How many red flags does it take?
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Biomedical subjects
Publications and source records attributed to Ann Wolbert Burgess.
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Elder sexual abuse remains a silent and often invisible crime in persons who have limited cognitive abilities. On occasion, physical injury to elders is serious enough to require hospitalization and at that point, critical care nurses swing into action. In addition to providing acute care interventions, nurses can collect important forensic evidence through documenting and photographing injuries and reporting suspected cases to proper authorities.
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This follow-up study of 42 children abused in daycare suggests that even very small children confirm through their behavior and/or language that something distressing happened to them. Interviews with parents 15 years after the abuse suggest there are periods when children's recollection is persistent as well as times when it is unclear how much the child remembers. Results showed after 15 years, 40% of the children had made a satisfactory adjustment, 40% had made a marginal adjustment, and 20% had made a problematic adjustment.
Homicide is a topic of interest not only because of its severity but because it is a fairly reliable barometer of all violent crime, especially as it affects women. This exploratory study compared a group of murdered women over age 60 with a group of murdered women 30-59 and included age-based factors for both groups. Discussion focuses on forensics as insight to crime scene dynamics and homicidal behavior.
1. Forensic nursing evaluations of perpetrators require (at minimum) information on the crime, crime scene photographs (if possible), victim statements, official records, and perpetrator interviews. 2. If multiple crime scenes exist, each needs to be detailed for an evaluation report. 3. Sexually motivated crimes are usually committed based on a well-defined fantasy.
BACKGROUND: Both physical and emotional traumas have been related to neurologic and neuroendocrine abnormalities that may be associated with violent behavior. METHODS: A modified case-control design was used for blinded comparison of 113 female inmates convicted of violent and nonviolent crimes. History of having been physically or sexually abused, neurologic history and physical examination, basal salivary cortisol levels, and associated variables were investigated to identify possible risk factors for violent compared to nonviolent criminal convictions. RESULTS: Of all inmates studied, 95% had neurologic histories predating the current crime and/or neurologic examination abnormalities. Logistic regression revealed morning cortisol levels, number of years since last abuse, number of prior suicide attempts, and traumatic brain injuries with loss of consciousness to be significantly associated with current violent convictions, with a mean of two brain injuries with loss of consciousness per subject in the violent group. CONCLUSIONS: A greater number of traumatic brain injuries with loss of consciousness and suicide attempts, more recent abuse, and low morning basal salivary cortisol levels could be associated with dangerous violent criminal behavior, including murder, in female prison inmates. Future research should investigate neuroendocrine challenges, more psychiatric and violence measures, and different populations with longitudinal designs.
The workings of child sex initiation rings are outlined in a study of 36 prepubescent children involved in six such rings. Organizational factors include the adult capitalizing on a legitimate role in the children's lives and programming them to provide sexual services in exchange for psychological, social, monetary, and other rewards; operational factors include peer group pressures and secrecy. Symptoms noted in the children prior to disclosure, and affective and cognitive response by parents upon disclosure, are discussed.
In a longitudinal study of 81 adult rape victims reinterviewed four to six years later, effects of the rape on subsequent sexual functioning are analyzed. Most victims who had been sexually active were found to experience changes in frequency of sexual activity and in sexual response. Interview responses of victims are reported, and suggestions are offered for the counseling of rape victims and their sexual partners.