Jul 10

Be Human Stop Child Abuse : Vol 23, 10th July, 2013

Alcohol and rape facts

• Alcohol use contributes to the occurrence of date and acquaintance rape

• Alcohol consumption by the perpetrator, victim, or both, is estimated to be involved in approximately one-half of sexual assaults among adolescents and young adults.

• Sexual assaults involving alcohol are more likely to occur between partners who are acquaintances or casual dates than between partners who are steady dates.

• The use of alcohol may affect both the perpetrator and the victim.

• Alcohol use may lead the perpetrator to misinterpret friendly cues as sexual invitation, to inaccurately discriminate the date’s sexual intentions, to be unable to recognize the perpetrator’s own inappropriate sexual behavior, or to overestimate the date’s sexual arousal.

• Men perceive a woman who is drinking alcohol to be more sexually available and more likely to have sex with her partner than a woman who is not drinking.

• Some male perpetrators may encourage their dates to drink because they believe that alcohol increases the woman’s interest in sex, decreases her sexual inhibition and increases her sexual initiative whereas others may consume alcohol as a means of justifying their behavior.

• The effects of alcohol may reduce the victim’s perception of sexual assault risk, diminish the victim’s ability to cope with or ward off unwanted sexual advances, or to be aware of or remember the assault.

• Victims who have used alcohol may feel responsible for the sexual assault.

• Such perception of self-responsibility may have long-lasting psychologic implications for the victim.

Rape myths

• Most rapists are strangers.

• Acquaintance rape is not ‘real rape’ and does not harm the victim.

• All women want to be raped

• No means yes

• Only bad girls get raped

• Any healthy woman can resist a rapist if she really wants to

• Women who dress promiscuously are ‘asking for it.’

• Women lead men on therefore deserve to be raped

• Women ‘cry rape’ only when they’ve been jilted or have something to cover up

• A woman who goes to a man’s home on their first date implies that she is willing to have sex.

Dr Good Dr Bad

Situation: A depressed female with recent sexual assault was brought to the hospital

Dr. Bad: I need to do a medical examination

Dr. Good: I would also like to get serum cortisol levels done

Lesson: Prior history of assault was associated with diminished acute cortisol responsively at the emergency room visit. Prior assault history and cortisol both independently and interactively predicted PTSD and depression symptoms at first follow-up and over the course a 6-month follow-up. (Psychoneuroendocrinology. 2013 Jun 24)

Situation: A sexually assaulted girl was found to have a vaginal tear on examination.

Dr. Bad: This is unusual

Dr. Good: This is common

Lesson: A retrospective study of medical, medicolegal and social aspects was conducted in collaboration with the department of forensic medicine and toxicology during a period 2004-2009 among 42 victims of sexual assault who were admitted in the department of gynecology and obstetrics of RG Kar Medical College, Kolkata. Majority (71%) of the victims were girls between age group 6-15 years. Sixty per cent of the victims were from poor family, 43% were illiterate and 72% had vaginal tear which required surgical management. (J Indian Med Assoc. 2010 Oct;108(10):682, 690)

Situation: A student asked his senior whether rape was mentioned in the Holy Bible

Dr. Bad: It’s not mentioned in Bible

Dr. Good: It’s mentioned

Lesson: Main paraphilias, abnormal sexual behavior and sexual crimes to which explicit allusions were present in the Holy Bible were adultery, incest, sexual harassment, drug facilitated sexual assault, rape, gang rape, homosexuality, transvestism, voyeurism, bestiality, exhibitionism and necrophilia.(J Forensic Leg Med 2009 Apr;16(3):109-14)





Dr Vinay Aggarwal, President, Elect CMAAO

Dr K Vijayakumar (National President) IMA

Dr N Saini (Secretary General) IMA

Dr M Pillai (Chairman Organising Committee)

Dr D R Rai (Organising Secretary)

Dr S Arulrhaj (Chairman Scientific Committee)

Dr KK Aggarwal (Co-Chairman & Editor)

  1. Dear Sir, Nice updates. Regards:Dr SP Mishra

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