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4 Rev. Eur. Stud. 110 (2012)
Whose Credibility Is It Anyway: Professional Authority and Relevance in Forensic Nurse Examinations of Sexual Assault Survivors

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                                                                Review of European Studies; Vol. 4, No. 4; 2012
                                                                       ISSN 1918-7173   E-ISSN 1918-7181
                                                         Published by Canadian Center of Science and Education


        Whose Credibility Is It Anyway: Professional Authority and

        Relevance in Forensic Nurse Examinations of Sexual Assault

                                             Survivors

                                             Gethin Rees1
1 Criminology, Division of Sociology, Social Policy and Applied Social Sciences, University of Southampton,
Southampton, UK
Correspondence: Gethin Rees, Criminology, Division of Sociology, Social Policy and Applied Social Sciences,
University of Southampton, Building 58, Salisbury Road, Southampton S017 1BJ, UK. Tel: 44-2380-597-423.
E-mail: g.rees@soton.ac.uk


Received: July 5, 2012, 2012  Accepted: August 3, 2012   Online Published: August 3, 2012
doi: 10.5539/res.v4n4p 110         URL: http://dx.doi.org/10.5539/res.v4n4p 110


Abstract
There is an inherent tension in the information gathering and recording stages of the forensic medical
examination of rape survivors. Medical practitioners do not wish to record information that can undermine a
complainant's credibility, but at the same time must ensure that they do not problematise their own credibility by
appearing partisan (for instance, by omitting information that might be relevant). Drawing upon semi-structured
interviews with Forensic Nurse Examiners (FNEs) and their trainers (Forensic Medical Examiners) in England,
and Sexual Assault Nurse Examiners (SANEs) in Ontario, this paper will investigate the strategies that both sets
of nurses employ in order to document medical, sexual and assault histories, as well as physical phenomena
(injuries, tattoos and piercings). FNEs collect more potentially prejudicial information than SANEs; this is a
result of their greater anxiety in regards to their perceived credibility and professional authority.
Keywords: rape, forensic nurse examiners, bad character evidence, credibility, tattoos and piercings
1. Introduction
The report produced following the forensic examination of a rape and/or sexual assault survivor is a mine of
information for the defence team, who seek to undermine the complainant's credibility during cross-examination
(Brown, Burman, & Jamieson, 1993; Burman, Jamieson, Nicholson, & Brooks, 2007; Kelly, Temkin, &
Griffiths, 2006; Temkin, 1998, 2000). As part of the medical examination, forensic practitioners ask questions
and record information related to (amongst other things) the complainant's recent sexual history, their
medications (including contraception), and previous pregnancies. Disclosure of such information to the defence
can result in an attempt to undermine the complainant's credibility during cross-examination by arguing that they
were complicit in their own victimisation (Estrich, 1987; Harris & Grace, 1999; Horvath & Brown, 2009; Munro
& Kelly, 2009; O'Keefe, Brown, & Lyons, 2009; Temkin, 2005; Temkin & Krahd, 2008). Drawing attention, for
instance, to the clothing, sexual history or other aspects of the survivor's lifestyle, the defence is able to compare
them unfavourably with mythical representations of rape victims as naive innocents, or the Madonna
(Redmayne, 2003). (Note 1) The reality of rape as experienced by victims is that there is usually intoxication
involved, there is often some form of acquaintance relationship between the suspect and the victim, and the
assault usually takes place on one or the other's property. As a result the defence is able to posit that the victim's
behaviour or provocative dress was such that it led the suspect to believe that she wanted sexual intercourse, i.e.
it was her behaviour, history, etc. that caused the sexual violation. Increasingly, policymakers are getting wise to
the tactic of blaming the victim in rape cases and are introducing legislation prohibiting (or requiring judicial
approval for) the admissibility of evidence relating to the survivor's sexual history, with varying degrees of
success (compare Kelly et al., 2006; Burman et al., 2007 for instance). Nevertheless the forensic medical report
can still provide a foundation for an application by the defence to introduce prohibited evidence or can result in
problematic questioning in the courtroom without need of such an application. While the potential for the
forensic medical report to enable these character assassinations has been discussed in legal and social scientific
scholarship (for instance Brown et al., 1993; Temkin, 1998), the question of why this problematic information is
still recorded remains. In this paper, I aim to address the deficit by analysing the reasons for the recording of said
information by a particular group of medico-legal practitioners: Forensic Nurse Examiners (FNEs, often called

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