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Mache Seibel, MD

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Rape Is a 4-Letter Word

Posted: 02/20/2012 4:47 pm

Rape is a painful topic; a violent act. A 4-letter word that sounds evil. Perpetrators uniformly deny it and victims typically don't discuss it. You'd almost think it never happens. In reality, it happens a lot (see below).

Prior to 1927 there were no laws on the books about rape, and no updated laws existed until January 5, 2011. Women and men both need to know that the U.S. Attorney General recently announced a revised definition of rape so that it can be more accurately reported and prosecuted. As a woman's health expert who spent nearly 20 years at Harvard, it saddens me to say how many women I've cared for who have been raped. I hope it never happens to you or your loved ones; but if it does, now you can prosecute offenders and you're more likely to get justice.

Here's how the new law differs from the old one. In 1927, "Forcible rape" had been defined by the UCR SRS (Uniform Crime Report (UCR) Summary Reporting System (SRS) the "national report card") as "the carnal knowledge of a female, forcibly and against her will." That means a man forces vaginal sex with a woman. It left a lot to be determined; required an immediate visit to the doctor to look for sperm in the woman's vagina as well as any signs of trauma. There was no law for a woman raping a man or a man raping a child. During my on call training, many nights I was asked to examine women for alleged rape, and the details that I carefully wrote in the hospital records had a great impact on whether or not an alleged rapist was convicted.

Here's how the new law describes rape: "The penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim."

So one person forcing an object (animate or inanimate) into another person is rape.

Susan B. Carbon, Director of the Office on Violence Against Women, states, "For the first time ever, the new definition includes any gender of victim and perpetrator, not just women being raped by men. It also recognizes that rape with an object can be as traumatic as penile/vaginal rape. This definition also includes instances in which the victim is unable to give consent because of temporary or permanent mental or physical incapacity."

How common is it? According to the Centers for Disease Control (CDC) 1 in 6 women report that they have either been raped or an attempt has been made to rape them in their lifetime. The first time for 60% of these women was before age 18. Tell your daughters. The February 2012 issue of the medical journal Obstetrics & Gynecology (2012;119:412-7) estimates that more than 1 in 3 women (36%) in the United States have experienced rape, physical violence, or stalking by an intimate partner at some point during their lives.

What is it? Sexual violence is any sexual activity for which you do not freely give consent. That includes both sex against your will and sex that happens when you cannot freely give your consent. If you have been drinking and pass out, and wake up to suddenly find a man having sex with you, it is rape. If a man has sex with a woman who is under the influence, it is rape. Think of it like this, if you are under the influence, you cannot sign a consent form for a medical procedure, and you cannot give consent for a sexual act, either. Tell your sons; getting a girl drunk or high to have sex with her may now land him in jail or at least in court.

Rape is more than unwanted sex. It's an act of violence and it's a crime.

Who commits it? Unfortunately, all kinds of people; a current or former intimate partner; a family member, friend, or acquaintance; a person in a position of power or trust, or a stranger. According to the CDC, in a nationally representative survey that looked at the first rape experience of female victims, perpetrators were reported to be intimate partners (30.4%), family members (23.7%), and acquaintances (20%). This means that the victims knew over 74% of the perpetrators. Remind yourself; keep your antennae up.

What are the risks? I divide the risks into short-term: getting pregnant (for women), acquiring a sexually transmitted disease, or being injured; and long-term risks that can affect your physical or emotional health:

· Chronic pain

· Headaches

· Fear and anxiety

· Problems trusting others

· Anger and stress

· Eating disorders

· Depression

· Suicidal thoughts

What can I do to prevent it?

· Avoid using excessive amounts of alcohol and drugs. It interferes with clear thinking.

· Be aware of your surroundings. Be cautious and alert.

· Try to walk in groups rather than alone, especially at night.

· Take a self-defense class.

· Lock all doors to your car and residence at all times.

· Believe in your right to set limits that match your sexual desires and limits.

· State your limits clearly and loudly and say "NO" if necessary.

· Yell "Fire" or carry a whistle and blow it. It attracts people's attention.

· If the rapist is unarmed, fight back, shout "NO" and run away as soon as possible.

· If the rapist is armed, try to talk him out of continuing the assault or resist passively by pretending to faint, vomit or urinate

What do I do in case of rape?

· Go to a safe place and call a friend or family member to be with you.

· Take some slow deep breaths and realize that what happened is wrong, it's not your fault and that you have value.

· Call the police; rape is a crime.

· Do not bathe, douche or change clothes.

· If you choose not to contact the police, go to a hospital emergency department to be checked. You are not required to report to police in order to get medical care.

· Write down as much as you can remember about what happened and the person who did it while it is most fresh in your mind.

· Contact a rape treatment center. A counselor there can be of great help.

· I offer patients who have been abused a private phone to call the National Domestic Violence Hotline (1-800-799-SAFE [7233]) because abusers often monitor cell phone logs or Internet use.

For more information on important health issues, visit my website at www.DoctorSeibel.com or click here for a FREE Ebook on my top 10 Stress Busters.

Resources:

http://www.justice.gov/opa/pr/2012/January/12-ag-018.html

http://www.cdc.gov/violenceprevention/sexualviolence/

http://www.cdc.gov/Features/SexualViolence/?source=govdelivery

 
 
 
 
 
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12:03 PM on 02/24/2012
Some revision is needed in "What can I do to prevent it?". Stop placing the onus on the victim/survivor. How about we DON'T RAPE. Please direct the attention where it is needed: to the perpetrator. Not the victim.
11:21 PM on 02/23/2012
Female teacher are going to be upset.
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HUFFPOST SUPER USER
Catherine in Tulsa
Not mother?
01:40 PM on 02/21/2012
THANK YOU for this article. Considering what women have been dealing with in the few weeks, it is encouraging to hear a man speak out for women.

I would very much like to hear your thoughts on the Virginia law requiring women to undergo a transvaginal ultrasound prior to having an abortion. I feel it is the state raping a woman into adopting their beliefs, and after reading your article, I am convinced of that.
12:03 PM on 02/21/2012
Ironic that the federal goverment is claify the definition of rape while state lawmakers are passing laws to make it legal to rape a woman because she has made a private choice for abortion. Pushing a foreign object up a womans vigina without her conscent regardless of where it takes place is RAPE. A doctors office doesn't change that. What kind of insanity allows a law to force doctors to violate their hipocratic oath and be rapest! Rape is not a sexual act. It is a sick aggressive act of power and control. These laws really aren't about abortion & birth control. They are about the driven need to have absolute control over others. It is time to stop these overreaching bullies NOW. Their appetitive for absolut power & control is insasuable and your right could be next. In the mean time who is going to reach out and offer comfort to the newest RAPE VICTIMS!
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Arion
10:55 AM on 02/21/2012
A therapist for over 50 years, I simply want to underline how how horrifying, and catastrophically destructive rape can be for the victim. I saw too many women become chronically fearful, apathetic or traumatized. It can take years to overcome the horror of rape.
10:41 AM on 02/21/2012
"The penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim."

Oral means the "mouth"
And I doubt if "Ossit" has been raped...it is impossible to be fearless, it is the most terrifying experience ever...and with many of these guys, your fight excites them...hence the "pass out and pi$$" routine...
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InnaGaddaDaVida
follow the beat of your own drum
08:49 AM on 02/21/2012
Odd that the Republicans vent mightily against Sharia law, yet embrace it's precepts about women like a warm blanket.
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InnaGaddaDaVida
follow the beat of your own drum
08:43 AM on 02/21/2012
So will they be arresting all those Maternity Ward workers, Pediatricians, and parents who took a child's temperature with a thermometer (by definition, either oral or rectal).
HUFFPOST SUPER USER
MissTake1989
Equal means equal, hypocrites.
06:12 AM on 02/21/2012
Very good.

But...it appears the mouth is still fair game?

Why was that left off?
10:50 AM on 02/21/2012
I think you missed this part:

"or oral penetration by a sex organ of another person, without the consent of the victim."
HUFFPOST SUPER USER
MissTake1989
Equal means equal, hypocrites.
12:54 PM on 02/21/2012
Well...I see someone reads to the end of sentences.

Ooops.
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HUFFPOST SUPER USER
Kenneth Knapp III
05:45 AM on 02/21/2012
I'm sorry, but your article is downright inaccurate. The recent change in definition was a statistical change, not a legal one. Most State laws concerning rape already had the newer definition. The problem with UCR SRS is that rape was being underreported because of the obsolete definition. While this could certainly affect resources that go to rape prevention, education, and prosecution, and that's a good thing, the country did not need to "catch up" in the law.
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Ossit
Ossit
04:47 AM on 02/21/2012
Too often people like to sanitize the word rape as "sexual assault." Rape has nothing to do with sex.You can be raped whether you're loaded or straight. This is just another way to blame women. You were taking something, therefore it's your fault it happened. NO! You can be a nun and still be assaulted! Women are NOT hyper vigilant rabbits nor should we be.I as a woman will NOT be baby sat! I walk to my corner Convenient and the mailbox day OR night since I no longer have a car. NO one is going to make me cower by my bedside lamp like some weakling. Do you have to pay to learn to gouge out eyes, hit a nose, kick, bite?In self-defense classes that guy is shielded with padding and you're probably exhausted by the time you bring him down getting through that padding. You won't find that in real life. Men aren't told to say no and state your boundaries why do we have to! I'll fight back even if they are armed. The point is to be totally fearless.NO! You don't talk to him, you yell at him! He won't be expecting it. You fight back hard. Aim for the eyes, kick the knees, aim for the nose. Don't be afraid to hurt him. Men who are mugged don't have to pretend to faint, vomit or urinate so why should we! The point is to be aggressive not passive.
05:25 AM on 02/21/2012
well said, i would fight for my life and hope i had a chance to kick him or bettr to bite him down there
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Ossit
Ossit
12:07 PM on 02/21/2012
It'd certainly hurt biting him down there. The nuts are super sensitive too. Grab a handful and yank one would become a super suprano. Yuk yuk.
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french queen13
my beloved is mine and I am his
02:35 AM on 02/21/2012
It doesn't seem to have occurred to the lawmakers in Virginia that forcing women to have a vaginal ultrasound is instrumental rape. Or perhaps it did occur to them and that's why they sanctioned it, because they're trying to either frighten women into not seeking abortions, or punish them if they do.
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HUFFPOST SUPER USER
Kenneth Knapp III
06:08 AM on 02/21/2012
No. A doctor performing a medical procedure for the purpose of providing the patient with information is not the same as an assailant performing a sexual act for the purpose of feeling powerful and dominant. The Virginia law is a bad one, and the lawmakers in favor of it are despicable, if you ask me, but to equate it with rape is an injustice to all rape victims.
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07:31 AM on 02/21/2012
It is rape under this new definition if there is not consent from the patient. Keep in mind doctors think this legislation is terrible, too.
10:01 AM on 02/21/2012
It's not a "medical procedure for the purpose of providing the patient with information..." It is an unnecessary medical procedure mandated by the state, which supercedes what the patient wants, and her doctor recommends. It is to be given by force, without the patient's consent. What do you call vaginal penatration without consent?
10:00 AM on 02/21/2012
Exactly!
HUFFPOST SUPER USER
Draekia
Open-minded thinker and traveller
01:21 AM on 02/21/2012
So... If a man is charged with rape for having sex with someone who drank alcohol, can he counter sue her under the same conditions? I mean, it cuts both ways here, doesn't it?
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MissTake1989
Equal means equal, hypocrites.
06:11 AM on 02/21/2012
Nope.

Only he is responsible for actions at all times.
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Draekia
Open-minded thinker and traveller
08:39 AM on 02/21/2012
Huh. Well that is what I think it sounds to mean as well. Let's hope the legal clarifications (that will come) will bear out the other way.

Then again, only men are dirty, sexual creatures that are a constant danger to the pure innocence of women everywhere. At least that's what our culture seems to teach us.
09:30 AM on 02/21/2012
Yep. Women get all the breaks here. The definition does not cover, for example, the rape of a 12-yr-old boy by his female teacher, or female babysitter, or aunt, or mother, or grandmother.

For articles on these issues:

http://menweb.org/scottwom.htm
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aljonanadjosmom
Gold stars for everyone!
09:36 AM on 02/21/2012
It's about consent. Did he consent?
HUFFPOST SUPER USER
Draekia
Open-minded thinker and traveller
10:05 AM on 02/21/2012
Isn't that the crux of it? If he was drunk, he was incapable of consent. Just like her.
12:11 AM on 02/21/2012
Thank you, Dr. Seibel. Very informative article. This new definition is way overdo.
11:12 AM on 02/21/2012
Even though this definition leaves out, for instance, the rape of a young boy by a female.
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Catherine in Tulsa
Not mother?
01:58 PM on 02/21/2012
It does, you simply don't have the ability to comprehend what you read.
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Ed and Deb Shapiro
05:16 PM on 02/21/2012
true
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LibertarianCentrist
Gary Johnson 2016!
11:51 PM on 02/20/2012
So much grey area with this new definition. 1 frat party could throw it all out of whack!
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12:33 AM on 02/21/2012
What do you consider the gray areas?

No consent--no sex.

Pretty straightforward.
12:49 AM on 02/21/2012
I believe "without the consent of the victim" says it all.