Sexual Assault: Victimization Across the Life Span – A Clinical Guide

Sexual Assault: Victimization Across the Life Span — A Clinical Guide is an essential reference guide for any professional who is treating or investigating sexual assault. Through research, case studies, and full-color photographs, this reference aids in the evaluation, care, and follow-up treatment of sexual assault victims.

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Sexual Assault: Victimization Across the Life Span
A Clinical Guide

Sexual Assault: Victimization Across the Life Span — A Clinical Guide is an extensive reference for the investigation, treatment, and prosecution of sexual assault in victims of all ages. More than 50 researchers and practitioners in medicine, law, social work, law enforcement, and other professions contributed to this title, making it a comprehensive multidisciplinary resource.

From the fundamentals of investigation to the unique challenges presented in sexual assault cases, this guide offers a broad array of information for sexual assault intervention. Both novice and veteran medical practitioners will benefit from guidelines on physical examinations, evidence collection, and documentation. The text also includes chapters on special victim populations, the various roles of multidisciplinary team members, the presentation and the different effects of sexual violence in children and adults.

Features & Benefits:

  • Nearly 100 high-quality images
  • Exhaustive guidelines on assault evaluation
  • Ideal for multidisciplinary use
Product Details:

660 pages, 95 images, with 53 contributors


Law Enforcement, Attorneys, Judges, Physicians, ER Personnel, Pediatricians, EMTs, Nurses, Social Service Personnel, Mental Health Professionals, Domestic Violence Experts, Substance Abuse Experts, Child Advocates, Child Abuse Prevention Professionals, Child Protective Services Members

Publication date:

February  2003


978-1-878060-41-9 (Print)
978-1-936590-11-7 (eBook)

Table of Contents

Volume I: A Clinical Guide
1. Overview of Child Sexual Abuse
2. Anogenital Anatomy
3. Evaluation of Child Sexual Abuse
4. Forensic Evaluations for Sexual Abuse
5. STDs in Sexually Abused Children
6. Differential Diagnosis
7. Screening for Treatment in Boys and Male Adolescents
8. Disability and Sexual Violence
9. Multidisciplinary Teamwork Issues
10. Documentation and Report Formulation
11. Networks and Technologies
12. Overview of Adolescent and Adult Sexual Assault
13. Genital Injury and Sexual Assault
14. The Evaluation of the Sexual Assault Victim
15. Forensic Issues in Caring for Adult Victims
16. DNA Evidence in Sexual Assault
17. STDs and Pregnancy Prophylaxis
18. Dating Violence and Acquaintance Rape
19. Domestic Violence and Partner Rape
20. Sexual Assault and Pregnancy
21. Rape and Sexual Abuse in Older Adults
22. Sexual Assault in Correctional Settings
23. Revised Trauma Theory
24. Social Supports
25. Moving Beyond a Don’t-Ask–Don’t-Tell Approach
26. Caring for the Caregiver
27. SANE-SART History and Role Development
28. The Role of EMS Prehospital Care Providers
29. Law Enforcement Issues
30. The Role of Police as First Responders
31. Legal Issues in Sexual Assault
32. Investigating and Prosecuting Sexual Assault Cases

Angelo P. Giardino, MD, PhD

Angelo Giardino is the medical director of Texas Children’s Health Plan, a clinical associate professor of pediatrics at Baylor College of Medicine, and an attending physician for the Texas Children’s Hospital’s forensic pediatrics service at the Children’s Assessment Center in Houston, Texas. Angelo Giardino completed his residency and fellowship training in pediatrics at the Children’s Hospital of Philadelphia. Immediately after his fellowship training, Angelo Giardino became the assistant, and then the associate, medical director at Health Partners of Philadelphia, where he had primary responsibility for utilization management, intensive case management, and health care data analysis. He also shared responsibility for the plan’s quality improvement program. Additionally, he began the Child Abuse and Neglect Team for Children with Special Health Care Needs, which was funded by a three-year grant from a local philanthropy. In 1998, he was appointed associate chair of clinical operations in the Department of Pediatrics at the Children’s Hospital of Philadelphia (CHOP), and in June of 1999 he was asked to chair the CHOP Quality Committee. These accomplishments are only a few of his career.

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Elizabeth M. Datner, MD

Elizabeth Datner is the medical director of the Department of Emergency Medicine at the University of Pennsylvania Hospital and an associate professor at the University of Pennsylvania School of Medicine. She joined the department in July 1995 after completing the George Washington University/Georgetown University Combined Emergency Medicine Residency Training Program. Dr. Datner received her MD from The Pennsylvania State University College of Medicine in 1991. Her research interests lie in the areas of interpersonal violence and women’s health, specifically domestic violence, youth violence, and pregnancy-related emergencies.

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Janice B. Asher, MD

Janice Asher received her MD from Rush medical College in 1977. She is an assistant clinical professor at the University of Pennsylvania Medical School and at the University of Pennsylvania Medical Center in the Department of Obstetrics and Gynecology. She is also the medical director of Women’s Health in the Student Health Service at the university. From 1966 to 2001, Dr. Asher was the clinical director for Philadelphia Physicians for Social Responsibility. Currently, she is the clinical director for the Institute of Safe Families, a Philadelphia-based organization specializing in professional training, policy development, and multidisciplinary coordination of relationship violence victim services. Dr. Asher has lectured widely on the subject of relationship violence and trained medical students and physicians across the United States in violence assessment and intervention in the medical setting.

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From the Journal of the American Medical Association:

Sexual Assault: Victimization Across the Life Span is a two-volume collection. The mission of the publisher, GW Medical Publishing, is “to become the world leader in publishing and information services on child abuse, maltreatment and diseases, and domestic violence.”

The editors of the first volume, A Clinical Guide, are physicians with specialties in pediatrics, emergency medicine, and obstetrics-gynecology. Their goal is “to propagate information necessary to promote change, to better protect, and to better care for victims of sexual assault and sexual abuse.” The information contained is directed to all disciplines that provide care for victims and handle offender dispositions, including prehospital personnel, detectives, skilled medical staff, rape crisis counselors, and sexual assault examiners.

The editors of volume two, A Color Atlas, have backgrounds in pediatrics and forensic health care. The atlas has more than 1600 color photographic images. The chapters in the atlas are arranged by developmental stages: infancy, childhood, preadolescence, adolescence, adulthood, middle age, and elderly. The goal is to help “provide better care to victims of sexual violence and to hold offenders accountable to society for their crimes.”

The clinical guide has 32 chapters. The first 11 focus on child sexual abuse. Chapters start with an overview, then cover anatomy and the forensic evaluation. Separate chapters deal with male victims and persons with disabilities. Additional chapters address the teamwork approach to child sexual abuse, documentation, networks, and special technological tools.

Chapters 12 through 15 cover the evaluation of the adolescent and adult victims of sexual assault. The next two chapters give special attention to DNA evidence, sexually transmitted disease prophylaxis, and pregnancy prophylaxis. Outstanding features are the chapters on dating violence, acquaintance rape, domestic violence, and special populations (pregnant women, older adults, and incarcerated women). Chapters 23 and 24 explain the psychosocial trauma associated with sexual assault and offer resources for social support.

The editors include valuable information for maintaining health professional efficacy and for preventing and treating burnout. Vicarious traumatization is well defined and explained so that all sexual assault service professionals are able to understand their own potential sources of trauma.

The final chapters describe the history and development of Sexual Assault Nurse Examiner-Sexual Assault Response Team (SANE-SART) programs. These chapters discuss the roles of emergency medical services, law enforcement, investigating officers, and prosecutors and offer supportive direction to these disciplines.

These two volumes are a comprehensive and up-to-date collection on sexual assault with chapters by leaders in the field. Much of the information is evidence-based. The references are extensive and cover the gamut of the field. The editors have successfully included most of the important topics although additional attention could have been given to cultural issues and to recovery.

Reading the volumes has dramatically strengthened my understanding of the role of other members of the SART. In addition, the two volumes of Sexual Assault are an excellent teaching resource. The style and format make digesting the material uncomplicated. The language is concise and the content informative. I think the editors of both volumes have achieved the goal of disseminating practical evidence-based information for anyone working in the field of sexual assault and sexual abuse. I highly recommend these volumes for all who care for victims of sexual assault.

Sandra R. Scott, MD
University of Medicine and Dentistry of Newark
Newark, NJ

Excellent tools . . . [T]his is one of the best educational resources my office has ever purchased.

Arial Trudeau
Victim Assistance Specialist
Domestic Violence and Sexual Assault Program
Polk County Attorney's Office

This book is the first to bring together the best information available concerning sexual victimization across the entire lifespan.

Robert M. Reece, MD
Director, MSPCC Institute for Professional Education
Clinical Professor of Pediatrics
Tufts University School of Medicine
Executive Editor, The Quarterly Child Abuse Medical Update

Until [prevention] becomes a cultural imperative of its own, we will continue to need books such as these.

Randell Alexander, MD, PhD
Atlanta, GA

This text is a testament to the skill of the many examiners who took these excellent photographs. Discerning readers should come away from viewing these images with a clearer sense of how to document and how to interpret anogenital findings in sexual assault victims of all ages.

Lawrence R. Ricci, MD
Director, The Spurwink Child Abuse Program
Portland, ME
Clinical Assistant Professor of Pediatrics
University of Vermont College of Medicine

This text shows a wide variety of findings and variations that illustrate the observations and histories in sexual assault examinations.

Kelly Bell, RN, BLS, SANE-A
Forensic Nurse Examiner
Tulsa Police Department
Tulsa, OK

The book is great. I have used it in training for new nurses, as a reference in court, and to just reaffirm myself on findings. It was a great purchase.

Joy Thomas, RN, SANE-A

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