FATHER INCEST AGAİNST A 4,5 MONTH OLD BABY: CASE REPORT

Abstract

In our country the negligence, exploitation of children and incest cases are very common. It is widely seen that parents train unhealthy individuals since they affect their physical, mental and social development in a negative way. Incest has existed in every culture throughout the history of man. Incest includes the use of children who are not completely developed in terms of psycho-social aspects by adults for sexual stimulation and it is the most difficult to identify. Incest includes from touching the genital parts of the body to the use of children for rape. It does not necessarily involve violence. In our country, incest cases are treated under the Turkish Penal Code under the term “sexual exploitation”. In our study we examined a 4, 5 month old baby who came to the 6th Specialized Committee, Council of Forensic Medicine because of a sexual assault by her father. His father inserted his finger into vagina of 4, 5 month old girl. The protection and education of children physically and mentally are very important for societies. In this study, we wanted to share an interesting case that was the smallest child we ever seen in 6th Specialized Committee influenced by sexual stimulation of his father and also aimed to underline the seriousness and importance of the law and to take attention of related people.

Keywords

• Incest
• Exploitation
• Child
• Forensic

References

1. Polat O. Adli Tıp. İstanbul: Der Yayınları, 2000: 233-47.
2. I. Basamak için Adli Tıp El Kitabı. Ankara: Polat Matbaası, 1999:119.
3. Polat O. Adli Tıp Ders Kitabı. İstanbul: Nobel Tıp Kitabevi, 1997: 34.
4. World Health OrganÝzation (WHO). Guidelines for medico-legal care for victims of sexual violence, Geneva, 2003.
5. Grossin C, Sibille I, Lorin de la Granmaison G, Banasr A, Brion F, Durigon M. Analysis of 418 cases of sexual assault. Forensic Science International, 2003;131:125-130..
6. Gülümser G, Gülsün T, Barış A, Gürol C. Aile İçi Şiddet Ve Hukuki Düzenlemeler Domestic Violence And Legal Arrangements, Adli Psikiyatri Der. Cilt/ Sayı 3(1)- Volume/No.3(1) 2005.:17-30.
7. Gülümser G, Canan R, Barış A, İrfan K. Çocuk ve Cinsel İstismar Child and Sexual Exploitation Adli Psikiyatri Der. Cilt/ Sayı 3(1)- Volume/No.3(1) 2005:9-14
8. Çelik GG, Meral D. Tahiroğlu AY., et all. Adli Tıp Bülteni Legal responsibility of clinicians, ethical dilemma and approach of physicians from various specialties in child abuse cases 101-105.

9. Eker E., Özmen M., cinsel sorunlar ve tedavileri el kitabı. Menteş yayınevi. 1. baskı. 1993.
10. Johnson P.A., Eisenberg N.E., Proffesinals attributions of censure in father-dougther incest, Child Abuse and Neglect. 1990: Vol14 419-428.
11. Brunngraber LS. Father-daughter incest: immediate and long-term effects of sexual abuse. ANS Adv Nurs Sci. 1986 Jul;8(4):15-35.
12. Forte M, Przygodzki-Lionet N, Masclet G. From acute victimization at chronic victimization: sociocognitive approach of differential tolerance threshold. Encephale. 2006 May-Jun;32(3Pt 1):356-68.
13. Gerlach K. Ther Umsch. Physical and sexual child abuse. 2008 Jul;65(7):381-8. Child Abuse Negl. 2002 Dec;26(12):1235-42.
14. Search G., Son tabu, çocuklara karşı cinsel suçlar, Sarmal yayınevi, 1. baskı İstanbul. 1993.
15. Teegen F., Çocukların cinsel kötüye kullanımı, Nöropsikiyatri arşivi, 1991:28;2-4. 65-72.
16. Yuksel B, Kilic S, Akin Su F, Tasdemir N, Uzunlar O, Mollamahmutoglu L.Reprod Biomed Online. What should the management of incest pregnancies be? An ethical view presented via three cases. 2008;17 Suppl 3:52-4.
17. Kosky R. What do we really know about it.(rewiew) Australian and New Zeland Journal of Phsiciatry. 1987 vol. 21, 430-440.
18. Koocher GP, Keith-Spiegel P. Ethics in Psychology: Professional Standards and Cases (2nd ed.). New York: Oxford University Press. 1998.
19. Gabbard GO. Ethical issues in psychiatric education. Psychiatric Times, CME Series:1997
20. Watson H, Levine M. Psychotherapy and mandated reporting of child abuse. Am J Orthopsychiatry 1989;59(2):246-56.
21. Cheng TL, Savageau JA et al. Confidentiality in health care. A survey of knowledge, perceptions, and attitudes among high school students. JAMA 1993;269(11):1404–07.
22. Thrall JS, Mc Closkey L et al. Confidentiality and adolescents’ use of providers for health information and for pelvic examinations. Arch Pediatr Adolesc Med 2000;154:885–892.
23. Appelbaum PF. Tarasoff and the clinician: Problems in fulfilling the duty to protect. Am J Psychiatry 1985;142:425-29.
24. Paradise JE. The medical evaluation of the sexually abused child. Pediatr Clin North Am. 1990 Aug;37(4):839-62.
25. Werner J, Werner MC. Curr Opin Psychiatry. Child sexual abuse in clinical and forensic psychiatry: a review of recent literature. 2008 Sep;21(5):499-504.
26. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. New York: Oxford University, 1994.
27. Johnson AR. Casuistry as methodology in clinical ethics. Theor Med 1991;12(4):295-307. Psikoterapistin, yasal ve etik yükümlülükleri mi; yoksa her olgunun kendi yaşam döngüsü ve özellikli öykülerinin mi göz önünde bulundurması gerektiği ile ilgili ikilemlerini içeren bazı çalışmalar tanımlanmaktadır (5,6).
28. Amaya-Jackson L, Socolar RS et al. Directly questioning children and adolescents about maltreatment: A review of survey measures used. Journal of Interpersonal Violence 2000;15(7):725- 59.
29. Knight ED, Runyan DK et al. Methodological and ethical challenges associated with child selfreport of maltreatment. Journal of Interpersonal Violence 2000;15(7):760–75.
30. Roberts L, McCarty T et al. What and how psychiatry residents at ten training programs wish to learn about ethics. Acad Psychiatry 1996;20:131–43.
31. Weinstein B, Levine M et al. Mental health professionals’ experiences reporting suspected child abuse and maltreatment. Child Abuse Negl 2000;24(10):1317-28.
32. Botash AS. Pediatr Ann. Examination for sexual abuse in prepubertal children: 1997 May;26(5):312-20.
33. Hansen DJ, Bumby KM et al. The Influence of case and professional variables on the identification and reporting of child maltreatment: A study of licensed psychologists and certified masters social workers. J Family Violence 1997;12(3):313–32.