Abstract
Abstract
Incest is defined as any form of sexual contact between immediate relatives without regarding the ages, and consent of the participants. In studies performed recently, the investigators take all caregivers liable to look after the sufferers into consideration as perpetrators, notwithstanding their biologic ties with the victims. Historically incest relations mostly between father and daughter have been addressed, disregarding incest between siblings.
Although numerous case reports of incest have been presented, this case differs from others in that the victim had been sexually molested by her brother throughout a year, and she was hospitalized with a diagnosis strongly suggesting an acute organic pathology.
Key words: Forensic medicine, incest, organic disease, abuse.
Özet
Ensest, katılımcıların yaşına ve rızasına bakılmaksızın yakın akrabalar arasındaki herhangi bir cinsel ilişki olarak tanımlanmaktadır. Son yıllarda yapılan çalışmalarda araştırmacılar; bakmakla yükümlü olan tüm kişileri, mağdurla olan biyolojik bağına bakmaksızın bu kapsama almaktadır. Tarihsel olarak en sık baba-kız ensesti konuşulmakta ve kardeş ensest kavramı göz ardı edilmektedir.
Ensest ile ilgili olarak çeşitli olgu sunumları olmakla birlikte; bu olgu bir yıl süresince ağabeyi tarafından cinsel istismara maruz kalması, ayrıca akut organik bir patolojiyi kuvvetle düşündürmesi ve bu tanıyla hastaneye yatışı yapılması açısından diğer ensest olgularından farklılık göstermektedir.
Anahtar sözcükler: Adli tıp, ensest, organik hastalık, istismar.
Keywords
References
- Sadock AV: Rape spouse abuse and incest. Comprehension Textbook of Psychiatry/V Volume 1. Ed. By. Kaplan H, Sadock B, Williams and Wilkins, London 1989, 1101-3.
- Akduman GG, Ruban C, Akduman B, Korkusuz İ. Çocuk ve Cinsel İstismar. Adli Psikiyatri Dergisi 2005; 3: 9-14.
- Finkel KC. Sexual abuse and incest. What can you do? Can Fam Physician 1994; 40: 935-44.
- Oğuz NY. Eski anadolu uygarlıklarında “Biyoetik”. Türkiye Klinikleri Tıbbi Etik 1997; 5: 125-32.
- Herman J, Hirschman L. Families at risk for father-daughter incest. Am J Psychiatry 1981; 138: 967-70.
- Bass LA, Taylor BA, Knudson-Martin. C, Huenergardt. D. Making sense of abuse: case studies in sibling incest. Contemporary Family Therapy 2006; 28: 87- 109.
- Goldman R, Goldman J. The prevalence and nature of child sexual abuse in Australia. Australian Journal of Sex, Marriage and Family1988; 9: 94-106.
- Canavan MM, Meyer WJ, Higgs DC. The female experience of sibling incest. Journal of Marital and Family Therapy 1992; 18: 129-42.
- Smith H, Israel E. Sibling incest: A study of the dynamics of 25 cases. Child Abuse and Neglc 1987; 11: 101-8.
- Polat O: Ensest. Tüm boyutlarıyla çocuk istismarı 1. Seçkin Yayınları, Ankara 2007; 158-88.
- Magalhães T, Carneiro de Sousa MJ, Gomes da Silva A, Pinto da Costa D, Grams AC, Ribeiro C, Gonzalez R, Pinto da Costa J. Child sexual abuse: a preliminary study. J Clin Forensic Med 1998; 5:176-82.
- Popper C, West SA. Disorders usually first diagno-sed in infancy, Childhood or Adolescense. In: Hales RE; Yudofsky SC, Talbott JA, eds. The American Psychiatric Pres 1999; 884-7.
- Russell DE. The incidence and prevelance of interfamilial and extrafamilial sexual abuse children. Child Abuse and Neglc 1983; 7: 133-46
- Farrely C. The case for re-thinking incest laws. J Med Ethics. 2008; 34:11.
- İşeri E. Cinsel istismar. Çetin FÇ, Pehlivantürk B, Ünal F, Uslu R, İşeri E, Türkbay T, Coşkun A, Miral S, Motavallı N, editörler. Çocuk ve Ergen Psikiyatrisi Temel Kitabı. 1.Baskı, Ankara, Hekimler Yayın Birliği 2008; s 470- 7.
- Eliot AJ, Peterson LW. Maternal sexual abuse of male children: when to suspect and how to uncover it. Postgrad Med 1993; 94: 169-72.
- Gorey KM, Leslie DR. The Prevalence of Child Sexual Abuse: Integrative Review Adjustment for Potential Response and Measurement Biases, Child Abuse Neglc 1997; 21: 391-8.
- Sobsey D, Doe T. Patterns of sexual abuse and assault: Sexual exploitation of people with disabilities. Sexuality and Disability 1991; 9: 243-59.
- Bozbeyoğlu AC. Türkiyede ensest sorununu anlamak. Nüfusbilim Derneği Yayınları, Damla matbaacılık, birinci baskı, 2009. s 22-32.
- McLean LM, Gallop R. Implications of childhood sexual abuse for adult borderline personality disorder and complex posttraumatic stress disorder. Am J Psychiatry 2003; 160: 369-71.
- Macan M, Uvodic P, Botica V. Paternity testing in case of brother-sister incest. Croat Med J 2003; 44: 347-9.
- Roelofs K, Keijsers GP, Hoogduin KA, Näring GW, Moene FC. Childhood abuse in patients with conversion disorder. Am J Psychiatry 2002; 159: 1908-13.
- Draijer N, Langeland W. Childhood trauma and perceived parental dysfunction in the etiology of dissociative symptoms in psychiatric inpatients. Am J Psychiatry 1999; 156: 379-85.
- Pribor EF, Dinwiddie SH. Psychiatric correlates of incest in childhood Am J Psychiatry 1992; 149: 52-6.
- Giardino AP, Finkel MA. Evaluating child sexual abuse, Pediatric Ann 2005; 34: 382-94.
- Baccini F, Pallotta N, Calabrese E, Pezzotti P, Corazziari E. Prevalence of sexual and physical abuse and its relationship with symptom manifestations in patients with chronic organic and functional gastrointestinal disorders. Dig Liver Dis 2003; 35: 256-61.
Abstract
Ensest, katılımcıların yaşına ve rızasına bakılmaksızın yakın akrabalar arasındaki herhangi bir cinsel ilişki olarak tanımlanmaktadır. Son yıllarda yapılan çalışmalarda araştırmacılar; bakmakla yükümlü olan tüm kişileri, mağdurla olan biyolojik bağına bakmaksızın bu kapsama almaktadır. Tarihsel olarak en sık baba-kız ensesti konuşulmakta ve kardeş ensest kavramı göz ardı edilmektedir. Ensest ile ilgili olarak çeşitli olgu sunumları olmakla birlikte; bu olgu bir yıl süresince ağabeyi tarafından cinsel istismara maruz kalması, ayrıca akut organik bir patolojiyi kuvvetle düşündürmesi ve bu tanıyla hastaneye yatışı yapılması açısından diğer ensest olgularından farklılık göstermektedir
Keywords
References
- Sadock AV: Rape spouse abuse and incest. Comprehension Textbook of Psychiatry/V Volume 1. Ed. By. Kaplan H, Sadock B, Williams and Wilkins, London 1989, 1101-3.
- Akduman GG, Ruban C, Akduman B, Korkusuz İ. Çocuk ve Cinsel İstismar. Adli Psikiyatri Dergisi 2005; 3: 9-14.
- Finkel KC. Sexual abuse and incest. What can you do? Can Fam Physician 1994; 40: 935-44.
- Oğuz NY. Eski anadolu uygarlıklarında “Biyoetik”. Türkiye Klinikleri Tıbbi Etik 1997; 5: 125-32.
- Herman J, Hirschman L. Families at risk for father-daughter incest. Am J Psychiatry 1981; 138: 967-70.
- Bass LA, Taylor BA, Knudson-Martin. C, Huenergardt. D. Making sense of abuse: case studies in sibling incest. Contemporary Family Therapy 2006; 28: 87- 109.
- Goldman R, Goldman J. The prevalence and nature of child sexual abuse in Australia. Australian Journal of Sex, Marriage and Family1988; 9: 94-106.
- Canavan MM, Meyer WJ, Higgs DC. The female experience of sibling incest. Journal of Marital and Family Therapy 1992; 18: 129-42.
- Smith H, Israel E. Sibling incest: A study of the dynamics of 25 cases. Child Abuse and Neglc 1987; 11: 101-8.
- Polat O: Ensest. Tüm boyutlarıyla çocuk istismarı 1. Seçkin Yayınları, Ankara 2007; 158-88.
- Magalhães T, Carneiro de Sousa MJ, Gomes da Silva A, Pinto da Costa D, Grams AC, Ribeiro C, Gonzalez R, Pinto da Costa J. Child sexual abuse: a preliminary study. J Clin Forensic Med 1998; 5:176-82.
- Popper C, West SA. Disorders usually first diagno-sed in infancy, Childhood or Adolescense. In: Hales RE; Yudofsky SC, Talbott JA, eds. The American Psychiatric Pres 1999; 884-7.
- Russell DE. The incidence and prevelance of interfamilial and extrafamilial sexual abuse children. Child Abuse and Neglc 1983; 7: 133-46
- Farrely C. The case for re-thinking incest laws. J Med Ethics. 2008; 34:11.
- İşeri E. Cinsel istismar. Çetin FÇ, Pehlivantürk B, Ünal F, Uslu R, İşeri E, Türkbay T, Coşkun A, Miral S, Motavallı N, editörler. Çocuk ve Ergen Psikiyatrisi Temel Kitabı. 1.Baskı, Ankara, Hekimler Yayın Birliği 2008; s 470- 7.
- Eliot AJ, Peterson LW. Maternal sexual abuse of male children: when to suspect and how to uncover it. Postgrad Med 1993; 94: 169-72.
- Gorey KM, Leslie DR. The Prevalence of Child Sexual Abuse: Integrative Review Adjustment for Potential Response and Measurement Biases, Child Abuse Neglc 1997; 21: 391-8.
- Sobsey D, Doe T. Patterns of sexual abuse and assault: Sexual exploitation of people with disabilities. Sexuality and Disability 1991; 9: 243-59.
- Bozbeyoğlu AC. Türkiyede ensest sorununu anlamak. Nüfusbilim Derneği Yayınları, Damla matbaacılık, birinci baskı, 2009. s 22-32.
- McLean LM, Gallop R. Implications of childhood sexual abuse for adult borderline personality disorder and complex posttraumatic stress disorder. Am J Psychiatry 2003; 160: 369-71.
- Macan M, Uvodic P, Botica V. Paternity testing in case of brother-sister incest. Croat Med J 2003; 44: 347-9.
- Roelofs K, Keijsers GP, Hoogduin KA, Näring GW, Moene FC. Childhood abuse in patients with conversion disorder. Am J Psychiatry 2002; 159: 1908-13.
- Draijer N, Langeland W. Childhood trauma and perceived parental dysfunction in the etiology of dissociative symptoms in psychiatric inpatients. Am J Psychiatry 1999; 156: 379-85.
- Pribor EF, Dinwiddie SH. Psychiatric correlates of incest in childhood Am J Psychiatry 1992; 149: 52-6.
- Giardino AP, Finkel MA. Evaluating child sexual abuse, Pediatric Ann 2005; 34: 382-94.
- Baccini F, Pallotta N, Calabrese E, Pezzotti P, Corazziari E. Prevalence of sexual and physical abuse and its relationship with symptom manifestations in patients with chronic organic and functional gastrointestinal disorders. Dig Liver Dis 2003; 35: 256-61.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 14, 2011 |
| Published in Issue | Year 2011Volume: 33 Issue: 1 |