ABSTRACT
PURPOSE: As women veterans (WVs) are returning from Operation Iraqi Freedom and Operation Enduring Freedom with military sexual trauma (MST), the purpose of this article is twofold. First, important exploratory questions that can assist with a thorough assessment and history are presented as well as the applicable treatment for any new, recurrent, or unresolved symptoms that involve MST. DESIGN AND METHODS: Review of multiple literary materials, as well as a clinical situation. FINDINGS: WVs will be encountered in a variety of military or civilian primary and community care healthcare settings. Every woman (and man) in the civilian sector should be asked, "Have you ever served in the military?" PRACTICE IMPLICATIONS: Recognition, acknowledgment, and applicable interventions for MST and associated comorbidities, especially post-traumatic stress disorder, are presented as currently 80-90% of MST experiences have gone unreported. Immediate treatment and follow-up are critical for the well-being of the WVs.
Subject(s)
Sex Offenses/psychology , Stress Disorders, Post-Traumatic/etiology , Veterans/psychology , Women's Health , Adult , Female , Humans , Stress Disorders, Post-Traumatic/diagnosis , United StatesABSTRACT
This case study explores the problem of recantation, the act of publically declaring that a former disclosure is untrue. Recantation in child sexual abuse cases can be devastating for forensic teams who work with victims of sexual abuse and put the victims of CSA at increased risk of further child sexual abuse. Recanting complicates efforts to protect victims, or other potential victims. When recantation occurs, victims are often placed back in the situation where the abuse occurred, the perpetrator has continued access to the victim and the abuse continues. To prevent recantation, Forensic nurses should be involved in case from the time of disclosure until the case is completed.
Subject(s)
Child Abuse, Sexual/legislation & jurisprudence , Child Abuse, Sexual/psychology , Crime Victims/psychology , Forensic Nursing/methods , Repression, Psychology , Self Disclosure , Adolescent , Dependency, Psychological , Female , Humans , Parent-Child Relations , Professional-Family RelationsABSTRACT
OBJECTIVE: To provide quantitative and qualitative data that will assist evidence-based decision making for men and women with genital piercings (GP) when they present to urologists in ambulatory clinics or office settings. Currently many persons with GP seek nonmedical advice. MATERIALS AND METHODS: A comprehensive 35-year (1975-2010) longitudinal electronic literature search (MEDLINE, EMBASE, CINAHL, OVID) was conducted for all relevant articles discussing GP. RESULTS: Authors of general body art literature tended to project many GP complications with potential statements of concern, drawing in overall piercings problems; then the information was further replicated. Few studies regarding GP clinical implications were located and more GP assumptions were noted. Only 17 cases, over 17 years, describe specific complications in the peer-reviewed literature, mainly from international sources (75%), and mostly with "Prince Albert" piercings (65%). Three cross-sectional studies provided further self-reported data. CONCLUSION: Persons with GP still remain a hidden variable so no baseline figures assess the overall GP picture, but this review did gather more evidence about GP wearers and should stimulate further research, rather than collectively projecting general body piercing information onto those with GP. With an increase in GP, urologists need to know the specific differences, medical implications, significant short- and long-term health risks, and patients concerns to treat and counsel patients in a culturally sensitive manner. Targeted educational strategies should be developed. Considering the amount of body modification, including GP, better legislation for public safety is overdue.
Subject(s)
Body Piercing/adverse effects , Genitalia/injuries , Urology , Female , Female Urogenital Diseases/diagnosis , Female Urogenital Diseases/etiology , Female Urogenital Diseases/therapy , Humans , Male , Male Urogenital Diseases/diagnosis , Male Urogenital Diseases/etiology , Male Urogenital Diseases/therapy , Wounds and Injuries/diagnosis , Wounds and Injuries/therapyABSTRACT
OBJECTIVES: To provide further quantitative and qualitative evidence about men who insert foreign liquids and objects into their penis and/or urethra. METHODS: As part of a larger, cross-sectional study examining men (n = 445) with genital piercings (GP), 2 questions inquired whether the respondents had penile tattoos and/or inserted other materials, such as fluids and foreign objects, into their penis and urethra. RESULTS: Four different practices have been described in the literature: embedding (a) foreign objects and/or (b) liquids subcutaneously into penile tissue, as well as inserting (c) liquids and/or (d) foreign objects into the urethra. In our study, 354 (78%) men with GP responded to the 2 questions; 85 (24%) replied affirmatively and 68 (80%) provided comments. Respondents coined their practices penile and/or urethral "play." Two respondents embedded metal balls into their penis, 1 at age 13 injected water for penis enlargement; 11 inserted liquids into the urethra, and 63 reported insertion of 32 different objects, frequently urethral sounds or "sounding" (n = 33/52%) were mentioned. Major motivation themes focused on sexual stimulation and experimentation. Penile tattoos (n = 14) were also reported, mainly for esthetics. Few complications or STDs were reported. CONCLUSIONS: Basic demographic assumptions of those who participate in these actions were challenged, and this study provides evidence of a wider distribution of men using penile or urethral play, and "sounding." Clinician awareness of these practices are important to obtain accurate health histories, manage genitourinary tract complications, as well as provide applicable patient education.
