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.     

Understanding Intimate Partner Sexual Assaults: Findings from Sexual Assault Kits

ABSTRACT

In 2013, Cuyahoga County, Ohio, began DNA testing and investigating nearly 5000 previously unsubmitted sexual assault kits (SAKs) from 1993 through 2009. We examined case files from a sample of SAKs that were tested but not previously adjudicated (n = 429). More than 10% (n = 45) involved victims who reported to police that a former or current intimate partner sexually assaulted them. This article integrates the available data on the offenders, the victims, the initial investigation, and the specifics of the assaults to provide a more complete understanding of intimate partner sexual assault (IPSA). More than one-third of the IPSA offenders were serial sex offenders; that is, the offenders sexually assaulted an intimate partner and another person(s). Comparing IPSAs to all other sexual assaults, IPSAs more frequently involved bodily force, less frequently involved a weapon, and IPSA investigations were more frequently closed because (1) the victims stated they lied or the police doubted the victims and (2) the victims declined to prosecute. The most common sequencing of events was a demand for sex by the offender followed by a verbal refusal by the victim and the use of bodily force in the sexual assault. The findings, however, indicate a great deal of variation in the sequencing of events surrounding the sexual assault, with over 25% involving no physical confrontation before or after the sexual assault and no demands for sex. Unsubmitted SAK data provide a unique window into understanding the understudied and underreported issue of IPSA.     

Blame attribution in sexual victimization

The current study explored how victims and third-parties attribute blame and perpetrator motivation for actual sexual victimization experiences. Although we do not assert that victims are responsible for perpetrators’ behavior, we found that some victims do not allocate all blame to their perpetrator. We sought to examine how victims and third-parties allocate blame in instances of actual completed and attempted sexual victimization and how they perceived perpetrator motivations. Victims of completed rape (n = 49) and attempted sexual assault (n = 91), and third-parties who knew a victim of sexual assault (n = 152) allocated blame across multiple targets: perpetrator, self/victim, friends, family, and the situation. Participants also described their perceptions of perpetrator’s motivation for the sexual assault. Victims tended to assign more blame to themselves than third-parties assigned to victims. Furthermore, victims perceived perpetrators as being more sexually-motivated than third-parties did, who viewed perpetrators as more power-motivated. Results suggest that perceptions of rape and sexual assault significantly differ between victims and third-party individuals who have never directly experienced such a trauma.     

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.     

The Role Of Attributions and Perceived Control In Recovery From Rape

Abstract

It is fitting that a volume on post-traumatic stress includes chapters on sexual assault given both the prevalence of sexual assault and its effects. Specifically, in terms of prevalence, approximately one woman in five in the United States will be raped in her lifetime (Koss, 1993).¹ In terms of the effects of sexual assault, victims experience heightened fear, anxiety, and depression for several months, and sometimes years, following an assault (see Frazier & Borgida, 1997, and Resick, 1993, for reviews). Sexual victimization affects physical health as well and is a more powerful predictor of physician visits and outpatient medical costs than other factors (e.g., age, smoking, alcohol use) known to be related to health problems (Koss, Koss, & Woodruff, 1991). Finally, sexual assault is one of the traumatic events that is most likely to lead to posttraumatic stress disorder (PTSD) (Breslau, Davis, Andreski, & Peterson, 1991; Norris, 1992; Ullman & Siegel, 1994). In a recent national study of trauma exposure and PTSD by Kessler and his colleagues (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), almost half of the women who said that a rape was their worst trauma met lifetime criteria for PTSD. This is in comparison, for example, with a PTSD prevalence rate of 5% for those whose worst event was a natural disaster.     

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.     

Language Impairment and Sexual Assault of Girls and Women: Findings from a Community Sample

Both children and adults with disabilities face increased prevalence of abuse and assault, including sexual assault. Women and girls are disproportionately the victims of sexual assault in both disabled and nondisabled populations. Communication difficulties have been identified as a factor that may increase the vulnerability of individuals with disabilities to sexual assault. However, few studies have examined whether language impairment increases risk for sexual assault. This study reports on a community sample of children with speech or language impairment, followed to age 25. Sexual assault history was assessed based on two questions from the Composite International Diagnostic Interview Posttraumatic Stress Disorder module. Women with language impairment (n = 33) were more likely than women with unimpaired language (n = 59) to report sexual abuse/assault, controlled for socioeconomic status. Sexual assault was associated with higher rates of psychiatric disorders and poorer functioning. Women with neither language impairment nor a history of sexual assault had fewer psychiatric disorders and higher functioning than women with language impairment and/or a history of sexual assault.     

Challenges to Doing Sexual Violence Work

Sexual assault victims experience a number of effects as a result of their victimization. Sexual assault crisis workers are assigned the responsibility of trying to minimize the negative consequences of sexual assault. In their efforts to serve sexual assault victims, it is likely that certain problems make it difficult to adequately help victims. This study considers how 43 sexual assault crisis workers (27 directors of sexual assault crisis centers and 16 workers) define the challenges of serving sexual assault victims. Major challenges reported included a lack of awareness about sexual assault, victim blaming, and a lack of resources. Implications are provided.     

Intimate Partner Violence and Drinking among Victims of Adult Sexual Assault

Intimate partner violence (IPV) is associated with problem drinking. Correlates of alcohol consumption frequency and problem drinking were examined among female sexual assault survivors (N = 1,863). Data were analyzed with blockwise multiple regressions. Results show heavy alcohol consumption and problem drinking were associated with IPV history, sexual assault by strangers or acquaintances, and maladaptive coping. Physical IPV history and partner sexual assault showed distinct effects on drinking outcomes among women. Physical IPV history partially mediated the effect of childhood sexual abuse (CSA) on problem drinking. Research is needed to examine the relationship between victimization histories and drinking among female sexual assault victims. This might enable treatments and interventions to be tailored to the trauma histories of female victims.     

PSYCHOMETRIC CHARACTERISTICS OF THE SOCIAL REACTIONS QUESTIONNAIRE

Negative social reactions are common responses to disclosures of sexual assault. A study was undertaken to evaluate the psychometric characteristics of a new measure of social reactions to sexual assault victims, the Social Reactions Questionnaire (SRQ). Good reliability and validity were demonstrated for the measure in three samples of sexual assault victims: community volunteers, college students, and victims contacting mental health agencies. The SRQ provides a much needed measure of both the positive forms of social support and several negative social reactions received by sexual assault victims disclosing their assaults to a range of informal social network members and formal support providers.     

Is Locker Room Talk Really Just Talk? An Analysis of Normative Sexual Talk and Behavior

ABSTRACT

Current sexual violence prevention initiatives have focused on addressing and changing societal norms that are supportive of sexual assault. One area of focus has been the way in which people describe women and sexual acts as it has been suggested that people perceive sex differently. The present study investigated what people consider normative sexual language and behavior and what people consider language and behavior indicative of sexual assault. Participants were given a questionnaire to gather their opinions about sexually assaultive language, their feelings about sex talk, and their experiences with sexual assault. Results indicated that women were more likely than men to rate nonconsensual language as more normal, and that normative ratings of assault language was not related to perpetration of sexual assault. These findings will be discussed as they pertain to sexual violence prevention initiatives.     

Alcohol Consumption, Outcome Expectancies, and Victimization Status Among Female College Students

The present study examined differences in the extent of alcohol consumption and endorsement of alcohol-related outcome expectancies between victims of alcohol- or drug-related sexual assault, victims of non-alcohol- or non-drug-related sexual assault, and nonvictim controls. The alcohol consumption patterns alcohol outcome expectancies and victimization status of 176 female college students were assessed. Results indicated that relative to nonvictims and victims of non-alcohol- or non-drug-related sexual assault, victims of alcohol- or drug-related sexual assault reported more frequent and greater alcohol consumption and a greater extent of endorsement of alcohol outcome expectancies. Furthermore. extent of alcohol consumption was associated with different alcohol expectancy outcomes for each group. Implications for the prevention of sexual assault and directions for future research are discussed.     

Sexual Victimization History and Perceived Similarity to a Sexual Assault Victim: A Path Model of Perceiver Variables Predicting Victim Culpability Attributions

Extant research consistently has shown that culpability attributions toward sexual assault victims are predicted by perceiver gender, perceived similarity to victims, empathy for victims, and rape myth acceptance. The purpose of the present study was to conceptually organize these predictors, which often have been treated disparately in literature. The present sample was composed of 69 female undergraduate students, recruited from a psychology research pool at a university in the southwestern United States. Results of a path analysis demonstrated strong empirical support for a hypothesized causal model linking perceivers?? sexual victimization histories and, in turn, perceptions of similarity to a sexual assault victim based upon these histories, to established predictors of perceivers?? culpability attributions toward sexual assault victims. Basic and applied research implications are discussed.     

Experiences of transgender prisoners and their knowledge,attitudes, and practices regarding sexual behaviors and HIV/STIs: A systematic review

Background: Despite transgender people being more visible in prison systems, research suggests they are at higher risk of experiencing sexual violence compared to other prisoners. Research also suggests that transgender prisoners experience harassment, and physical and sexual assault by fellow prisoners, and prison officers who lack transgender-specific health knowledge. There exist no systematic reviews on the experiences of transgender people in prisons. This review aims to fill this research gap. The following question developed in consultation with transgender, sexual health/HIV and corrective services stakeholders has guided the systematic review: What are transgender and gender-diverse prisoners’ experiences in various prison settings and what are their knowledge, attitudes and practices regarding sexual behaviors and HIV/STIs?

Methods: The review followed the PRISMA guidelines and searches were conducted in four databases for the period of January 2007 to August 2017. Studies were assessed against predetermined inclusion and exclusion criteria. Included studies were peer-reviewed, written in English with online full-text availability and reported data on transgender and gender-diverse prisoner experiences relevant to the research question.

Results: Eleven studies (nine qualitative, one quantitative, one mixed-methods; nine in USA, two in Australia) met the criteria for review. Four studies were of high quality, six were of good/acceptable quality, and one study was of modest quality. Transgender and gender-diverse prisoners reported a range of challenges which included sexual assault, discrimination, stigma, harassment, and mistreatment. Information on their sexual health and HIV/STIs knowledge, attitudes, practices is in short supply. Also, their lack of access to gender-affirming, sexual health/STIs and mental health services is commonplace.

Conclusions: The experiences of transgender prisoners as reported in this review are almost uniformly more difficult than other prisoners. Their “otherness” is used as a weapon against them by fellow prisoners through intimidation and violence (including sexual) and by prison officers through neglect and ignorance.     

Predictors of Sexual Consent Attitudes,Beliefs, and Behaviors Among Sexual Minority Cisgender and Nonbinary Young Adults

Sexual assault is a major public health concern in the United States that disproportionately affects sexual minority cisgender and nonbinary young adults. Although sexual assault is influenced by a myriad of societal and interpersonal factors, misunderstandings during the communication and interpretation of sexual consent signals likely contribute to this public health crisis. Unfortunately, research on sexual consent miscommunication has been heavily informed by heteronormative theories and conducted primarily with cisgender heterosexual men and women. The present study attempted to help address this gap in the literature by exploring factors that contribute to sexual consent attitudes, beliefs, and behaviors in a sample of 251 cisgender and nonbinary sexual minority young adults. Nonbinary participants reported more proactive sexual consent attitudes, beliefs, and behaviors than cisgender participants. Sexual assertiveness was also a robust and unique predictor of adaptive sexual consent, particularly among those who identified as more traditionally masculine. Findings from the current study may help guide the development of more inclusive, research-informed sexual consent and sexual violence prevention programs.

     

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.     

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.     

SEXUAL ASSAULT VICTIMS' ACKNOWLEDGMENT STATUS AND REVICTIMIZATION RISK

How a victim of rape characterizes her assault has potential implications for her postassault experiences and revictimization risk. Prior research has identified several potential benefits to not conceptualizing one's experience as a form of victimization. The current study sought to identify whether there are costs to not acknowledging rape as well, specifically whether unacknowledged victims are at elevated risk of revictimization. The revictimization risk behaviors of 334 acknowledged and unacknowledged female college rape victims were compared. Unacknowledged victims reported more hazardous alcohol use and were more likely to report that they continued a relationship with the assailant after the assault. A subsample of 105 victims completed a 6-month follow-up survey regarding sexual victimization during the follow-up period. Unacknowledged victims were nearly twice as likely to report having experienced an attempted rape during the 6-month follow-up period. Implications of the results for future work evaluating rape acknowledgment, rape recovery, and revictimization are discussed.     

contextualizing the sexual assault event: images from police files

This study focuses on sexual assault from a criminal event perspective, using case files to examine why elements of a crime emerge. Beyond how elements of a crime converge, as proposed by routine activities theory, statements extracted from police files shed light on the precursors to the criminal transaction and contextual elements, allowing insight into questions such as: Why are the offenders motivated? Why are the victims vulnerable? And, why are guardians absent? Results show that actors bring with them unique sets of circumstances that influence the progression of the sexual assault event. Alcohol and/or drugs, broken relationships, and anger were common factors.     

The new sexual assault law: The victim's experience in court

The questions asked of victims of sexual and physical assault by the prosecutor and defense were recorded and coded by courtroom observers. The defense in comparison to the prosecution treated both types of victims in a negative way. Sexual assault victims were subjected to more negative questions and required to give a more personal form of testimony than physical assault victims due to the strategies used by both the prosecution and the defense. Sexual assault cases were convicted less often than physical assault cases. It was concluded that the new law in Canada which replaced the offense of rape with one of "sexual assault" has not had its intended effect of reducing the burden on a victim when she testifies in court.