THE SEXUAL WELL-BEING OF WOMEN WHO HAVE EXPERIENCED CHILD SEXUAL ABUSE

The present study examined the association between child sexual abuse (CSA) and a range of positive and negative aspects of women's sexual well-being. We also investigated the extent to which women's cognitive-affective sexual appraisals mediated these relationships. Participants were 272 female community college and university students. CSA involving fondling only was generally not associated with adverse sexual outcomes. However, the women who had experienced CSA involving sexual penetration or attempted sexual penetration were (a) more likely to be sexually revictimized in adulthood; (b) more likely to have engaged in casual sex, unprotected sex, and voluntary sexual abstinence; and (c) reported fewer sexual rewards, more sexual costs, and lower sexual self-esteem. These findings held over and above the effects of nonsexual abuse in childhood, and as predicted, sexual self-esteem partially or fully mediated most of these relationships. Nonsexual abuse in childhood and adult sexual victimization were also uniquely associated with a number of adverse sexual outcomes. However, outcomes were not worse for women who had experienced CSA involving actual or attempted sexual penetration and sexual assault in adulthood. The results highlight the fact that CSA is a serious and widespread problem with significant implications for adult women's sexual functioning.     

A COMPARISON OF MALE AND FEMALE COLLEGE STUDENTS' EXPERIENCES OF SEXUAL COERCION

Research comparing men's and women's experiences of sexual coercion has typically assessed differences in prevalence rates and risk. We extended this line of research by comparing the contexts of sexual coercion and reactions to sexually coercive experiences in an attempt to understand the meanings that men and women attribute to these events. Participants were 433 randomly selected college students who responded to an anonymous survey. In line with past research, more men than women reported being sexually coercive, and more women than men reported being sexually coerced in the preceding year. There was a great degree of correspondence between men's and women's reports of the contexts within which sexual coercion occurred. According to their reports, sexual coercion occurred primarily within the heterosexual dating context. Compared to men, however, women reported more negative reactions and stronger resistance to the use of sexual coercion. These findings emphasize how comparisons of prevalence rates alone may obscure important differences in the phenomenology of sexually coercive incidents for men and women. Findings are discussed in terms of implications for the development of education and prevention programs and the need to reevaluate current approaches to interpreting prevalence reports.     

Sex and the Elderly:

Two persistent myths about aging are that sex is for the young and religion is for the old. Contrary to these popular beliefs, adults do not necessarily turn to religion as they age nor do they lose sexual interest or cease to be sexually active. This paper examines sex. gender and sexuality of the elderly in relation to religious beliefs and church/synagogue participation. Five megatrends related to sex and aging and their implications for the churchlsynagogue are discussed: (1) from youth to adult congregations- the demographic imperatives; (2) from male to female congregations; (3) from married to single; (4) from eitherlor to multiple choice; and (5) from exclusive to inclusive.     

PERCEPTIONS OF WOMEN'S SEXUAL INTEREST AND ACQUAINTANCE RAPE

Rape prevention and education efforts often focus on the need for clear communication regarding sexual intent between women and men. This approach is based on the underlying assumption that acquaintance rape is a relational issue resulting from miscommunication. Findings from two studies challenge that assumption. The first study demonstrates that men who self-report engaging in sexually aggressive behavior are significantly more likely to misperceive women's sexual intent than other men or women. The second study demonstrates that the cognitive, rather than affective, components of rape-supportive attitudes contribute to sexualized interpretations of women's behavior. Thus, it appears that the tendency to rely on miscommunication as a framework for understanding sexual assault may be deflecting attention from sexual overperceptions and the affectively based information processing among men who en-gage in sexually assaultive behavior.     

Sexual submissiveness in women: costs for sexual autonomy and arousal

Women are bombarded with images of women's sexual submission and subservience to male partners. The authors argue that women internalize this submissive role, namely, they associate sex implicitly with submission. The authors propose that this association leads to submissive sexual behavior, thereby reducing sexual autonomy and arousal. Study 1 found that women implicitly associated sex with submission. Study 2 showed that women's implicit association of sex with submission predicted greater personal adoption of a submissive sexual role. Study 3 found that men did not implicitly associate sex with submission. Study 4 demonstrated that women's adoption of a submissive sexual role predicted lower reported arousal and greater reported difficulty becoming sexually aroused; sexual autonomy mediated these effects.     

WHAT INFLUENCES BELIEVING CHILD SEXUAL ABUSE DISCLOSURES? THE ROLES OF DEPICTED MEMORY PERSISTENCE, PARTICIPANT GENDER, TRAUMA HISTORY, AND SEXISM

This vignette study investigated factors that influence believing child sexual abuse disclosures. College student participants ( N = 318) in a university human subject pool completed measures about their own trauma history and responded to questions about sexist attitudes. Participants then read vignettes in which an adult disclosed a history of child sexual abuse, rated disclosures for accuracy and believability, and judged the level of abusiveness. Continuous memories were believed more than recovered memories. Men believed abuse reports less than did women, and people who had not experienced trauma were less likely to believe trauma reports. Gender and personal history interacted such that trauma history did not impact women's judgments but did impact men's judgments. Men with a trauma history responded similarly to women with or without a trauma history. High sexism predicted lower judgments of an event being abusive. Hostile sexism was negatively correlated with believing abuse disclosures. Results are considered in light of myths about child sexual abuse.     

The effects of rape myth pornography on women's attitudes and the mediating role of sex role stereotyping

This study tested several hypotheses regarding (1) the effects of reading pornography on women's self-esteem and attitudes about rape and interpersonal violence and (2) how these effects were mediated by subject's degree of sex role stereotyping (SRS). Women high and low in SRS read one of three sexually explicit stories portraying different combinations of a woman's consent (or no consent) and arousal (or no arousal) to forceful sexual activity. As predicted, all stories had some effect on attitudes. Differences attributable to the Consent and Arousal manipulations were minimal, but generally in the expected direction. Compared to not reading a story, reading any story generally led to changes in self-esteem and greater acceptance of rape myths and interpersonal violence. Also as predicted, high, compared to low, SRS subjects generally reported lower self-esteem and more tolerance of rape and other violence. Differences were also found in perceptions of sexual situations. Significant SRS by story interactions and other results related to the hypotheses are also discussed.     

PSYCHOTHERAPISTS'KNOWLEDGE ABOUT AND ATTITUDES TOWARD SEXUAL ASSAULT VICTIM CLIENTS

The present research investigated the question of how therapists'attitudes toward sexual assault victims predict their inferences about and treatment of clients. In addition, this study asked the following questions: (a) What percentage of female psychotherapy clients have been victims of sexual assault? (b) What treatment approaches are therapists using with victims and what attitudes toward victims do these therapists hold? (c) On the average, which demographic groups of therapists hold the most positive views of victims and are the most knowledgeable about working with victims? The results of the study indicated that therapists who held negative attitudes toward victims were more likely to endorse victim-blaming themes and therapeutic treatments which blame victims for sexual assault. Of therapists'current female clients, 18.5% ( n = 257) had been sexually assaulted at some point in their lives. On the average, therapists were knowledgeable about working with victims and showed positive attitudes toward victims.     

PHYSICAL ATTRACTIVENESS, BODY IMAGE, AND WOMEN'S SEXUAL SELF-SCHEMA

Recently, Andersen and Cyranowski (1994) presented a self-report measure of women's sexual self-schema, or cognitive view of the self regarding sexuality. In the current study, we investigated potential relationships between women's sexual self-schema and physical attractiveness, body size and shape, and body image. Young adult women ( N = 199) completed questionnaires and were weighed, measured, and rated for facial attractiveness. Results revealed that sexual self-schema was unrelated to body size or shape, general body dissatisfaction, history of teasing about weight, and degree of investment in personal appearance. Sexual self-schema scores significantly correlated with experimenter-rated facial attractiveness, self-rated facial and bodily attractiveness, and degree of social avoidance due to concerns over personal appearance, however. In a multiple regression analysis, only self-rated facial attractiveness and social avoidance were unique predictors. Results are discussed with regard to implications for the development of women's sexual self-schema and directions for future research.     

Perceived proposer personality characteristics and gender differences in acceptance of casual sex offers

In a highly influential paper, Clark and Hatfield (1989) demonstrated that, whereas men were quite likely to accept a casual sexual offer from a confederate research assistant, women never did so. The current research provides a more in-depth explanation of gender differences in acceptance of casual sex offers via 4 (quasi-) experiments. First, using a person-perception paradigm, I assessed people's impressions of women and men who proposed a casual sexual encounter in the same manner that confederates in Clark and Hatfield did. Women and men agreed that female proposers were more intelligent, successful, and sexually skilled than men who made the same proposals. Second, I demonstrated that the large gender differences from the original Clark and Hatfield study could be eliminated by asking participants to imagine proposals from (attractive and unattractive) famous individuals, friends, and same-gender individuals. Next, I assessed factors associated with likelihood of agreeing to the casual sex proposal. The extent to which women and men believed that the proposer would be sexually skilled predicted how likely they would be to engage in casual sex with this individual. Finally, I examined these factors in the context of actual encounters from the participants' previous experiences, and the results were replicated in this context. Overall findings suggest that the large gender differences Clark and Hatfield observed in acceptance of the casual sex offer may have more to do with perceived personality characteristics of the female versus male proposers than with gender differences among Clark and Hatfield's participants and that sexual pleasure figures largely in women's and men's decision making about casual sex.     

Kept Under the Hood: Neglect of the Clitoris in Common Vernacular

Even though the “clitoris” is the organ homologous to the “penis,” this term may not be commonly used as the female counterpart to the penis. We conducted three studies to examine the usage of terminology for female sexual anatomy. In the first study 57 books in a university computer database for “sex instruction” were examined for the inclusion of terms such as penis, clitoris, vagina, vulva, and uterus. Penis was mentioned more often than either the clitoris or vulva in these books. In the second and third studies we investigated the terminology used by college students as well as their sexual attitudes and knowledge. Participants in the studies were Euro-American (76%/76%, Study 2/Study 3 respectively), Hispanic (18%/14%), and African American (4%/7%); students reported that they were overwhelmingly taught vagina as the female counterpart to the penis. Believing that the inner portion of the vagina is the most sexually sensitive part of the female body correlated with negative attitudes toward masturbation (Study 2) and agreement with sex myths (Studies 2 and 3).     

African American women's sexual satisfaction as a dimension of their sex roles

African American women's sexual satisfaction in heterosexual relationships was examined as a dimension of their sex roles. Responses to questions about sexual behaviors and interactions they preferred in primary relationships were selected from a larger study of a stratified random sample of 126 African American women. Three factors were identified: sexual responsiveness, sexual expression, and sexual interest and enthusiasm. The factors are described as profiles that may enhance or limit women's male-female sexual relationships. The implications of African American women's sexual satisfaction as an important dimension to understand in today's AIDS related sexual climate is discussed within a socio-cultural context.A modified version of this paper was presented at the American Anthropological Association, November 1987, Chicago, Illinois. The research was funded by The Center for Prevention and Control of Rape, NIMH Grant, R01 MH33603 and through a Research Scientist Career Development Award to the first author, K01 MH00269.     

AN ANALYSIS OF AND INTERVENTION IN THE SEXUAL TRANSMISSION OF DISEASE

Sexually transmitted diseases are a serious threat to the public health. Indeed, when an individual seeks medical treatment for a sexually transmitted disease, health authorities frequently attempt to identify, procure, and treat that individual's sexual contact(s). We conducted a comparative analysis of three alternative approaches to tracing the sexual partners of individuals diagnosed as having a sexually transmitted disease. The first approach involved counseling individuals (n = 27) infected with either gonorrhea or nongonococcal urethritis and exhorting them to procure their sexual partners for treatment. In addition to counseling, the second and third approaches involved distributing “occasion cards” for patients to use when informing sexual contacts of the need for treatment. Moreover, in the second approach, the counselor (a nurse or physician) informed infected patients (n = 19) that they and their partners could waive the $3 clinic fee contingent upon the partners seeking treatment within 1 week. In the third approach, the counselor asked infected persons (n = 19) to accept a follow-up telephone contact if their sexual partners failed to seek treatment within 1 week. The third approach was most effective. Ninety percent of the partners identified through this approach sought treatment, versus only about 60% of the partners in the other two conditions. The third approach was also the least expensive, costing about $2.95 to procure each partner for treatment.     

EFFECTS OF ALCOHOL INTOXICATION AND VICTIMIZATION HISTORY ON WOMEN'S SEXUAL ASSAULT RESISTANCE INTENTIONS: THE ROLE OF SECONDARY COGNITIVE APPRAISALS

This study used an experimental paradigm to investigate the role of secondary cognitive appraisals in women's sexual assault resistance and whether these appraisals mediated influences of alcohol and prior victimization. After consuming a beverage (control, placebo, moderate, or high dose), 351 women projected themselves into a simulated interaction with a sexually aggressive man. Four types of secondary appraisals (shock at the man's behavior, concern about his feelings, uncertainty in the situation, conflict about what to do) and three resistance strategies (assertive, polite, passive) were examined. Path modeling revealed that, as expected, intoxication and prior sexual victimization influenced secondary appraisals, which in turn influenced intended resistance. Prior adult sexual assault (ASA) and childhood sexual abuse (CSA) also had direct effects: ASA negatively predicted assertive resistance and CSA positively predicted passivity. Findings suggest that secondary appraisals are key targets for intervention to facilitate effective resistance, thereby reducing the risk of adult sexual victimization.     

Protected or Unprotected Sex: The Conceptions and Attitudes of the Youth in Bolgatanga Municipality,Ghana

The youth in Bolgatanga municipality in Ghana have relatively less knowledge of sexual and reproductive health (SRH) compared to the youth in other parts of Ghana. More fundamental knowledge is needed of the factors that influence young people to have protected and unprotected sex in specific social and cultural contexts, in order to protect them from adverse consequences, such as sexually transmitted diseases (STIs), HIV/AIDS and unintended pregnancies. This study therefore analyzed the conceptions and attitudes of the youth toward protected and unprotected sex, and particularly condom use, in Bolgatanga municipality. Semi-structured and focus group interviews were held with 71 young males and females and 17 adults. The results indicated that many of them lack a comprehensive knowledge of STIs, contraceptives and pregnancy, while a group of them had a negative attitude towards contraceptives. Not all parents, schools and organisations provide young people with a comprehensive education about SRH, and some even discourage such education because they believe it would encourage young people to have sex before marriage. In addition, young people also inform each other about SRH issues, sharing stories and personal experiences with their peers. The information they exchange is not always correct, however; sometimes it merely reflects their own personal preferences. The unequal power in the sexual relationships of young people—related to the traditional value system that gives men, but not women, “sexual freedom, both in and outside marriage”—is another determining factor for unprotected sex.     

The Sexual Abuse Crisis in the Roman Catholic Church: What Psychologists and Counselors Should Know

Recent events regarding child sexual abuse committed by Roman Catholic priests in the Archdiocese of Boston and elsewhere have yet again resulted in a tremendous amount of media attention and frenzy regarding this topic. During 2002 alone, approximately 300 American Catholic priests, including several bishops, were accused of child sexual abuse. Many were forced to resign their positions while others were prosecuted and went to prison. Curiously, there still exist many myths and misperceptions about priests who sexually abuse children and their victims. Since psychologists and other mental health professionals are likely to interact with many who have been impacted by these recent events, it is important for them to have some basic understanding of the various myths and misperceptions about sexual abuse committed by Roman Catholic priests.