Therapeutic Considerations of Wilderness Experiences for Incest and Rape Survivors

The purpose of this article is to examine the relevancy of traditional wilderness programs, such as Outward Bound, to women who have been violated by experiences of childhood incest and/or adult sexual assault. Applications to African-American women, women with physical challenges, and women who are economically disenfranchised will be emphasized. The overview is from a feminist perspective, one that advocates empowerment over struggle and resisting revictimization on any level. The Rape Assistance and Awareness Program (RAAP) is a non-profit agency in Denver, Colorado dedicated to providing low-cost group psychotherapy for women who have been recently sexually assaulted as well as for women with histories of incest. About five years ago, a three-day Colorado Outward Bound School (COBS) experience was incorporated into RAAP's treatment program. While the COBS weekend generally has been viewed positively by most of the clients and group facilitators, aspects of this element of the program have become increasingly problematic. Its applicability to women with physical disabilities and women with conflicting social and economic priorities is questioned. When RAAP received a special grant to provide sexual assault services specifically targeting women of color, groups for Latinas and African-American women were established and facilitated by therapists of color. These women of color, both clients and therapists, consistently challenge the relevance and practicality for them of the COBS experience. In this article, we contend that wilderness experiences, in their traditional application, do not support the feminist, woman-centered approach to life which is advocated and nurtured at RAAP, nor does it specifically honor cultural diversity or ethnic multiplicity. Recommendations for wilderness experiences attracting a broader range of the feminine experience are made.     

Sexual assault: Myths and stereotypes among Australian adolescents

Myths and stereotypes about sexual assault reflect a society which excuses perpetrators of assault and blames victims for failing to control men's sexuality. Such views are well-established by early adulthood, but there is little research with adolescents. This study surveyed two hundred forty-four 14–16 year old Australian high school students (105 male, 139 female), of Anglo-European descent. Males were significantly more likely to endorse sexual assault myths, to agree that forced sex was acceptable in some situations, and to hold false stereotypes about sexual assault. Males also held more restrictive attitudes toward women's roles and endorsed a greater level of sexism in dating relationships. This suggests that male and female adolescents have differing expectations of dating relationships, which may underlie sexual assault within relationships. Assault-supportive attitudes are apparent at a young age, supporting the need for educational and social interventions targeting young people.     

Involving Police Departments in Early Awareness of Concussion Symptoms during Domestic Violence Calls

ABSTRACT

Police officers around the world respond to and investigate calls regarding domestic violence (DV) daily. Police departments operate with standard protocols, particularly when engaging in investigations that involve allegations of strangulation or sexual assault. Operating under advisement of the Maricopa County Attorney’s Office, the Mesa Police Department (Mesa, AZ) has established protocols for detecting, recording, and prosecuting DV cases that involve strangulation and sexual assault. Allegations of strangulation (defined as impeded breathing) or sexual assault prompt officers to offer a forensic nursing exam (FNE) combined with strangulation treatment by forensic nurses at the Mesa Family Advocacy Center. Recognizing the potential for head injury to the assault victim in all DV situations, including intimate partner violence (IPV), the police department has added concussion-awareness training, as well as a point-of-incident investigative tool for its officers to record neurological function of the victim. Officers were instructed to use the ConQVerge device to measure and record the Near Point of Convergence (NPC) as a test of neurological impairment in suspected head injuries. In this article, we discuss the challenges and opportunities for assisting victims of DV strangulation and sexual assault (including non-DV sexual assault) with on-site assessment and consent for further medical assessment and treatment. Additionally, rates of domestic assault victims that report a crime, but decline to follow through with forensic medical tests, are reported for the first time. Lessons learned from the project that inform strategic operations in this space are offered to other agencies prior to the implementation of similar procedures.     

ACCEPTANCE AND EXPECTATION OF SEXUAL AGGRESSION IN COLLEGE STUDENTS

This study examines college students' acceptance and expectations of sexual aggression in common dating situations. Five hundred and forty-six college students completed a measure of rape acceptance beliefs to explore the "campus climate" regarding sexual assault. Results suggest that consensus on definitions of unacceptable behavior in dating situations is emerging: young college men and women overwhelmingly rejected the use of violent and coercive behavior. A surprisingly high number, however, expected this type of behavior in a variety of situations, for example, on dates involving the use of drugs or alcohol. Women's expectations of sexual aggression generally surpassed men's. Yet, in several situations, participants, regardless of their gender, expected the use of verbal threats of harm in order to obtain intercourse. Students expected the use of force to obtain sexual intercourse the least. Results are discussed in relation to the reporting behavior of sexual assault victims and the development of primary prevention techniques.     

Trigger warnings,covenants of presence,and more: Cultivating safe space for theological discussions about sexual trauma

Sexual assault is prevalent, but many educators find themselves ill‐prepared to address it in the classroom. This article conceptualizes a trauma sensitive pedagogy that engages the psychological, social, and theological implications of sexual assault for classroom conversations about sex and sexuality. First, the article examines the impact of the classic power disparity between student and teacher as a dynamic that can trigger recall of the abuse of power inherent in sexual violence. Next the article reframes understandings of trigger warnings to consider how they can be used to support educators in taking seriously the vulnerability of those who have experienced sexual assault. The article also presents perspectives on the role of “teacher self‐disclosure” in facilitating conversations that acknowledge sexual assault, followed by a teaching strategy that demonstrates pedagogical sensitivity to trauma. Suggestions on how to support students through and beyond conversations that can trigger traumatic stress conclude the article.     

Sexual assault on college campuses: Is an ounce of prevention enough?

This article provides a construct-by-construct review of the effectiveness of sexual asault prevention programs in modifying sexual assault-related attitudes, cognitions, emotions, and behaviors. This article also discusses variables that may moderate program effectiveness, variables that may mediate program effectiveness, methodological issues, programs for special populations, and iatrogenic effects. In general, sexual assault prevention programs have been shown to be effective in producing short-term reductions in rape-supportive attitudes. There is insufficient evidence, however, to conclude that such programs are effective in reducing the incidence of sexual assault.     

Sexual assault on college campuses: Is an ounce of prevention enough?

This article provides a construct-by-construct review of the effectiveness of sexual asault prevention programs in modifying sexual assault-related attitudes, cognitions, emotions, and behaviors. This article also discusses variables that may moderate program effectiveness, variables that may mediate program effectiveness, methodological issues, programs for special populations, and iatrogenic effects. In general, sexual assault prevention programs have been shown to be effective in producing short-term reductions in rape-supportive attitudes. There is insufficient evidence, however, to conclude that such programs are effective in reducing the incidence of sexual assault.     

Social support and recovery from sexual assault: A review

This article reviews empirical studies of social support and sexual assault in order to evaluate the empirical evidence for the role of support in recovery from mental health and physical health consequences of this crime. Evidence is mixed with regard to the effect of social support, with some studies showing no significant effect and others showing positive effects of support on postassault recovery. Negative aspects of social relations (e.g., negative social reactions), while less studied, show consistent and strong negative effects on sexual assault victims. Factors that may modify the relationship of support and sexual assault outcomes are reviewed, including: assault characteristics, specific support provider factors, victim coping and functioning, preassault support network, and other postassault experiences, such as criminal justice system involvement. Limitations of existing research are noted. Suggestions for future research on the relationship of social support and sequelae of sexual assault are provided, with a focus on development of support network interventions for victims.     

Victim Ambiguity: Bystander Intervention and Sexual Assault in the College Drinking Scene

Alcohol-related sexual assault is the most common form of sexual victimization on college campuses. Bystander intervention has been suggested as effective in preventing sexual assault, but its usefulness in sexual assaults that involve alcohol in particular has not yet been examined. The current study draws from intensive interviews with 30 undergraduates at a large Midwestern university to understand how students’ perceptions about sexual victimization and alcohol use affect their bystander behavior. Findings suggest that in alcohol-involved situations, the ambiguity of whether the woman is at risk and her perceived worthiness are significant barriers to intervention. Policy implications are discussed.     

A critical review of field studies on the link of alcohol and adult sexual assault in women

This article reviews field studies examining two central questions regarding the link between alcohol and sexual assault. First, evidence is reviewed to evaluate whether there is a distal relationship between alcohol and risk of sexual assault victimization. Specifically, studies are examined to determine whether drinking may affect the risk of being victimized and how victimization may contribute to subsequent drinking. Second, evidence for a proximal role of drinking prior to a sexual assault victimization incident (by either victim and/or offender) is examined to determine alcohol's role in rape and injury outcomes to victims. Critical theoretical and methodological issues in these two types of studies are discussed with regard to the extant literature. Paralleling the two areas of research reviewed, two theoretical models are proposed to guide future research on (1) the global associations of drinking and sexual assault risk across the life span (macrolevel model) and (2) the role of drinking in the outcomes of actual sexual assault incidents (microlevel model). Suggestions are made for future research and intervention in this area.     

Legal Prosecution of Perpetrators of Sexual Assault:

This article, based upon the personal experiences of the author, explores the implications for the client, counselor, and client-counselor relationship when the client initiates legal action against a perpetrator of sexual assault. Understanding the legal system, testifying in court, and the psychological effects of the sexual assault as impacted by the legal process are examples of the issues raised in the article. Ethical issues relating to treatment are discussed. Recommendations for the counselor's self-care are also presented.     

Unjust Sex vs. Rape

This article returns to a philosophical conundrum that has troubled feminist theory since the topic of sexual violence has been taken seriously, what I call the problem of the “heteronormative sexual continuum”: how sexual assault and hegemonic heterosex are conceptually and politically related. I continue my response to the work of Nicola Gavey, who has argued for the existence of a “gray area” of sexual interactions that are ethically questionable without rising to the category of sexual assault, but whose analysis did not explicitly articulate what these two categories share or what distinguishes them from each other. After summarizing Gavey's position, I summarize my previous articulation of the common ground between instances of sexual assault and examples of sexual interactions in the “gray area.” I then develop a theoretical account of how the two categories differ, arguing that the victim's agency plays different roles in the two types of interactions. Both the fact of that distinction—that we are capable of providing a philosophical account of the difference between sexual interactions that fall into the gray area and those that constitute sexual assault—and its particular content are crucial for the development of a tenable feminist sexual ethics.     

New Opportunities

Sexual assault is a pervasive problem in the U.S. military, especially against women. Bystander intervention is increasingly promoted as important for reducing sexual violence, and it may be particularly helpful in contexts with high rates of sexual violence. Bystander training encourages and enables people to intervene safely and stop sexual violence. In this study, we drew from an ecological model to investigate intrapersonal, microsystem, and exosystem factors that predicted Service members' assumption of personal responsibility to intervene in an alcohol‐involved sexual assault. Moreover, we examined how these predictors played a role in decisions about how to intervene: confronting the perpetrator, assisting the victim, or finding someone to help. We analyzed data from 24,610 active duty personnel collected by the Department of Defense. Several factors significantly related to Service members' bystander intentions: gender, rank, morale, attitudes about sexual assault, training, and trust in the military sexual assault system predicted the likelihood and method of bystander intervention. These findings help identify how and why people intervene (or fail to intervene) when they witness situations that could develop into sexual violence.     

Male sexual assault victims: a selective review of the literature and implications for support services

In recent years much has been done to publicize the plight of female rape victims. However, the sexual assault of adult males has received little attention in the research literature or by the public. This paper provides a selective review of the research into the prevalence and effects of male sexual assault victims. Research shows that the effects of sexual assault on adult males are often severe. This paper also outlines findings from experimental studies that have shown that reactions towards male sexual assault victims depend on both the victim's sexual orientation and the perpetrator's gender. Finally, implications for support services are outlined. Victims of both male and female perpetrators are considered, and both gay and heterosexual victims are discussed in relation to the specific needs of these victims. The needs of transgendered victims are also briefly considered, as are the needs of the sexual partners of male sexual assault victims. This paper concludes by offering some suggestions for future research.     

African American and White Women’s Experience of Sexual Assault and Services for Sexual Assault

This article presents the results of a study assessing the needs and experiences of African American and White female survivors of sexual assault in the state of Maryland. Eight specific hypotheses regarding differences in the needs and experiences of African American as compared to White women receiving partial or no support through analyses of interview data drawn from 213 survivors (African American survivors, n = 133; White survivors, n = 80) were explored. No differences were reported in medical care received; however, in comparison to their White counterparts, African American women reported decreased use of sexual assault crisis centers and mental health services, and postassault help-seeking through use of sexual assault hotlines. Barriers and facilitators associated with treatment experiences differed by ethnicity. Findings are discussed in relation to future directions for research, and service and policy improvement for survivors of sexual assault.     

Sexual victimization in relation to perceptions of risk: mediation, generalization, and temporal stability

There is evidence that personal experience with trauma is associated with increases in both personal and comparative risk perception. This study investigates this relation in terms of sexual victimization among women, focusing on three potential mediators: perceived control over sexual assault, perceived similarity to a typical sexual assault victim, and psychological distress. Mediational analyses were investigated using structural equation modeling. Although victimization experience was not related to comparative risk perception, it was associated with greater personal risk perception. This relation was mediated by perceived similarity to a typical sexual assault victim. Prospective analyses indicated that personal risk perception does change in response to sexual victimization but also indicated that heightened risk perception may be an accurate assessment of risk that actually precedes victimization experience. Implications for the meaning of perceived similarity and perceptions of risk for sexual assault victims are discussed.     

Ethics in College Sexual Assault Research

The persistently high rates of sexual assault on college campuses have led to an increasing demand for a solution to the problem. In response, research in the field is growing rapidly. With any expanding field, proper focus needs to be given to ethical dilemmas that may arise when studying a sensitive topic. College students who have experienced a sexual assault are a highly vulnerable population. As the current literature is limited, this article considers the ethical implications of conducting research with college sexual assault victims. Drawing upon the 2010 American Psychological Association Ethics Code, specific ethical concerns including respect for persons, competence, confidentiality and privacy, and beneficence and nonmaleficence are discussed. Recommendations for researchers studying sexual assault in college students are provided.     

The psychophysiological correlates of risk recognition among victims and non-victims of sexual assault

This study examined the psychophysiological correlates of risk recognition in sexual victimization. Victims and non-victims of sexual assault listened to a hypothetical date rape interaction and were asked to indicate the point at which the man had become sexually inappropriate. Subjective and objective (physiology) measures of responding as well as a measure of risk recognition in reaction to the date rape scenario were analyzed to evaluate both between and within-subjects' differences. Results showed that, relative to non-victims, victims of sexual assault displayed significant differences in risk recognition as well as both subjective and objective measures of physiological reactivity. Overall, the results indicate that altered physiological responding to relevant threat cues may be related to individuals' ability to identify and react to threatening sexual situations.