Inaugurating the seminar on ‘Psyche Behind
Rape: Treatment-cum-punishment’, Dr. K Vijaykumar, National President, IMA said
that on one hand, IMA supports stringent punishment to the rape accused, on the
other hand, IMA is for providing correct sex-education in the school at the
right age and also educating the society, especially, the youth so that they do
not end up in psyche, which provokes rape in the society.
Addressing the seminar, Dr. Narender Saini,
Secretary General, IMA said that the IMA will come out with guidelines on “How
a medical doctor should tackle a patient with suspected rape?”
Moderating the session, Padma Shri & Dr.
BC Roy National Awardee, Dr. KK Aggarwal, National Vice President (Elect.), IMA
said that it is crucial for the doctor to examine both the rapist and the rape
victim for HIV-AIDS, Hepatitis B and Hepatitis C, all which can be transmitted
through sexual route. The rape victim as well as of the accused should be
checked for these infections at baseline, then again at 6 weeks to 3 months.
Post exposure HIV prophylaxis should be given to all rape victims.
The other faculty in the seminar included Dr
Vinay Aggarwal Past President IMA; Dr. D.R. Rai, Senior Vice President,
IMA; Mr. Ajay Kumar, Aaj Tak; Dr. S K Pal and Dr Anil Goel (Andrologists);
Ms Indu Malhotra (Senior Advocate); Dr. BB Rewari (NACO); Dr. Jitender
Nagpal (Psychiatrist); Dr Anita Kant (Gynecologist); Dr. Ajay Gambhir
(Pediatric and Finance Secretary, IMA), Ms Kalpana Kapoor (Educationist) and Dr
Sarvesh Tandon (Finance Secretary IMA East Delhi Branch).
Following were the salient points of the
seminar:
·
Right sex education
should be started in school age. IMA will come out with suggestions regarding
curriculum.
·
All doctors dealing
with rape victims should ensure total confidentiality of the victim and examine
them properly.
·
All rapists are also
brought to medical doctors for examination which includes tests for their
sexual potency. They should also be checked for presence of sexually transmitted
diseases.
·
There has a suggestion
from the Government that chemical castration can be one of the punishments to
the rapist. The same cannot be done without involving the medical fraternity.
The oral tablet for chemical castration given daily cannot be the punishment
for rapist. One can only give injections which reduce testosterone levels but
the same injection has to be given every 3-6 months and the effects are
reversible.
·
Chemical castration
injections are not safe and health-friendly. In the long run, they can cause thinning
of bones and cardiovascular diseases.
·
Chemical castration
injections will also promote corruption since influential people will force or
bribe the police and the doctors to give a water injection and write
anti-testosterone injection has been given.
·
A paraphiliac rapist
has been differentiated from a non-paraphiliac rapist.
·
Sexual contact with a
girl who is less than 16 years of age is a rape even if the sexual contact is
with mutual consent.
·
The percentage of
rapes is not reported. Majority of the rapes are reported from JJ Cluster areas.
·
False allegations may be made in the following situations:
o
Consensual live-in
relationship where one refused to marry.
o
One is caught in an
extramarital affair.
o
As a part of revenge
o
Under the influence of
alcohol and drugs
o
In an atmosphere of
pornographic movie
o
Date rapes and under
the influence of date rape drugs
o
Presence of stepfather
and stepbrother in the house.
o
Blackmailing a rich
person after consensual relationship
o
Showing your supremacy
of raping a girl in the society so that nobody speaks against the Dada.
o
To show off amongst
your friends that you can do it and you did it.
o
Politically motivated
o
You plant a girl to
somebody.
·
Examination of a rape
victim
o
First and foremost make the woman/girl/child
comfortable - she has been through physical and emotional trauma.
o
Take her to a room or corner with adequate
privacy
o
A short recount of her trauma is necessary so
that the doctor knows where all she has been violated.
o
All the surfaces - cheeks, ears, nose, breasts,
arms, legs, thigh (inner parts), abdomen, locally the private parts, even anal
opening should be examined for scratches, cuts, bite marks, blood, dried
white patches etc.
o
Examine the hair over vulva for blood or white discharge
o
Check the hymen for fresh/ old injuries
o
Examine the clothes of the victim e.g.
underclothes or other clothes depending on how the victim has been violated;
they should be collected in transparent bags and sealed to be sent for lab
examination
o
After that swabs are taken from vagina (and
other areas if relevant) to be tested in lab for sperms, PSA, DNA testing.
Sometimes, blood or hair of the rapist can be picked up for DNA matching.
o
Medical treatment of the victim requires
prevention of the following:
Pregnancy - give i-pill; Sexually transmitted
diseases (STDs) - fungal vaginitis, syphilis, HIV prophylaxis; The wound, if
any, need to be cleaned, stitched, antibiotics, tetanus toxoid etc. to be
given.; Psychological support is very important; preliminary blood test for HIV
after consent and counseling, and subsequent follow up test is necessary
Types of rapes
Rape generally
encompasses nonconsensual vaginal, anal, or oral penetration that involves
force or threat of force (physical or psychological), lack of consent, or
inability to provide consent because of age, intoxication, or mental status.
Rape is categorized according to the relationship between the perpetrator and
the victim.
·
Stranger rape describes nonconsensual sexual
penetration between individuals who do not know each other before the sexual
act
·
Acquaintance rape describes nonconsensual sexual
penetration between individuals who know each other in some capacity before the
sexual act
·
Date rape is a subset of acquaintance rape in
which nonconsensual sexual penetration occurs between two people who are in a
romantic relationship. Date rape can occur when the victim is alert and
rational or irrational, semiconscious, or unable to respond due to alcohol or
other drug use. Verbal coercion, threats or use of physical force, or the use
of alcohol or illicit drugs may occur as precipitating events.
·
Pendency of Gang Rape Cases and Rape
Cases in Delhi
S. No.
|
District
|
Gang Rape Cases
|
Rape Cases
|
Total
|
1.
|
Central
|
4
|
51
|
55
|
2.
|
North
|
8
|
26
|
34
|
3.
|
West
|
14
|
105
|
119
|
4.
|
-
|
5
|
5
|
|
5.
|
South
|
11
|
106
|
117
|
6.
|
South-East
|
18
|
107
|
125
|
7.
|
East
|
13
|
62
|
75
|
8.
|
North-East
|
15
|
137
|
152
|
9.
|
North-West
|
23
|
131
|
154
|
10.
|
Outer
|
23
|
79
|
102
|
11.
|
South-West
|
21
|
75
|
96
|
Grand Total
|
150
|
884
|
1034
|
No comments:
Post a Comment