Sexual Assault: Victimization Across the Life Span – A Color Atlas

Sexual Assault: Victimization Across the Life Span — A Color Atlas aids in the accurate identification of sexual assault injuries in patients of every age. Featuring detailed, expansive case studies and more than 1700 full-color photographs, this atlas is an essential reference for medical practitioners, law enforcement professionals, and any other members of the multidisciplinary team that are tasked with the identification and treatment of sexual assault cases.

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Sexual Assault: Victimization Across the Life Span
A Color Atlas

Sexual Assault: Victimization Across the Life Span — A Color Atlas is an exhaustive, full-color photographic reference for all professionals who work with sexual assault victims. It contains 1735 photographs taken by medical practitioners and investigative personnel during forensic examinations, offering authentic clinical examples of physical findings in cases of sexual assault.

This atlas is divided into 7 sections, representing both male and female victims at every stage of life. Each segment features case studies on verified instances of sexual assault that depict a wide variety of injuries and include other forms of associated physical evidence. Readers from a multitude of disciplines will find this atlas an essential tool for investigating and responding to sexual assault in their respective fields.

Features & Benefits:

  • More than 1700 high-quality images
  • Detailed case histories covering an array of victims
  • Ideal for multidisciplinary use
Product Details:

775 pages, 1735 images, with 21 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


978-1-878060-61-7 (Print)
978-1-936590-12-4 (eBook)

Table of Contents

Volume II: A Color Atlas

1. Infant Sexual Abuse (0-3 Years)
2. Young Child Sexual Abuse (4-8 Years)
3. Pre-adolescent Sexual Abuse (9-12 Years)
4. Adolescent Sexual Abuse and Assault (13-17 Years)
5. Adult Sexual Assault (18-39 Years)
6. Middle-Aged Adult Sexual Assault (40-64 Years)
7. Elderly Sexual Assault (65 and Older)

Barbara W. Girardin, RN, PhD

Barbara Girardin earned her PhD in nursing from Wayne State University in Detroit, Michigan. Currently employed as a forensic nurse, trainer, and grant writer by the Healing Hearts Rape Crisis Center in Tamuning, Guam, she has 31 years of clinical practice experience in the acute and critical care of adolescents and adults, with eight years of clinical practice in forensic nursing, conducting acute sexual assault exams, developing policies and standards of practice, and receiving funding for federal grants. Dr. Girardin served as a consultant for the Sexual Assault Response Team (SART), Guam and at Naval Hospital, Guam, where she teaches the sexual assault advocate program at the Family Service Center. She authors a newsletter column titled “Research Briefs in Forensic Nursing” for the International Association of Forensic Nurses. She has also conducted community education programs for more than 500 middle and high school students, parents, and military commands on the topic of sexual assault. Dr. Girardin has served and is available as an expert forensic witness in sexual assault cases.

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Diana Faugno, a Minnesota native, graduated from the University of North Dakota in 1973 with a degree in nursing and obtained an MSN in 2006. Her professional experience includes nursing in the Medical/Surgical, Labor and Delivery, Pediatrics, and Neonatal Intensive Care departments. Ms. Faugno obtained her certification in pediatric nursing in 1990, began a career as a sexual assault nurse examiner in 1991, and became a certified sexual assault nurse examiner in 2002. She is the former director of Forensic Health Services, which includes a child abuse program, sexual assault team, and a family violence program in North San Diego County. Currently, Ms. Faugno is a board director for End Violence Against Women International. She has made several presentations to the scientific community and has led workshops on sexual assault presented at the American Academy of Science.

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Mary J. Spencer, MD

Mary Spencer is medical director of the Child Abuse Program and the Sexual Abuse Response Team at Palomar-Pomerado Health in North San Diego County. She received her BA from the University of Colorado and MD from the University of California-Los Angeles. After medical school, Mary Spencer completed a residency in pediatrics and a fellowship in pediatric infectious diseases at UCLA and worked as an assistant professor at the school until 1982. Currently, she is a clinical professor of pediatrics at the University of California-San Diego and has a private practice in pediatric and infectious disease medicine in Escondido.

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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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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

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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