Childhood Sexual Abuse and Intimate Partner Violence in a Clinical Sample of Men: The Mediating Roles of Adult Attachment and Anger Management

This study examined the association between men’s experience of childhood sexual abuse and later perpetration of intimate partner violence, considering the roles of attachment insecurity and poor anger regulation. The sample was 302 Canadian men undergoing counseling for relationship difficulties or aggression. They completed questionnaires assessing childhood sexual abuse, the two dimensions of attachment insecurity (anxiety and avoidance), anger regulation processes, physical and psychological aggression, and social desirability bias. Path analyses showed that men who experienced childhood sexual abuse scored higher on attachment anxiety, which in turn was associated with aggressive behaviors directly and through four anger-related variables (trait anger, anger-in, anger-out, and low anger control). Attachment-related avoidance predicted psychological aggression, but not physical aggression, through men’s trait anger and anger-in.     

Trauma-Related Negative Cognitions Mediate the Relationship Between Avoidant Personality Beliefs and Impeded Response to Psychotherapy for PTSD

There is strong research evidence for the association of personality pathology and posttraumatic stress disorder (PTSD), as well as trauma-related negative cognitions (TRNC) and PTSD symptoms. However, the relationship between personality pathology and TRNC in the context of PTSD is mostly unknown. In the present study, we aimed to examine whether avoidant and borderline personality beliefs (PB, indicator of personality pathology) could predict therapy outcome in PTSD, and whether the relationship between PB and therapy outcome could be mediated by TRNC. Sixty patients with PTSD were assessed for PB, TRNC and PTSD symptoms at baseline, and for PTSD symptoms at the termination of Prolonged Exposure Therapy. Baseline avoidant PB predicted significant variance in PTSD symptoms at termination over and above baseline PTSD symptoms (16% reduction in treatment effect per SD on avoidant PB). Moreover, TRNC at baseline fully mediated the relationships between baseline avoidant PB and PTSD symptoms at termination. This is the first study to show that avoidant PB predicts treatment response in PTSD, and that patients with avoidant beliefs are more vulnerable to have TRNC, which are associated with impeded therapy response. Our results highlight the importance of targeting both dysfunctional PB and TRNC in PTSD interventions.     

A Typology of Offenders Who Use Online Communications to Commit Sex Crimes Against Minors

This study aims to present a qualitative, empirically based typology of offenders who use online communications to commit sex crimes against minors, including offenders who met victims online and those who knew them in advance. Seventy-five reports made by law enforcement officers were analyzed using a qualitative software program, during which a typology defining 4 types of offenders was identified: the expert, the cynical, the affection-focused, and the sex-focused. Each type of offender was characterized by patterns of online communication, offline and online identity, relationship dynamics with the victim, and level of sex crime expertise. The typology reveals the heterogeneous nature of sex offenders who use online communications. This diversity must be addressed to provide satisfactory interventions for both victims and offenders.     

Comprehension of Sexual Consent as a Key Factor in the Perpetration of Sexual Aggression Among College Men

The comprehension of sexual consent is a crucial factor in healthy sexual relationships. This study examined the connection between the understanding of sexual consent and perpetration of sexual aggression. We surveyed 217 heterosexual male college students (M age = 20.9 years) using measures of sexual aggression, comprehension of sexual consent, rape myth acceptance, conformity to masculine norms, peer support of abuse, and attachment to abusive peers. We tested models examining factors related to comprehension of consent and the extent to which comprehension of consent was related to perpetration of sexual aggression. Rape myth acceptance, peer support of abuse, and conformity to masculine norms were found to predict comprehension of consent, which mediated the relationship between the social and cognitive variables and sexual aggression.     

Unwanted Sexual Experiences in University Settings: Survivors’ Perspectives on Effective Prevention and Intervention Strategies

Unwanted sexual incidents on university campuses pose significant public health and safety risks for students. This study explored survivors’ perspectives on secondary prevention of campus sexual assault and effective strategies for intervention programs for unwanted sexual incidents in university settings. Twenty-seven student survivors of unwanted sexual experiences participated in semi-structured in-depth interviews. Data were analyzed using thematic analysis and a constructionist perspective. The findings were contextualized using the ecological model. Barriers to reporting included concerns about one’s story not being believed, personal minimization of the incident, belief that no action will be taken after reporting, confidentiality concerns, and other perceived costs of reporting. Survivors provided valuable insight on potentially effective prevention and intervention strategies to address the problem of unwanted sexual incidents on university campuses. These findings may be useful for prevention and intervention policies and programs in university settings and for providers who assist survivors of unwanted sexual experiences.     

A Single-Arm Meta-Analysis of Cognitive Processing Therapy in Addressing Trauma-Related Negative Cognitions

Cognitive Processing Therapy (CPT) is a first-line treatment for posttraumatic stress disorder designed to address cognitive “stuck points” connected to a patient’s trauma-related negative cognitions (NCs). Although CPT has well-established efficacy, the ability of CPT to address NCs remains understudied. The purpose of this study was to conduct a single-arm meta-analysis to determine the overall effect of CPT in attenuating NCs pre- to posttreatment across multiple clinical trials. A review of the existing literature was performed with only peer-reviewed clinical trials included in the meta-analysis. Nine studies with data from 583 participants were entered into the meta-analysis. CPT was found to have a large effect size in reducing NCs from pre- to posttreatment. Findings are limited by the single-arm nature of analyses and heterogeneity in included trial methodology (e.g., gender, trauma type, civilian versus veteran).     

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.     

Beyond Crucifixion: Remaining Christian after Sexual Abuse

Abstract

Christian survivors have frequently likened their experiences of sexual abuse to crucifixion. While it is understandable that many cannot reconcile their experiences within their faith tradition, the question of how it is possible to move forward within a Christian framework which accommodates the experience of sexual abuse has tended to be overlooked. In doing so, this article considers why identifying with the crucified Christ may be an important step in the process of moving forward, and why the terminology "survivor" may be preferable to "victim." The challenge to move forward may require churches and church personnel to consider whether they need to do some things differently. Above all, this requires integrity for the individuals and communities involved rather than a one-size-fits-all approach.     

An Interpretation of Evangelical Gender Ideology: Implications for a Theology of Gender

Abstract

One of the core findings in the sociology of religion literature regarding evangelicals is the penchant for the adoption of traditional family values. Despite the availability of alternative gender ideology models, evangelicals in general espouse a male headship and female domestic understanding of gender and concomitant domestic division of labor. There has been a "softening" of male headship language as this language is translated into a servant leadership model. This essay asks the question: What is the cost or impact for evangelicals to espouse a traditional model for gender ideology?     

The Roman Catholic Pedophilia Crisis and the Call to Erotic Conversion

Abstract

The abuse of children and associated cover-ups have damaged the laity's trust in priests, unsettled the church's finances and exposed a culture of self-deception. Consequently, there is more focus on priest's sexual orientation and a clerical culture that includes hidden sexual behavior. Yet, Rome and the bishops are creating an environment which encourages the suppression of sexuality. In this climate, priests may be more prone to a less healthy and less mature incorporation of sexuality into daily living. Meanwhile, little theological discussion has occurred regarding the contribution of the church's narrow view of sexuality on this crisis. As a response, this article will use Lonergan's methodology to introduce the notion of Erotic Conversion, or, ‘turning with’ our sexual energies in an affirming manner. This concept will be brought into dialogue with the concept of embodiment and those theologies which have arisen from the gay and lesbian liberation movement.