Assault Disclosure Research Articles

A Qualitative Study of Sexual Assault Disclosure Impact and Help-Seeking on Support Providers.

Friends, family, and significant others who receive disclosures of sexual assault from survivors are also susceptible to the effects of trauma. Most studies on the impact of sexual assault disclosure focus on the experiences of friends of survivors but not significant others or family members, and do not examine support providers' (SPs) help-seeking behaviors. This study of 45 matched pairs of sexual assault survivors and SPs explored the impact of receiving a disclosure and dealing with the emotional weight of these disclosures. SPs were impacted emotionally and in post-disclosure behaviors. SPs reported feeling sadness, were triggered, felt angry, and felt inspired by survivors' disclosures. Active cognitive and behavioral reactions included care-taking of survivors and engaging in prevention. SPs discussed different ways they sought help to deal with the disclosure and why they did or did not seek help post-disclosure. We provide recommendations for SPs and service providers using this data from a diverse, community sample.

Comparisons of Sexual Victimization Experiences among Sexual Minority and Heterosexual Women.

This study examined the associations among heterosexual women (HW) and sexual minority women (SMW; for example, lesbian and bisexual), adolescent and adult sexual victimization experiences, childhood experiences of abuse, coping strategies, and mental health symptoms. Participants were 177 women recruited across the United States via the Internet to complete an online survey. Participants first completed the Sexual Experiences Survey and then described qualitatively their most distressing and/or severe sexual victimization experience. They were asked to include situational (e.g., location, alcohol, and drug use) and interpersonal features (e.g., relationship to perpetrator) of their experience. They then completed self-report questionnaires on childhood sexual abuse, coping with substances, coping through self-blame, social reactions to their assault disclosure, and symptoms of anxiety, depression, and somatization. Nonparametric tests were used to examine associations among the variables. There were no significant differences between SMW and HW in terms of the contextual features (i.e., situational, interpersonal) of their most distressing (i.e., severe) sexual victimization experiences or their postassault experiences. However, results revealed significant associations between sexual minority status and both victimization severity and sexual revictimization, with SMW reporting more severe victimization histories and higher rates of sexual revictimization relative to HW. In addition, there was a significant difference between SMW and HW with respect to coping through substances, with SMW reporting more substance use relative to HW. Future work should endeavor to identify the reasons for these important differences and seek to develop appropriate interventions for SMW who have experienced sexual violence.

Personal reactions to sexual assault disclosures made by female clients diagnosed with serious mental illness

PurposeMental health practitioners working with female clients diagnosed with a serious mental illness (SMI) often face client disclosures of sexual assault. Research has shown that practitioners’ responses can be complicated by the diagnosis and lack of professional training; however, less is known about the role their personal factors may play. The purpose of this paper is twofold: to further understanding of practitioners’ personal reactions and investigate how these reactions affect their professional response.Design/methodology/approachNine mental health practitioners participated in face-to-face interviews, in which they were asked to describe their personal reactions when faced with a disclosure and to discuss how these reactions influence client assessment, treatment and referral.FindingsThe study results show that lacking training, practitioners expressed feelings of uncertainty, fear and worry about how best to respond without causing further harm. Findings serve to inform future training to support practitioners and, as a result, improve care and treatment for this population.Originality/valueThis study is unique because it explores the personal reactions mental health practitioners’ experience when responding to disclosures of sexual assault among women diagnosed with an SMI and how these reactions may impact their professional response.

Compelled disclosure of college sexual assault.

Sexual assault is a widespread problem on college campuses. In response, many institutions are developing policies mandating that certain employees report any student disclosure of sexual assault to university officials (and, in some cases, to police), with or without the survivor's consent. These policies, conceptualized here as compelled disclosure, have been prompted and shaped by federal law and guidance, including Title IX and The Clery Act. Proponents of compelled disclosure assert that it will increase reports-enabling universities to investigate and remedy more cases of sexual assault-and will benefit sexual assault survivors, university employees, and the institution. However, many questions remain unanswered. How broad (or narrowly tailored) are contemporary compelled disclosure mandates in higher education? Do any empirical data support assumptions about the benefits of these policies? Are there alternative approaches that should be considered, to provide rapid and appropriate responses to sexual violence while minimizing harm to students? The current article begins with an overview of federal law and guidance around compelled disclosure. Next, a content analysis of a stratified random sample of 150 university policies provides evidence that the great majority require most, if not all, employees to report student sexual assault disclosures. A review of the literature then suggests that these policies have been implemented despite limited evidence to support assumptions regarding their benefits and effectiveness. In fact, some findings suggest negative consequences for survivors, employees, and institutions. The article concludes with a call for survivor-centered reforms in institutional policies and practices surrounding sexual assault. (PsycINFO Database Record

Sexual Assault Disclosure: The Effect of Victim Race and Perpetrator Type on Empathy, Culpability, and Service Referral for Survivors in a Hypothetical Scenario.

The aftermath of sexual assault warrants further attention surrounding the responses provided by those to whom survivors disclose, especially when perpetrator type or victim race may affect whether the bystander response is supportive or attributes culpability to the victim. Disclosure responses have significant consequences for survivors' posttrauma mental health and formal help-seeking behavior. The current study used a sample of 348 self-report, paper-and-pencil surveys administered during the fall 2015 semester to a purposive sample of undergraduate students with a mean age of 20.94 years old at a midsized, Southern public university. Survey design included a randomly assigned 2 × 2 hypothetical sexual assault disclosure vignette. The objective of the study was to assess the effect of perpetrator type (stranger vs. acquaintance) and victim race (White vs. Black) on empathic concern, culpability attributions, and resource referral. Between-subjects factorial ANOVA and multivariate ordinary least squares (OLS) regression models were estimated to identify the role of vignette manipulations, participant-sexual victimization history, and rape myth acceptance on empathy, culpability, and resource referral for the sexual assault survivor portrayed in the vignette. Multivariate analyses included main effects and moderation models. Findings revealed increased culpability and decreased resource referral for victims of acquaintance rape as compared with stranger rape, independent of victim race. Although no direct victim race effects emerged in the multivariate analyses, race moderated the effect of culpability on resource referral indicating culpability attributions decreased resource referral, but only when the victim was Black . Implications from the results presented here include a continued focus on bystander intervention strategies, empathy-building techniques, and educational programming targeting potential sexual assault disclosees and race stereotypes that disadvantage victims of color.

"Assault-related shame mediates the association between negative social reactions to disclosure of sexual assault and psychological distress": Correction to Decou et al. (2017).

Participants were 207 female psychology undergraduates who reported past history of completed or attempted sexual assault and had disclosed the assault to at least 1 other person. Participants completed self-report measures of social reactions to sexual assault disclosure, assault-related shame, and symptoms of psychopathology. Participants reported significant histories of attempted or completed sexual assault and indicated clinically significant symptoms of depression and subthreshold symptoms of PTSD and global distress, on average. Evaluation of structural models confirmed the hypothesized indirect effect of negative social reactions to sexual assault disclosure upon symptoms of PTSD (z = 5.85, p < .001), depression (z = 4.56, p < .001), and global distress (z = 4.82, p < .001) via assault-related shame. These findings offer new insight concerning the intervening role of assault-related shame and highlight the importance of shame as a target for therapeutic intervention. This study suggests the need for future research concerning the role of shame in the etiology of PTSD and process of disclosure among survivors of attempted or completed sexual assault. (PsycINFO Database Record

Unacknowledged Rape in the Community: Rape Characteristics and Adjustment.

Unacknowledged rape, labeling a rape as a nonvictimizing event, remains largely unstudied among non-college women. This study therefore sought to examine differences in assault characteristics, adjustment, and disclosure by rape acknowledgment status among a sample of lower income rape victims (n = 104) recruited from a reproductive health clinic (mean age = 28.8 years). Although unacknowledged rape was infrequent (17.1% of victims), unacknowledged victims reported that the perpetrator used less force and were less likely to have assertively resisted, as compared to acknowledged victims. There were no significant differences in disclosure, depression, and somatic complaints between unacknowledged and acknowledged rape victims. Implications of the findings for understanding rape acknowledgment and postrape adjustment among community women are discussed.

Disclosure of domestic violence and sexual assault within the context of abortion: meta-ethnographic synthesis of qualitative studies protocol

BackgroundOne third of women will have an abortion in their lifetime (Kerr, QUT Law Rev 14:15, 2014; Aston and Bewley, Obstetrician & Gynaecologist 11:163–8, 2009). These women are more likely to have experienced domestic violence or sexual assault than women who continue with their pregnancies. Frontline health personnel involved in the care of women seeking abortions are uniquely positioned to support patients who choose to disclose their violence. Yet, the disclosure of domestic violence or sexual assault within the context of abortion is not well understood. To enhance service provision, it is important to understand the disclosure experience, that is, how frontline health personnel manage such disclosures and how victims/survivors perceive this experience. This review aims to provide a systematic synthesis of qualitative literature to increase understanding of the phenomena and identify research gaps.MethodsA meta-ethnography of qualitative evidence following PRISMA-P recommendations for reporting systematic reviews will be performed to better understand the experiences of domestic violence and sexual assault disclosure from the perspective of frontline health personnel providing support and women seeking an abortion. A three-stage search strategy including database searching, citation searching and Traditional Pearl Growing will be applied starting with the terms “domestic violence”, “sexual assault”, “disclosure” and “abortion”, their common synonyms and MeSH terms. The database search will include CINAHL, MEDLINE, Embase and PsycINFO. Published studies from 1970, written in English and from all countries will be included. Two reviewers will screen titles and abstracts and if suitable will then perform a full-text review. To attribute weight to each study, two reviewers will perform the critical appraisal using a modified version of the “Guidelines for Extracting Data and Quality Assessing Primary Studies in Educational Research”. Data extraction and coding will occur using EPPI-Reviewer 4 and will be carried out by two reviewers.DiscussionThe reviewers will illuminate what transpires at the interface when women seeking an abortion in the context of domestic violence and sexual assault meet frontline health personnel. Increased knowledge in this area will improve the frontline health personnel’s practices and responsiveness to women who seek out healthcare in the context of violence.Systematic review registrationPROSPERO CRD42016051136.

Social Reactions to Sexual Assault Disclosure: A Qualitative Study of Informal Support Dyads.

This interview study examined 45 informal support dyads where sexual assault was disclosed. Analysis showed social reactions and appraisals of reactions varied by relationship type (family, friend, significant other). Themes identified were role reversal or "parentification" of supporters, reactions of anger and aggression toward perpetrators, supporters using their own trauma experiences to respond to survivors, and reactions of betrayal. Results revealed the potential for identifying relational patterns and dynamics occurring in social reactions through dyadic analysis not otherwise captured by a survivor-only perspective. This approach helps understand and address distinct relationship contexts to improve supporters' reactions to sexual assault disclosure.

The evolving landscape of Title IX: Predicting mandatory reporters' responses to sexual assault disclosures.

Approximately 1 in 4 women is sexually assaulted in college, a problem that federal law has attempted to address with recent changes. Under the evolving landscape of Title IX, and related law, universities nationwide have overhauled their sexual assault policies, procedures, and resources. Many of the new policies designate undergraduate resident assistants (RAs) as Responsible Employees-requiring them to provide assistance and report to the university if a fellow student discloses sexual assault. We investigated factors that predict the likelihood of RAs enacting their policy mandate, that is, reporting sexual assault disclosures to university authorities and referring survivors to sexual assault resources. Based on data from 305 Responsible Employee RAs, we found that likelihood to report and refer varied, depending on RAs' knowledge of reporting procedures and resources, trust in these supports, and perceptions of mandatory reporting policy. Understanding mandatory reporter behavior is crucial, because help-providers' responses can have serious implications for the recovery of sexual assault survivors. Our findings elucidate some effects of changes in the interpretation and implementation of Title IX, with potential to inform the development of more theoretically and empirically informed policies. (PsycINFO Database Record

Sexual Assault Disclosure by College Women at Historically Black Colleges and Universities and Predominantly White Institutions

Due to the Title IX law, administrators at institutions of higher education (IHE) in the United States must promptly investigate reports of sexual assault. In addition, the Clery Act requires IHEs to publicly disclose annual sexual assault statistics. However, it is unknown whether—or how—sexual assault disclosure differs by type of IHE. This study, a secondary analysis of data collected from students at Historically Black Colleges and Universities (HBCUs) and predominantly White institutions (PWIs), examines the role of incident, offender, and victim characteristics in whether women disclosed experiencing unwanted sexual contact (due to force or incapacitation) and to whom they disclosed, by type of IHE. Significant differences in the characteristics of their experiences and factors associated with sexual assault disclosure were found between samples of women attending HBCUs (n = 327) and PWIs (n = 760). However, as expected, the multivariate analyses indicate that factors associated with the culturally reinforced stereotype of “real rape”—that is, the use of force, presence of injuries, and perpetrators who were not an intimate partner, friend, or acquaintance—were positively associated with disclosure for both samples. Overall, the probability of disclosure was higher for sexual assault due to force than incapacitation. In addition, White students had a higher probability of disclosure than Black students for both forms of sexual assault regardless of type of IHE.

Alcohol's Role in Social Reactions to Sexual Assault Disclosures: A Qualitative Study of Informal Support Dyads.

Studies of informal support dyads are lacking to understand the disclosure of sexual assaults and social reactions informal supporters make to survivors. This study of 19 informal support dyads using interview data examined how three relationship types-significant others (i.e., romantic partners), family, and friends-differ in social reactions to sexual assaults in the context of drinking or alcohol problems. It was expected that alcohol's role in responses to such disclosures would differ depending on relationship type as well as role alcohol played in the assault and/or in the survivor's life or those in her social network, including the perpetrator. Results show that alcohol has mixed effects and that alcohol-related assaults as well as contexts where survivors, perpetrators, and/or their support networks have alcohol problems need further study to understand how such disclosures and social reactions occur and the impact they have on survivors, their relationships, and recovery.

Assault-related shame mediates the association between negative social reactions to disclosure of sexual assault and psychological distress.

Several studies have identified associations between social reactions to disclosure of sexual assault and psychological distress; however, no studies have evaluated shame as a mediator of this association. This study evaluated assault-related shame as a mediator of the associations between negative social reactions to disclosure of sexual assault and symptoms of posttraumatic stress disorder (PTSD), depression, and global distress and hypothesized that there would be an indirect effect of social reactions to disclosure upon symptoms of psychopathology via assault-related shame. Participants were 207 female psychology undergraduates who reported past history of completed or attempted sexual assault and had disclosed the assault to at least 1 other person. Participants completed self-report measures of social reactions to sexual assault disclosure, assault-related shame, and symptoms of psychopathology. Participants reported significant histories of attempted or completed sexual assault and indicated clinically significant symptoms of depression and subthreshold symptoms of PTSD and global distress, on average. Evaluation of structural models confirmed the hypothesized indirect effect of negative social reactions to sexual assault disclosure upon symptoms of PTSD (z = 5.85, p < .001), depression (z = 4.56, p < .001), and global distress (z = 4.82, p < .001) via assault-related shame. These findings offer new insight concerning the intervening role of assault-related shame and highlight the importance of shame as a target for therapeutic intervention. This study suggests the need for future research concerning the role of shame in the etiology of PTSD and process of disclosure among survivors of attempted or completed sexual assault. (PsycINFO Database Record

Negative Responses to Disclosure of Sexual Victimization and Victims' Symptoms of PTSD and Depression: The Protective Role of Ethnic Identity.

College-aged women experience high rates of sexual victimization. Their postassault symptoms are associated with the types of responses they receive from the people to whom they disclose these experiences. Negative responses are pervasive and associated with poorer outcomes. The current study examined whether a strong sense of ethnic identity and comfort with the mainstream culture moderate the association between negative responses to the first disclosure of sexual victimization and symptoms of posttraumatic stress disorder (PTSD) and depression. A diverse sample (10% Black/African American, 51% White, 39% Other, and 66% Hispanic) of undergraduate women was recruited from two urban, Eastern United States universities for this online study. Participants reported histories of sexual victimization, demographics, responses to sexual assault disclosure (i.e., victim blame, treating the victim differently, taking control, distraction, and egocentric reactions), symptoms of PTSD and depression, and their ethnic identity and mainstream cultural comfort. Thirty-seven percent (n = 221) endorsed an experience of sexual victimization, and 165 disclosed it to someone. Hierarchical ordinary least squares regressions revealed that a stronger sense of ethnic identity was associated with fewer symptoms of PTSD for those women who experienced higher levels of control, distraction, and egocentric responses from the first disclosure recipient. A strong sense of affiliation with the mainstream culture did not protect survivors who reported receiving negative responses to disclosure against symptoms of PTSD or depression. Ethnic affiliation may protect women against PTSD when they receive high levels of negative messages about sexual victimization experiences.

Understanding Support Providers' Views of "Helpful" Responses to Sexual Assault Disclosures: The Impacts of Self-Blame and Physical Resistance.

Prior research on the factors associated with various disclosure responses has often been conducted on sexual assault victims and formal support providers, while informal helpers, who are the most common recipients of disclosures, have received far less attention. This experimental study examined potential informal helpers' views of disclosure reactions and their influence on the self-reported likelihoods of engaging in those responses. Undergraduate students at a large Canadian university ( N = 239) received vignettes describing a hypothetical sexual assault disclosure that varied on victim's self-blame and physical resistance, and then rated common disclosure reactions. The results revealed that participants' perceptions of various responses were at odds with victims' experiences, with many negative responses, such as victim blame and egocentrism, viewed as equally or more helpful than positive responses, such as emotional support. Moreover, when the victim blamed herself and did not physically resist, positive responses were seen as less helpful whereas negative responses were seen as more helpful, with some notable gender differences. Regression analyses indicated that the perceived helpfulness of each response was the strongest predictor of the likelihood of providing that response. Practical implications of these findings are discussed.

Sexual Assault Disclosure and Sexual Functioning: The Role of Trauma Symptomatology

IntroductionPrevious research has demonstrated that a history of adult sexual assault (ASA) is associated with negative outcomes, including trauma symptomatology and fear of sexual intimacy. Disclosing sexual assault might be protective against such negative outcomes. AimTo examine the indirect effect of trauma symptomatology on the association between disclosing ASA and current sexual functioning. MethodsParticipants included 652 women 21 to 30 years old with a history of ASA recruited from the community. Participants completed self-report measurements on a computer. Main Outcome MeasuresSeparate models were performed, with sexual functioning divided into sexual desire, orgasm, and pain during sex. ResultsASA disclosure was indirectly associated with sexual orgasm and pain during sex by trauma symptomatology. However, there was no indirect effect of trauma symptomatology on the relation between ASA disclosure and sexual desire. ConclusionDisclosing experiences of ASA could serve a protective function by lessening trauma symptomatology, thereby mitigating impacts on aspects of sexual functioning, such as orgasm and pain.

Secondary Victimization of Sexual Minority Men Following Disclosure of Sexual Assault: “Victimizing Me All Over Again…”

The estimated prevalence of adult sexual assault among sexual minority men (SMM) is comparable to published estimates for women. Adult sexual assault is associated with low disclosure rates and poor physical and mental health in SMM. One potential negative consequence of disclosures is secondary victimization, whereby victims perceive disclosure recipients’ reactions as victim-blaming or discriminatory and, therefore, retraumatizing. The published literature on secondary victimization among SMM is limited to the reporting of hate crimes and has not been extended to adult sexual assault, despite its high prevalence among SMM. Here, we explored the adult sexual assault disclosure experiences of 18 SMM through qualitative interviews (M age = 42.4 years). We observed four themes: (1) secondary victimization behaviors by disclosure recipients; (2) the role of sexual orientation in disclosure experiences; (3) participants’ own emotional, cognitive, and behavioral responses to secondary victimization; and (4) participants’ perceptions about how disclosure influenced their long-term recovery process from adult sexual assault. Secondary victimization behaviors included dismissal, blaming, and attributing sexual assault to alcohol use or sexual orientation. Disclosure recipients’ responses strongly influenced men’s future disclosures. Future mixed-methods research investigating the impact of secondary victimization on mental and physical health of SMM is warranted.

Responding to Delayed Disclosure of Sexual Assault in Health Settings: A Systematic Review

Few adolescent and adult women seek out formal support services in the acute period (7 days or less) following a sexual assault. Instead, many women choose to disclose weeks, months, or even years later. This delayed disclosure may be challenging to support workers, including those in health-care settings, who lack the knowledge and skills to respond effectively. We conducted a systematic literature review of health-care providers’ responses to delayed disclosure by adolescent and adult female sexual assault survivors. Our primary objective was to determine how health-care providers can respond appropriately when presented with a delayed sexual assault disclosure in their practice. Arising out of this analysis, a secondary objective was to document recommendations from the articles for health-care providers on how to create an environment conducive to disclosing and support disclosure in their practice. These recommendations for providing an appropriate response and supporting disclosure are summarized.

Disclosure of sexual assault experiences among undergraduate women at historically black colleges and universities (HBCUs)

ABSTRACTObjective: To document the sexual assault disclosure experiences of historically black college or university (HBCU) students. Participants: A total of 3,951 female, undergraduate students at 4 HBCUs. Methods: All women at the participating schools were recruited in November 2008 to participate in a Web-based survey including both closed- and open-ended questions. Survey data were weighted for nonresponse bias. Results: The majority of sexual assault survivors disclosed their experience to someone close to them, but disclosure to formal supports, particularly law enforcement agencies, was extremely rare. Nonreporters had concerns about the seriousness of the incident and their privacy. On the basis of qualitative data, strategies identified by students to increase reporting included more education and awareness about sexual assault, more survivor services and alternative mechanisms for reporting, and better strategies for protecting the confidentiality of survivors. Conclusions: Official sexual assault victimization data are of limited utility in conveying the extent of sexual assault among HBCU students, and efforts to increase reporting, such as peer education and enhanced confidentiality procedures, are needed.

Providing and Receiving Sexual Assault Disclosures: Findings From a Sexually Diverse Sample of Young Adults.

This study utilized a sample of primarily lesbian, gay, bisexual, and queer (LGBQ)-identified young adults from across the United States to pilot test a new instrument, the Reactions Provided to Disclosures Questionnaire (RPDQ), and assess the disclosure experience for both those who provide and those who receive disclosures of sexual assault. Results indicate that the experience of sexual assault disclosure in the LGBQ community is similar to the heterosexual community in that most victims disclose their assaults, most often to a friend, and were most likely to receive the reaction Emotional Support. Victims were also likely to receive the reaction Victim Blaming, especially if they disclosed to formal sources, such as law enforcement, medical, or religious personnel. This study also examined the relationship between the types of assault experienced and disclosure reactions received. Experiencing an anal assault was significantly associated with Victim Blaming reactions. A central aim of this study was to examine how respondents who received (rather than provided) a disclosure reacted, a question not been adequately addressed in prior literature. The RPDQ (a modification of Ullman's Social Reactions Questionnaire), which was piloted here, factored in to five types of reactions: Emotional Support, Affectionate Support, Empathetic Support, Tangible Aid and Information Support, and Egocentric Reactions. Sexual assault survivors were more likely to report that they provided Emotional Support and Affectionate Support after receiving a disclosure than were nonsurvivors.