"Silent screams": Family perceptions in the drawings of incest victim children.

PURPOSE: This study aimed to examine the family perceptions in the drawings of children exposed to incest. DESIGN AND METHODS: This qualitative research involved 25 child survivors of incest, all of whom were examined and subjected to forensic interviews at a facility in northern Türkiye specializing in cases of child sexual abuse. The data were collected using the "Child and Family Descriptive Information Form", the "Abuser Descriptive Information Form", the "Family Drawing Test", and the "Semi-structured Interview Form". RESULTS: The children's drawings were subjected to a projective analysis, leading to the identification of three key themes: the distress of confronting incest; unbalanced power and role allocation in the family; and dysfunctional family dynamics.". These themes were discerned by examining the connections and coherence between the categories. CONCLUSION: It is concluded in the study that who are exposed to incest perceived a trauma experience that affected the whole family, perceived unbalanced power and role allocation in the family with authoritarian-aggressive and submissive-oppressed roles, and had negative perceptions of family dynamics such as emotional ties, family integrity, and social interaction. IMPLICATIONS TO PRACTICE: This study emphasizes the need to restructure the issues of familial trauma, power and role imbalance, and unmet needs within the family while planning for trauma in nursing approaches to children who are victims of incest.

A Qualitative Investigation of Self-Compassion in Music Therapy Group Voicework With Women Coping With Incest.

Incest occurs worldwide in all socioeconomic classes. To the best of our knowledge, literature on music processes with incest survivors is scarce, and studies focusing on voicework as a main technique for incest survivors in group settings have not been found. The current study aimed to explore incest survivors' expectations regarding the use of their voice before participating in a vocal group therapy, and their lived experience of using their voice following the therapeutic process. Seventeen women living in an inpatient alternative center, coping with complex posttraumatic stress disorder due to incest, participated in a voicework group led by two music therapists. The women were divided into two groups of eight and nine women each and participated in eight sessions. Data were collected through focus groups before and after the therapeutic experience. Interpretative phenomenological analysis yielded themes indicating that before the therapeutic process, participants' expectations regarding the use of their voice reflected low self-esteem, self-criticism, loneliness, shame, fear of exposure, and avoidance of singing. Following the therapeutic process, participants experienced their voice in a way that enabled them to feel self-acceptance and courage to sing, togetherness, bonding, belonging, a strengthening of existing relationships and ability to establish new ones, and awareness of body and emotions in the "here and now." An overall examination of the findings indicates that participants progressed from experiencing lack of self-compassion before the therapeutic experience to enhanced self-compassion at its completion. The findings are interpreted via the self-compassion concept and implications are presented.

Calculation of Likelihood Ratios for Incest Cases Using IBD Patterns.

OBJECTIVES: To calculate the likelihood ratios of incest cases using identity by descent (IBD) patterns. METHODS: The unique IBD pattern was formed by denoting the alleles from the members in a pedigree with a same digital. The probability of each IBD pattern was obtained by multiplying the prior probability by the frequency of non-IBD alleles. The pedigree likelihoods of incest cases under different hypotheses were obtained by summing all IBD pattern probabilities, and the likelihood ratio(LR) was calculated by comparing the likelihoods of different pedigrees. RESULTS: The IBD patterns and the formulae of calculating LR for father-daughter incest and brother-sister incest were obtained. CONCLUSIONS: The calculations of LR for incest cases were illustrated based on IBD patterns.

"A daily reminder of an ugly incident ": analysis of debate on rape and incest exceptions in early abortion ban legislation in six states in the southern US.

Abortion bans in the United States often include provisions for abortion in the circumstances of rape or incest experience. Such exceptions have been included in important legislation like the Hyde Amendment, 2003 Partial-Birth Abortion Ban Act, 2010 Affordable Care Act, and state and federal legislation banning abortion in early gestation. Thus, examination of these laws is critical given the 2022 Supreme Court decision to devolve legal access to the state level. This study examines arguments made by proponents and opponents of rape and incest exceptions within early abortion ban legislation using publicly available video archives from legislative sessions in six Southern states. A narrative analysis was conducted on the legislative debate of rape and incest exceptions during the 2018-2019 legislative sessions. We found three core themes when examining legislative debate: belief in people's claims underpinned opposition or support for exceptions; opinions about trauma were related to views on exceptions; and exception supporters called for empathy and non-partisanship in consideration of rape and incest. Additionally, support and opposition for the inclusion of rape and incest exceptions in draft law did not follow party lines. This study seeks to deepen understanding of the strategies used by legislators to promote and rebuff rape and incest exceptions in early abortion legislation while providing greater opportunity for tailored reproductive health, rights, and justice advocacy and policy, especially in the context of the US South where abortion access is now extremely restricted.

"I'm in a Bloody Battle without Being Able to Stop It": The Dissociative Experiences of Child Sexual Abuse Survivors.

Dissociation in child sexual abuse (CSA) survivors remains under-recognized and diagnosed, partly because of the difficulties involved in identifying dissociative symptoms. Qualitative research can contribute to a better understanding of the lived experiences of dissociation. This study focused on the experiences of dissociation in the context of CSA. In all, 22 female incest survivors, all diagnosed with different dissociative disorders, provided narratives about their experiences of dissociation. The narratives were analyzed using interpretative phenomenological analysis. The narrative analysis revealed four central themes. The first theme deals with reliving the experience of the abuse. The second theme refers to the experience of disconnection from the body, the self, and the surroundings. The third theme covers the lack of coherence in the narrative, and the fourth theme describes the bridge between voluntary controlled and nonvoluntary uncontrolled use of dissociation. The data are discussed in light of several traumagenic constructs, including a lack of self-sense, being entrapped in a victim-aggressor relationship, and distorted time perception. It is suggested that the extent to which participants can control their dissociation and the coherency of their narratives reflects the severity of their dissociation. Clinicians can consider helping clients use dissociation as an adaptive defense mechanism.

Factors Associated With Impeding the Reintegration of Incest Survivors: A Qualitative Study in Selected Safe Homes in Nepal.

BACKGROUND: Incest is a globally prevalent phenomenon and is defined as sexual relations between closely related family members. Despite being a criminal offense irrespective to the gender and age incest is a prevalent issue in Nepal. Incest survivors are sheltered in safe homes for specific periods and reintegrated into their families following their healing. This research aims to explore the challenges and issues involved in the reintegration of incest survivors and investigate how the interconnected perceptions of families and individuals relate to the incest survivors' successful reintegration. METHODS: This qualitative study was conducted in three districts of Nepal. Fourteen incest survivors, five service providers from safe homes, and 22 community members were purposefully and theoretically selected. Semi-structured interviews were carried out to collect the study data, which were subsequently coded and analyzed using a grounded theory approach. RESULTS: The results indicate the importance of the reintegration of incest survivors, as staying in a safe home may not offer a long-term solution for these individuals. However, reintegration is challenging without acceptance and support from the survivors' families and communities, the survivors' readiness to reintegrate, and agreement from the survivors' safe homes. Factors found to influence the unsuccessful reintegration of survivors included family fragmentation, socio-economic status, family resistance, the survivor-perpetrator relationship, survivors' interests, fears, and the possibility of repeated incidents, harmful social norms and cultural practices, community intervention, and negative perceptions. CONCLUSION: This study found that factors associated with impeding the reintegration of incest survivors are found in survivors, their families, and their communities. Creating harmonious family systems, providing education on gender equality, empowering women to fight against all sorts of abuse, and governmental assurances on the implementation of legal aid, human rights, ratified conventions on child rights and women's rights may help prevention of incest, and address the reintegration challenges of incest victims.

Sibling Sexual Abuse: A Review of Empirical Studies in the Field.

Although sibling sexual abuse (SSA) is one of the most common forms of sexual abuse, it has been particularly neglected in previous research. Hence, characteristics of this form of abuse and its longer term implications are not well understood. The aims of the current review were to precisely characterize the phenomenon of SSA and to condense the implications known to date of SSA on survivors. We included 15 studies with a total sample size of 14,680 individuals. Our results indicate that SSA has some unequivocal features such as an early onset, an extended duration and frequency, and a particularly high intensity (i.e., involvement of coercion, force, superiority, and manipulation). Our findings also revealed that SSA is linked to later depression, anxiety, impaired self-esteem, and sexual functioning. The findings of the current review suggest that (1) SSA is common, (2) SSA has various negative effects on survivors' mental health, and that (3) SSA and its implications have been and to date are marginalized in research and practice. Results are discussed with a special focus on clinical implications.

Calculation of Likelihood Ratios for Incest Cases Using IBD Patterns / 法医学杂志

OBJECTIVES@#To calculate the likelihood ratios of incest cases using identity by descent (IBD) patterns.@*METHODS@#The unique IBD pattern was formed by denoting the alleles from the members in a pedigree with a same digital. The probability of each IBD pattern was obtained by multiplying the prior probability by the frequency of non-IBD alleles. The pedigree likelihoods of incest cases under different hypotheses were obtained by summing all IBD pattern probabilities, and the likelihood ratio(LR) was calculated by comparing the likelihoods of different pedigrees.@*RESULTS@#The IBD patterns and the formulae of calculating LR for father-daughter incest and brother-sister incest were obtained.@*CONCLUSIONS@#The calculations of LR for incest cases were illustrated based on IBD patterns.

Atendimento psicossocial à mulher que comete ofensa sexual / Psychosocial attention for women that commit sexual offenses / Atención psicosocial para mujeres que cometen delitos sexuales

Objetivamos apresentar uma proposta de atendimento psicossocial grupal oferecida para mulheres adultas que cometeram ofensa sexual, cuidadoras e mães. A experiência está sendo desenvolvida no Distrito Federal, Brasil, com pessoas do gênero feminino provenientes de encaminhamento judicial. Carece que os profissionais das áreas da justiça, saúde, serviço social e psicologia avancem no estudo e na compreensão desta temática, de modo a pensarem a atuação e o apoio terapêutico a essas mulheres. O modo de atendimento é focal e breve, com ênfase na criação de um ambiente lúdico como facilitador das interações grupais e da discussão sobre os temas: identidade; confiança nas relações afetivas e sociais; vivência pessoal com violência física e sexual; configuração de gênero; e expressão da sexualidade e futuro. A abordagem individual também se baseia no enfoque dos temas mencionados. O oferecimento de ajuda à mulher cuidadora ou à mãe tem participação ativa na interrupção do circuito abusivo sexual, pois essa violência é extremamente ocultada, ocasionando uma prolongada vulnerabilidade para as vítimas. Ressalta-se o valor do texto indicando a descrição de ação voltada para uma população permanentemente não estudada e evitada em seu reconhecimento. Os limites desta proposta encontram-se na falta de outras iniciativas que possibilitem uma discussão sobre essa experiência.(AU)

We aim to present a proposal of a group psychosocial intervention offered for adult female sexual offenders, caregivers, and mothers. The intervention is being developed at Federal District, Brazil, with female people coming from judicial referrals. Professionals in the areas of justice, health, social work, and psychology need to advance in the study and understanding this theme to think about action and therapeutic support for these women. The intervention is a focal and brief approach, with emphasis on the creation of a ludic environment as a facilitator of group interactions and discussion about the themes: identity; trust in affective and social relationships; personal experience with physical and sexual violence; gender configuration; and sexuality expression and future. The individual approach is also based on focusing on these themes. The offering of help to the female caregiver or the mother has an active participation in the interruption of the sexual offense circuit, since this violence is extremely hidden, bringing a prolonged condition of vulnerability to the victims. The value of this text is highlighted indicating the description of an action directed to a population that is permanently not studied and whose recognition is avoided. The limits of this proposal are found in the absence of other initiatives that would allow a discussion about this experience.(AU)

Este texto presenta una propuesta de atención psicosocial grupal destinada a mujeres adultas que han cometido delito sexual, a cuidadoras y madres. La intervención se está desarrollando en el Distrito Federal (Brasil), con personas del género femenino provenientes de remisiones judiciales. Es necesario que los profesionales de las áreas de justicia, salud, trabajo social y psicología avancen en el estudio y comprensión de esta temática para pensar en el desempeño y apoyo terapéutico de estas mujeres. El servicio es enfocado y breve, con énfasis en la creación de un ambiente lúdico como facilitador de interacciones grupales y discusión sobre los temas: identidad; confianza en las relaciones afectivas y sociales; experiencia personal con violencia física y sexual; configuración de género; y expresión de la sexualidad y el futuro. El enfoque individual también se centra en estos temas. La oferta de ayuda a la mujer cuidadora o a la madre es importante para la interrupción del circuito de abuso sexual, ya que esta violencia es extremadamente oculta y provoca una vulnerabilidad prolongada a las víctimas. Se destaca el valor del texto con la descripción de la acción dirigida a una población que no es objeto de estudios ni reconocida. Los límites de esta propuesta se encuentran en la ausencia de otras iniciativas que permitan un debate sobre esta experiencia.(AU)

Um capítulo esquecido na história da psicologia? sexualidades desviantes, psicopatologia e normalidade / A forgotten chapter in the history of psychology? deviant sexualities, psychopathology, and normality / ¿Un capítulo olvidado en la historia de la psicología? sexualidades desviadas, psicopatología y normalidad

Este artigo tem como objetivo produzir uma análise histórica sobre as intersecções entre Psicologia e sexualidade desviantes da norma no Brasil, de fins do século XIX a meados da década de 1980. Esta temporalidade foi escolhida por abarcar o surgimento das pesquisas científicas sobre sexualidade e desvios sexuais, a consolidação dos estudos psicológicos sobre a temática e o processo mais recente de despatologização da homossexualidade. Em termos teóricos e metodológicos, foram adotados os pressupostos da História Social da Psicologia e da historiografia das homossexualidades no Brasil. Desse modo, buscou-se compreender como as ideias, concepções e práticas psicológicas foram mudando ao longo do tempo, em conexão com as transformações socioculturais e políticas que ocorreram durante o século XX. Para isto, foram utilizadas fontes primárias e secundárias de pesquisa com vistas à produção de interpretações sobre as conexões entre as ideias, os atores e os eventos narrados. Argumenta-se, ao longo do artigo, que as ideias e práticas psicológicas estão intrinsecamente conectadas aos contextos socioculturais e políticos de seu tempo, sendo os movimentos dinâmicos e os conflitos presentes nesses contextos fatores determinantes para a sua constituição.(AU)

This article aims to produce a historical analysis of the intersections between Psychology and sexualities that deviate from the norm in Brazil, from the late 19th century to the mid-1980s. This period was chosen because it encompasses the emergence of scientific research on sexuality and sexual deviations, the consolidation of psychological studies on the subject and the most recent process of de-pathologization of homosexuality. Theoretically and methodologically, the assumptions of the Social History of Psychology and the historiography of homosexualities in Brazil were adopted. Therefore, we sought to understand how psychological ideas, conceptions and practices have changed over time, in connection with the sociocultural and political transformations that occurred throughout the 20th century. For this, primary and secondary sources of research were used to produce interpretations about the connections between the ideas, the actors and the narrated events. It is argued, throughout the article, that the psychological ideas and practices are intrinsically connected to the sociocultural and political contexts of their time, being the dynamic movements and conflicts present in these contexts determining factors for their constitution.(AU)

Este artículo tiene como objetivo realizar un análisis histórico de las intersecciones entre la Psicología y las sexualidades desviadas de la norma en Brasil desde finales del siglo XIX hasta mediados de la década de 1980. Esta temporalidad fue elegida por abarcar el surgimiento de las investigaciones científicas sobre sexualidad y desvíos sexuales, la consolidación de los estudios psicológicos sobre el tema y el más reciente proceso de despatologización de la homosexualidad. En el marco teórico y metodológico, se adoptaron los presupuestos de la Historia Social de la Psicología y de la historiografía de las homosexualidades en Brasil. De esta manera, se pretende comprender cómo las ideas, concepciones y prácticas psicológicas han cambiado a lo largo del tiempo, en conexión con las transformaciones socioculturales y políticas ocurridas durante el siglo XX. Para ello, se utilizaron las fuentes de investigación primarias y secundarias con miras a generar interpretaciones sobre las conexiones entre las ideas, los actores y los eventos narrados. Se argumenta, a lo largo de este artículo, que las ideas y las prácticas psicológicas están intrínsecamente conectadas a los contextos socioculturales y políticos de su tiempo, y los movimientos dinámicos y los conflictos presentes en estos contextos fueron los factores determinantes para su constitución.(AU)

Herança do negativo e incestualidade nos laços familiares / Inheritance os the of the negative and incestuality in family ties / Herencia de lo negativo y incestualidad en los lazos familiares

A transmissão psíquica trabalha no sentido de vida e de morte, por meio das alianças inconscientes, entre e através das gerações. O objetivo deste artigo é discutir o lugar da incestualidade e da sensorialidade na transmissão psíquica do negativo. Enfatizamos que a herança do negativo faz parte da pré-história dos sujeitos, e que os traumatismos não elaborados, não acessíveis à memória, são inscritos no psiquismo familiar e nos corpos singulares. A fim de ilustrar a discussão proposta, apresentamos uma vinheta clínica de psicoterapia psicanalítica de família. Concluímos que a transmissão do negativo e a qualidade incestual atuantes nos laços familiares se evidenciam por meio da sensorialidade, no atravessamento dos espaços psíquicos e na temporalidade da família, causando prejuízos no reconhecimento das diferenças e nos processos de subjetivação (AU).

Psychic transmission works in the sense of life and death, through unconscious alliances, between and across generations.The purpose of this article is to discuss the place of incestuality and sensoriality in the psychic transmission of the negative.We emphasize that the inheritance of the negative is part of the prehistory subjects and that the untreated traumas, not accessible to memory, are registered in the family psychism and in the singular bodies.In order to illustrate the proposed discussion, we present a clinical vignette of family psychoanalytic psychotherapy.We conclude that the transmission of the negative and the incestual quality acting in the family bonds are evidenced through sensoriality, in the crossing of psychic spaces and in the family's temporality, causing losses in the recognition of differences and in the subjectification (AU).

La transmisión psíquica funciona en el sentido de vida y muerte, por las alianzas inconscientes, entre y a través generaciones. El objetivo de este artículo es discutir el lugar de la incestualidad y de la sensorialidad en la transmisión psíquica de lo negativo. Destacamos que la herencia de lo negativo es parte de la prehistoria de los sujetos, y que los traumas no elaborados, no accesibles a la memoria, están inscritos en el psiquismo familiar y en los cuerpos singulares.Para ilustrar la discusión propuesta, presentamos una viñeta clínica de psicoterapia psicoanalítica familiar.Concluimos que la transmisión de lo negativo y la calidad incestual en el trabajo en los lazos familiares se manifiestan a través de lasensorialidad, en el cruce de espacios psíquicos y en la temporalidad familiar, provocando pérdidas en el reconocimiento de las diferencias y en el proceso de subjetivación (AU).

Cenas incestuosas contemporâneas: fragmentos enunciativos sobre a culpabilização da mulher-mãe / Contemporary incestuous scenes: enunciative fragments about the guilt of the woman-mother / Escenas incestuosas contemporáneas: fragmentos enunciativos sobre la culpabilidad de la mujer-madre

Este estudo objetivou a elaboração de reflexões sobre a culpabilização da figura materna diante da violência sexual incestuosa praticada por um terceiro sobre sua filha. Inquietações sobre quem é essa mulher-mãe e o olhar sustentado sobre ela no cenário social guiaram os caminhos percorridos. Metodologicamente, o estudo foi construído a partir da análise documental de comentários produzidos no portal de notícias G1. A teoria psicanalítica auxiliou na análise e interpretação das representações atribuídas a essas mães, uma vez que as designações generalizantes, no campo imaginário, não acessam elementos enunciativos presentes no discurso social. As considerações apontaram que o estranhamento, frente ao feminino e ao próprio desamparo dos sujeitos, mantém os discursos maniqueístas que reduzem estas mães como negligentes, omissas e falhas. Excluem-se os elementos constituintes de suas histórias familiares, que poderiam sucumbir na desorganização face à violência incestuosa estabelecida na trama familiar.

This study aimed to elaborate reflections on the guilt of the mother figure in the face of incestuous sexual violence committed by a third party on her daughter. Questions about who this woman-mother is, and the view held about her in the social scenario guided the paths followed. Methodologically, the study was built from the documental analysis of comments produced in a news portal. Psychoanalysis helped in the analysis and interpretation of the representations attributed to these mothers, since the generalizing designations, in the imaginary field, do not access enunciative elements present in the social discourse. The strangeness, facing the feminine and the helplessness of the subjects, maintains the Manichean discourses that reduce these mothers as negligent, omissive, and failures. The constituent elements of their family histories, which could succumb to disorganization in the face of incestuous violence established in the family plot, are excluded.

Este estudio pretendía elaborar reflexiones sobre la culpabilidad de la figura materna ante la violencia sexual incestuosa cometida por un tercero sobre su hija. Las preguntas sobre quién es esta mujer-madre y la visión que se tiene de ella en el escenario social guiaron los caminos tomados. Metodológicamente, el estudio se construyó a partir del análisis documental de los comentarios producidos en un portal de noticias. El psicoanálisis ayudó en el análisis e interpretación de las representaciones atribuidas a estas madres, ya que las designaciones generalizadoras, en el campo imaginario, no acceden a elementos enunciativos presentes en el discurso social. La extrañeza, frente a lo femenino y el desamparo de los propios sujetos, mantiene los discursos maniqueos que reducen a estas madres como negligentes, omisas y fracasadas. Se excluyen los elementos constitutivos de sus historias familiares, que podrían sucumbir a la desorganización frente a la violencia incestuosa establecida en la trama familiar.

[Incest, a genocidal crime]. / L'inceste, un crime génocidaire.

Incest covers multiple situations that have in common family dynamics where the absolute prohibition to have sexual relations with one of its members is not respected. It is a fundamental taboo in our Western societies where the family is considered as a system structuring the relationships between individuals. How can we understand the family transactions that can lead to such situations? What do we know today about families where incest occurs? What is the place of each member of this family, whether he or she is an actor, a witness, or totally unaware of the facts? What happens to the victims of such acts? Here is an insight into these different questions based on our experience as psychotherapists and researchers.

[Accompanying young girls who are victims of incest, a necessarily holistic approach]. / Accompagner les jeunes filles victimes d'inceste, une approche nécessairement holistique.

Accompanying child and adolescent victims of incest towards reconstruction requires professionals trained in the specificities of this intra-family sexual violence. The Jean-Bru shelter, which takes in young girl victims, has developed the expertise of a complementary multi-partner approach and offers socio-educational, medical-psychological and legal support, for the benefit of a personalized global project that also includes the family link.

[Disability, a factor of vulnerability to incest]. / Le handicap, un facteur de vulnérabilité face à l'inceste.

Disability, a factor of vulnerability to incestThere is a lack of visibility on the issue of sexual violence among people with disabilities. There is an omerta on this subject within the social and medico-social establishments that receive them. Intra-family sexual violence is kept silent, as it is everywhere else. The vulnerability of children with disabilities is a risk factor for rape and sexual assault, and communication problems hinder their disclosure. Interview with Marie Rabatel, President of the Francophone Association of Autistic Women, expert of the High Authority of Health on the issues of violence against women with disabilities, member of the Independent Commission on incest and sexual violence against children.

Viewing Time Measures of Sexual Interest and Sexual Offending Propensity: An Online Survey of Fathers.

Relative viewing times (VTs)-time required to view and evaluate sexually salient images-discriminate individuals with a sexual interest in children, as indirectly indexed by their history of sexual offending against children, from those without such history. In an online sample of 652 fathers, we measured VTs and sexual attraction ratings to child and adult images. We assessed participants' sexual offending history and propensity (self-reported likelihood to have a sexual contact with a child, a non-consensual sexual contact with an adult, and propensity toward father-daughter incest). In contrast with VT studies involving clinical or forensic samples, VTs and attraction ratings failed to discriminate participants with a sexual offending history. VTs successfully distinguished participants with a propensity to sexually offend against children but failed to identify those with a propensity toward incest. Conversely, attraction ratings distinguished participants with a propensity toward incest but failed to identify those with a propensity to sexually offend against children. Correlations between VTs and attraction ratings were small. Results illustrate, for the first time, the distribution of VT measures in community fathers, support the feasibility of online administration of VT tasks to detect propensity to sexually offend against children, and indicate that sexual interest in children and incest propensity are distinct.

Incestuous childhood sexual abuse between siblings resulting in pregnancy without sexual intercourse.

Victims of incest are usually women and children who are mostly girls. The abuse between siblings may remain hidden because of the family's fear of social stigma, though it may result in pregnancy. This article presents a case of incestuous childhood sexual abuse between siblings resulting in pregnancy without intercourse, an event rarely reported in the literature. An 11-year-old girl was brought to the hospital because of a stomachache and was detected pregnancy from examinations. Forensic medicine experts determined that the girl's hymen was still intact and non-elastic in the genital examination. Gynecology and Obstetrics Department confirmed the pregnant compatibility with 14 weeks, 4 days; after ultrasonographic monitoring. She was abused by her 14-year-old brother by rubbing for 1 year and this resulted in pregnancy. During the psychiatric examination, her attitude was negative and symptoms of post-traumatic stress disorder emerged. Medical abortion was applied after psychiatric and gynecological examinations. The girl's brother was confirmed as the biological father after the DNA paternity test was conducted on the fetus. Based on this case, this article aimed to examine the medical, social, and legal problems caused by incestuous childhood sexual abuse and contribute to the literature by emphasizing what forensic medicine and preventive medicine approaches should consider in such cases.

Questions Raised by the Controversy Over Recovered Memories of Incest.

The controversy in the mental health community over recovered memory has been heated. The devastation to families falsely accused of incest has been profound. A fortunate consequence, however, has been the vigorous pursuit of answers to a variety of mind-behavior questions raised by the controversy. In this article I raise some of the important questions and in reply I review and summarize some of the data. Some questions deal with the nature of memory and of unconscious processes, especially the role of implicit memory; the techniques of recovered memory therapy and the evolution of pseudo-memories and its relevance to clinical practice; the effects, real and alleged, of trauma; the place of dreams, flashbacks, and repetitive patterns of behavior in the understanding of memory and behavior; and finally, questions dealing with the definition of reality. All of these are important issues for the psychoanalyst.