Drug Facilitated Sexual Assault is poorly understood and often not adequately investigated. This program seeks to describe the reality of drug facilitated sexual assault and to point out ways to improve outcomes for victims, law enforcement and social service providers.
R A P E V I C T I M S A R E A C L A S S O F P E R S O N S O F T E N D...MedicalWhistleblower
Every two minutes, somewhere in America, someone is sexually assaulted. 1, 2 One out of every six American women has been the victim of an attempted or completed rape in her lifetime. 3 Only one in 50 women who have been raped reports the crime to the police.4
Although both women and men may be victims of domestic violence, sexual assault, and stalking, women are the victims of the vast majority of these crimes. According to the Bureau of Justice Statistics, more than 85% of violent victimizations by intimate partners between 1993 and 1998 were perpetrated against women. Women are between 13 and 14 times more likely than men to be raped or sexually assaulted; for instance, in 1994, 93% of sexual assaults were perpetrated against women. Four of five stalking victims are women.
Rape Victims Are A Class Of Persons Often Defined By Gender Medical ...MedicalWhistleblower
Every two minutes, somewhere in America, someone is sexually assaulted. One out of every six American women has been the victim of an attempted or completed rape in her lifetime. Only one in 50 women who have been raped reports the crime to the police.
Although both women and men may be victims of domestic violence, sexual assault, and stalking, women are the victims of the vast majority of these crimes. According to the Bureau of Justice Statistics, more than 85% of violent victimizations by intimate partners between 1993 and 1998 were perpetrated against women. Women are between 13 and 14 times more likely than men to be raped or sexually assaulted; for instance, in 1994, 93% of sexual assaults were perpetrated against women. Four of five stalking victims are women. Data on male victimization do not show that males experience comparable victimizations and injury levels, do not account for women who act in self defense, and do not measure financial control, intimidation, and isolation used by perpetrators of domestic violence against women.
The gender issue is foremost in sexual assault issues, and is usually background in general victimization. The unique cultural bias and shaming that accompanies rape cases needs its own focused opposition. The history of rape law is a history of the law used as a tool to protect rapists, rather than the raped. The anti-rape movement confronts, as it must, the cultural myths that uniquely exist in the context of rape. Manipulation of these myths, along with humiliation and victim blaming, are typical informal defenses to rape charges. Blaming victims in rape cases may be an effective means to secure acquittal. In contrast, blaming a robbery victim is typically ineffective because robbery is unaccompanied by the same pernicious cultural myths. The nature of stigma and abuse in rape cases is profound and unique, a criminal process that mistreats and excludes other types of victims also inflicts secondary victimization.
In 2002, there were 247,730 victims of rape, attempted rape or sexual assault. One out of every six American women have been the victims of an attempted or completed rape in their lifetime (14.8% completed rape; 2.8% attempted rape). A total of 17.7 million women have been victims of these crimes. In 2002, one in every eight rape victims were male. 93% of juvenile sexual assault victims knew their attacker; 34.2% were family members and 58.7% acquaintances. Only seven percent of the perpetrators were strangers to the victim.
One of the most startling aspects of sex crimes is how many go unreported. The most common reasons given by victims for not reporting these crimes are the belief that it is a private or personal matter and that they fear reprisal from the assailant.
• In 2001, only 39% of rapes and sexual assaults were reported to law enforcement officials — about one in every three. [1999 NCVS]
• Approximately 66% of rape victims know their assailant.
• Approximately 48% of victims are raped by a friend or acquaintance; 30% by a stranger; 16% by an intimate; 2% by another relative; and in 4% of cases the relationship is unknown.
• About four out of ten sexual assaults take place at the victim’s own home. More than half of all rape/sexual assault incidents were reported by victims to have occurred within one mile of their home or at their home.
• In one study, 98% of males who raped boys reported that they were heterosexual.
• Rapists are more likely to be serial criminals than serial rapists. In one study, 46% of rapists who were released from prison were rearrested within 3 years of their release for another crime -- 18.6% for a violent offense, 14.8% for a property offense, 11.2% for a drug offense and 20.5% for a public-order offense.
• 61% of rapes/sexual assaults are not reported to the police. Those rapists, of course, never serve a day in prison.
So, even in the 39% of attacks that are reported to police, there is onl
R A P E V I C T I M S A R E A C L A S S O F P E R S O N S O F T E N D...MedicalWhistleblower
Every two minutes, somewhere in America, someone is sexually assaulted. 1, 2 One out of every six American women has been the victim of an attempted or completed rape in her lifetime. 3 Only one in 50 women who have been raped reports the crime to the police.4
Although both women and men may be victims of domestic violence, sexual assault, and stalking, women are the victims of the vast majority of these crimes. According to the Bureau of Justice Statistics, more than 85% of violent victimizations by intimate partners between 1993 and 1998 were perpetrated against women. Women are between 13 and 14 times more likely than men to be raped or sexually assaulted; for instance, in 1994, 93% of sexual assaults were perpetrated against women. Four of five stalking victims are women.
Rape Victims Are A Class Of Persons Often Defined By Gender Medical ...MedicalWhistleblower
Every two minutes, somewhere in America, someone is sexually assaulted. One out of every six American women has been the victim of an attempted or completed rape in her lifetime. Only one in 50 women who have been raped reports the crime to the police.
Although both women and men may be victims of domestic violence, sexual assault, and stalking, women are the victims of the vast majority of these crimes. According to the Bureau of Justice Statistics, more than 85% of violent victimizations by intimate partners between 1993 and 1998 were perpetrated against women. Women are between 13 and 14 times more likely than men to be raped or sexually assaulted; for instance, in 1994, 93% of sexual assaults were perpetrated against women. Four of five stalking victims are women. Data on male victimization do not show that males experience comparable victimizations and injury levels, do not account for women who act in self defense, and do not measure financial control, intimidation, and isolation used by perpetrators of domestic violence against women.
The gender issue is foremost in sexual assault issues, and is usually background in general victimization. The unique cultural bias and shaming that accompanies rape cases needs its own focused opposition. The history of rape law is a history of the law used as a tool to protect rapists, rather than the raped. The anti-rape movement confronts, as it must, the cultural myths that uniquely exist in the context of rape. Manipulation of these myths, along with humiliation and victim blaming, are typical informal defenses to rape charges. Blaming victims in rape cases may be an effective means to secure acquittal. In contrast, blaming a robbery victim is typically ineffective because robbery is unaccompanied by the same pernicious cultural myths. The nature of stigma and abuse in rape cases is profound and unique, a criminal process that mistreats and excludes other types of victims also inflicts secondary victimization.
In 2002, there were 247,730 victims of rape, attempted rape or sexual assault. One out of every six American women have been the victims of an attempted or completed rape in their lifetime (14.8% completed rape; 2.8% attempted rape). A total of 17.7 million women have been victims of these crimes. In 2002, one in every eight rape victims were male. 93% of juvenile sexual assault victims knew their attacker; 34.2% were family members and 58.7% acquaintances. Only seven percent of the perpetrators were strangers to the victim.
One of the most startling aspects of sex crimes is how many go unreported. The most common reasons given by victims for not reporting these crimes are the belief that it is a private or personal matter and that they fear reprisal from the assailant.
• In 2001, only 39% of rapes and sexual assaults were reported to law enforcement officials — about one in every three. [1999 NCVS]
• Approximately 66% of rape victims know their assailant.
• Approximately 48% of victims are raped by a friend or acquaintance; 30% by a stranger; 16% by an intimate; 2% by another relative; and in 4% of cases the relationship is unknown.
• About four out of ten sexual assaults take place at the victim’s own home. More than half of all rape/sexual assault incidents were reported by victims to have occurred within one mile of their home or at their home.
• In one study, 98% of males who raped boys reported that they were heterosexual.
• Rapists are more likely to be serial criminals than serial rapists. In one study, 46% of rapists who were released from prison were rearrested within 3 years of their release for another crime -- 18.6% for a violent offense, 14.8% for a property offense, 11.2% for a drug offense and 20.5% for a public-order offense.
• 61% of rapes/sexual assaults are not reported to the police. Those rapists, of course, never serve a day in prison.
So, even in the 39% of attacks that are reported to police, there is onl
EMS- Strangulation Trauma in Domestic ViolenceRobert Cole
This is a CE article for my service, very well received, looking at Strangulation trauma of the type seen in domestic VIolence. It covers patho-physiology, incidence, documentation, recognition, treatment, and much more.
MSUM's 2nd Annual Walk A Mile In Her Shoes® - Rape & Abuse SignsMSUM Dragon Athletics
Walk a Mile in Her Shoes® is a International Men’s March to Stop Rape, Sexual Assault & Gender Violence. This will be the second year the All-American has lead this event. The event is on Sunday, March 25 in the CMU Main Lounge and Ballroom, and all members of the Fargo-Moorhead community are welcomed.
During the walk, women and men together will walk a mile around the campus of MSUM. Men will be given the opportunity to wear high heels to signify putting yourself in her shoes.
Last year’s event was a huge succes and all the Dragon teams had players that participated. Again this year student-athletes will be in attendance for the event, and you really should see a men’s basketball center in six inch heels.
Date and Acquaintance Rape - as given (4.19.2014)William Harryman
A presentation on the statistics of date and acquaintance rape and sexual assault. Included information on how bystanders can intervene and a prevention model that focuses on men. (This is shorter version cut back to fit time constraints.)
Gangs and the Military presentation at the Northwest Gang Investigators Association, Missoula, Montana. October 2007 by Al Valdez, Ph.D. University of California - Irvine & Carter F. Smith, J. D., Austin Peay State University
Sexual violence occurs throughout the world Available data suggest
that in some countries nearly one in four women may experience
sexual violence by an intimate partner and up to one third of
adolescent girls report their first sexual experience as being forced
Sexual violence has a profound impact on physical and mental health
As well as causing physical injury, it is associated with an increased
risk of a range of sexual and reproductive health problems, with both
immediate and long term consequences
This is a presentation I made while I was going through my college days. A presentation which included 5 people all my peers and and a lot of research. You will find all types of Information on Rape with Real Case studies ranging from Man Raped by a woman to the Infamous Hannah Foster Rape Case. Read and Share so that everyone can know more about this heinous crime.
Gangs and the Military presentation at the Northwest Gang Investigators Association, Missoula, Montana. October 2007 by Al Valdez, Ph.D. University of California - Irvine & Carter F. Smith, J. D., Austin Peay State University
The Effects of Alcohol Intoxication on Accuracy and the Confidence–Accuracy R...Heather Flowe
Rape complainants are often alcohol intoxicated during the attack, raising questions about the accuracy of their testimony and their ability to gauge the likely accuracy of the testimony that they provide. This study examines the effects of acute alcohol intoxication on lineup identification accuracy and the confidence-accuracy relationship. We randomly assigned women (n=153) to consume alcohol (dosed to achieve a 0.08% BAC) or tonic water, controlling for alcohol expectancy. Women then participated in an interactive hypothetical sexual assault scenario and, twenty-four hours or seven days later, attempted to identify the assailant from a perpetrator present or a perpetrator absent simultaneous lineup and reported their decision confidence. Overall, levels of identification accuracy were similar across the alcohol and tonic water groups. However, women who had consumed tonic water as opposed to alcohol identified the assailant with higher confidence on average. Further, calibration analyses suggested confidence is predictive of accuracy regardless of alcohol consumption. The theoretical and applied implications of our results are discussed.
Medical Whistleblower Canary Notes Newsletter 37 Witness Intimidation ...MedicalWhistleblower
Witness intimidation involves witnesses crucial
to court proceedings being threatened in
order to pressure or extort them not to testify.
The term “witness” is used to refer both to victims
and to bystanders who could provide information
to police. The term “victim” is used to denote the victim of the initial crime. The
refusal of key witnesses to testify commonly renders a case with inadequate physical
evidence void in a court of law. This is a significant problem that has many lawmakers
considering tough penalties for intimidating a witness as in example the state of Kansas,
where it is a criminal misdemeanor, or, if found to be aggravated a felony.
How common is witness intimidation? It is difficult to know because the crime is greatly
under reported and also when intimidation is successful neither the intimidation nor the
original crime are reported. Many witnesses drop out of the investigation process long
before an indictment or court appearance. Witness intimidation plays a role in many
types of crime. Witness intimidation, however, is not the same as repeat victimization.
Although in both cases the same offenders may be responsible for multiple events, their
motives are different. In witness intimidation, the intent is to discourage the victim from
reporting a crime to police or from cooperating with prosecutors, whereas in repeat victimization,
the motive is often acquisitive.
Medical Whistleblowers who witness criminal activity or have been victimized by a crime
are sometimes reluctant to come forward and report incidents to police or to assist in the
prosecution of offenders. In the medical community there are generalized community
norms that discourage doctors, nurses and other medical professionals from cooperating
with a criminal investigation.
To encourage employee representatives and employers to build cultures in which respect for individuals is regarded as an essential part of the conduct of all those who work in the organization.
•To increase awareness and knowledge of bullying in the workplace, and encourage the development of employment practices that enhance worker safety and prevent bullying in the workplace.
Medical Whistleblower Canary Notes Newsletter 36 United Nations Declar...MedicalWhistleblower
The United Nations recognized the vital role of human rights defenders and the UN was convinced that these human rights defenders need to be protected from retaliation for reporting violations of human rights of others. The UN formally defined the defense of human rights as a right in itself and to recognize persons who undertake human rights work as “Human Rights Defenders.”The Resolution 53/144 was adopted in order to protect both human rights defenders and their activities. This is commonly known as the “Declaration on human rights defenders.”
EMS- Strangulation Trauma in Domestic ViolenceRobert Cole
This is a CE article for my service, very well received, looking at Strangulation trauma of the type seen in domestic VIolence. It covers patho-physiology, incidence, documentation, recognition, treatment, and much more.
MSUM's 2nd Annual Walk A Mile In Her Shoes® - Rape & Abuse SignsMSUM Dragon Athletics
Walk a Mile in Her Shoes® is a International Men’s March to Stop Rape, Sexual Assault & Gender Violence. This will be the second year the All-American has lead this event. The event is on Sunday, March 25 in the CMU Main Lounge and Ballroom, and all members of the Fargo-Moorhead community are welcomed.
During the walk, women and men together will walk a mile around the campus of MSUM. Men will be given the opportunity to wear high heels to signify putting yourself in her shoes.
Last year’s event was a huge succes and all the Dragon teams had players that participated. Again this year student-athletes will be in attendance for the event, and you really should see a men’s basketball center in six inch heels.
Date and Acquaintance Rape - as given (4.19.2014)William Harryman
A presentation on the statistics of date and acquaintance rape and sexual assault. Included information on how bystanders can intervene and a prevention model that focuses on men. (This is shorter version cut back to fit time constraints.)
Gangs and the Military presentation at the Northwest Gang Investigators Association, Missoula, Montana. October 2007 by Al Valdez, Ph.D. University of California - Irvine & Carter F. Smith, J. D., Austin Peay State University
Sexual violence occurs throughout the world Available data suggest
that in some countries nearly one in four women may experience
sexual violence by an intimate partner and up to one third of
adolescent girls report their first sexual experience as being forced
Sexual violence has a profound impact on physical and mental health
As well as causing physical injury, it is associated with an increased
risk of a range of sexual and reproductive health problems, with both
immediate and long term consequences
This is a presentation I made while I was going through my college days. A presentation which included 5 people all my peers and and a lot of research. You will find all types of Information on Rape with Real Case studies ranging from Man Raped by a woman to the Infamous Hannah Foster Rape Case. Read and Share so that everyone can know more about this heinous crime.
Gangs and the Military presentation at the Northwest Gang Investigators Association, Missoula, Montana. October 2007 by Al Valdez, Ph.D. University of California - Irvine & Carter F. Smith, J. D., Austin Peay State University
The Effects of Alcohol Intoxication on Accuracy and the Confidence–Accuracy R...Heather Flowe
Rape complainants are often alcohol intoxicated during the attack, raising questions about the accuracy of their testimony and their ability to gauge the likely accuracy of the testimony that they provide. This study examines the effects of acute alcohol intoxication on lineup identification accuracy and the confidence-accuracy relationship. We randomly assigned women (n=153) to consume alcohol (dosed to achieve a 0.08% BAC) or tonic water, controlling for alcohol expectancy. Women then participated in an interactive hypothetical sexual assault scenario and, twenty-four hours or seven days later, attempted to identify the assailant from a perpetrator present or a perpetrator absent simultaneous lineup and reported their decision confidence. Overall, levels of identification accuracy were similar across the alcohol and tonic water groups. However, women who had consumed tonic water as opposed to alcohol identified the assailant with higher confidence on average. Further, calibration analyses suggested confidence is predictive of accuracy regardless of alcohol consumption. The theoretical and applied implications of our results are discussed.
Medical Whistleblower Canary Notes Newsletter 37 Witness Intimidation ...MedicalWhistleblower
Witness intimidation involves witnesses crucial
to court proceedings being threatened in
order to pressure or extort them not to testify.
The term “witness” is used to refer both to victims
and to bystanders who could provide information
to police. The term “victim” is used to denote the victim of the initial crime. The
refusal of key witnesses to testify commonly renders a case with inadequate physical
evidence void in a court of law. This is a significant problem that has many lawmakers
considering tough penalties for intimidating a witness as in example the state of Kansas,
where it is a criminal misdemeanor, or, if found to be aggravated a felony.
How common is witness intimidation? It is difficult to know because the crime is greatly
under reported and also when intimidation is successful neither the intimidation nor the
original crime are reported. Many witnesses drop out of the investigation process long
before an indictment or court appearance. Witness intimidation plays a role in many
types of crime. Witness intimidation, however, is not the same as repeat victimization.
Although in both cases the same offenders may be responsible for multiple events, their
motives are different. In witness intimidation, the intent is to discourage the victim from
reporting a crime to police or from cooperating with prosecutors, whereas in repeat victimization,
the motive is often acquisitive.
Medical Whistleblowers who witness criminal activity or have been victimized by a crime
are sometimes reluctant to come forward and report incidents to police or to assist in the
prosecution of offenders. In the medical community there are generalized community
norms that discourage doctors, nurses and other medical professionals from cooperating
with a criminal investigation.
To encourage employee representatives and employers to build cultures in which respect for individuals is regarded as an essential part of the conduct of all those who work in the organization.
•To increase awareness and knowledge of bullying in the workplace, and encourage the development of employment practices that enhance worker safety and prevent bullying in the workplace.
Medical Whistleblower Canary Notes Newsletter 36 United Nations Declar...MedicalWhistleblower
The United Nations recognized the vital role of human rights defenders and the UN was convinced that these human rights defenders need to be protected from retaliation for reporting violations of human rights of others. The UN formally defined the defense of human rights as a right in itself and to recognize persons who undertake human rights work as “Human Rights Defenders.”The Resolution 53/144 was adopted in order to protect both human rights defenders and their activities. This is commonly known as the “Declaration on human rights defenders.”
Medical Whistleblower Canary Notes Newsletter 2 Bullying February 2006...MedicalWhistleblower
Bullying in the workplace is interpersonal violence and severely impacts the workplace environment and also may cause psychological harm to the victim. Chronic bullying can cause PTSD and lead to health problems. Bullying can also be a sign of underlying corruption or malfeasance in the workplace. All employers are advised to take workplace bullying seriously and take steps to prevent it
includes the recent guidelines & methodology for exaamination of rape victim in india. very helpful for medical students, practising doctos, esp Govt doctors.
The Intersection of Domestic Violence and Substance Abuse- April 2012Dawn Farm
"The Intersection of Domestic Violence and Substance Abuse" was presented on April 17, 2012, by Barbara Niess May, MPH, MSW; Executive Director, SafeHouse Center; and David J.H. Garvin, LMSW; Director, Alternatives to Domestic Aggression, Catholic Social Services of Washtenaw County. Domestic violence offender and survivor alcohol and other drug use/abuse is central to this discussion. The audience is provided with a primmer regarding batterer tactics, strategies, and core beliefs which hold the batterer accountable for his abusive behaviors while maintaining and promoting survivor safety. The program will help participants to recognize the critical importance of understanding domestic violence and alcohol/other drug use/abuse in order to safely and effectively intervene and/or interrupt the batterer's abusive behaviors and support the survivor. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
10. 2015 mwan 072015 upr town hall treaties, international mechanisms, domes...MedicalWhistleblower
Medical Whistleblower Advocacy Network, 2015, UPR Town Hall, Treaties, International Mechanisms and Domestic Implementation, Ratification efforts in the USA to ratify the Convention on the Rights of Persons with Disabilities, CRPD
6. 2015 mwan 032615 thematic report voiceless victims wards of the court ic...MedicalWhistleblower
Medical Whistleblower Advocacy Network Report 3/26/15 regarding human rights violations of persons who are wards of the court. The medical abuse and neglect of vulnerable mentally disabled adults and children as well as the elderly. Wards of the court have had their legal rights to legally advocate for themselves removed by a Judge's court order and another person (a guardian) assigned to represent their legal rights. The ability to advocate for one's own needs is essential in order to prevent human rights abuses. The worst human rights abuses happen behind closed doors and in places where the vulnerable persons are deprives of their basic human rights including the right to legally advocate for oneself. Pharmaceutical companies deliberately target vulnerable patient populations who are least likely to sue the company if an adverse event happens with their product. The use of pharmaceutical medications off-label without full informed consent is considered a human rights violation of a person's medical integrity. The use of neuroleptic medications without informed consent is considered potentially as torture. The use of psychiatric medications for chemical restraint is very overused and contributes to decreased quality of life for patients and also decreased life expectancy.
This is a preliminary report on the abuse and neglect of persons in residential treatment for “substance abuse” in the U.S.A. There have been violations of human rights, lack of investigation, prosecution and punishment of the offenders. This prevailing permissive environment has given de jure or de facto amnesty to those who violate human rights. Starting in the 1970’s there were residential treatment facilities for teens that were found to be abusive. The SEED, Straight Inc. and its derivatives, Roloff Homes, WWASPS and, more recently, Teen Challenge were adjudicated “guilty” of human rights abuses. This report explores the ways these perpetrators of abuse have used the political system to protect themselves and exploit loopholes in the law to expand their network of abusive residential treatment facilities for youth.
This is a preliminary report on the abuse and neglect of persons in residential treatment for “substance abuse” in the U.S.A. There have been violations of human rights, lack of investigation, prosecution and punishment of the offenders. This prevailing permissive environment has given de jure or de facto amnesty to those who violate human rights. Starting in the 1970’s there were residential treatment facilities for teens that were found to be abusive. The SEED, Straight Inc. and its derivatives, Roloff Homes, WWASPS and, more recently, Teen Challenge were adjudicated “guilty” of human rights abuses. This report explores the ways these perpetrators of abuse have used the political system to protect themselves and exploit loopholes in the law to expand their network of abusive residential treatment facilities for youth.
This report to the UN Universal Periodic Review is provided by Medical Whistleblower1 both as an
individual stakeholder and as an advocacy network, including - Whistleblowing Airline Employees
Association2, and the Illinois Family Court Accountability Advocates3. Medical Whistleblower joins with
an array of U.S.A. organizations and individuals that are concerned about U.S.A.’s failure to implement its
international human rights commitments to human rights defenders. Medical Whistleblower is located in
Lawrence, KS, USA and was established in 2001 to meet the advocacy needs of persons who have stepped
forward to provide information about medical fraud against vulnerable populations, patient abuse and
neglect, and human rights violations. Many are mandated reporters under state or US federal law.
Post Traumatic Stress Disorder (PTSD) is a natural emotional reaction to a deeply shocking and disturbing experience. It is a normalreaction to an abnormalsituation.
•Any human being has the potential to develop PTSD
•Cause external –Psychiatric Injury not Mental Illness
•Not resulting from the individual’s personality –Victim is not inherently weak or inferior
Law Enforcement, Intelligence, And Bioterrorism Investigation TestMedicalWhistleblower
A short multiple choice test to assess the basic knowledge of law enforcement officers regarding the value of intelligence in bioterrorism investigation.
How Should We Address Bulling In The Workplace Medical WhistleblowerMedicalWhistleblower
This powerpoint presentation by Medical Whistleblower, Dr. Janet Parker DVM examines how we can make workplaces less hostile and to promote good employment practices to identify, decrease and eliminate bullying in the workplace.
Medical Whistleblower Canary Notes Newsletter 11 Psychiatric Rights &am...MedicalWhistleblower
The Declaration of the Rights of Disabled Persons was adopted by the United Nations in 1975. It defines ‘disabled person’ to mean ‘any person unable to ensure by himself or herself, wholly or partly, the necessities of normal individual and/or social life, as a result of deficiency, whether congenital or not, in his or her physical or mental capacities’. This definition includes people with a mental illness, whether or not they also have other disabilities. The Declaration recognizes that people with disabilities are entitled to:
• The inherent right to respect for their human dignity; The same fundamental human rights as other citizens, whatever the origin nature and seriousness of their handicaps and disabilities, including the right to a decent life - as normal and full as possible;
• The right to legal safeguards against abuse of any limitation of rights made necessary by the severity of a person’s handicap, including regular review and the right of appeal;
• The right to any necessary treatment, rehabilitation, education, training and other services to help develop their skills and capabilities to the maximum;
• The right to economic and social security and the right, according to their capabilities, to secure and retain productive employment and to join trade unions;
• The right to have their needs considered in economic and social planning; The right to family life, the right to participate in all social, recreational and creative activities and the right not to be subjected to more restrictive conditions of residence than necessary;
Medical Whistleblower Canary Notes Newsletter 36 United Nations Declar...MedicalWhistleblower
The United Nations recognized the vital role of human rights defenders and the UN was convinced that these human rights defenders need to be protected from retaliation for reporting violations of human rights of others. The UN formally defined the defense of human rights as a right in itself and to recognize persons who undertake human rights work as “Human Rights Defenders.”The Resolution 53/144 was adopted in order to protect both human rights defenders and their activities. This is commonly known as the “Declaration on human rights defenders.”
Medical Whistleblowers are human rights defenders. The Hippocratic Oath taken by every Medical Doctor states the Doctors’ responsibility to care for the sick, to report on the welfare of the individual patient and also guard against any bias in the medical care system in relationship to any class of persons. The central moral commitment of the Hippocratic traditional code is its dedication to something other than the physician’s self-interest, that something being the primacy of the welfare of the patient. The Medical Doctor’s clear obligation is to detect and prevent abuse and neglect. Medical Whistleblowers promote the well-being of patients by taking appropriate actions to avert the harms caused by violence and abuse. The duty of the Doctor is to not only address patients’ immediate injuries, but also the psychological and social needs of victims. Medical Whistleblowers need to work closely in conjunction with members of the public safety and law enforcement communities. In the U.S.A. there is mandated reporting of any signs of violence, abuse, or suspicious injuries. This places the Medical Whistleblower in the position of being a human rights defender and possibly facing retaliation by politically or economically powerful adversaries. In the political international context, medical professionals are some of the first reporters of violations of human rights. Medical Whistleblowers report the abuse of the elderly in hospital and nursing home settings, the financial and civil rights violation by guardians of the mentally ill, sexual assault of vulnerable youth in the foster care system, male upon male rape in prisons, neglect or abuse of refugees, and brutality against prisoners of war or psychological torture of terrorist suspects. Often Medical Fraud goes hand in hand with the violation of the patient’s human rights. Criminals who defraud the US Medicaid system by fraudulent charges, false reports and unnecessary procedures on vulnerable patients, do not care that they are causing physical, emotional and financial harm to vulnerable children and adults. These criminals deliberately seek out persons who by their very medical condition, disability, cognitive difficulty, legal immigration status, nationality, or disease state are particularly vulnerable. The right of opinion and expression of Medical Whistleblowers needs to be protected in order to protect these vulnerable patients.
2. Sexual Assault There are 198,850 sexual assaults each year Disabled Women - rate of abuse and rape twice that of the general population of women. 545 women are raped every day Only one in 50 women who have been raped reports the crime to the police National Crime Victims Rights Resource Guide 2005
3. False Reports? Did you know that... Less than 2 percent of the reported rape cases are found to be false. "More people falsely report their own death than file a false report alleging sexual assault.” It is more likely that women will not report a rape that occurred. (Federal Bureau of Investigation statistics)
4. DFSA Definition Victim is subjected to non-consensual sexual act(s) while incapacitated by alcohol and/or drugs Effect of the substance(s) prevents resistance and ability to consent
5. Myth: Stranger in the club or singles bar Reality is: Perpetrator could be a date or a trusted “friend” Health care provider in a medical setting Could be a neighbor Drug can be placed in non-alcoholic beverage Can occur at a workplace, a church or any social gathering
6. DFSA Victims All social categories, race, ethnicity, education levels, social and economic classes, sexual orientation, religions, and physical and mental abilities.
7. DFSA Effects Fear, profound psychological damage to victim, serious injury, or death Adverse long-term psychological, emotional, physical, and economic effects on all family members and affects the community at large
8. Statistics 1 in 6 women has been the victim of an attempted or completed rape in her lifetime. Among developmentally disabled adults, as many as 83% of the females and 32% of the males are the victims of sexual assault About 44 percent of rape victims are under age 18. One in 10 is male.
9. Workplace Violence 29,000 acts of rape or sexual assault in the workplace each year Both an emotional and financial impact on the workplace Victims report diminished work functioning and even loss of their employment
10. Criminal Profileof a Rapist In about two-thirds of all rape cases, the victim knows the assailant. 99 in 100 are male 6 in 10 are white Average age is the early 30s
11. DFSA Rapists Strongly defend their violence by denying, minimizing, blaming, justifying, and rationalizing their behavior. Appear logical and rational when convincing others of their innocence.
12. Rapists Control the Victim Rape drugs make it relatively easy for rapists to gain control of their victims. They can even make it seem as though the victim is consenting. Drugs they administer immobilize and silence the victim. Rapist does not have to overcome any form of resistance. No need for physical force or threats.
13. Many Repeat Offenders Drugs used often cause rapid loss of ability to walk –the assault very near the location of the drugging Perpetrators target someone who can be easily “carried” home – The Rescuer, The Helper
14. DFSA Rapist Criminal Profile High functioning Grandiose, self-absorbed Narcissistic Appear to be functioning well Two groups College students Men > 30 years of age Often single (never married or divorced)
15. Modus operandi Good verbal social skills, “Wine and dine” Charming, Usually not psychiatrically ill Can quickly establish “trust” Usually not drunk or stoned, Very much in control of the situation Usually not violent, Often makes NO effort to hide identity In the morning, dares her to tell someone
16. Act Out Fantasies Anal sex Ejaculate onto victim’s face, into the mouth Shave the victim Dress the victim up in “special” clothes
17. DFSA v Coercive Rapist General lack of violence Clothes not torn off No mutilation No threats prior to the rape – maybe a threat afterwards that no one will believe her DFSA have superb verbal skills
18. Clinical Psychologist Dr. Nicholas Groth “ All sexual assault is an act of aggression, regardless of the gender or age of the victim or the assailant. Neither sexual desire nor sexual deprivation is the primary motivating force behind sexual assault. It is not about sexual gratification, but rather a sexual aggressor using somebody else as a means of expressing their own power and control” author of Men Who Rape: The Psychology of the Offender
19. Serial Rapists Drug rapists are most commonly serial rapists……..They will commit this crime again. Rapists usually have raped approximately 14 times for each time they are caught
20. Two Common Presentations Complete “loss of consciousness” I passed out…I was gone. He could have sawed me in half and I would not know it Fragmented memory – brief, intermittent periods of visual and/or auditory memories I was awake some of the time but I couldn’t move. I couldn’t talk
21. Anterograde amnesia Anterograde amnesia is a condition in which events that occurred during the time the drug was in effect are forgotten May not seek help for days Inability to recognize signs of sexual assault Feel powerless & out of control
22. Most rapists are not caught Only 10 percent of rapes are reported Less than 25 percent reported rapists are arrested 3 percent arrested are charged No more than 35 percent charged are convicted (according to FBI)
24. Support the Victim Believe the person when they tell you that they believe they were drugged. Do not fault them for what they may have done before, during, or after.
25. Misjudging and MinimizingVictims’ Trauma Because most victims of drug-facilitated rapes have no memory of the sexual assault, people may mistakenly minimize the trauma Victims feel powerlessness, and humiliated by not knowing what was done to them.
26. Secondary Victimization Inappropriate actions by others can so closely mimic victims' experiences at the hands of their assailants “The second rape" or "the second assault."
27. Emergency Care You or someone you know believes that they have been given a drug and are unsure what has happened to them ………….. Get them to the ER and Request to be tested!
28. Delayed Reports Delayed reports also are common, particularly in acquaintance rapes. The majority of mental health professionals surveyed (84%) agreed that contact with social service providers re-traumatizes rape victims.
29. PTSD Post-Traumatic Stress Disorder is a normal emotional and psychological reaction to trauma (a painful, shocking experience such as rape, war or a natural disaster) that is outside of a person's normal life experiences.
30. Recovery Takes Time Survivors recover in stages. Each person processes the event his or her / his own way. Survivors need a safe environment to work through their fears.
31. Mind Rape The surreptitious drugging of a victim is, in and of itself, a cruel and criminal violation of the person. There are estimates that as many as 62% of all rapes are facilitated with drugs. University of Illinois at Chicago Sam Hostettler May 2006
32. Rapists Can Appear to BeRescuers Victim may appear drunk or impaired and the rapist taking the victim to another place may appear to onlookers as assisting an impaired person. While the victim is still under the effects of the drug which may last 72 hours, the rapist has plenty of time to create a plausible cover story.
36. Gay Drug Scene According to recent study ….. 70% of gay men attending circuit parties in Seattle use drugs GHB is widely accessible Meth use is escalating Hanne Thiede, DVM, MPH. Clinical Assistant Professor, Epidemiology
37. METH and SEX Meth causes the release of dopamine, the brain's pleasure chemical, which makes sex more pleasurable, which heightens the desire for the drug, which speeds the physiological addiction. Sexual desire and craving for the drug become psychologically intertwined. Meth increases violent sexual behavior
38. Male Rape Rape is a violent crime that affects heterosexual men as much as gay men Lack of sympathy Lack of support Victim’s concern for being perceived as homosexual
39. Did you know that... Women can sexually assault other women? Lesbian domestic violence often includes lesbian rape? Lesbian rape is almost always unreported? It is estimated that 1 out of 3 lesbians have been sexually assaulted by another woman. GHB/GBL, meth and Ecstacy use by Lesbians increasing
40. Window for Testing Remember, each of the drugs metabolize at various rates GHB 12 hours Ketamine for up to 48 hours Rohypnol for up to 72 hours.
41. Ketamine Not legal to possess for personal use in the United States, because its legitimate use is as a veterinary anesthetic or animal tranquilizer
42. Effects of Ketamine Dissociation of the mind from the body Produces similar side-effects to LSD or PCP Hallucinations and feelings as through they have entered another reality Amnesia which may make recollection nearly impossible
43. Additional Effects - Ketamine Small doses block the bodies pain response, causing self-injury Larger doses lower the heart-rate, leading to oxygen depletion of the brain and muscles Overdoses can cause the heart to stop beating and, possibly, temporary paralysis
44. Duration of Effects - Ketamine Immediate effects may only last an hour or less, but person's senses, judgment, and coordination may be affected for 18 to 24 hours. Tests can detect Ketamine in a person's system up to 48 hours of ingestion.
45. GHB GHB (gamma-hydroxybutyrate) exists under many names. Although initially thought to build muscle, it has quickly become the rapist's drug of choice.
46. GHB Physical Characteristics Clear, syrupy liquid White powder form, like laundry detergent Tastes unpleasant, salty, and plastic-eque, and has a mild odor.
47. Duration of Effects The symptoms of GHB peak may peak in as few as 15 minutes and last from 3 to 6 hours. Extremely intoxicated Impaired judgment.
48. Other Effects GHB Nausea, vomiting Uncontrollable twitching Violent, aggressive behavior Extreme drowsiness, weakness Reduced muscle-tone, blood pressure and respiratory rate Dizziness and confusion Hypothermia and seizure-like activity Suppression of the Gag Reflex and coma/death
49. Sexual Effects GHB may cause enhanced sexual feelings by the victim Victim may participate in reciprocal acts, as a result of the drug, rather than free will.
50. Oral Ulcers Homemade batches of GBH can have high pH levels cause internal burns. Vomiting burns the "second-time round"
51. Duration of Effects GHB - in the blood stream for only 4 - 7 hours. GHB in urine stream - up to 12 hours after ingestion. Delayed reports – loss of precious evidence (National Drug Intelligence Center)
52. Rohypnol Rohypnol is the trade name for the drug flunitrazepam, a benzodiazepine (central nervous system depressant) like Valium, yet 10 times more potent. Outside the United States, Rohypnol is legally manufactured by Hoffman-LaRoche, Inc., and is available by prescription
53. Duration of Effects Rohypnol - begin within 15 to 20 minutes may persist for more than 12 hours. Detectable in urine for up to 72 hours after ingestion.
55. MDMA - Ecstasy 3,4- methylenedioxymethamphetamine Adam, Ecstasy, XTC, E, and X Stimulant and low-level hallucinogen MDMA is generally taken orally in tablet or capsule form.
56. MDMA Psychological Effects Confusion Depression Sleeplessness Anxiety Paranoia Long-term, even permanent brain damage Memory loss
58. Legal Response DFSA - rape achieved with a weapon (that is, the drug). The drug is a weapon that is actively employed or used by a perpetrator to ensure submission thus taking away the victim’s capacity to consent.
59. “Real Rape” Rape allegation is supported by a positive toxicology test. Forensic evidence of a CNS depressant as the weapon used to overcome resistance ultimately signals a lack of consent.
60. Negative Test??? But a negative toxicology report often just means that we didn’t get the evidence taken soon enough, for a variety of reasons. This is still rape!!!!
61. Memory Loss Victim may remember little Victim's account has many missing parts Recall difficult - may cause victim extreme anxiety
62. WITNESS STATEMENTS Persons who saw the victim, or spoke to the victim, before, during and after the assault are critical witnesses. Witnesses establish - time frames notice unusual behavior identify potential sources
63. Variable Effects May at some point render a victim unconscious but not always Depending on which drug is used and/or the amount given, the victim may appear to participate or may even appear to be the aggressor early on in the attack.
64. SIGNS THAT YOU MAY HAVE BEEN DRUGGED Feeling a lot more intoxicated than you normally would, having consumed no more alcohol than usual. Feeling "fuzzy", waking up very hung over, unable to account for a period of time, or memory lapse. Feeling as though someone had sex with you but you can't remember any or all of the incident. Remembering taking a drink but having difficulty recalling what happened after drinking
65. Reducing the Risk Don't leave drinks unattended Don't take any drink from someone you don't know well and trust Don't drink anything that has an unusual taste or appearance (i.e. salty taste, unexplained residue, excessive foam) Don't accept open container drinks Watch bartenders make your drink Don't drink beverages that you didn't open yourself Bring your own drink or watch your drink being poured If you realize that your drink has been left unattended, discard it Don't share or exchange dinks with others
66. Testing Negative “The victim claims she was drugged and raped, but they tested her for ‘date rape drugs’ and there weren’t any. So, it wasn’t a drug rape.” That statement mis-states the reality of the typical drug rape.
67. GHB often not Detected Some drugs stay for a couple of days, but GHB, the most popular for obvious reasons, very quickly dissipates from the system. Hospitals can’t even test for GHB.
68. No Screening Test There is no “screening test” for GHB; it requires a confirmation test that hospitals cannot do and crime labs only do upon specific request
69. Police Response Training for first line responders should include: The drugs utilized in sexual assaults the variety of drugs that are used what to look for in terms of crime scene evidence.
70. Police Response Unable to give a complete narrative, victims often encounter suspicion, disbelief, and/or frustration. This inability compounds their sense of helplessness.
71. DUI The victim may appear intoxicated or "hung-over“ and be arrested for DUI. Refusing to allow the rape kit to be taken is tantamount to the officer destroying evidence.
72. Difficulties in Investigation Many aspects of a rape investigation are facilitated by a victim’s ability to describe what happened. The victim’s narrative helps guide the medical/evidentiary examination and the police investigation.
73. Prosecutor’s Training Drugs used and how they are employed How to investigate these cases Forensic evidence How to best use expert witnesses
74. Rape Victim Rights You have the right to determine whether or not you want to report the sexual assault to law enforcement.You have the right to report the crime, but not proceed with prosecution. However if the prosecutor's office proceeds with the case, you may be subpoenaed. You have the right to reasonable protection by the law. You have the right to be treated in a considerate and sensitive manner by law enforcement and medical personnel. You have the right to request copies of police reports regarding the assault. You have the right not to be exposed to prejudice because of age, race, class, lifestyle, or occupation. You have the right to be considered a rape survivor regardless of the relationship of the assailant to you (i.e. acquaintance, relative, spouse doctor, therapist, clergy or employer.)
75. Contact Dr. Janet Parker DVM P.O. Box C Lawrence, KS 66044 MedicalWhistleblower@gmail.com
Editor's Notes
GHB is especially known for its sexual enhancement capabilities. But not only is a victim disinhibited and likely to engage in behavior quite atypical for her personally, she most likely truly will not even remember such conduct.
Recently, the manufacturers of Rohypnol have coded the drug with a blue dye and slowed the rate at which the drug dissolves. Also in darker drinks Rohypnol will produce a cloudy, murky appearance. GHB has been known to have a salty taste.