{"id":5958,"date":"2020-06-13T20:00:04","date_gmt":"2020-06-13T17:00:04","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=5958"},"modified":"2020-06-13T20:11:46","modified_gmt":"2020-06-13T17:11:46","slug":"cocuk-cinsel-istismari","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/cocuk-cinsel-istismari\/","title":{"rendered":"\u00c7OCUK C\u0130NSEL \u0130ST\u0130SMARI"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img alt=\"\" \/><\/figure>\n\n\n\n<p class=\"has-medium-font-size\"><strong>      Foto\u011frafta yer alan dizi ve kitab\u0131n ne anlatt\u0131\u011f\u0131n\u0131 mutlaka biliyorsunuzdur. Zaten sizlere bu dizideki ya da kitaptaki ki\u015filerin hikayelerini anlatmayaca\u011f\u0131m. Bir\u00e7ok farkl\u0131 \u00e7ocu\u011fun bunun gibi hikayelerinin oldu\u011fundan bahsedece\u011fim.<\/strong><\/p>\n\n\n\n<p>      Yaz\u0131n\u0131n ba\u015fl\u0131\u011f\u0131ndan konunun hi\u00e7 de i\u00e7 a\u00e7\u0131c\u0131 \u015feyler i\u00e7ermedi\u011fini zaten \u00e7oktan anlam\u0131\u015fs\u0131n\u0131zd\u0131r. G\u00f6rmezden gelinen bu ger\u00e7eklere biraz de\u011finmek istiyorum.Her \u00e7ocuk hayat\u0131 boyunca fiziksel, cinsel, ruhsal olarak istismara u\u011frayabilir. Benim bahsedece\u011fim cinsel istismar ise en h\u0131zl\u0131 art\u0131\u015f g\u00f6steren \u015fekildir. Asl\u0131nda en \u00e7ok maruz kald\u0131klar\u0131 fiziksel istismar \u00e7o\u011fu zaman cinsel istismar\u0131n i\u00e7ine de dahil olmaktad\u0131r.<\/p>\n\n\n\n<p>      Ulusal \u00c7ocuk \u0130stismar\u0131 ve \u0130hmali Merkezi, cinsel istismar\u0131 \u201cYeti\u015fkinin <strong>cinsel<\/strong>&nbsp;stim\u00fclasyonu i\u00e7in \u00e7ocu\u011fun kullan\u0131ld\u0131\u011f\u0131, yeti\u015fkin ve \u00e7ocuk aras\u0131ndaki temas ya da etkile\u015fimdir.\u201d olarak tan\u0131mlarken; bir makalede kar\u015f\u0131la\u015ft\u0131\u011f\u0131m \u201c\u00c7ocuk ve eri\u015fkin aras\u0131ndaki temas ve ili\u015fki, o eri\u015fkinin veya ba\u015fka birinin seks\u00fcel uyar\u0131m\u0131 i\u00e7in kullan\u0131lm\u0131\u015fsa, \u00e7ocu\u011fun cinsel olarak istismar\u0131 kabul edilir\u201d tan\u0131m\u0131 ise cinsel istismar\u0131 \u00e7ok daha a\u00e7\u0131k bir \u015fekilde ifade etmektedir.<\/p>\n\n\n\n<p><strong>C\u0130NSEL\n\u0130ST\u0130SMAR \u0130STAT\u0130ST\u0130KLER\u0130<\/strong><\/p>\n\n\n\n<p>       Bir\u00e7ok \u00fclkede \u00e7ocuk cinsel istismar\u0131 ile ilgili ara\u015ft\u0131rmalar yap\u0131l\u0131yor ve ortaya \u00e7\u0131kan sonu\u00e7lar \u00e7ok da i\u00e7 a\u00e7\u0131c\u0131 de\u011fil. Sonu\u00e7lar aras\u0131nda bir\u00e7ok farkl\u0131l\u0131k mevcut oldu\u011fu i\u00e7in ben de sizlere genel istatistikleri ve bilgileri aktarmaya \u00e7al\u0131\u015faca\u011f\u0131m: K\u0131z \u00e7ocuklar\u0131n erkek \u00e7ocuklar\u0131na g\u00f6re daha \u00e7ok cinsel istismara u\u011framakta, istismarc\u0131lar\u0131n yakla\u015f\u0131k %80\u2019i ebeveynlerdir, olaylar\u0131n %50 ise evde ger\u00e7ekle\u015fmektedir ve aile i\u00e7indeki \u015fiddet ve bo\u015fanmalarda \u00e7ocuklar\u0131n cinsel istismara u\u011frama ihtimali artt\u0131rmaktad\u0131r. <\/p>\n\n\n\n<p>&nbsp;Halk taraf\u0131ndan bilinen \u00f6nemli bir yanl\u0131\u015f ise\nkoitusun olmamas\u0131 cinsel istismar\u0131n olmad\u0131\u011f\u0131 anlam\u0131na gelmemektedir. \u201cAra\u015ft\u0131rmalara\ng\u00f6re \u00e7ocuk cinsel istismar\u0131nda %51 dokunmadan istismar varken, sadece %5\u2019inde\nanal ya da vajinal ili\u015fki vard\u0131r. Erkeklerin %42\u2019si anal ili\u015fki ya da ili\u015fki\ngiri\u015fimiyle kar\u015f\u0131la\u015f\u0131rken, k\u0131zlarda bu oran %72\u2019dir. Erkek \u00e7ocuk ve ergenlerin\ncinsel istismar\u0131 daha seyrek a\u00e7\u0131klad\u0131\u011f\u0131, k\u0131zlar\u0131n a\u00e7\u0131klama yapmaya erkeklerden\ndaha meyilli oldu\u011fu bilinmektedir.\u201d (5)<\/p>\n\n\n\n<p><strong>C\u0130NSEL \u0130ST\u0130SMAR BULGULARI<\/strong><\/p>\n\n\n\n<p>K\u00fc\u00e7\u00fck\n\u00e7ocuklarda anal cinsel sald\u0131r\u0131lar sonucu ciddi veya hafif ekimoz ve y\u0131rt\u0131klar\nolu\u015fabiliyor ancak bunlar birka\u00e7 g\u00fcn i\u00e7inde iyile\u015febiliyor, b\u00fcy\u00fck \u00e7ocuklarda\nise rektum ve an\u00fcs daha \u00e7ok geni\u015fleyebildi\u011fi i\u00e7in yaralanma hi\u00e7 olmayabiliyor\nve bulgular\u0131 saptamak \u00e7ok daha zor hale geliyor. <\/p>\n\n\n\n<p>Ayr\u0131ca cinsel istismar\u0131n en s\u0131k belirtileri olan anogenital\nkanama, \u00f6dem, k\u0131zar\u0131kl\u0131k ve y\u0131rt\u0131klar\u0131n ba\u015fka durumlarda da g\u00f6r\u00fclebilmesi\nyanl\u0131\u015f tan\u0131ya neden olabilirken, kesin kan\u0131t oldu\u011funu da s\u00f6yleyemiyoruz.<\/p>\n\n\n\n<p>&nbsp;\u00c7o\u011fu vakada\nnonspesifik bulgular g\u00f6zlenmektedir ancak cinsel istismar\u0131n kabul edilen 3\nkesin delili vard\u0131r;&nbsp; <\/p>\n\n\n\n<ul><li>\u00c7ocu\u011fun v\u00fccudunda,\n\u00fczerinde ya da oral, vajinal, anal \u00f6rneklerinde sperm ya da seminal s\u0131v\u0131\nvarl\u0131\u011f\u0131 <\/li><li>N. gonorrhoeae\ni\u00e7in pozitif test sonucu ya da edinsel sifiliz i\u00e7in serolojik kan\u0131t bulunmas\u0131\n(perinatal ve iyatrojenik bula\u015fma d\u0131\u015flanabilirse)<\/li><li>Anal ya da vajinal\norifiste kas\u0131tl\u0131, k\u00fcnt, penetran yaralanma<\/li><\/ul>\n\n\n\n<p>&nbsp;&nbsp;&nbsp;&nbsp; Anla\u015f\u0131laca\u011f\u0131 gibi kesin fiziksel\nbulgular\u0131n bulunmas\u0131 olduk\u00e7a zordur ve asl\u0131nda cinsel istismar\u0131n as\u0131l darbesi g\u00f6r\u00fcnmeyen\npsikolojik etkilerdir. Hepimizin de bildi\u011fi gibi cinsel istismar\u0131n ortaya\n\u00e7\u0131kmas\u0131 ger\u00e7ekten \u00e7ok zordur; ara\u015ft\u0131rmalar sald\u0131r\u0131lar\u0131n saklama s\u00fcresinin uzun\noldu\u011funu, \u00e7ocuklar\u0131n %75\u2019inin ilk y\u0131l i\u00e7inde, %18\u2019inin ise a\u00e7\u0131klama yapmak i\u00e7in\n5 seneden fazla bekledi\u011fi g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. <strong>(3) <\/strong>\u0130stismarc\u0131, aileden biri\noldu\u011funda ise olay\u0131n tekrarlanma olas\u0131l\u0131\u011f\u0131 artarken, ortaya \u00e7\u0131kma olas\u0131l\u0131\u011f\u0131\nazalmaktad\u0131r. <\/p>\n\n\n\n<p>Sizler ile son olarak Korunmaya Muhta\u00e7 \u00c7ocuklar Vakf\u0131\u2019n\u0131n bu konudaki \u00e7ok bilgilendirici olarak g\u00f6rd\u00fc\u011f\u00fcm bro\u015f\u00fcr\u00fcn\u00fc payla\u015fmak istiyorum.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1200\" height=\"603\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/06\/bor\u015f\u00fcr.png\" alt=\"\" class=\"wp-image-5965\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/06\/bor\u015f\u00fcr.png 1200w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/06\/bor\u015f\u00fcr-400x201.png 400w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/06\/bor\u015f\u00fcr-768x386.png 768w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/06\/bor\u015f\u00fcr-1024x515.png 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/06\/bor\u015f\u00fcr-110x55.png 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/06\/bor\u015f\u00fcr-420x211.png 420w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2020\/06\/bor\u015f\u00fcr-770x387.png 770w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p><a href=\"https:\/\/koruncuk.org\/files\/istismar-egitim-semineri-brosuru-koruncuk.pdf\">https:\/\/koruncuk.org\/files\/istismar-egitim-semineri-brosuru-koruncuk.pdf<\/a><\/p>\n\n\n\n<p>&nbsp;\u00c7ocuk cinsel istismar\u0131n\u0131 \u00f6nlemenin bizlere\nd\u00fc\u015fen ve en \u00f6nemli yollar\u0131ndan biri bu konuda bilin\u00e7lenmek ve halk\u0131\nbilin\u00e7lendirmektir. \u0130leride biz hekimler, bu \u00e7ocuklar\u0131 tan\u0131makla, kurtarmakla\nve onlar\u0131 korumakla y\u00fck\u00fcml\u00fcy\u00fcz. Okudu\u011fum vakalar\u0131n birinde yer alan hukuk\nalan\u0131ndaki birisinin, cinsel istismar ile ilgili bir konferansa kat\u0131ld\u0131ktan\nsonra kapanm\u0131\u015f olan davay\u0131 tekrar incelenmeye almas\u0131 ile kar\u015f\u0131la\u015ft\u0131m. Bu da\nbilin\u00e7lenmenin ne kadar \u00f6nemi oldu\u011funu g\u00f6steren bir \u00f6rnektir. <\/p>\n\n\n\n<p>Bu konudan\nbahsetmek veya d\u00fc\u015f\u00fcnmek \u00e7o\u011fu ki\u015finin ho\u015funa gitmezken say\u0131s\u0131n\u0131 bile\nbilemedi\u011fimiz \u00e7ocuklar bunun ile kar\u015f\u0131 kar\u015f\u0131ya kalmaktad\u0131r. \u00c7o\u011fu vakada kesin\nbir bulgu ortaya \u00e7\u0131km\u0131yor ve bu olaylar\u0131n ortaya \u00e7\u0131kmas\u0131 zor oldu\u011fu i\u00e7in tam\nolarak ka\u00e7 \u00e7ocuk oldu\u011funu bilemiyoruz.<\/p>\n\n\n\n<p>&nbsp; T\u0131p e\u011fitim-\u00f6\u011fretim hayat\u0131m\u0131z boyunca bu\n\u00e7ocuklar\u0131 nas\u0131l tan\u0131yabilece\u011fimizi ve onlar\u0131 nas\u0131l korumam\u0131z gerekti\u011fini\n\u00f6\u011frenmek zorunday\u0131z.<\/p>\n\n\n\n<p>Son olarak \u00fcnl\u00fc dizi \u015eahsiyet\u2019i mutlaka izlemenizi tavsiye ediyorum.<\/p>\n\n\n\n<figure class=\"wp-block-embed-youtube wp-block-embed is-type-video is-provider-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"\u015eahsiyet - Da\u011flar K\u0131z\u0131 Reyhan\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/8h_u23zyiFg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>KAYNAKLAR<\/strong><\/p>\n\n\n\n<p>(1)<a href=\"https:\/\/www.adlitipbulteni.com\/article\/view\/629\">https:\/\/www.adlitipbulteni.com\/article\/view\/629<\/a><\/p>\n\n\n\n<p>(2)<a href=\"http:\/\/www.turkpsikiyatri.com\/Data\/UnpublishedArticles\/06p7ac.pdf\">http:\/\/www.turkpsikiyatri.com\/Data\/UnpublishedArticles\/06p7ac.pdf<\/a><\/p>\n\n\n\n<p>(3)<a href=\"https:\/\/www.adlitipbulteni.com\/index.php\/atb\/article\/view\/485\">https:\/\/www.adlitipbulteni.com\/index.php\/atb\/article\/view\/485<\/a><\/p>\n\n\n\n<p>(4)<a href=\"https:\/\/www.adlitipbulteni.com\/index.php\/atb\/article\/view\/1029\">https:\/\/www.adlitipbulteni.com\/index.php\/atb\/article\/view\/1029<\/a><strong><\/strong><\/p>\n\n\n\n<p>(5)<a href=\"https:\/\/www.psikiyatri.org.tr\/uploadFiles\/219201618057-CocukCinsel_istismar_bilgilendirme_dosyasi.pdf\">https:\/\/www.psikiyatri.org.tr\/uploadFiles\/219201618057-CocukCinsel_istismar_bilgilendirme_dosyasi.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Foto\u011frafta yer alan dizi ve kitab\u0131n ne anlatt\u0131\u011f\u0131n\u0131 mutlaka biliyorsunuzdur. Zaten sizlere bu dizideki ya da kitaptaki ki\u015filerin hikayelerini anlatmayaca\u011f\u0131m.<\/p>\n","protected":false},"author":190,"featured_media":5962,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3,1],"tags":[779],"acf":[],"views":681,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/5958"}],"collection":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/users\/190"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=5958"}],"version-history":[{"count":12,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/5958\/revisions"}],"predecessor-version":[{"id":5992,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/5958\/revisions\/5992"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/5962"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=5958"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=5958"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=5958"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}