Requests for authorization to make photocopies should be directed to: These include sensitivity with the gynecologic or obstetric visit and examination in abuse survivors, the use of empowering messages, and counseling referrals. Obstetrician-gynecologists can offer support to abuse survivors by giving them empowering messages, counseling referrals, and empathic care during sensitive examinations. A practical approach to clients who are survivors of childhood sexual abuse. Vital Health Stat 23 ; Physicians should compile a list of experts with experience in abuse and have a list of appropriate crisis hotlines that operate in their communities. Am J Prev Med ;
Following are some guidelines: Frequently, the underlying cause of these symptoms is unrecognized by both the physician and patient. The obstetrician-gynecologist should have the knowledge to screen for childhood sexual abuse, diagnose disorders that are a result of abuse, and provide support with interventions. Am J Prev Med ; They are more apt to accept being victimized by others 15, Physicians should compile a list of experts with experience in abuse and have a list of appropriate crisis hotlines that operate in their communities. Rhodes N, Hutchinson S. No part of this publication may be reproduced, stored in a retrieval system, posted on the Internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher. All procedures should be explained in advance, and whenever possible, the patient should be allowed to suggest ways to lessen her fear. This includes sexual contact that is accomplished by force or threat of force, regardless of the age of the participants, and all sexual contact between an adult and a child, regardless of whether there is deception or the child understands the sexual nature of the activity. Many survivors may be traumatized by the visit and pelvic examination, but may not express discomfort or fear and may silently experience distress Tjaden P, Thoennes N. Obstetric and Gynecologic Visits and Examinations in Abuse Survivors Pelvic examinations may be associated with terror and pain for survivors. Counseling Referrals Traumatized patients generally benefit from mental health care. Etiological correlates of vaginismus: Dissociative experiences and disorders among women who identify themselves as sexual abuse survivors. The obstetrician-gynecologist can be a powerful ally in the patient's healing by offering support and referral. Positive Messages Some positive and healing responses to the disclosure of abuse include discussing with the patient that she is the victim of abuse and is not to blame. Pregnancy and childbirth may be an especially difficult time for survivors. Physicians may offer explanatory statements, such as: Once the patient is ready for an examination, questions about whether any parts of the breast or pelvic examination cause emotional or physical discomfort should be asked. It is important to secure the patient's express authorization before referring her to a mental health specialist, as well as helping the patient to not feel abandoned or rejected when a counseling referral is made. Prevalence, incidence, and consequences of violence against women: Definitions Child sexual abuse is defined as any sexual activity with a child where consent is not or cannot be given. Obstetrician-gynecologists can offer support to abuse survivors by giving them empowering messages, counseling referrals, and empathic care during sensitive examinations.
Video about signs and symptoms of sexual assault:
Child Sexual Abuse Flashback - Symptoms of an Adult Survivor of CSA
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