The psychological impact of rape victims.

This review article examines rape victims' experiences seeking postassault assistance from the legal, medical, and mental health systems and how those interactions impact their psychological well-being. This literature suggests that although some rape victims have positive, helpful experiences with social system personnel, for many victims, postassault help seeking becomes a "second rape," a secondary victimization to the initial trauma. Most reported rapes are not prosecuted, victims treated in hospital emergency departments do not receive comprehensive medical care, and many victims do not have access to quality mental health services. In response to growing concerns about the community response to rape, new interventions and programs have emerged that seek to improve services and prevent secondary victimization. The contributions of rape crisis centers, restorative justice programs, and sexual assault nurse examiner programs are examined. Strategies for creating more visible and impactful roles for psychologists and allied professionals are also discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessing the impact of rape and its significance in psychotherapy.

Explores the impact of rape as a precipitant of an emotional crisis. Guidelines are offered for assisting the therapist in determining whether a crisis-oriented vs intensive psychotherapy model is more appropriate for rape victims seeking treatment. Consideration is given to chief complaint, symptom duration and onset, developmental status, ability to discuss assault, meanings ascribed to assault, social system response, coping style, and life changes since assault. The cases of 4 females and 1 male who were sexually assaulted are included. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A review of cognitive factors in the etiology of rape: theories, empirical studies, and implications

In the past decade, research into the etiology of rape has increasingly focused on cognitive variables. The studies reviewed in the present article provide evidence that men with a high proclivity to rape have more rape supportive attitudes, are more likely to consider victims to be responsible for rape, and are less knowledgeable about the negative impact of rape on the victims. These men tend to misperceive cues emitted by women in heterosocial interactions; fail to generate inhibitory self-verbalizations to suppress association of sex and aggression; and have more coercive, sexual fantasies. Furthermore, a high proclivity to rape is associated with a semantic network in which concepts of sex and power are closely linked in such a way that power cues are necessary precursors of sexual feelings. Multivariate studies suggest that rape-supportive attitudes interact with noncognitive factors in the etiology of rape. Implications for rape prevention and treatment of rapists are considered. Finally, methodological issues are discussed, and recommendations for future research are given.     

Reactions to rape victims: Effects of rape circumstances, victim's emotional response, and sex of helper.

Case reports purported to have come from the records of a sexual abuse care center were presented to 98 female and 107 male undergraduates who then judged the impact of the rape experience on the victims' psychological adjustment and indicated their likely counseling goals for her. Three types of rape circumstances (home blitz, outside blitz, acquaintance) were varied with 3 types of postrape manifest emotional reactions (upset–anger, upset–guilt, calm) and S sex. Upset victims were seen as having more serious and more long-lasting problems, were more likely to be encouraged to try and forget the incident, and were less likely to be encouraged to accept personal responsibility for the assault than were calm victims. Ss, especially men, evaluated victims' degree of emotional upset as a function of rape circumstances, with blitz-type assaults perceived as most upsetting. Consistent sex differences indicated that women were more sympathetic with and more willing to talk with rape victims than were men. Results are discussed in terms of popular assumptions about rape victims and sex differences in identification with and empathy for female rape victims. Implications for training of professional and paraprofessional counselors are noted. (33 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Narcissism, sexual refusal, and aggression: Testing a narcissistic reactance model of sexual coercion.

Laboratory analog studies investigated the theory that narcissism and reactance contribute to causing rape. In Study 1, narcissism correlated positively with rape-supportive beliefs and negatively with empathy for rape victims. In Study 2, narcissists reported more enjoyment than other men of film depictions that presented consensual, affectionate activity followed by rape (but not in response to either affection or rape alone). In Study 3, narcissists were more punitive than other men toward a female confederate who refused to read a sexually arousing passage aloud to them. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quantitative analysis and isolation of Escherichia coli O157:H7 in a food matrix using flow cytometry and cell sorting

Until recently, very little attention has been paid to male victims of sexual abuse in childhood and male victims of rape and sexual assault in adulthood. Increasingly, researchers and clinicians are turning their attention to the particular problems encountered by male victims of abuse and sexual assault. Recent changes in British Law have acknowledged the existence of rape of male victims and have highlighted the need to identify the number of male victims of sexual assault and plan appropriate clinical services. A review of the literature reveals very little British empirical research on the psychological impact of rape upon male victims, although the studies that have been carried out provide clear evidence of a wide range of psychological consequences, both in the immediate period following the assault and in the long-term. Differences and similarities with female victims of rape are discussed. The particular problems encountered by male victims mean that they are even less likely than female victims to report an assault; when they do seek help the most pervasive themes that emerge from the literature concern their problems in reconciling their masculine identity with their experience of being a sexual victim. Issues concerning treatment of male victims are also discussed.     

Self-reported health and behavioral problems among adolescent victims of rape in France: results of a cross-sectional survey

OBJECTIVES: To measure the prevalence rate of rape among French adolescents; to analyze the associated health and behavioral problems; to analyze the use of the health care system by rape victims. METHOD: A national representative sample of 8,140 students attending public secondary schools in France (grades 8 to 12) filled in a self-administered questionnaire (274 questions) on health and behavior problems (acceptance rate = 87%). Each rape victim in the sample (n = 61) was matched to two nonvictims (n = 122). RESULTS: The reported prevalence rate of rape was .8% (.9% among girls, .6% among boys). For both boys and girls, there was a relationship between rape and current sleep difficulties, depressive symptoms, somatic complaints, tobacco consumption, and behavior problems (running away, violent behavior, stealing, and school absenteeism). Additional problems were associated for boy rape victims: attempted suicide, regular use of alcohol and of illicit drugs. Rape victims did consult health professionals, but the majority saw neither a mental health specialist nor a social worker. CONCLUSION: The findings indicate that rape victims, especially boys, have more behavior problems and health problems than nonrape victims. Authors suggest that adolescents who have ran away from home, attempted suicide, or manifested violent behavior should be systematically asked about rape.     

Visual-kinesthetic dissociation in treatment of victims of rape.

A visual–kinesthetic (V–K) dissociation procedure of neurolinguistic programming (NLP) was used in treating rape-induced anxiety and phobic reactions in 2 18- and 19-yr-old rape victims. NLP theory suggests that anxiety reactions experienced by rape victims is a function of the interrelated processes of synesthesia and anchoring. In these 2 case reports, the use of the V–K dissociation technique is explored. From this preliminary basis, further research entailing the use of this treatment procedure is suggested. Implications for clinical practice are noted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Innovative community services for rape victims: an application of multiple case study methodology

A qualitative multiple case study design was used to examine communities across the United States that have developed coordinated community-based programs to assist rape victims. Previous studies have suggested that coordinated community programs help victims obtain needed resources and services. This study provided a follow-up examination of how and why these programs are helpful to rape victims. In-depth interviews were conducted with rape victim advocates, rape crisis center directors, police officers, prosecutors, doctors, nurses, and rape survivors from 22 communities with coordinated programs. A comparison sample of 22 communities with fewer coordinated programs was also obtained. Results indicated that the high coordination communities had three types of programs to address sexual assault: coordinated service programs, interagency training programs, and community-level reform groups. Although not all of these programs directly address service delivery for rape victims, they help create a community culture that is more responsive to victims' needs. The research team and participants developed an explanatory model of why these program are effective in addressing rape victims' needs. This model hypothesizes that coordinated programs reflect an understanding of the multiple contexts of service delivery and embody that knowledge in services that are consistent with victims' needs. Narrative data from the interviews with service providers and rape survivors are used to develop and support this model.     

Processing of threat-related information in rape victims.

We investigated selective processing of threat information in persons with posttraumatic stress disorder (PTSD) by using a modified Stroop Color and Word Test. Ss were 15 rape victims with PTSD, 13 rape victims without the disorder, and 16 nontraumatized control Ss. They were asked to name the color of 4 types of words: specific threat (rape-related) words, general threat (related to physical harm and death) words, neutral words, and nonwords. Rape victims with PTSD evidenced a longer response latency for color naming of rape-related words than for other target-word types. Response latencies of non-PTSD victims and nonvictim control Ss did not differ across word types. Possible mechanisms underlying the selective processing of threat material are considered, and clinical implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The community response to rape: victims' experiences with the legal, medical, and mental health systems

This research examined how the legal, medical, and mental health systems respond to the needs of rape victims. A national random sample of rape victim advocates (N = 168) participated in a phone interview that assessed the resources available to victims in their communities, as well as the specific experiences of the most recent rape victim with which they had completed work. Results from hierarchical and iterative cluster analysis revealed three patterns in victims' experiences with the legal, medical, and mental health systems. One group of victims had relatively positive experiences with all three systems, a second group had beneficial outcomes with only the medical systems, and the final group had difficult encounters with all three systems. Multinominal logistic regression was then used to evaluate an ecological model predicting cluster membership. Community-level factors as well as features of the assault and characteristics of the victims predicted unique variance in victims' outcomes with the legal, medical, and mental health systems. These findings provide empirical support for a basic tenet of ecological theory: environmental structures and practices influence individual outcomes. Implications for ecological theory and interventions to improve the community response to rape victims' needs are discussed.     

Unacknowledged versus acknowledged rape victims: situational factors and posttraumatic stress

Investigators of sexual assault have found that a substantial number of women who have been raped do not conceptualize their experiences as such. The present investigation examined differences between 40 unacknowledged rape victims and 20 women who acknowledged their experience as rape in a sample of college women, as well as a control group of 23 nonvictims. Groups were compared in terms of situational factors, postassault symptomatology, defense mechanisms, dissociative disorders, and sexual revictimization. In comparison to unacknowledged victims, acknowledged victims reported more forceful assaults and indicated more resistance and clearer refusal. Acknowledged victims exhibited more posttraumatic stress disorder symptoms than unacknowledged victims, who exhibited more symptoms than nonvictims, as measured by clinical interview. Implications of these findings are discussed.     

Mental health correlates of criminal victimization: A random community survey.

Interviewed a representative sample of 2,004 women (aged 18 yrs and older) about victimization experiences and mental health problems. After classification of the women into victimization groups, the occurrence of 3 mental health problems was compared across type of crime. Rates of "nervous breakdowns," suicidal ideation, and suicide attempts were significantly higher for crime victims than for nonvictims. Victims of attempted rape, completed rape, and attempted sexual molestation had problems more frequently than did victims of attempted robbery, completed robbery, aggravated assault, or completed molestation. Problems were not mediated by income and were affected only marginally by age and race. Nearly 1 rape victim in 5 (19.2%) had attempted suicide, whereas only 2.2% of nonvictims had done so. Most sexual assault victims' mental health problems came after their victimization. Findings suggest that crime victims are at risk for the development of major mental health problems, some of which are life threatening in nature. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An assessment of long-term reaction to rape.

Examined reactions to rape by interviewing 27 female rape victims at least 1 yr after the assault and assessing their current functioning through such measures as the Beck Depression Inventory and Profile of Mood States. Victims were significantly more depressed and reported less pleasure in daily activities than 26 matched nonvictim controls. Ss who had been victims of sudden violent attacks by complete strangers showed the most severe reactions, being even more depressed, fatigued, and fearful and getting less satisfaction from activities than victims of other types of assaults. (14 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A comparison of normal forgetting, psychopathology, and information-processing models of reported amnesia for recent sexual trauma.

This study assessed memories for sexual trauma in a nontreatment-seeking sample of recent rape victims and considered competing explanations for failed recall. Participants were 92 female rape victims assessed within 2 weeks of the rape; 62 were also assessed 3 months postassault. Memory deficits for parts of the rape were common 2 weeks postassault (37%) but improved over the 3 month window studied (16% still partially amnesic). Hypotheses evaluated competing models of explanation that may account for reported recall deficits. Results are most consistent with information processing models of traumatic memory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Victim attributions and post-rape trauma.

This study assessed (a) the kinds of attributions victims make, (b) whether behavioral and characterological self-blame are associated with other variables as hypothesized (e.g., perception of future avoidability of being raped), and (c) whether behavioral self-blame is associated with better post-rape adjustment (R. Janoff-Bulman; see record 1981-01320-001). Attributions and adjustment were assessed in a sample of adult female rape victims seen at a hospital-based rape crisis program. Many victims blamed themselves but tended to place more blame on external factors. The pattern of relations between behavioral and characterological self-blame and other attributional measures did not support the hypothesized distinctions between them. Both kinds of self-blame were significantly associated with increased post-rape depression. Attributions strongly predicted adjustment, accounting for up to 67% of the variance in 3-day post-rape depression. The theoretical and clinical implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of rape on sexual satisfaction.

Asked 15 adult rape victims to rate, retrospectively, their satisfaction with 23 sex-related activities prior to and after the rape. Sexual satisfaction with a wide variety of sex-related behaviors decreased substantially following the rape, although autoerotic and primarily affectional experiences appeared to be unaffected by the rape. Moreover, the current satisfaction with sexual relations reported by rape victims was significantly less than that reported by a nonraped sample, even though the 2 groups did not differ in terms of frequency with which they engaged in various sexual activities or experienced orgasms. (11 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive mediators of reactions to rape.

35 male and 35 female undergraduates were exposed to slides that portrayed aggression, close personal interactions between men and women, and women as sex objects before reading the testimonies of rape victims and making judgments concerning both the victim and the alleged rapist. Results show that exposure to negative consequences of aggression apparently threatened Ss' beliefs in a just world, leading them to interpret rape incidents in ways that reaffirmed this belief (i.e., it strengthened Ss' beliefs that the defendant should be punished, but it also caused them to attribute more responsibility for the incident to the victim). Portrayals of close personal relationships between men and women increased male Ss' beliefs that rape victims were responsible for the incident, but had the opposite effect on female Ss' beliefs. Portrayals of women as sex objects decreased males' beliefs in the victim's credibility and increased their beliefs that she was responsible for the incident; however, it had the opposite effects on females' judgments. Despite their effect on judgments of the rape victim, priming manipulations did not affect beliefs that the defendant should be convicted. Findings are discussed in terms of their implications for the effects of the public media on attitudes and beliefs about rape. (36 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An examination of differences between multiple- and single-incident victims of sexual assault.

Examined differences between 25 multiple- and 25 single-incident victims of sexual assault using demographic data and a 117-item interview that assessed functioning prior to the current rape. Multiple-incident Ss were poorer and more transient than were single-incident Ss. Multiple-incident Ss also had a history of more frequent victimization other than rape and were significantly more dysfunctional in their personal and interpersonal adjustment. They reported more problems with depression, and 52% had attempted suicide. Comparisons of events leading up to and surrounding the current rape for these 2 groups were not significant. (10 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)