There Is No Place Like Home: The Body as the Scene of the Crime in Sexual Assault Intervention

The body is the scene of the crime, is an oft-repeated phrase among nurses conducting sexual assault forensic examinations. This instruction reminds nurses that the object under scrutiny, the sexually violated body, is the location and source of establishing legal evidence. The nurses\u27 interest lies in recovering evidentiary materials towards deriving a future juridical truth and providing a means for remedy or restitution. The constitution of truth obscures how the subject comes to be at home and dwell in a world where rape occurs. This article argues that regarding the body as a crime scene is more than a rhetorical or pedagogical move made by forensic practitioners. Rather, forensic examination is constituted through rigorous and meticulous techniques that scrutinize the body of the sexually violated subject in such a way that the harming and healing capacities of the domestic are disarticulated from one another. What is at stake is the state\u27s reliance on a notion of the domestic as a sphere to which one might return and heal, even in instances where the domestic itself is the source or site of injury, such as incest and domestic violence

Compelling Intimacies: Domesticity, Sexuality, and Agency

This introduction highlights what we call Compelling Intimacies —the multiple desires, affects, and affinities that arise at the intersection of institutions, actors, technologies, and ethical discourses to exert persuasive pressures on subjects. Each article animates different facets of the intensities born of intimacy as they operate across social and relational fields. The authors separate agency from intention in their efforts to identify the vitality of human and non-human relations. Together, the articles demonstrate how domesticities arise through diverse sets of circumstances, emerging in multiple incarnations—often in the same household—in such a way as to generate a wide range of affects and affinities. Finally, each author turns attention to the so-called small events that come to affirm or deny life as given form in everyday household arrangements, kin relations, friendships, and institutional settings, thereby suggesting the political stakes evoked by differing forms of care

Gendered Violence and the Ethics of Social Science Research

The issue of ethical conduct in research settings is important and complex. As tenure-track researchers who study gendered violence, we found Clark and Walker’s discussion provocative, thoughtful, and interesting. They urge researchers to attend both to the structural dynamics of research carried out under the pressures of tenure and promotion while advocating an ethical frame that draws attention to the limited definition of risk or harm that animates typical human subjects research. Victims of violence, they argue, should not be subjected to a standardized understanding of risk. A broader framework is needed, one that brings into conversation virtue ethics with consequentialist and ontological frameworks. Given the impossible task of responding to the many points discussed by Clark and Walker, we chose to focus on four areas. In all likelihood, these areas of discussion reflect our own interests rather than Clark and Walker’s, but challenged to think seriously about research ethics in victimization studies, we attend to the following points. First, we seek to put virtue ethics in conversation with care ethics, in part because care ethics formed an important component of feminist discourse during the historical period in which institutional review boards came into being. Although virtue ethics may have lost its masculinist inflection after shedding its etymological roots,1 care ethics was explicitly seen as suited for the feminist subject. Following our discussion of care ethics, we address the question of setting victims of violence apart as a special class of vulnerable human research subjects. We argue that such a designation may yield more problems than it does solutions. Next, we turn to the violence of epistemology as a concern in research ethics. How do we come to an ethical definition of the research object, and to whom are we accountable? Finally, we turn to the relation of care when carrying out ethically and methodologically sound research

Intersectionality and Credibility in Child Sexual Assault Trials

Children remain largely absent from sociolegal scholarship on sexual violence. Taking an intersectional approach to the analysis of attorneys’ strategies during child sexual assault trials, this article argues that legal narratives draw on existing gender, racial, and age stereotypes to present legally compelling evidence of credibility. This work builds on Crenshaw’s focus on women of color, emphasizing the role of structures of power and inequality in constituting the conditions of children’s experiences of adjudication. Using ethnographic observations of courtroom jury trials, transcripts, and court records, three narrative themes of child credibility emerged: invisible wounds, rebellious adolescents, and dysfunctional families. Findings show how attorneys use these themes to emphasize the child’s unmarked body, imperceptible emotional responses, rebellious character, and harmful familial environments. The current study fills a gap in sexual assault research by moving beyond trial outcomes to address cultural narratives within the court that are inextricably embedded in intersectional dimensions of power and the reproduction of social status

“That\u27s How She Talks”: Animating Text Message Evidence in the Sexual Assault Trial

This ethnographic study of criminal sexual assault adjudication shows how prosecutors, defense attorneys, and witnesses animate text message evidence. In contrast to other forms of courtroom testimony, text messages function as multiauthored representations of recorded correspondence in the past. Attorneys and witnesses animate texts authored by or said to characterize persons represented at trial. By whom and how the texts are animated shapes trial processes. Through a detailed comparative case analysis of two Milwaukee, WI, sexual assault trials, this article attends to the process by which text messages are said to personify or characterize authors’ meaning and intent. This animation of electronically transmitted text speaks to credibility and variably emphasizes a witness\u27s place within gendered and racialized cultural norms. Rather than unsettling the trope of “he said, she said,” text messages become contested evidence animated by court actors within contexts of long‐standing cultural narratives of sexual victimization and offending

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

In Mother\u27s Lap: Forging Care and Kinship in Documentary Protocols of Sexual Assault Intervention

In this article, I examine the documentary practices of forensic intervention into sexual assault as they reveal a larger set of imaginaries about kinship, gender, violence and healing. In the course of the forensic encounter, sexual assault victims frequently disclose victimization by intimates or relatives. The reading practices and audit mechanisms to which forensic documents are subjected reveal tensions between the real-life experiences of sexual assault victims and their families on the one hand, and institutional imaginaries of care and victimization on the other