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.     

Pre- and Postintervention Factor Analysis of the Illinois Rape Myth Acceptance Scale

The effects of a bystander education intervention program on the factor structure underlying a rape myth acceptance scale were examined using exploratory factor analyses on secondary data. The Illinois Rape Myth Acceptance Scale was administered to college students at a northwestern university both before (n = 363) and after (n = 352) receiving a bystander education program. Results from exploratory factor analyses showed changes in the factor structure from pretest to posttest. This suggests some instability in the factor structure of the Illinois Rape Myth Acceptance Scale. These pre–post intervention differences in the rape myth acceptance factor structure suggest researchers use caution in using and interpreting scores based on the IRMA without regard to participants’ prevention program status.     

A Danish Model for Treating Victims of Rape and Sexual Assault: The Multidisciplinary Public Approach

High prevalence and long-lasting implications of human-inflicted trauma call for effective treatment approaches reaching clients in need of trauma-specific treatment. Numerous approaches exist, but often with limited empirical support. There is also a tendency toward segregating treatment approaches depending on type of exposure history and presenting symptoms. This might exclude clients in need of trauma-specific treatment; therefore, treatment approaches that can reach more heterogeneous groups of clients are needed. In this article, a group-based treatment approach adjusted to include clients with a wide range of trauma-related problems and traumatic experiences will be presented. A brief outline of the approach is presented, together with the theoretical and empirical background, to facilitate implementation by practitioners and empirical testing.     

Understanding and Responding to Victims of Interpersonal Sexual Violence and Sexual Assault within Committed Relationships

Abstract

The purpose of this article is to increase therapeutic discussion surrounding intimate partner sexual violence (IPSV) by increasing understanding in how victims of IPSV perceive and respond to the assault. Although IPSV has received little research attention, sexual violence within relationships occurs at an alarmingly high rate. Theories of sexual assault, such as sex-role socialization, are discussed to aid clinicians in better identifying assaultive behaviors and common physical and emotional responses of victims. Additionally, the authors provide a framework for the assessment of IPSV and suggestions on “best practices” for creating conversations that promote hope and healing.     

Bystander Responses to Risk for Rape Perpetrated by a Friend,Acquaintance, or Stranger

This study explored bystander responses to risk for an alcohol-facilitated rape perpetrated by a friend, acquaintance, or stranger. Undergraduates (N = 331) were randomly assigned to read 1 of 3 scenarios in which an apparently sober male friend, acquaintance, or stranger leads an intoxicated woman into a bedroom. Participants completed self-report measures of intent to directly intervene and barriers to intervention. Compared to men, women reported greater intent to help the potential victim and fewer barriers to intervention. Participant gender moderated the effect of the bystander’s relationship with the potential perpetrator on intent to confront and responsibility to intervene. Men reported more confrontation and more responsibility to intervene when perpetrators were identified as either friends or acquaintances than strangers. In contrast, women reported more confrontation when perpetrators were identified as friends than either strangers or acquaintances. Bystander education programs that address specific barriers to intervening with strangers and acquaintances could promote more frequent bystander behavior.