Deborah Rogers (Medical Director of the Swindon Sanctuary), Mary Newton (Sexual Assault Forensic Advisor for Forensic Science Service Ltd)
{"title":"Evidence-based forensic sampling – more questions than answers","authors":"Deborah Rogers (Medical Director of the Swindon Sanctuary), Mary Newton (Sexual Assault Forensic Advisor for Forensic Science Service Ltd)","doi":"10.1016/j.jcfm.2006.02.014","DOIUrl":"10.1016/j.jcfm.2006.02.014","url":null,"abstract":"","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 162-163"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25928885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The epidemiology of drug facilitated sexual assault","authors":"Michael Hurley , Helen Parker , David L. Wells","doi":"10.1016/j.jcfm.2006.02.005","DOIUrl":"10.1016/j.jcfm.2006.02.005","url":null,"abstract":"<div><p>The files of the Victorian Institute of Forensic Medicine were reviewed for all cases of alleged drug facilitated sexual assault for the 12 month period concluding in April 2003. Seventy-six cases were identified from a total of 434 (17.5%) cases of adult sexual assault. The median delay from alleged incident to time of examination was 20<!--> <!-->h. Alcohol consumption in the hours prior to the assault was reported by 77%. Alcohol was still present in 37% when subsequently examined, with an average blood alcohol concentration of 0.11% at the time of examination.</p><p>Forty-nine percent reported using prescription medications and 26% reported the use of recreational drugs. Drugs not reportedly consumed by the subject were detected in 15 cases (20%) of the study group or 3% of all adult sexual assault cases. The drugs detected included cannabis (four cases), antidepressants (4), amphetamines (3), benzodiazepines (4) and opiates (3).</p><p>The study indicates that covert administration of drugs in the setting of adult sexual assault appears uncommon. The true incidence however may be higher (due to non or delayed reporting) or lower (due to inaccurate self reporting of drug consumption) however the frequent findings of high concentrations of alcohol has implications for the health and safety of these individuals.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 181-185"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25944148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sex offenders and confessions: How to overcome their resistance during questioning","authors":"Gisli H. Gudjonsson","doi":"10.1016/j.jcfm.2006.02.003","DOIUrl":"10.1016/j.jcfm.2006.02.003","url":null,"abstract":"<div><p>A confession, when properly and fairly obtained, is powerful evidence against a suspect and will generally guarantee a conviction. There are a number of theoretical models that explain why suspects confess to crimes they have committed. In this chapter, the key models and the relevant empirical evidence are discussed. The evidence shows that sex offenders, and particularly child molesters, sometimes have a strong need to talk about their crimes due to the feelings of guilt and this gives the police an advantage. However, sex offenders also find it difficult to be open, honest and complete when interrogated due to the feelings of shame, which act to inhibit their motivation to confess. They are therefore torn between feelings of guilt, which encourages them to confess, and feelings of shame, which inhibit them from confessing. As a consequence, feelings of shame need to be overcome during the interrogation, which means that sex offenders need to be interviewed sensitively and skilfully. Any challenges need to be presented in a ‘softly’ fashion and with understanding of the perpetrator’s perspective and emotional needs.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 203-207"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25930665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The use of an alternative light source to detect semen in clinical forensic medical practice","authors":"C.A. Lincoln , P.M. McBride , G.R. Turbett , C.D. Garbin , E.J. MacDonald","doi":"10.1016/j.jcfm.2006.02.016","DOIUrl":"10.1016/j.jcfm.2006.02.016","url":null,"abstract":"<div><p>One of the primary aims of forensic examination in sexual offences is to detect and recover biological material that will link the offender with the complainant. One potentially valuable method by which trace biological evidence may be identified in other forensic settings is via the use of an Alternate Light Source (ALS).</p><p>The aim of this study was to determine whether or not there was any potential benefit in using an ALS as an adjunct in sexual assault examinations to aid the detection of forensically relevant areas on the body which are not identifiable on visual inspection for sampling. We present two case reports, which illustrate the potential value of using an ALS in clinical forensic medical practice as an adjunct in sexual assault examinations to detect potentially forensically useful areas of skin to sample for semen.</p><p>Prior to introducing the ALS into our clinical forensic medical practice, we undertook a number of simple laboratory studies to determine a protocol for its use. Semen is known to fluoresce using an ALS at a wavelength of 450<!--> <!-->nm. Although we did not conduct a rigorous scientific evaluation of the technique, we evaluated the use of an ALS to detect semen on a range of inanimate surfaces as well as human skin. On all surfaces, visibility of fluorescence was increased by reduced distance of light source from the surface and increased concentration of semen on the surface, but was not noticeably affected by the angle at which the light source was held in relation to the surface.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 215-218"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25944149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adolescent complainants of sexual assault; injury patterns in virgin and non-virgin groups","authors":"Catherine White , Iain McLean","doi":"10.1016/j.jcfm.2006.02.006","DOIUrl":"10.1016/j.jcfm.2006.02.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Misconceptions about the likelihood of sustaining injuries following rape or sexual assault can have a detrimental effect on the justice process. This is particularly noticeable with regard to first time intercourse. Forensic physicians have a duty to put any examination findings in context. This study sets out to compare the findings in virgin and non-virgin adolescents seen at the St Mary’s Sexual Assault Referral Centre, after an allegation of non-consensual intercourse.</p></div><div><h3>Methodology</h3><p>The records of all females aged 12–17 years old, examined in an 18 month period were reviewed.</p></div><div><h3>Results</h3><p>Two hundred and twenty-four clients fitted this group with a mean age of 14.8 years. Eighty-one were “virgins” and 97 had been sexually active prior to the assault. The virgin group took longer to present for examination then the non-virgin group (90<!--> <!-->h compared to 44<!--> <!-->h). Of all clients 51% had a non-genital injury. These tended to be minor. 32% of the non-virgin group had a genital injury.</p><p>In the virgin group, 53% had a genital injury, however only 32% had the type of genital injury that would leave permanent evidence of penetration (i.e. if examined several weeks or more later).</p><p>Alcohol use prior to assault was common.</p></div><div><h3>Conclusions</h3><p>Genital and or body injuries are not routinely found in adolescents after an allegation of rape or sexual assault even when there has not been previous sexual experience. The absence of injury does not exclude the possibility of intercourse, whether with or without consent.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 172-180"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25929395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"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":"10.1016/j.jcfm.2006.02.004","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":0.0,"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":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25935557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}