The medical and ethical aspects of photography in the sexual assault examination: Why does it offend?

Journal of clinical forensic medicine Pub Date : 2006-05-01 DOI:10.1016/j.jcfm.2006.02.004

Patricia A.W. Brennan

{"title":"The medical and ethical aspects of photography in the sexual assault examination: Why does it offend?","authors":"Patricia A.W. Brennan","doi":"10.1016/j.jcfm.2006.02.004","DOIUrl":null,"url":null,"abstract":"<div><p>This paper reviews the literature in respect to the photo-colposcopic examination of anogenital injury in the sexually assaulted child, considered to be the ‘gold standard’ of examination, and how this compares with gross visualisation, still the standard procedure in adult examinations.</p><p>It then examines the claim that, because the presence of injury does not provide a distinction between consensual and non-consensual intercourse in adults, photo-documentation is unnecessary medically and constitutes an invasive procedure which is ethically unacceptable.</p><p>The paper questions whether the unwillingness of forensic physicians to extend photo-colposcopy to the examination of adult victims is related more to political and gender issues than to claims made on ethical and medical grounds, and concludes that any move to ban anogenital photography in adult forensic examinations (currently under consideration in the author’s own jurisdiction) would possibly constitute an interference with independent clinical judgment and an incursion into the patient’s right to evidence-based medicine.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 194-202"},"PeriodicalIF":0.0000,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.004","citationCount":"17","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of clinical forensic medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1353113106000368","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 17

Abstract

This paper reviews the literature in respect to the photo-colposcopic examination of anogenital injury in the sexually assaulted child, considered to be the ‘gold standard’ of examination, and how this compares with gross visualisation, still the standard procedure in adult examinations.

It then examines the claim that, because the presence of injury does not provide a distinction between consensual and non-consensual intercourse in adults, photo-documentation is unnecessary medically and constitutes an invasive procedure which is ethically unacceptable.

The paper questions whether the unwillingness of forensic physicians to extend photo-colposcopy to the examination of adult victims is related more to political and gender issues than to claims made on ethical and medical grounds, and concludes that any move to ban anogenital photography in adult forensic examinations (currently under consideration in the author’s own jurisdiction) would possibly constitute an interference with independent clinical judgment and an incursion into the patient’s right to evidence-based medicine.

查看原文本刊更多论文

性侵犯检查中摄影的医学和伦理方面:为什么会冒犯?

本文回顾了关于性侵犯儿童的肛门生殖器损伤的光阴道镜检查的文献，被认为是检查的“金标准”，以及它与大体可视化的比较，仍然是成人检查的标准程序。然后，它审查了下述说法，即由于伤害的存在没有区分成年人自愿和非自愿的性交，照片记录在医学上是不必要的，并且构成了一种侵入性程序，在道德上是不可接受的。该文件质疑法医不愿将阴道镜检查扩展到成年受害者的检查是否更多地与政治和性别问题有关，而不是基于道德和医学理由提出的主张。并得出结论，任何禁止在成人法医检查中进行肛门生殖器摄影的举动(目前正在提交人自己的管辖范围内考虑)都可能构成对独立临床判断的干扰，并侵犯患者接受循证医学的权利。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of clinical forensic medicine

自引率

0.00%

发文量