Contextualizing rape: Reviewing sequelae and proposing a culturally inclusive ecological model of sexual assault recovery

Consistent evidence demonstrates that many women who encounter the trauma of rape experience a range of both acute reactions and chronic psychological sequelae. This article reviews both the short- and long-term psychological adjustment issues associated with rape. In addition, we propose a culturally inclusive ecological model of sexual assault recovery (CIEMSAR), which integrates and extends existing models to better examine the complex factors leading to differential postrape adjustment. Important components of the CIEMSAR are placing rape in the broader sociocultural context of the United States and explicated socioracial and ethnic factors influencing the recovery process. The five primary factors of CIEMSAR are outlined, including (a) macrosystem or sociocultural context factors; microsystem/individual factors such as (b) assault characteristics, (c) person variables, (d) coping responses; and mesosystems factors such as (e) social-support systems. Suggestions for future research are also provided.     

COPING WITH THE EXPERIENCE OF RAPE

The coping strategies that a victim of a rape engages in can have a strong impact on the development and persistence of psychological symptoms. Research provides evidence that victims who rely heavily on avoidance strategies, such as suppression, are less likely to recover successfully than those who rely less heavily on these strategies. The present study utilized structural path analysis to identify predictors of avoidance coping following rape and examined factors in the assault itself (e.g., force, alcohol use), sequelae of the assault (e.g., self-blame, loss of self-worth), and social support as potential direct and indirect predictors of avoidance coping. From a sample of 1,253 university women, the responses of 216 women who endorsed an experience of rape were examined. Results suggested that sequelae of the assault such as feelings of self-blame and negative reactions received from others are potentially important predictors of avoidance coping. Implications of the results for future rape recovery research are discussed.     

General And Culturally Specific Factors Influencing Black And White Rape Survivors' Self-Esteem

Grounded in a culturally inclusive ecological model of sexual assault recovery framework, the influence of personal (e.g., prior victimization), rape context (e.g., degree of injury during last assault), and postrape response factors (e.g., general and cultural attributions, rape related coping) on self-esteem of Black and White college women, who were survivors of attempted and completed rape, were examined. As predicted, Black and White women identified similar general variables (e.g., general attributions) as important in the recovery process. Black women, however, identified a cultural factor (i.e., cultural attributions) as more important in influencing their reactions to the last rape compared to their White counterparts. Using path analysis, findings from this cross-sectional study indicated that severity of the last assault and prior victimization were related to lower self-esteem indirectly through avoidance coping strategies, and victim blame attributions for the latter. Results also suggested that the link between cultural attributions and self-esteem was explained through victim blame attributions, primarily for Black participants. The model accounted for 26% of variance in self-esteem.     

Attachment styles and demographic factors as predictors of sociocultural and psychological adjustment of Eastern European immigrants in the Netherlands

The present study examined the relationship between adult attachment styles and psychological and sociocultural adjustment of Polish, Russian, and Hungarian immigrants (N = 631) to Dutch society. In addition, it also examined the relationship between demographic factors and adjustment and compared the predictive value of attachment styles and demographic factors for immigrants' adjustment. The Attachment Style Questionnaire was used to assess respondents' attachment. Psychological adjustment was measured with the Psychological Health Scale and the Satisfaction With Life Scale. Sociocultural adjustment was measured with the Social Support List - Interactions scale. Two scales for measuring identification and contact with the native and with the Dutch culture were developed and used as indicators of cultural adjustment. We found relations between attachment styles and psychological and sociocultural adjustment. Secure attachment was positively related (p<.01) to psychological and sociocultural adjustment, fearful attachment was negatively (p<.01) associated with psychological adjustment, and more negatively with identification with the Dutch culture than with identification with the native culture. Preoccupied attachment was negatively related (p<.01) to psychological adjustment and to identification with the Dutch culture. Dismissing attachment was weakly negatively related (p<.01) to sociocultural adjustment. Correlation patterns across the three immigrants' samples indicate that dismissing individuals remain relatively indifferent towards their native and the Dutch culture. Regarding demographic factors we found that education and age at immigration were positively associated with psychological and sociocultural adjustment, and length of residence appeared to be positively related to sociocultural adjustment. In general, demographic factors showed a stronger association with sociocultural than with psychological adjustment. Regression analysis revealed that attachment styles were better predictors of immigrants' psychological and sociocultural adjustment than demographic factors-education, age at immigration, and length of residence. The results indicate that immigrant studies would benefit from taking an attachment perspective.     

Predictors of international students' psychological and sociocultural adjustment to the context of reception while studying at Aarhus University,Denmark

The number of international students engaging in intercultural education and thereby adjusting to cross‐cultural transition has risen conspicuously as a consequence of globalization and increased mobility. This process of acculturation has been associated with increased creativity as well as adaptation challenges. This paper investigates international students' psychological and sociocultural adjustment to studying at Aarhus University in Denmark. Both international students (n = 129) and domestic students (n = 111) participated in the study. The international students did not report impaired psychological conditions as compared to the control group of domestic students. However, the international students reported a significantly lower level of social support. Social support and perceived discrimination were significant predictors of both psychological and sociocultural adjustment. Additionally, the level of English proficiency alone predicted sociocultural adjustment. Values of vertical individualism and horizontal collectivism predicted psychological adjustment. Finally, integration was found to be a significantly more adaptive acculturation orientation than separation in regard to sociocultural adjustment. These findings were discussed in relation to relevant international research and it was concluded that international students comprise a resourceful student sample and that the international academic environment at Aarhus University appears to be an adequately cultural and value‐oriented good fit as a context of reception for the multicultural engagement of international students.     

To honor and obey: Perceptions and disclosure of sexual assault among honor ideology women

The overwhelming majority of rapes goes unreported. To better understand the sociocultural mechanisms behind why underreporting may occur, three studies (total n = 1,481) examine how women's endorsement of honor values influence the perceptions of rape. Using vignettes that varied the closeness of the perpetrator of a sexual assault (i.e., stranger, acquaintance, or husband), we found that women who endorse honor values of womanhood were less likely to label a forced sexual act as “rape” and to suggest that the victim discloses the rape to others, including to the police. This was especially true the closer the victim was to the perpetrator (e.g., husband vs. stranger). Our findings highlight the effects of honor values on perceived sexual assault and the consequences of disclosure, and may aid in understanding barriers to rape reporting and areas for intervention.

     

The impact of rape: Social support as a moderator of stress

This study investigated 25 victims' reactions to sexual assault and the role of social support in their subsequent adjustment. Victims were interviewed 3 months after the assault to gather information about the assault, the type of support they received, and the effects of the assault as measured by two scales of psychological stress: Impact of Events scale and SCL-90-R. Our major findings were that (a) victim's scale scores were significantly elevated, reflecting the considerable distress they were still experiencing; (b) there were significant differences in the availability of support from specific categories of people (e.g., police received significantly high ratings, whereas physicians' ratings were significantly low); (c) the amount of perceived support varied with the stressfulness of the assault; (d) however, contrary to initial hypotheses, the amount of overall support did not predict subsequent adjustment; (e) support from physicians did correlate significantly with both scales of psychological adjustment.     

Toward a More Complete Understanding of Bystander Willingness to Help: What Role Does Critical Consciousness Play?

Sexual assault is a common phenomenon on university campuses with about one in five women victimized while in college. Consequently, bystander intervention programs have been gaining momentum. To improve such programs, research has begun to identify factors that may facilitate or impede individuals’ willingness to help a potential victim of sexual assault. The current study adds to this literature by: (a) examining potential differences in rape myth acceptance, critical consciousness, and willingness to help based on types of self-reported exposure to sexual assault; (b) exploring the previously unexamined mediating role of critical consciousness in the relationship between exposure to sexual assault and willingness to help; and (c) clarifying how the extent of rape myth acceptance impacts the relationship between exposure to sexual assault and willingness to help. Using a sample of 511 U.S. undergraduate students, results generally demonstrated that those with multiple types of exposure to sexual assault victimization demonstrated the highest levels of critical consciousness and greater willingness to help. Additionally, there was both a significant indirect effect of exposure to sexual assault on willingness to help via critical consciousness and a conditional effect of exposure to sexual assault on willingness to help that was stronger at lower levels of rape myth acceptance. Results highlight the importance of programming targeted at increasing critical consciousness.

     

An Immodest Proposal: Foucault,Hysterization, and the “Second Rape”

This article places Foucault's 1977 suggestions regarding the reform of French rape law in the context of ongoing feminist debates as to whether rape should be considered a sex crime or a species of assault. When viewed as a disciplinary matrix with both physical and discursive effects, rape and the rape trial clearly contribute to the “hysterization” of women by cultivating complainants' confessions in order to demonstrate their supposed lack of self-knowledge.     

Rape Myth Acceptance in Sexually Assaulted Adolescents' School Contexts: Associations with Depressed Mood and Alcohol Use

High school students exposed to sexual assault (SA) are at risk for negative outcomes like depressed mood and high‐risk drinking. Although evidence suggests that both social contexts and internalized stigma can affect recovery from SA, no research to date has directly examined the presence of stigma in social contexts such as high schools as a correlate of adjustment after SA. In this study, the self‐reported rape myth acceptance (RMA) of 3080 students from 97 grade cohorts in 25 high schools was used to calculate grade‐mean and school‐mean RMA, which was entered into multilevel models predicting depressed mood and alcohol use among N = 263 SA survivors within those schools. Two forms of RMA were assessed (i.e., rape denial and traditional gender expectations). Results indicate that higher grade‐mean rape denial was associated with higher risk for depressed mood among high school boys and girls exposed to SA, and higher grade‐mean traditional gender expectations were associated with higher risk for alcohol use among girls exposed to SA. Survivors' own RMA and school‐level RMA were not significantly associated with their depressed mood or alcohol use. Although causality cannot be concluded, these findings suggest that interventions that reduce stigma in social contexts should be explored further as a strategy to improve well‐being among high‐school‐aged survivors of SA.     

On shame and the perceived credibility of sexual assault allegations

Despite the high incidence of sexual assault, doubt about allegations is common. Previous research suggests that victims expressing positive or no emotion are perceived as less credible than those expressing negative emotions. However, little is known about which specific negative emotional expressions contribute to credibility in this context. In two studies (N = 623), participants read a date rape vignette. The alleged victim's statement was paired with a picture of a female person expressing either shame, sadness, or no emotion. Participants rated the credibility of her account and completed a measure of rape myth acceptance. Controlling for rape myth acceptance, allegations were perceived as more credible when accompanied by an expression of shame versus sadness (a negative, low arousal control condition). It is critical to be aware of the shame-credibility bias in this context to intervene and support those who have experienced sexual assault.     

Sexual and nonsexual marital aggression: Legal considerations, epidemiology, and an integrated typology of perpetrators

In this paper, the legal history of marital rape and the current status of “marital rape allowances” to sexual assault statutes are reviewed. The prevalence of marital rape and its comorbidity with nonsexual violence, as well as the physical and psychological sequelae found to be specifically associated with sexual aggression in marriage is reviewed. Our current limited theoretical understanding of the relationship between sexual and nonsexual violence in marriage is extended by integrating marital rape and marital violence batterer typology research. Specifically, we offer a four-type batterer typology integration (i.e., family-only, dysphoric/borderline, generally violent/antisocial, and sexually obsessive batterers) that fully describe husbands that are only nonsexually violent, both physically and sexually violent, or only sexually violent. Theoretical and practical implications of this integration are identified. Future research directions are outlined, and the need for greater clinical attention to the phenomena of sexual violence in marriage is highlighted.     

Sexual and nonsexual marital aggression: Legal considerations, epidemiology, and an integrated typology of perpetrators

In this paper, the legal history of marital rape and the current status of “marital rape allowances” to sexual assault statutes are reviewed. The prevalence of marital rape and its comorbidity with nonsexual violence, as well as the physical and psychological sequelae found to be specifically associated with sexual aggression in marriage is reviewed. Our current limited theoretical understanding of the relationship between sexual and nonsexual violence in marriage is extended by integrating marital rape and marital violence batterer typology research. Specifically, we offer a four-type batterer typology integration (i.e., family-only, dysphoric/borderline, generally violent/antisocial, and sexually obsessive batterers) that fully describe husbands that are only nonsexually violent, both physically and sexually violent, or only sexually violent. Theoretical and practical implications of this integration are identified. Future research directions are outlined, and the need for greater clinical attention to the phenomena of sexual violence in marriage is highlighted.     

“If a girl doesn't say ‘no’…”: young men,rape and claims of ‘insufficient knowledge’

Most psychological theories of rape tend to stress factors internal to both rapists and their victims in accounting for the phenomenon. Unlike such theories, social psychological and feminist accounts have drawn attention to social and cultural factors as productive of rape, and have criticized psychological accounts on the grounds that they often serve, paradoxically, to cement pre‐existing ‘common‐sense’. In this paper we examine the ways in which young Australian men draw upon widely culturally shared accounts, or interpretative repertoires, of rape to exculpate rapists. In particular, we discuss the reliance placed on a ‘lay’ version of Tannen's 1992 ‘miscommunication model’ of (acquaintance) rape and detail the use of this account—the claim that rape is a consequence of men's ‘not knowing’—as a device to accomplish exculpation. Implications of our methods for capturing young people's understanding of sexual coercion, rape and consent, and for the design of ‘rape prevention’ programmes, are discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

Self-Blame Among Sexual Assault Victims Prospectively Predicts Revictimization: A Perceived Sociolegal Context Model of Risk

This investigation focused on relationships among sexual assault, self-blame, and sexual revictimization. Among a female undergraduate sample of adolescent sexual assault victims, those endorsing greater self-blame following sexual assault were at increased risk for sexual revictimization during a 4.2-month follow-up period. Moreover, to the extent that sexual assault victims perceived nonconsensual sex is permitted by law, they were more likely to blame themselves for their own assaults. Discussion focuses on situating victim-based risk factors within sociocultural context.     

If “Boys Will Be Boys,” Then Girls Will Be Victims? A Meta-Analytic Review of the Research That Relates Masculine Ideology to Sexual Aggression

In feminist sociocultural models of rape, extreme adherence to the masculine gender role is implicated in the perpetuation of sexual assault against women in that it encourages men to be dominant and aggressive, and it teaches that women are inferior to men and are sometimes worthy of victimization. Many researchers have linked components of masculine ideology to self-reports of past sexual aggression or future likelihood to rape. Thirty-nine effect sizes were examined in this meta-analysis across 11 different measures of masculine ideology to determine how strongly each index of masculine ideology was associated with sexual aggression. Although 10 of the 11 effect sizes were statistically significant, the 2 largest effects were for Malamuth's construct of “hostile masculinity” (e.g., Malamuth, Sockloskie, Koss, & Tanaka, 1991) and Mosher's construct of “hypermasculinity” (e.g., Mosher & Sirkin, 1984), both of which measure multiple components of masculine ideology including acceptance of aggression against women and negative, hostile beliefs about women. The next strongest relationships concerned measures of agreement that men are dominant over women and measures of hostility toward women. Scores on general measures of gender-role adherence, such as the Bem Sex Role Inventory (Bem, 1974), were not strong predictors of sexual aggression. Sociocultural models that link patriarchal masculine id eology and situational factors to sexual aggression should prove most predictive in future research.     

Attributing Responsibility to Female Victims After Exposure to Sexually Violent Films1

We investigate the possibility that the degree to which female abuse victims are held accountable by other women who have been exposed to sexually violent mass media is primarily dependent upon 3 factors: situational relevance, personal similarity, and emotional arousal. Female subjects participated in an experiment. Factors were: film dose; film viewing/victim judgment time interval; victim-subject similarity; and situational relevance of the assault. The results showed less attribution of responsibility to similar victims and high attributions of responsibility to dissimilar victims in the personally relevant assault situation (rape). Women identified least with dissimilar rape victims and most with similar victims when they had not been desensitized. When subjects were desensitized, the defensive attribution effect failed to emerge. There was also a significant tendency among low film dose subjects to perceive more psychological injury and to attribute more distress to the victim than among high film dose subjects.     

ACQUAINTANCE RAPE: EFFECTIVE AVOIDANCE STRATEGIES

To date, research on effective rape avoidance strategies has involved media-recruited, acknowledged rape victims and avoiders, most of whom were assaulted by total strangers. In the present study, rape avoidance research was extended to a sample of acquaintance rape victims and avoiders who were located by a self-report survey that identified women who both do and do not conceptualize their assaults as rape. The study's goal was to determine whether acknowledged rape victims, unacknowledged rape victims, and rape avoiders could be discriminated by situational variables including the response strategies used in the assault. Victims and avoiders were significantly discriminated. Compared to rape victims, avoiders (1) were less likely to have experienced passive or internalizing emotions at the time of the assault, (2) perceived the assault as less violent, and (3) were more likely to have utilized active response strategies (i.e., running away and screaming). The results suggest that the major findings of existing research on stranger rape avoidance are generalizable to acquaintance rape. However, concerns are expressed over methodological limitations of research on rape avoidance from the victim's perspective.     

Attachment styles,personality, and Dutch emigrants' intercultural adjustment

The present study examines the relationship of adult attachment styles with personality and psychological and sociocultural adjustment. A sample of 847 first‐generation Dutch emigrants filled out measures for attachment styles, the Big Five, and indicators of psychological and sociocultural adjustment. Positive relationships were found between Secure attachment on the one hand and psychological and sociocultural adjustment on the other. Ambivalent attachment was strongly negatively associated with psychological adjustment. Dismissive attachment was mildly negatively related to sociocultural adjustment. Significant relations were found between attachment styles and the Big Five dimensions, particularly Extraversion and Emotional Stability. The attachment scales were able to explain variance in sociocultural adjustment beyond that explained by the Big Five dimensions. Intercultural adjustment is discussed from a transactional view of personality. Copyright © 2004 John Wiley & Sons, Ltd.