Female Rape Research Articles

Acute stress among adolescents and female rape victims measured by ASC-Kids: A pilot study

Background: Rape is considered a stressful trauma and often with durable consequences. How the aftermath of rape is for young adolescents’ girls considering acute stress is an overlooked field and remains to be studied. Aims: In this study, we wanted to investigate acute stress among adolescent victims of rape and the psychometric properties of the Acute Stress Checklist for Children (ASC-Kids). Methods: A clinical sample (n = 79) of raped girls, 13–17 years old who had turned to a special rape victim unit for treatment, answered the ASC-Kids. ASC-Kids was also given to a group of minor stressed, non-raped adolescents in the same age range (n = 154) together with the University of California at Los Angeles Post-traumatic Stress Disorder Reaction Index (UCLA PTSD RI), and the Sense of Coherence Scale 13 (SOC-13). Results: The scores from the groups were compared and showed significant differences in mean values on all the diagnostic criteria of acute stress disorder. In the clinical group, 36.7% obtained full ASD criteria. ASC-Kids could discriminate well between groups. Cronbach's alpha was found to be excellent, and the correlation between the UCLA PTSD RI and ASC-Kids found to be good; both ASC-Kids and UCLA PTSD RI had a good and moderate negative correlation with SOC-13. Conclusion: Adolescent female rape victims were shown to have a very high level of acute stress, and the ASC-Kids was found to have sound psychometrics and can be a valuable screening instrument to support clinicians in their assessments of an indication of adolescents after potentially stressful events such as rape.

Factors Associated With Follow-Up Attendance Among Rape Victims Seen in Acute Medical Care

Objective: Rape is associated with posttraumatic stress disorder (PTSD) and related comorbidities. Most victims do not obtain treatment for these conditions. Acute care medical settings are well positioned to link patients to services; however, difficulty engaging victims and low attendance at provided follow-up appointments is well documented. Identifying factors associated with follow-up can inform engagement and linkage strategies. Method: Administrative, patient self-report, and provider observational data from Harborview Medical Center were combined for the analysis. Using logistic regression, we examined factors associated with follow-up health service utilization after seeking services for rape in the emergency department. Results: Of the 521 diverse female (n = 476) and male (n = 45) rape victims, 28% attended the recommended medical/counseling follow-up appointment. In the final (adjusted) logistic regression model, having a developmental or other disability (OR = 0.40, 95% CI = 0.21–0.77), having a current mental illness (OR = 0.25, 95% CI = 0.13–0.49), and being assaulted in public (OR = 0.50, 95% CI = 0.28–0.87) were uniquely associated with reduced odds of attending the follow-up. Having a prior mental health condition (OR = 3.02, 95% CI = 1.86–4.91), a completed Sexual Assault Nurse Examiner’s (SANE) examination (OR = 2.97, 95% CI = 1.84–4.81), and social support available to help cope with the assault (OR = 3.54, 95% CI = 1.76–7.11) were associated with an increased odds of attending the follow-up. Conclusions: Findings point to relevant characteristics ascertained at the acute care medical visit for rape that may be used to identify victims less likely to obtain posttraumatic medical and mental health services. Efforts to improve service linkage for these patients is warranted and may require alternative service delivery models that engage rape survivors and support posttraumatic recovery.

Recruitment and Retention of Vulnerable Populations: Lessons Learned from a Longitudinal Qualitative Study

The main focus of the researcher’s study was to examine the lived experiences of intimate partners of female rape victims within the first six months post rape. Yet, many publications describing longitudinal qualitative studies of sexual assault fail to provide a detailed report on the processes followed, the difficulties experienced, as well as the reasons for such difficulties. To fill theses gaps, in this paper, the researcher describes the strategies applied to recruit and retain the participants for the entire six-month period post rape. The lessons learned during recruitment and data collection are also described. The research question that guided the study was: what are the lived experiences of intimate partners of female rape victims during the six months following the rape? The selection of study participants involved purposeful sampling. After providing their informed consent, nine intimate partners of female rape victims living in Cape Town, South Africa, participated in four separate face-to-face, semi-structured interviews as follows: (a) within 14 days of, (b) a month after, (c) three months after and (d) six months after the rape. Recommendations were made for future researchers to make them aware of the difficulties encountered in accessing, recruiting, and retaining vulnerable populations in longitudinal studies, especially in the field of research into sexual violence.

Resilience and post-traumatic stress disorder in the acute aftermath of rape: a comparative analysis of adolescents versus adults

BackgroundRape trauma contributes significantly to the mental burden of disease, affecting resilience and vulnerabilities at every developmental life stage. Appropriate resilience-promoting strategies could potentially buffer or protect trauma-exposed individuals from psychopathology.AimThis study aimed to assess and compare (using validated measuring instruments) resilience, post-traumatic stress disorder (PTSD) and other variables in the acute aftermath of rape, between adolescent and adult females and to assess associations with these variables.MethodWe conducted a comparative analysis of resilience, PTSD, prior trauma, demographic variables and psychiatric morbidity in 41 adolescent and 47 adult female rape survivors six weeks post-rape. We assessed the relationship of resilience to PTSD, demographic variables and prior trauma and investigated if resilience levels predicted PTSD after adjusting for prior trauma.ResultsWe found no significant differences in resilience levels between the groups, but the adolescent PTSD rate (40%) was double that in adults (20%). In adults, a significant negative correlation was evident between resilience and PTSD symptoms scores.ConclusionMore knowledge of resilience versus stress susceptibility for PTSD throughout the lifespan is needed and can inform the development of more effective clinical assessment and resilience-promoting strategies.

Relationship Difficulties Postrape: Being a Male Intimate Partner of a Female Rape Victim in Cape Town, South Africa

In a longitudinal phenomenological study, the lived experience of being a male intimate partner (MIP) of a female rape victim in Cape Town, South Africa, is presented. Nine men participated in four face-to-face, semistructured interviews. The authors describe changes in communication and sexual intimacy postrape and how these changes spiralled into a dysfunctional relationship. Participants were interested in interventions for both partners and particularly for education to improve their communication and sexual relationships postrape. Researchers need to reconsider existing policies related to training programs to develop interventions that can address the needs of couples postrape and, ultimately, enhance their recovery.

An Exploration of Rapists' Motivations as Illustrated by Their Crime Scene Actions: Is the Gender of the Victim an Influential Factor?

AbstractAn aim of this paper was to examine if the rapist's motivations of anger and power as inferred from rape crime scene behaviours differentiates between rape victim genders. In addition, it was sought to analyse the resistance strategies employed by rape victims to investigate whether gender influences victim–offender behavioural interactions. A sample of 24 female and 12 male rape victims aged from 13 to 39 years were analysed. The data were extracted from the US National Crime Survey, which contained 12 reported cases of male rape. It was hypothesised that the theme of power would be evident from the rapists' behaviour as illustrated by the crime scene actions and victim–offender interaction. Smallest Space Analysis, a multi‐dimensional scaling technique, was employed to identify the themes present in the perpetration of rape. The crime scene actions illustrated several distinctions relating to the theme of power present in the offender's motives irrespective of the victim's gender. An additional finding was that victim resistance strategies differentiated between male and female rape victims. Copyright © 2014 John Wiley & Sons, Ltd.

Does negative affect mediate the relationship between daily PTSD symptoms and daily alcohol involvement in female rape victims? Evidence from 14 days of interactive voice response assessment.

The negative reinforcement model of addiction posits that individuals may use alcohol to reduce negative affective (NA) distress. The current study investigated the mediating effect of daily NA on the relationship between daily PTSD symptoms and same-day and next-day alcohol involvement (consumption and desire to drink) in a sample of 54 non-treatment-seeking female rape victims who completed 14 days of interactive voice response assessment. The moderating effect of lifetime alcohol use disorder diagnosis (AUD) on daily relationships was also examined. Multilevel models suggested that NA mediated the relationship between PTSD and same-day, but not next-day alcohol involvement. NA was greater on days characterized by more severe PTSD symptoms, and alcohol consumption and desire to drink were greater on days characterized by higher NA. Furthermore, daily PTSD symptoms and NA were more strongly associated with same-day (but not next-day) alcohol consumption and desire to drink for women with an AUD than without. Results suggest that NA plays an important role in female rape victims' daily alcohol use. Differences between women with and without an AUD indicate the need for treatment matching to subtypes of female rape victims.

Lived experiences of male intimate partners of female rape victims in Cape Town, South Africa.

Sexual violence in South Africa is a major public health and social problem. Sexual assault or rape is a traumatic event which disrupts not only the life of the female rape victim, but also that of her male intimate partner (MIP), irrespective of whether he witnessed or was informed of the incident. The study aimed to explore the lived experiences of MIPs of female rape victims and the meaning of these experiences in the six months following the partner's rape. We conducted a longitudinal hermeneutic phenomenological study. Nine purposively sampled adult MIPs were interviewed over a period of six months. The participants were in an intimate relationship with a female rape victim prior to and immediately after the rape; their partners had been treated at a specialised centre for victims of rape and sexual assault. Four interviews were conducted with each of the nine intimate partners of female rape victims: (1) within 14 days of, (2) a month after, (3) three months after, and (4) six months after the rape. Two major themes emerged: being-in-the-world as a secondary victim of rape, and living in multiple worlds, those of their female partners, family, friends, society, employers or colleagues, professionals and the justice system. The participant's familiar world became strange and even threatening, and his relationship with his partner became uncertain. Early supportive intervention for intimate partners of female rape victims is required to prevent on-going emotional trauma and alleviate the effects of chronic post-traumatic stress disorder and suffering at intra- and interpersonal levels.

Long-term functional outcomes of women receiving cognitive processing therapy and prolonged exposure.

The current study sought to determine whether trauma-focused treatments for posttraumatic stress disorder (PTSD) improve psychosocial functioning outcomes, and whether treatment gains are maintained over a long-term follow-up (LTFU) period (5–10 years). The relationship between symptoms of PTSD and depression and psychosocial functioning also were explored. A sample of 154 female rape victims who received cognitive processing therapy (CPT) or prolonged exposure therapy (PE) were assessed at pretreatment, posttreatment, 9 months, and 5–10 years following treatment. Hierarchical linear modeling demonstrated significant improvements in overall functioning, social/leisure adjustment, family unit adjustment, and economic adjustment in both treatment conditions, with gains maintained over the LTFU. Lower household income at baseline was associated significantly with poorer overall functioning, social/leisure adjustment, and economic adjustment over time. Structural equation modeling revealed that poorer overall functioning at posttreatment was associated significantly with higher levels of depressive symptoms at 9 months, whereas higher levels of depressive symptoms at 9 months were associated significantly with poorer levels of overall functioning at LTFU. Findings suggest that both cognitive and exposure-based treatments for PTSD have the potential to impact functioning outcomes over a long period of time.

Male-on-Male Sexual Assaults

While the concept of male victimization is not a new phenomenon, the sexual assault of a male is a relatively new notion, emerging over the last 30 years in social research literature. Studies of female rape, pedophilia, and juvenile sex offenders have suggested that different styles of offending are reflected in the different types of behaviors committed by offenders at the crime scene. These studies suggest that there are three distinct themes of behavior: Control, Hostility, and Involvement. Using the crime scene actions of 305 male-on-male sexual assault from a U.K. national police database, multidimensional analysis was carried out. The proposed framework was found to be a useful way of classifying male-on-male sexual assaulters with 74% displaying a dominant theme. These resulted in 42% classified as displaying hostility, 23% as control, and 9% as involvement. Implications and suggestions for future research are discussed.

Change in sleep symptoms across Cognitive Processing Therapy and Prolonged Exposure: A longitudinal perspective

Sleep disturbance is a core component in posttraumatic stress disorder (PTSD). Although cognitive-behavioral treatments for PTSD reduce the severity of sleep symptoms, they do not lead to complete remission. The present study examines the impact of Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) on subjective measures of sleep disturbance from treatment randomization through long-term follow-up (LTFU). Participants were 171 female rape victims with PTSD who were randomly assigned to CPT, PE, or Minimal Attention (MA). After 6-weeks, the MA group was randomized to CPT or PE. Sleep symptoms were assessed at baseline, post-MA, post-treatment, 3-months, 9-months and LTFU using the Pittsburgh Sleep Quality Index (PSQI) and nightmare and insomnia items from the Clinician Administered PTSD Scale. Change in sleep during MA, from pre- to post-treatment for CPT and PE, and from post-treatment through LTFU was assessed using piecewise hierarchical linear modeling with the intent-to-treat sample. Controlling for medication, sleep improved during CPT and PE compared to MA, and treatment gains were maintained through LTFU. CPT and PE were equally efficacious and improvements persist over LTFU, yet, neither produced remission of sleep disturbance. Overall, sleep symptoms do not remit and may warrant sleep-specific treatments.

University student beliefs about sexual violence in prison: rape myth acceptance, punitiveness, and empathy

Although prison rape has been recognised for years, it began to receive increased attention in the USA following the passage of the Prison Rape Elimination Act (PREA). In addition to prevalence and victimisation estimates, several researchers have examined the attitudes of correctional personnel towards prison rape. However, few have surveyed the opinions of those not currently working in the criminal justice system. Drawing from the body of research on rape myths, our goal was to examine prison rape myth acceptance among a university student sample to describe these beliefs, as well as examine attitudinal correlates. The findings indicated that prison rape-supportive beliefs were evident among a minority of the sample and were predicted by general punitiveness and male and female rape myth acceptance. The acceptance of victim-blaming myths identified in this study warrants further investigation. It is possible that educational efforts would be successful in reducing these rape-supportive beliefs.

Violência sexual: estudo descritivo sobre as vítimas e o atendimento em um serviço universitário de referência no Estado de São Paulo, Brasil

Rape is a global public health problem, and steps have been taken to encourage studies on the issue and propose interventions for its prevention and appropriate care. This study aimed to characterize the population of female rape victims and describe the characteristics of the sexual assault and the care provided at a university referral center. This was a quantitative retrospective study of care provided to female rape victims from June 2006 to December 2010. The majority of the women (n = 687) were white, single, had no children, with a mean age of 23.7 years and primary to secondary schooling, employed, and practiced a religion. One-fourth of the victims reported no sexual intercourse prior to the sexual assault. Rape occurred mainly at night, on the street, perpetrated by a single stranger, with vaginal penetration, and with threatened or actual force. Most of the victims had reported the rape to someone and felt supported. Early care occurred for almost 90% of women, allowing preventive measures. From 2006 to 2010 there was an increase in the proportion of women that sought help. Better knowledge of the characteristics of this group and the event itself can help improve the structure and functioning of models to assist rape victims.

The scripting of male and female rape

PurposeThe purpose of this paper is to investigate how male and female rape is scripted.Design/methodology/approachIn total, 100 (50 male, 50 female) participants were asked to write down in their own words what they considered to be the typical rape when the victim was either an adult male or female.FindingsResults revealed that men's and women's rape scripts did not dramatically differ, though several differences were revealed between male and female rape scripting, focussing around the gender stereotypes of men verses women.Originality/valueResults are discussed in relation to gender role stereotyping and wider implications are considered.

‘Good enough for a spot of lippy anyway’: Rape and the Body Politic inMy Brother Tom

The representation of rape continues to be one of the most highly charged issues in contemporary cinema, and whilst many discussions of this topic focus on Hollywood movies, sexual violation is also a pervasive topic in British cinema. This article examines the portrayal of a female's rape in the British feature My Brother Tom (2001), a powerful and often troubling text in which the sexual violation of the teenage female protagonist functions as a catalyst for the events that comprise the plot, as is often the case in rape narratives. The article provides an overview of some of the key feminist academic discussions and debates that cinematic depictions of rape have prompted, before closely analysing My Brother Tom's rape scene in relation to such discourses. The article argues that the rape scene is neither explicit nor sensationalised, and that by having the camera focus on Jessica's bewildered reactions, it positions the audience with her, and powerfully but discreetly portrays the grave nature of sexual abuse. The article then moves on to examine the portrayal of sexual violation in My Brother Tom as a whole, considering the cultural inscriptions etched on the female body within its account of rape, before concluding with a discussion of the film's depiction of Jessica's ensuing methods of bodily self-inscription as she attempts to disassociate her body from its sexual violation.

Managing Ethical Problems in Qualitative Research Involving Vulnerable Populations, Using a Pilot Study

The purpose of the researcher's study was to examine the meaning that intimate partners of female rape victims attached to their lived experiences after the rape. The conduct of qualitative research concerning non-offending partners of female rape victims, however, often involves multifaceted ethical and practical challenges, which can be managed through the use of pilot studies. The pilot study described in this report had three objectives. The first was to pretest and refine the proposed method for locating, accessing, and recruiting intimate partners of female rape victims, within the first two weeks after the rape, for participation in a six-month longitudinal study. The second objective was to identify and prevent all possible risk factors in the proposed recruitment and data collection methods that could harm the participants' safety during the main study. The third objective was to determine the feasibility of the main study, in terms of the limited financial and human resources available. The pilot phase was valuable in identifying ethical and methodological problems during the recruitment of participants and collection of data. It allowed for methodological adjustments prior to the main study and confirmed the feasibility of the overall research design. A pilot, pretesting phase is therefore seen as an essential component of a qualitative study involving a vulnerable population.

Cognitive behavioural treatments have long-term benefits in female rape survivors with post-traumatic stress disorder

Cognitive behavioural treatments have long-term benefits in female rape survivors with post-traumatic stress disorder

Behavior displayed by female victims during rapes committed by lone and multiple perpetrators.

Research with both the general public and members of the criminal justice system reports a pervasive rape myth of a violent offender and a physically resistant victim. Despite research being conducted on victims’ postrape behavior, few studies have examined victim behavior during sexual assaults, and many of those which have been conducted have tended to focus on physical resistance. This article reports two studies that examined qualitatively the behavior of female rape victims during sexual assaults. The first study is an analysis of 78 stranger sexual assaults, committed in the United Kingdom, by male offenders. The second study is an analysis of 89 allegations of stranger rape, again from the United Kingdom, perpetrated by multiple male suspects. Information about victim behavior was extracted from victims’ accounts made to the police. More than 100 different victim behaviors were identified in each study, and more than 80 behaviors were common across studies. Myth-congruent behaviors were present in the sample; however, the behaviors engaged in by victims were complex and diverse. Indirect and face-saving communications were used by victims and are discussed in terms of expectations regarding victim behavior and rape stereotypes. The implications of the findings for training legal professionals, educating jurors, and counseling victims are discussed.

Language, gender and ‘reality’: Violence against women

This paper examines the theory behind and some examples of the relationships between gender, language, cognition and perception in the context of the criminal justice system. In particular, we consider the language of domestic violence and sexual assault and how words and communication styles can affect and are affected by what we think and believe to be ‘reality’. The paper illustrates how the language used to describe violence against women may operate to minimise these acts, and the dominant conversational style and female violence victims' genderlect may collide to produce evidentiary issues and a credibility gap. We argue that there is an inherent dilemma in engaging with legal constructs which continue to negate women's understandings of reality, and that the voices of female rape and domestic violence victims remain muted by the baritone ‘voice’ of the legal system.

Receipt of Post-Rape Medical Care in a National Sample of Female Victims

It is important for rape victims to receive medical care to prevent and treat rape-related diseases and injuries, access forensic exams, and connect to needed resources. Few victims seek care, and factors associated with post-rape medical care-seeking are poorly understood. The current study examined prevalence and factors associated with post-rape medical care-seeking in a national sample of women who reported a most-recent or only incident of forcible rape, and drug- or alcohol-facilitated/incapacitated rape when they were aged ≥14 years. A national sample of U.S. adult women (N=3001) completed structured telephone interviews in 2006, and data for this study were analyzed in 2011. Logistic regression analyses examined demographic variables, health, rape characteristics, and post-rape concerns in relation to post-rape medical care-seeking among 445 female rape victims. A minority of rape victims (21%) sought post-rape medical attention following the incident. In the final multivariate model, correlates of medical care included black race, rape-related injury, concerns about sexually transmitted diseases, pregnancy concerns, and reporting the incident to police. Women who experience rapes consistent with stereotypic scenarios, acknowledge the rape, report the rape, and harbor health concerns appear to be more likely to seek post-rape medical services. Education is needed to increase rape acknowledgment, awareness of post-rape services that do not require formal reporting, and recognition of the need to treat rape-related health problems.