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Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: October 2020 Edition

It’s time once again for Articles of Note, our monthly romp through the peer-reviewed literature. It’s a long one this month–there’s a lot that is worth your time, and maybe a few that are worth noticing, even if not very good (because sometimes it’s as important to know what isn’t worth factoring into your evidence base). That’s basically to remind you that just because an article makes my monthly list doesn’t mean you should assume it’s excellent science–articles that appear on this site need to be evaluated by each reader for themselves. And even if you believe an article is good science, is it relevant to your practice? Is it generalizable to the patient populations that you see? There are several good resources for evaluating science, if you’re not sure where to start: here’s an easy graphic on spotting bad science; NSVRC has quite a bit on their site about evaluating research that I would recommend checking out. And for those of you who would like a worksheet to use as a template to work off of while reviewing articles, here’s something I created that you are welcome to use:

Links mainly go to PubMed abstracts, except where noted. If you’re having trouble finding articles let me know–we have access to full-text through a couple of different avenues for those of you who aren’t blessed with hospital librarians or university medical libraries. We are continuing with the single download link (for those of you who like to print it off), instead of the embedded doc, since I got rave reviews (and no one emailed me telling me they missed the old way). And the link comes through in the email, so bonus points for that.

I’ll be doing a virtual testimony training on Monday the 19th for the OH chapter of IAFN, so looking forward to seeing folks through my computer screen. Reach out if you’d like to host one of your own. I have some time on my calendar for a few more virtual events as several trials have pled out and I am able to do more and more via Zoom and Microsoft Teams (including court appearances–it’s a brave new world, kids).

Hope everyone is hanging in there– is healthy, is protecting their mental well-being. If you’re a US reader and you can vote, please do. If you can help others get to the polls and vote, bonus points for you. I have already voted myself, and plan to volunteer with Chefs for the Polls since the trial I had that week has now gone away. Whatever you can do to support folx being able to exercise their right to vote in this election is a mitzvah. Let’s see how we’re all doing this time next month.

Don’t forget to visit our FHO Store where you’ll find a complete list of our offerings, perfect to help prep for your next court date or educational offering, including the latest: Applying the Strangulation Research to Expert Testimony. And coming soon: Testimony and the Forensic Nurse Expert.

Photo by Syd Wachs on Unsplash

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Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: September 2020 Edition

It’s time once again for Articles of Note, our monthly romp through the newly published peer-reviewed literature. As always, there’s plenty this month, particularly on campus sexual assault–fitting as I type this from the campus of Michigan State University, where I am finishing up an almost 2-year project. I hope folx will spend some time working through (at least some of) the research because I need to get real here–I’m 26 years in this field now, and I am having some of the same conversations today I was having 20 years ago–namely, reading science is part of the job of a forensic clinician. If you are a program manager, hi–allow time for reading–and analyzing science–for your team. I am handing you a monthly menu to make it easy (and if you don’t like mine, there are plenty of others–just sign up for Online First Alerts from journals like Violence Against Women, for instance, or peruse the Journal of Forensic Nursing table of contents every quarter and pick something that looks relevant). Level up your testimony, people. Make sure there’s science to support those opinions. Understand the evidence base behind the work we do. Analyze the clinical decisions we make to ensure they’re (still) appropriate. That happens through reading. Level. Up.

Links mainly go to PubMed abstracts, except where noted. If you’re having trouble finding articles let me know–we have access to full-text through a couple of different avenues for those of you who aren’t blessed with hospital librarians or university medical libraries. Something new this month: for the first time, I have included a single download link (for those of you who like to print it off), instead of the usual embedded doc. I have heard from a lot of you that the embedded doc is sluggish, so let’s try this and you can let me know if this works better [BTW: if you’re getting this update in your email, you may need to go to the website to access the download link–I’m not certain it will come through in the condensed email].

As always, thanks for reading, thanks for striving to do better by our patients. I hope some of you will be joining me virtually for my sessions at this year’s Virtual IAFN conference. You’ll note some familiar themes in my sessions 🙂

Don’t forget to visit our FHO Store where you’ll find a complete list of our offerings, perfect to help prep for your next court date or educational offering, including the latest: Applying the Strangulation Research to Expert Testimony. And coming soon: Testimony and the Forensic Nurse Expert.

{Photo by Mahendra Kumar on Unsplash}

Categories
Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: June 2020 Edition

It’s time once again for Articles of Note, our monthly romp through the newly published scientific articles. Just like last month, those citations in red are COVID-related forensic pubs; everything else is your non-pandemic forensic healthcare-associated research or clinical literature. You’ll notice there’s less red this month which is–better? Not sure. Here in the US we’re being awfully cavalier about this virus, so I guess we shall have to see.

As always, links take you to PubMed abstracts unless you see the words FREE FULL TEXT–those take you to the full article. Do let me know if you have trouble getting your hands on a particular article, in case you are not blessed with hospital librarians, or located within actual academic institutions. We have connections here at FHO 🙂 Happy reading, everyone…

[If you have trouble seeing the embedded document on your page below please refresh–sometimes it doesn’t show up the 1st time, for reasons no one can explain to me.]

Don’t forget to visit our FHO Store where you’ll find a complete list of our offerings, perfect to help prep for your next court date or educational offering, including the latest: Applying the Strangulation Research to Expert Testimony. And coming soon: Testimony and the Forensic Nurse Expert.

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{Photo by Annie Spratt on Unsplash}

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Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: May 2020 Edition

It’s time once again for Articles of Note, our monthly romp through the newly published, peer-reviewed literature. Something different you may notice this month: articles specific to the intersection of COVID-19 and violence are delineated in red, for those of you looking for that content in particular. Otherwise, everything continues unchanged, even as we plug away, here at FHO headquarters, going on 9 weeks of lockdown (but healthy, knock wood, and still seeing patients Thursday nights, so there’s a break in the routine). Here’s hoping these articles find you healthy, as well, and able to continue feeding your brain and growing/strengthening your practice.

Links take you to PubMed abstracts, as always, except where noted as Full Text. Enjoy the reading–we’re heavy on sexual assault this month, but there are some interesting articles on the role of forensic nurses in here, too. [If the doc below doesn’t come up the first time, reload your page & see if that doesn’t do the trick.]

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Don’t forget to visit our FHO Store where you’ll find a complete list of our offerings, perfect to help prep for your next court date or educational offering, including the latest: Applying the Strangulation Research to Expert Testimony.

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Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: April 2020 Edition

It’s time once again for Articles of Note, our monthly romp through what’s newly published in the peer-reviewed literature. A few items of interest for those of you who are educators, and a good bit of variety for everyone else in the field. Lots that is clinically relevant, not all of it from the US. Plus one or two familiar faces in the bunch, which I always like to see.

A note in response to a reader’s query about whether (essentially) posting=endorsing. The answer, of course, is no–I post what I think is interesting, what I think others may find interesting, and what I think is worth noticing, even if it isn’t particularly great. Please remember that not everything given space in a journal is actually good science. And just because we think it’s good science today doesn’t mean we might not revise that opinion a year or two down the road. So please read critically–pick apart hypotheses, consider whether what you read applies to your own patient populations or mirrors what you see in practice. I publish these compilations only to get folks to read. What you choose to do with that information is up to you.

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Don’t forget to visit our FHO Store where you’ll find a complete list of our offerings, perfect to help prep for your next court date or educational offering, including the latest: Applying the Strangulation Research to Expert Testimony.

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Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: January 2020 Edition

It’s time once again for Articles of Note, our monthly romp through the newly published peer-reviewed literature, and our first edition here in our new home. There’s plenty to capture the attention, so take your time with the list.

I should also mention for those who didn’t see the initial newsletter or the announcement on social media, we’re giving away two IAFN conference registrations for this year’s meeting in Palm Springs. Last year, we gave away one, and we gave it to a reader. This year, it’s two, and it’s for someone a reader promotes. Why? Because people are out there doing good work. And because that good work needs to be shouted from the rooftops. And because there’s plenty of self-promotion in the world, but a paucity of lifting up of others. And we need to see forensic nurses shining in public. On social media in particular. So if you would like to participate, please tell us about a member of your crew who is doing great things. You can leave a comment here, email us–OR better yet, shout it from the social media rooftops on the FHO Facebook page or on Twitter. Please use the hashtag #ShineOnForensicRN so we can find your entries. Winners won’t be chosen at random so make those entries good. The giveaway will be live until January 22nd. All FHO readers are eligible, including international readers.

Anyway, back to this month’s articles–links lead to PubMed abstracts, excepts where indicated:

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

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Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: November 2019 Edition

Time once again for Articles of Note, our monthly romp through the peer-reviewed literature. Plenty to read, plenty to consider this month (as always). Links lead to PubMed abstracts–please don’t stop there. Sift through the abstracts to decide what’s worth your time, and what doesn’t apply to your clinical life. Better yet, divide among your colleagues and get together for real-time discussion. What an excellent use of staff meeting time.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: October 2019 Edition

It’s time once again for Articles of Note, our monthly romp through the newly published peer-reviewed literature. There is *a lot* of choice material to sort through this month, so I hope you will spend some quality time with the list. As always, links lead to PubMed abstracts.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

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Testimony

IAFN Handouts: Words Matter

Leslie and I tweaked our session, Words Matter: The Art and Science of Trial Testimony at the 11th hour, so the handout on the conference app is not as robust as the session ended up being. An improved handout can be found here for those who would like the additional FRE702 and research content. It still doesn’t have all the case law and testimony examples we use, but the remaining content is there. Thanks to everyone who came and participated. I love a standing-room-only crowd 🙂

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

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Testimony

Working for the Defense

I’ll be talking quite a bit this week about expert consulting and testimony, so the topic of what it means to be an ethical defense expert is on my mind. But the truth is that lately, I have been thinking a lot about what it means to work for the defense, particularly when you may be interviewing and/or testifying opposite a treating medical-forensic examiner. The reality is that no one really teaches a clinician how to be good defense expert and the ways in which that role differs from being a good prosecution expert. However, there are differences, even as the goal (regardless of who has hired you) continues to be objectivity.

There seems to be a common misperception that in order to be helpful to the defense you must destroy the treating clinician, and this is an unfortunate approach. With very few exceptions, I take the good camper approach to all treating clinicians, even as the defense expert: leave people a little better than when you found them. People are naturally wary of talking with the defense team; it costs you nothing to be collegial even while identifying issues on the part of the exam, the clinician or the documentation. There are a million ways to determine what success looks like in this work, but one sure-fire way to know that you have failed is when the clinicians you come in contact with want to quit the profession after talking with you. And yet, that’s exactly what I have heard on more than one occasion after clinicians have finished interviewing with defense experts. Can you imagine being so caustic that you literally drive someone from the profession?

By the way, the flip side also holds true: in order to be helpful to the prosecution, it is not your job to save the treating clinician. Sometimes exams are done badly; sometimes the documentation is so poor as to be utterly unhelpful. Sometimes people embellish their credentials (true story) and they have to face the music on cross-exam. Experts don’t make these cases. Experts are simply one part of a larger strategy. We educate, we advise. We don’t win or lose trials.

Every interaction with other clinicians is an opportunity for mentoring, even in the courtroom. Anyone who has been doing this work for the years it takes to be a good expert at trial should commit to growing the profession, not tearing it down. It is the very least our patients deserve.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: September 2019 Edition

It’s time once again for Articles of Note, our monthly romp through the peer-reviewed literature. Nothing free this month, but plenty worth tracking down, so I encourage you to spend some time with the list. It’s particularly fitting that I get a new edition up since I am sandwiching it between two weeks of teaching testimony, this week at Ft. Hood and next week at the annual IAFN conference, where we discuss at length the importance of fidelity to the science.

All links lead to PubMed abstracts. Happy reading!

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

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Sexual Assault Testimony

Going Beyond Rape Kits

I am in Hawaii this week and while I will try and get posts up with some regularity, it will be a long week and the hours here are not my own. So, we’ll see how it goes. In the meantime, I’d like to draw your attention to this excellent article by IAFN CEO, Jennifer Pierce-Weeks, Going Beyond the Breakthrough Means Going Beyond Rape Kits. It beautifully encapsulates why the sexual assault medical-forensic exam is so much more than just collecting samples for a kit. Trying to figure out how to articulate in court why it’s important that patients come in and see us, even if they don’t want evidence collected? Well, Jen just helped you out by putting it down on paper. And she did it in less than a thousand words. Do yourself a favor–read it and then share it with your team.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: August 2019 Edition

It’s time once again for Articles of Note, our regular romp through the peer-reviewed science. Check it: we have not one, but two scientific papers this month on physicians committing misconduct, so that’s fascinating. We also get a look at how a clinician’s personal history of domestic violence impacts clinical care. Needless to say, there’s some good reading to be done in this edition (as always). Most links go to PubMed abstracts except where otherwise indicated.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

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Testimony

Updated Clinical Guide: Court Testimony

Court testimony is the most popular subject on FHO, and not surprisingly, also the most popular clinical guide. It has now been updated with the latest research and guidance from the peer-reviewed journals, so there’s a good deal of new stuff to review.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Testimony

Updated Clinical Guide: Social Media Use for Forensic Clinicians

In our course last week we naturally discussed social media use (as we do), and it made me realize that it is high time I went through the clinical guides and gave them all a facelift. So one by one, as I have the time, I will be tackling them in the quiet(er) moments of what’s left of the summer. First up is social media use for forensic clinicians. Plenty of new research articles and other resources for you to peruse in this one. Hope you find it helpful.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Using Expert Eyes and Ears to Document What We See and Hear

SAFEta has a webinar coming up, On Looking and Writing: A Guide to Using Expert Eyes and Ears to Document What We See and Hear. The session will be held August 15th at 2pm ET. From the registration:

This webinar will help participants unlock their ability to see and write; to document their patient’s physical state and behaviors in an accurate manner. You will learn how to “paint a picture” with your words and accurately describe outward appearance, visible behavior, speech and eye contact using instantly understandable language.

Register for the webinar here.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.


Categories
Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: May/June 2019 Edition

Time once again for Articles of Note, our (almost) monthly romp through the peer-reviewed literature in search of all things new and/or useful to clinical practice, public policy, and testimony. As you may have noticed, I didn’t make one happen in May, so this month’s combined is pretty lengthy. There’s *a lot* here to work through, but I think it’s worth it. Some familiar faces in the bunch, too. Hope you enjoy.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Testimony

Applying the Strangulation Research to Expert Testimony: Table of Contents

I have to tell you, I am overwhelmed at the response to the new research compilation, Applying the Strangulation Research to Expert Testimony. The response has been–unexpected. But a very smart attorney to whom I am married casually mentioned it would be nice for people to see a preview of what they would be getting for their money, and it occurred to me the Table of Contents is the easiest way to provide that. So it is now part of the product description on the store page (I also added preview pages for the other two compilations), but I am providing it here for those of you who might be interested:

Thanks for all of the kind comments and messages. You are really the very best readers.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Testimony

Applying the Strangulation Research To Expert Testimony

It’s here, folks: Applying the Strangulation Research to Expert Testimony is now available for purchase in the store. A couple of things I’d like to mention–first of all it’s more expensive than the previous ones ($9.99) because it’s almost three times the length. So for all of you who will want to know why the big jump in price from the other two, there you go. The other thing I’d like to mention is this–these compilations don’t make me rich. Yes, you technically can share these compilations amongst yourselves once one person purchases it, but I ask you to buy individual copies where possible. An unbelievable amount of time went into this, as is this case with everything I publish here.

In putting this together, my hope is to improve the quality of expert testimony in cases of adult non-fatal strangulation. Patients shouldn’t luck into competent trial testimony by their forensic clinician. I truly believe this, which is what drives every single one of these compilations.  I hear a lot of weakly informed opinions on the stand and a lot of strangulation testimony not grounded in much more than information people have picked up from a lecture they’ve heard or course they’ve taken. Often clinicians have never read the primary sources from which they are pulling supporting statistics or conclusions, making their statements vulnerable on cross. I am trying to make it simpler for people to identify and access the evidence base, so that testimony can be presented from a scientifically sound foundation where possible. And so that we can acknowledge the left and right limits of the research when asked, and develop a program of research to close the gaps.

Because we are at the point where we have the ability to do so, I am also now offering all three of the FHO research compilations (Consensual Sex Injury, Aging Bruises and Strangulation Injury) as a single downloadable zip file. That one is $16.99, so it basically saves you three bucks when you buy them as a set.

The Store page looks wonky for reasons beyond my technical abilities, so I am trying to get that worked out–but everything seems to be working. Contact me if you have any issues. As always I look forward to your feedback (and I am taking ideas for the next research compilation, although it’ll be a few months before I start it).

Categories
Testimony

Coming soon: Strangulation Research Compilation

One week from today I will release the 3rd FHO research compilation: Applying the Strangulation Research to Expert Testimony in Cases with Adult Victims. It’s the biggest one to date, but it’s also the most needed. So I am spending the week traveling (hello, MSU), editing, and enjoying the girl-child’s high school graduation (hello, CLE). I’m also taking the week off the site. I will see everyone back here next Tuesday for the launch of the new compilation. Until then, friends…

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download. Plus, coming soon: the newest research compilation, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims.