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The Violence of Care: Rape Victims, Forensic Nurses, and Sexual Assault Intervention

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Winner, 2017 Margaret Mead Award presented by the American Anthropological Association and the Society for Applied Anthropology

Honorable Mention, 2015 Eileen Basker Memorial Prize presented by the Society for Medical Anthropology


Every year in the U.S., thousands of women and hundreds of men participate in sexual assault forensic examinations. Drawing on four years of participatory research in a Baltimore emergency room, Sameena Mulla reveals the realities of sexual assault response in the forensic age.

Taking an approach developed at the intersection of medical and legal anthropology, she analyzes the ways in which nurses work to collect and preserve evidence while addressing the needs of sexual assault victims as patients. Mulla argues that blending the work of care and forensic investigation into a single intervention shapes how victims of violence understand their own suffering, recovery, and access to justice--in short, what it means to be a "victim."

As nurses race the clock to preserve biological evidence, institutional practices, technologies, and even state requirements for documentation undermine the way in which they are able to offer psychological and physical care. Yet most of the evidence they collect never reaches the courtroom and does little to increase the number of guilty verdicts.

Mulla illustrates the violence of care with painstaking detail, illuminating why victims continue to experience what many call "secondary rape" during forensic intervention, even as forensic nursing is increasingly professionalized. Re-victimization can occur even at the hands of conscientious nurses, simply because they are governed by institutional requirements that shape their practices.

The Violence of Care challenges the uncritical adoption of forensic practice in sexual assault intervention and post-rape care, showing how forensic intervention profoundly impacts the experiences of violence, justice, healing and recovery for victims of rape and sexual assault.

288 pages, Hardcover

First published August 29, 2014

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Sameena Mulla

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Displaying 1 - 4 of 4 reviews
Profile Image for Wesley.
54 reviews
March 4, 2022
The Violence of Care is a well written and detailed ethnography that explores the complexities of the forensic, medical, and legal systems that rape victims have to navigate, which often leads to additional trauma for the victims these systems are supposed to help. Occasionally, things get hard to follow when the writing gets overly wordy and theoretical, but this doesn’t take away from the significance of Mulla’s arguments and research throughout. This is not light reading, and breaks from the heavy subject matter and graphic descriptions of sexual assault may be needed.
453 reviews14 followers
July 14, 2015
Some interesting enthnographies and points that tend to get lost in dense academic prose. Mulla is persuasive that SANE nurses are not a feminist panacea but other than abandoning criminal prosecutions at all and serving only to care for victims she offers little into how to provide more justice as well as more care for victims.
Profile Image for Sue.
1,698 reviews1 follower
May 3, 2018
Might be a good book, but it's very dense. The introduction was so long . . . . I lost interest.
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