Verbal Sexual Coercion Experiences,Sexual Risk,and Substance Use in Women

Research has linked sexual assault, substance use, and sexually transmitted infection (STI) risk in women. Sexual assault by means of verbal sexual coercion (VSC) is more common than sexual assault by means of physical tactics, but VSC is rarely assessed independently. In addition, past work has established global connections among substance use, sexual assault history, and STI risk; however, assessing substance use during sexual behavior is less common. This study examined the relations among VSC, STI risk behavior, and substance use and attitudes. We hypothesized that women with larger numbers of VSC experiences would report more frequent sexual risk behaviors and substance use and attitudes. Participants with larger numbers of VSC experiences reported larger numbers of anal sex partners, more frequent penile–vaginal sex and sexual activity after substance use, and stronger sex-related alcohol expectancies. These findings suggest that VSC is associated with higher levels of STI risk in women.     

Sexual Coercion Among Students at the University of Cape Coast,Ghana

Sexual coercion refers to strategies that result in an individual engaging in sexual activity against his or her will. Ecological factors influence the way sexual interactions occur; however, the relationship between these factors and sexual coercion has not been explored among university students in Ghana. The purpose of this study was to examine sexual coercion among university students in Ghana by specifically examining individual-level factors (age, gender, sexual debut, age differential with first partner, being in an intimate relationship, history of abortion, and past experiences with transactional sex) and the experience of forced and coerced sex. Residential students at the University of Cape Coast were invited to participate and completed a survey on a tablet computer. Questions included demographics; sexual and reproductive health experiences and knowledge; and attitudes and experiences with abortion. Bivariate and multivariate analyses were used to examine individual-level factors associated with experiences of sexual coercion and forced sex. There were 480 females and 556 males that completed the survey; 26.3 and 16.4% reported having had intercourse either because they were forced or coerced, or when they were “very unwilling”. These students were more likely to be female (OR 3.5), to have had an abortion (OR 2.9), and to have engaged in transactional sex (OR 1.9). Many University of Cape Coast students are experiencing forced or coerced sex. Programs targeting both female and male students as both victims and perpetrators of sexual violence in this population are sorely needed. Primary prevention of sexual violence is one promising field.     

Childhood and Adolescent Victimization and Perpetration of Sexual Coercion by Male and Female University Students

This study examines the extent to which male and female university students use verbal sexual coercion and physically forced sex on a dating partner and tests a theoretical model that specifies that corporal punishment, minor forms of neglect by parents, and sexual abuse increase the probability of sexually coercing and sexually assaulting a partner, and that this relationship is partly mediated by antisocial traits and behavior. A path analysis using multinomial logistic regression was used to test the fit of the model to a convenience sample of 13,877 students in 32 nations. Both male and female students perpetrate sexual coercion, but the rates are higher for males. For both men and women, each of the three forms of prior victimization studied were associated with an increased probability of antisocial behavior, which in turn was associated with an increased probability of verbally coercing and physically forcing sex. Most of the direct paths from victimization to sexual coercion were also statistically significant. Because relatively mild victimization such as corporal punishment and seemingly innocuous forms of neglect are highly prevalent, steps to reduce their prevalence could be an import step in primary prevention of sexual coercion.     

Verbal Sexual Coercion and Perceived Victim Responsibility: Mediating Effects of Perceived Control

Verbal coercion involves unwanted sexual penetration compelled by psychological pressure. It was hypothesized that, to the degree that verbal coercion is seen as controllable, victims may be held more responsible. Two samples of US undergraduates rated perceptions of hypothetical sexual coercion scenarios. In Study 1, participants (N = 120) read scenarios of either verbal coercion or rape by a male dating partner. Participants perceived verbal coercion as more controllable than rape, which accounted for the greater responsibility attributed to verbal coercion victims. In Study 2, participants (N = 275) read scenarios involving either male-to-female or female-to-male verbal coercion. Participants perceived female-to-male coercion as more controllable, which accounted for the greater responsibility attributed to a verbally coerced man.     

Risk Factors,Self-Attributions,and Adjustment Problems Among Victims of Sexual Coercion1

College women (N= 125) were surveyed about their experiences with sexual coercion. Forty-two percent of the sample reported one or more coercive incidents involving completed intercourse (26%) or attempted intercourse (16%). Only 6% of these incidents were reported to police or campus authorities. Of the victims, 92% knew their assailants, at least casually. A combination of demographic, sexual history, and personality characteristics predicted 21 % of the variance in experience with sexual coercion. The variables most highly associated with reported victimization were frequency of sexual activity and religiosity; women who were more sexually active and who attended religious services less often were more likely to report experiencing sexual coercion than were women who were less sexually active and who attended religious services more often. A combination of situational and attitudinal variables predicted 52% of the variance in victim attributions. The variables most highly correlated with attributions were degree of victim assertiveness and the type of force used by the assailant; less assertive women and women who had been coerced by the use of economic or psychological force made relatively more internal attributions about the coercion incidents they had been involved in than did women who were more assertive and women who had been coerced by means of physical force. Finally, a combination of situational and attitudinal variables predicted 34% of the variance in victim-reported adjustment problems following the coercion incident. The use of economic or psychological force, greater physical injury, and relative acceptance of interpersonal violence were associated with more severe adjustment problems, whereas the use of physical force, less physical injury, and relative rejection of interpersonal violence were associated with less severe adjustment problems. The implications of these results for the reduction of acquaintance assault and for the counseling of victims are discussed.     

Sexual Coercion,Trauma, and Sex Work in Justice-Involved Women with Substance Use Disorders

Sexual victimization is associated with mental health problems, trauma, substance use, and incarceration. We recruited 200 formerly incarcerated women with substance use disorders in Chicago. We examined whether empowerment moderates relationships between trauma symptoms, trading sex, and being forced to have sex. There was a significant 3-way interaction among sexual coercion, trading, and empowerment scores on trauma symptoms. For women who have not traded sex, lower levels of empowerment were associated with a larger difference in trauma symptoms between women who have been coerced or traded sex. For women who had been coerced, lower levels of empowerment were associated with a larger difference in trauma symptomatology between those who have traded sex or not. Promoting empowerment in sexually traumatized women might reduce the harm that results from being victimized. Furthermore, providing interventions that educate women regarding gender and cultural roles could help women avoid situations that result in exploitation.     

Behind the Pencil/Paper Measurement of Sexual Coercion: Interview-Based Clarification of Men's Interpretations of Sexual Experiences Survey Items1

The ubiquity of self-report pencil and paper surveys in sexual coercion research is matched only by the lack of attention to respondents' individual interpretations of survey items. Our purpose in this study was to examine men's interpretations of four apparently ambiguous items from a commonly used sexual coercion research instrument, the original Sexual Experiences Survey (SES; Koss & Oros, 1982). After completing the SES, college men (N = 102) were immediately interviewed about their interpretations of 4 of the SES items. Across the interviews, the men reported a variety of interpretations of each item. Ignoring SES item interpretations when forming research conclusions has significant implications for sexual coercion research. Based on the results of this investigation, we urge caution in interpreting results of studies based on self-administered measures of coercive sexual behavior.     

Pleasure Can Hurt: The Erotic Politics of Sexual Coercion

Sexual coercion is an unstable practice, often performed nervously on the boundary between flirtation and violation, flattery and coercion. While it is true that sexuality may sometimes be lived on a liminal fourth dimension, where it is immunized from morality by the press of (mutual) desire, it is also true that desire can be commandeered by all manner of malignancies which coopt the erotic into a traumatic register. This essay takes sexual coercion on its face, and explores many of its grim varietals, while also seeking to deconstruct the alchemy of sexuality, awash in its painful pleasures.     

Patterns of Sexual Coercion in Adult Heterosexual Relationships: An Exploration of Male Victimization

The sexual coercion of adult males by females in heterosexual relationships has received little empirical attention. The purpose of this study was to identify and describe such relationships — in comparison with relationships involving the sexual coercion of females, of both males and females, and of neither — through analysis of data for 3,032 couples that completed the Preparation for Marriage instrument ( Holman, Busby, & Larson, 1989 ). Current individual and couple characteristics were investigated for male subjects and their partners. The results revealed greater deficiencies in relational resources and commitment in coercive versus noncoercive couples. In addition, gender differences were noted among results for different victim/offender configurations.     

A Profile of Double Victims: Sexual Coercion by a Dating Partner and a Stranger

Victim profiles of sexual coercion might differ based on the type of perpetrator that initiates the coercion—namely, a stranger versus a dating partner. Some victims experience coercion from both types of perpetrators—referred to here as “double victims.” Survey data from 2,322 undergraduates at two relatively large U.S. universities in the Midwest and Southeast revealed in a multinomial logistic regression analysis that victims of distinct types of perpetrators had unique predictors as part of their overall profiles. Background characteristics associated with each type were identified. In comparison to nonvictims, a profile of double victims emerged—a White female who had been abused as a child, who had cohabited with a partner, used alcohol or drugs, had been emotionally abused by a partner, had lied to a partner, used the Internet to find a partner, had dated interracially, and had engaged in sex in a noncommitted relationship. Implications and limitations of these findings are included in the discussion.     

Consent Under Pressure: The Puzzle of Third Party Coercion

Coercion by the recipient of consent renders that consent invalid. But what about when the coercive force comes from a third party, not from the person to whom consent would be proffered? In this paper I analyze how threats from a third party affect consent. I argue that, as with other cases of coercion, we should distinguish threats that render consent invalid from threats whose force is too weak to invalidate consent and threats that are legitimate. Illegitimate controlling third party threats render consent invalid just as they do in two party cases. However, knowing that the consent is invalid is not sufficient to tell the recipient of consent what she may or should do. I argue that when presented with a token of consent from someone whom she thinks is experiencing an illegitimate controlling threat, the recipient may act on that token if and only if doing so represents a reasonable joint decision for her and the victim of coercion. The appropriate action for someone faced with third party coercion therefore depends on the other options open to her and those open to the victim of coercion.     

Strategies and Dispositional Correlates of Sexual Coercion Perpetrated by Women: An Exploratory Investigation

This research tests whether theoretical constructs typically associated with male perpetrators of sexual coercion are predictive of women who perpetrate sexual coercion. We administered a questionnaire that contained measures of sexual experience, social dominance, ambivalent sexism, sex roles, attitudes toward sexual harassment, and lovestyle approaches toward intimate relationships to a sample of women undergraduates. Results found 18% of women to report engaging in sexually coercive behaviors. Coercive women exhibited higher tolerance of sexual harassment, and were significantly higher in femininity than noncoercive women. Coercive women were also found to embrace a ludic (manipulative, game-playing approach toward love) lovestyle significantly more than noncoercive women, while pragma (a logical approach toward love) was negatively associated with coercion. Lastly, a significant difference was found between coercive and noncoercive women and self-reported victimization. Eighty-one percent of women who reported using coercive strategies in their relationships also reported having been sexually victimized.     

The Sexual Compulsivity Scale: further development and use with HIV-positive persons

We examined the reliability and validity of the Sexual Compulsivity Scale for use in assessing HIV-positive men and women. Measures collected from 287 men and women recruited from the community, the majority of whom were African American and over the age of 30, showed that the Sexual Compulsivity Scale was reliable for men (alpha = .89) and women (alpha = .92). Correlations with measures of sexual behaviors and numbers of sex partners supported the concurrent validity of the Sexual Compulsivity Scale for men and women. Results of discriminant function analyses that included participant age, use of nonalcohol drugs, the Sexual Compulsivity Scale, and scores on measures of trait anxiety, obsessive-compulsiveness, future pessimism, cognitive depression, and borderline personality characteristics showed that sexual compulsivity clearly discriminated between persons with 1 or no sex partners and persons with multiple partners in the past 3 months, for both men and women, suggesting evidence for criterion-related validity. Associations between sexual compulsivity scores and other markers of psychopathology showed different patterns for men and women; sexual compulsivity was associated with indexes of psychopathology in men but not in women. We conclude that the Sexual Compulsivity Scale is reliable and valid in assessing men and women infected with HIV, although sexual compulsivity may present differently between genders in relation to other forms of psychopathology.     

Sex Role Ideology, Relationship Context, and Response to Sexual Coercion in College Females

This study examined the impacts of traditional sex role orientation and relationship context upon women’s responses to sexual coercion in a sample of 114 female undergraduates in the northwestern USA. We examined differences in the amount of time participants allowed a simulated sexually coercive situation to continue, comparing groups based upon the extent to which participants endorsed traditional feminine sex roles on the Sex Role Ideology Scale, as well as the context of the relationship in which such behaviors occurred, which was manipulated as an independent variable. Results indicated that individuals in the long-term relationship condition took significantly longer to terminate the vignette than did their peers. However, no significant effect of traditionality upon response latency was observed.     

Sex differences in feelings attributed to a woman in situations involving coercion and sexual advances.

This study investigated sex differences of feelings attributed to a woman in situations involving varying degrees of coercion and sexual advances. Sixteen vignettes (12 dealing with sex and coercion, 4 dealing with coercion only) were rated on 17 semantic differential scales by 59 undergraduates (44 females, 15 males) and 45 graduate students (18 females, 27 males). The 16 vignettes yielded factors of Sexual Flattery/Overtures, Sexual Aggressiveness, and Violence. Factor analyses of the 17 semantic differential scales yielded factors of Helplessness, Aversiveness, and Threat. High agreement was found between males and females in both the graduate and undergraduate samples on the relative intensity of feelings attributed to the woman across the sex/coercion vignettes for the three dimensions of Helplessness, Aversiveness, and Threat. Even more importantly, systematic differences between males and females on intensity of attributed feelings across the semantic differential factors were independently replicated using the graduate and undergraduate samples. Analyses of variance revealed that males showed significantly greater attributions on the factors Helplessness and Threat on scenes mainly dealing with sexual flattery/overtures, whereas they showed significantly less attributions on the factor Aversiveness on scenes dealing with sexual aggressiveness and rape. In short, while there was strong agreement between men and women, there were also replicated significant systematic differences with men overestimating the psychological impact of less intense incidents and underestimating the psychological impact on women of more intense incidents.     

THE FEMALE SEXUAL SUBJECTIVITY INVENTORY: DEVELOPMENT AND VALIDATION OF A MULTIDIMENSIONAL INVENTORY FOR LATE ADOLESCENTS AND EMERGING ADULTS

Three studies were conducted to develop and validate a theoretically derived multidimensional inventory of females' sexual self-conceptions ( sexual subjectivity ). Study 1 revealed five factors on the Female Sexual Subjectivity Inventory (FSSI): sexual body-esteem, three factors of conceptions and expectations of sexual desire and pleasure (self, partner, and self-efficacy), and sexual self-reflection. A shorter revised version of the FSSI was tested in Study 2. In Study 3, a confirmatory factor analysis indicated a good fit to the data. The FSSI had a sound factorial structure and high reliability. Significant associations between the five scales in the FSSI and sexual self-awareness, safe sex self-efficacy, and sexual anxiety provided evidence of validity. Some FSSI scales were also associated with self-silencing in close relationships, resistance to sexual double standards, and self-esteem. Sexual subjectivity is a complex intraindividual phenomenon that includes cognitive and emotional components, some of which can be assessed with the FSSI scales.     

Measuring abuse stress and negative cognitive appraisals in child sexual abuse: Validity data on two new scales

The validity of two measures assessing degree of stress associated with child sexual abuse was examined in a sample of 48 girls who had been sexually abused. The Checklist of Sexual Abuse and Related Stressors (C-SARS) assessed negative life events that were part of or were related to the abuse, and the Negative Appraisals of Sexual Abuse Scale (NASAS) assessed negative cognitive appraisals of threat, harm, or loss associated with the abuse. Total scores for victim reports of both stressful events and negative appraisals were positively and significantly related to two other measures of abuse severity: therapist ratings of abuse stress and the number of types of sexual abuse reported. Stressful event scores were also related to aggressive behavior problems, sexual concerns, and total symptom scores on the Child Behavior Checklist. Negative cognitive appraisal scores were related to victims' self-reports of depression, anxiety, and posttraumatic stress symptoms, and to parent reports of child depression and total symptoms. Regression analyses indicated that there were significant effects of negative appraisals on internalizing symptoms when controlling for the level of stressful events experienced. The results suggest that negative life events and negative appraisals associated with sexual abuse are valid constructs that help account for variability in mental health outcomes among child victims. The implications of these results and future research directions in examining variable outcomes among sexual abuse victims are discussed.     

Sexual Consent in Heterosexual Relationships: Development of a New Measure

The extensive research on date rape attitudes and experiences has left sexual consent itself largely unexamined. The objective of this study was to develop a measure to assess women’s and men’s attitudes and behaviors regarding sexual consent. Using both focus groups (N = 18) and a mail survey (N = 514) of undergraduate students at a Canadian university, two scales of sexual consent were developed: (1) a Sexual Consent Attitudes Scale, and (2) a Sexual Consent Behaviors Scale. Preliminary psychometric evidence suggested good reliability and validity. As hypothesized, women, more than men, preferred a more cautious approach to sexual consent by stressing the need to obtain consent more explicitly. Multiple regression analyses supported a reciprocal relationship between sexual consent attitudes and sexual consent behaviors.     

A COMPARISON OF GROUP AND INDIVIDUAL SEXUAL ASSAULT VICTIMS

The experiences of 44 group sexual assault victims (multiple offenders, one victim) were compared with 44 individual sexual assault victims (one offender, one victim). Sexual assaults included various degrees of sexual victimization ranging from verbal coercion to rape. Participants were located from among a national sample of 3,187 college women. Group sexual assaults, compared to individual sexual assaults, were in general more violent, involved greater resistance from the victims, and were more likely to be perpetrated by strangers or relatives and to involve an experience which met the legal definition of rape. Group sexual assaults were less likely to involve multiple episodes by the same offender(s). Group sexual assault victims were more likely than individual sexual assault victims to seek police and crisis services, to have contemplated suicide, and to have sought therapy postassault. Despite these differences, the two groups were similar in the amount of drinking and drug use during the assault and their scores on standardized measures of psychological symptoms.