse, seeking support from the Sexual Assault Counselling Service, Sydney Local Health District, Australia.ParticipantsThirty women 18 years and older with current or past mental disorder or symptoms were interviewed between August 2015 and May 2016.Outcome measuresA qualitative timeline interview and the Mini-International Neuropsychiatric Interview (MINI, 5.5.0) were applied.ResultsThe MINI prevalence of current post-traumatic stress disorder was 96.6% (n=28) and of major depressive disorder was 82.8% (n=24). More than half (53%) reported suicidal ideation at some time in their lives. Women exposed to childhood sexual abuse reported being ignored, not believed, or threatened with retribution on disclosing the abuse to others, usually adult family members, at or close to the time of the violation(s). Participants described experiences of self-blame, betrayal, and psychosocial vulnerability as being the responses that connected negative disclosure experiences with mental disorder. Participant accounts suggest that these reactions created the foundations for both immediate and long-term adverse psychological outcomes.ConclusionA more in-depth understanding of the type and emotional impact of negative responses to disclosure by parents and other family members, and the barriers to adequate support, validation and trust, may inform strategies to avert much of the longer-term emotional difficulties and risks that survivors encounter following childhood abuse experiences. These issues should receive closer attention in research, policy, and practice.


Homeopathy ◽  
2018 ◽  
Vol 107 (03) ◽  
pp. 202-208 ◽  
Author(s):  
Lidia Llanes-González ◽  
Leopoldo Aguilar-Faisal ◽  
Juan Asbun-Bojalil ◽  
Emma Macías-Cortés

Background Although individualized homeopathic treatment is effective for depression in climacteric women, there is a lack of well-designed studies of its efficacy for depression in battered women or in post-traumatic stress disorder. The aim of this study was to assess the association between individualized homeopathic treatment or fluoxetine and response to depression treatment in climacteric women with high levels of domestic violence, sexual abuse or marital dissatisfaction. Materials and Methods One hundred and thirty-three Mexican climacteric women with moderate-to-severe depression enrolled in the HOMDEP-MENOP Study (a randomized, placebo-controlled, double-blind, double-dummy, three-arm trial, with a 6-week follow-up study) were evaluated. Domestic violence, marital dissatisfaction and sexual abuse were assessed at baseline. Response to depression treatment was defined by a decrease of 50% or more from baseline score of Hamilton scale. Association between domestic violence, sexual abuse, and marital dissatisfaction and response to depression treatment was analyzed with bivariate analysis in the three groups. Odds ratio (OR) and 95% confidence interval (CI) were calculated. Results Homeopathy versus placebo had a statistically significant association with response to depression treatment after adjusting for sexual abuse (OR [95% CI]: 11.07 [3.22 to 37.96]), domestic violence (OR [95% CI]: 10.30 [3.24 to 32.76]) and marital dissatisfaction (OR [95% CI]: 8.61 [2.85 to 25.99]). Conclusions Individualized homeopathic treatment is associated with response to depression treatment in climacteric women with high levels of domestic violence, sexual abuse or marital dissatisfaction. Further studies should be conducted to evaluate its efficacy specifically for post-traumatic stress disorder in battered women. ClinicalTrials.gov Identifier: NCT01635218, URL: http://clinicaltrials.gov/ct2/show/NCT01635218?term=depression+homeopathy&rank=1


2019 ◽  
Vol 54 (9) ◽  
pp. 1499-1508 ◽  
Author(s):  
Joana Corrêa de Magalhães Narvaez ◽  
Lysa Remy ◽  
Mariane Bagatin Bermudez ◽  
Juliana Nichterwitz Scherer ◽  
Felipe Ornell ◽  
...  

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