Skip to main content

Sexual Assault

  • Chapter
Family Medicine
  • 27 Accesses

Abstract

Each year increasing numbers of men, women, and children are victims of sexual assault, incurring medical, psychological, sociocultural, legal, and sexual risks. Sexually abused patients seek family physicians for the complex, combined roles of physician, counselor, legal witness, confidante, and family communicator. As the incidence of rape/sexual assault has risen, so too has the necessity for family physicians to be competent to:

  1. 1)

    Know the definition of sexual assault, both legally and colloquially.

  2. 2)

    Be prepared to diagnose and treat by protocol an acutely assaulted patient.

  3. 3)

    Maintain a chain of evidence for possible legal prosecution.

  4. 4)

    Appreciate the aspects of long-term follow-up of victims, including family-oriented intervention.

  5. 5)

    Recognize and diagnose the patients with unreported sexual assault—“the rape trauma syndrome.”

  6. 6)

    Be sensitive to the sexual innuendos of sexual assault. This includes the unique concerns of child sex abuse, incest, and homosexual assault.1

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. SchaeferJL, Sullivan RA, Goldskin FL: Counselling sexual abuse victims. Am Family Physician 18: 85–91, 1978.

    Google Scholar 

  2. Rabkin JG: The epidemiology of forcible rape. Am J Orthopsychiatry 49: 4: 634–647, 1979.

    Article  PubMed  CAS  Google Scholar 

  3. Vogelmann-Sine S, Eruin ED, Christensen R, Warmsun CH, Ullman LP: Sex differences in feelings attributed to a woman in situations involving coercion and sexual advances. J Pers 47: 420–431, 1979.

    Article  PubMed  CAS  Google Scholar 

  4. Terry RL, Doerge S: Dress, posture and settings as additive factors in subjective probabilities of rape. Percept Motor Skills 48: 903–906, 1979.

    Article  PubMed  CAS  Google Scholar 

  5. Lesch M: Rapist and victim. N Engl J Med 297: 854–855, 1977.

    Article  Google Scholar 

  6. Brownmiller S: Against Our Will: Men, Women and Rape. New York, Simon and Schuster, 1975.

    Google Scholar 

  7. Burgess AW, Holmstrom LL: Rape: Crisis and Recovery. Englewood Cliffs, NJ, Prentice-Hall, 1979.

    Google Scholar 

  8. South Carolina Committee on Sexual Assault: Guidelines for the treatment of sexual assault victims. SC Med Assoc 74: 331–335, 1978.

    Google Scholar 

  9. Stewart LA, Dellar C: Step-by-step management of female victims of sexual assault. Aust Family Physician 7: 1461–1472, 1978.

    CAS  Google Scholar 

  10. Paul DM: The medical examination of the live rape victim and the accused. Legal Med Annu 19: 137–153, 1977.

    Google Scholar 

  11. Hunt GR: Treatment of rape victims. Cont Educ 3: 5561, 1978.

    Google Scholar 

  12. Goldstein FL, Schaefer JL, Sullivan RA: Practical caring for the victim of rape. Patient Care 12: 20–45, 1978.

    Google Scholar 

  13. Halbert DR, Jones DED: Medical management of the sexually assaulted woman. J Reprod Med 20: 265–274, 1978.

    PubMed  CAS  Google Scholar 

  14. Libow JA, Doty DW: An exploratory approach to self-blame and self-derogation by rape victims. Am J Orthopsychiatry 49: 670–679, 1979.

    Article  PubMed  CAS  Google Scholar 

  15. Tilelli JA, Turek D, Jaffee AC: Sexual abuse of children. N Engl J Med 302: 319–323, 1980.

    Article  PubMed  CAS  Google Scholar 

  16. Silverman DC: Sharing the crisis of rape: counselling the mates and families of victims. Am J Orthopsychiatry 48: 166–173, 1978.

    Article  PubMed  CAS  Google Scholar 

  17. Burgess AW, Holmstrom LL: Rape: sexual disruption and recovery. Am J Orthopsychiatry 49: 648–657, 1979.

    Article  PubMed  CAS  Google Scholar 

  18. Simrel K, Berg R, Thomas J: Crisis management of sexually abused children. Pediatr Ann 8: 59–72, 1979.

    Google Scholar 

  19. Felice M, Grant J, Reynolds B, Gold S; Wyatt M, Heald F: Follow-up observations of adolescent rape victims. Clin Pediatr 17: 311–315, 1978.

    Article  CAS  Google Scholar 

  20. Groth AN: The older rape victims and her assailant. J Geriatr Psychiatry 11: 203–215, 1978.

    PubMed  CAS  Google Scholar 

  21. Peretti PO, Cozzens N: Psychosocial variables of female rapes, not reporting and reporting the first incidence of rape. Acta Psychiatr Belg 79: 332–342, 1979.

    PubMed  CAS  Google Scholar 

  22. Steinmetz SK: Am J Psychother 35: 334–350, 1980.

    Google Scholar 

  23. Greenberg NH: The epidemiology of childhood sexual abuse. Pediatr Ann 8: 16–28, 1979.

    Google Scholar 

  24. Finkelhor D: What’s wrong with sex between adults and children? Ethics and the problem of sexual abuse. Am J Orthopsychiatry 49: 692–697, 1979.

    Article  PubMed  CAS  Google Scholar 

  25. Sullivan RA, Schaefer JL, Goldstein FL: Child molestation. Am Family Physician 19: 127–132, 1979.

    CAS  Google Scholar 

  26. Paces DJ: Management of sexually abused children. Pediatr Ann 8:44–58, 1979.

    Google Scholar 

  27. Boekelheide PD: Incest and the family physician. J Family Pract 6: 87–90, 1978.

    CAS  Google Scholar 

  28. Nakashima II, Sakus G: Incestuous families. Pediatr Ann 8: 29–42, 1979.

    Google Scholar 

  29. Rosenfeld AA: The clinical management of incest and sexual abuse of children. JAMA 242: 1761–1764, 1979.

    Article  PubMed  CAS  Google Scholar 

  30. Selby JW, Calhoun LG, Jones JM, Matthews L: Families of incest: a collation of clinical impressions. Int J Soc Psychiatry 26: 7–16, 1980.

    Article  PubMed  CAS  Google Scholar 

  31. Groth AN, Burgess AW: Male rape: offenders and victims. Am J Psychiatry 137: 806–810, 1980.

    PubMed  CAS  Google Scholar 

  32. Kaufman A, Divasto P, Jackson R, Voorhees D, Christy J: Male rape victims: noninstitutionalized assault. Am J Psychiatry 137: 221–223, 1980.

    PubMed  CAS  Google Scholar 

  33. Gunglarch RH: Sexual molestation and rape reported by homosexual and heterosexual women. J Homosex 2: 367–384, 1977.

    Article  Google Scholar 

  34. Hospital Association of Pennsylvania and Pennsylvania Medical Society: Treatment of susp’cted victims of sexual assault. Penn Med 79: 73–76, 1976.

    Google Scholar 

  35. fryer L, Mattox KL. Rape evidence kit: simplified procedures for the emergency department. J Am Coll Emer Physicians (Emer Med) 5: 890–893, 1976.

    Article  Google Scholar 

  36. Enos W, Beyer JC: Management of the rape victim. Am Family Physician 18: 97–102, 1978.

    CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1983 Springer Science+Business Media New York

About this chapter

Cite this chapter

Roth, M.E. (1983). Sexual Assault. In: Taylor, R.B. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4002-8_104

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-4002-8_104

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-4004-2

  • Online ISBN: 978-1-4757-4002-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics