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1.
Afr Health Sci ; 24(1): 104-111, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38962327

RESUMEN

Background: Sexual and gender-based violence (SGBV), including rape and child sexual abuse, remains a significant challenge in post-conflict northern Uganda. Many victims have never sought help. Consequently, the scale of the problem is not known, and SGBV victims' injuries, both psychological and physical, remain hidden and unresolved. Objectives: We aimed to explore whether health workers in rural Reproductive Health Services (RHS), following specific training, could provide a valuable resource for SGBV screening and subsequent referral to targeted services. Methods: Our project had three elements. First, RHS workers were trained to use a questionnaire to screen subjects for past SGBV Second, the screening questionnaire was used by RHS workers over a 3-month period, and the data collected were analysed to explore whether the screening approach was an effective one in this setting, and to record the scale and nature of the problem. Third, victims detected were offered referral as appropriate to hospital services or to a dedicated SGBV ActionAid shelter. Results: Of 1656 women screened, 778 (47%) had suffered SGBV: 123 rape, and 505 non-sexual violence. 1,254 (76%) had been directly or indirectly affected by conflict experiences; 1066 had lived in internally displaced persons camps. 145 (9%) requested referral to Gulu SGBV Shelter; 25 attended the shelter and received assistance, and 20 others received telephone counselling. Conclusion: Undetected SGBV remains a significant problem in post-conflict northern Uganda. RHS workers, following specific training, can effectively screen for and identify otherwise unrecognised survivors of SGBV. This matters because without ongoing detection, survivors have no opportunity for resolution, healing or help.


Asunto(s)
Violencia de Género , Tamizaje Masivo , Servicios de Salud Reproductiva , Humanos , Uganda , Femenino , Proyectos Piloto , Adulto , Encuestas y Cuestionarios , Tamizaje Masivo/métodos , Delitos Sexuales/estadística & datos numéricos , Persona de Mediana Edad , Adolescente , Adulto Joven , Población Rural , Masculino , Violación/estadística & datos numéricos , Violación/psicología
2.
J Sex Res ; 61(6): 904-921, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38973059

RESUMEN

The new Sexual Experiences Survey-Victimization (SES-V) was designed to capture a larger range of sexual exploitation and to be applicable to more diverse populations than prior measures. This study represents the first administration of the SES-V in a national sample of adults (N = 347). Participants were recruited from a crowdsourcing platform and selected to reflect the national distribution in terms of age, sex, and race/ethnicity. Rates of sexual exploitation since age 14 were very high in this sample (90%), providing evidence that the SES-V was successful in capturing experiences on the low end of the severity continuum. Using the items corresponding to the FBI definition of rape, 60% of women and 29% of men endorsed rape on the SES-V. Compared to men, women reported higher rates of sexual exploitation overall, and higher rates of every type of sexual exploitation except technology-facilitated. The new SES-V also asks participants to estimate the number of separate instances of four types of sexual exploitation that they have experienced; results provided support for the value of these incident estimates in understanding the scope of sexual exploitation. Finally, this study evaluated new sexual acts and exploitative tactics that were added to the SES-V and found that they demonstrated utility and validity. These findings offer preliminary support for the validity and functionality of the SES-V, although the high prevalence of sexual exploitation on the SES-V is discussed as both a strength and limitation. Future research should evaluate prevalence and demographic differences in a larger national sample.


Asunto(s)
Víctimas de Crimen , Humanos , Masculino , Femenino , Adulto , Víctimas de Crimen/estadística & datos numéricos , Estados Unidos/epidemiología , Adulto Joven , Prevalencia , Persona de Mediana Edad , Adolescente , Violación/estadística & datos numéricos , Violación/psicología , Encuestas y Cuestionarios
3.
Harefuah ; 163(6): 344-347, 2024 Jun.
Artículo en Hebreo | MEDLINE | ID: mdl-38884285

RESUMEN

INTRODUCTION: Pregnancy due to rape during captivity in female hostages is a complex, devastating and extremely challenging issue for victims, families and medical staff and may raise difficult ethical and clinical issues. Literature on the subject is scarce. Females who became pregnant as a result of rape in captivity in recent history, especially Yazidi women in ISIS captivity, suffered from a wide range of mental disorders including; post-traumatic stress disorder in high prevalence, anxiety, depression, severe dissociative disorder, somatoform disorder and sexual functioning disorders. Higher levels of education and the absence of prior mental disorders predicted better post-traumatic growth. It is crucial to prepare the medical staff to all possible scenarios including a potential refusal of the victim to opt for abortion due to emotional or religious reasons. It is extremely important to respect the victim's wishes and autonomy while avoiding paternalism or prejudice but at the same time offering consultation when confusion arises.


Asunto(s)
Violación , Humanos , Femenino , Embarazo , Violación/psicología , Trastornos Mentales , Trastornos por Estrés Postraumático/psicología , Israel
4.
Arch Sex Behav ; 53(7): 2629-2652, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38886249

RESUMEN

Rape myths-false but widely held beliefs that serve to deny and justify sexual aggression-present a major barrier to reporting and prevention of sexual violence in Vietnam and globally. Based on a parent study aimed at reducing sexual violence at two universities in Hanoi, we developed and assessed a contextualized measure of rape myths among young people in Vietnam. Items from previously validated rape myth acceptance (RMA) scales and data from qualitative research informed the development of 50 items, which were administered to Vietnamese 18-24-year-olds (n = 2,756 total, n = 1,798 cisgender women) via an anonymous link in February 2021. We used factor analysis to explore and test factor structure and multi-group factor analysis to assess measurement equivalence across gender. We calculated item-level discrimination and difficulty parameters and visualized information curves using item response theory analysis, informing the development of a short form. Four hypothesized subconstructs identified in the qualitative data emerged as factors: (1) "He didn't mean to"; (2) "She asked for it"; (3) "It wasn't really rape"; and (4) "Rape is a deviant event." A fifth factor, "She didn't protect herself," included four items from formative data. Confirming formative findings and prior literature, cisgender women had lower RMA than cisgender men, particularly on items related to victim-blaming. The Vietnamese Rape Myths Acceptance Scales were internally consistent and equivalent between cisgender men and women, capturing elements specific to the Vietnamese context and providing a tool for campus climate surveys and evaluations of sexual violence prevention programs.


Asunto(s)
Violación , Humanos , Vietnam , Femenino , Masculino , Violación/psicología , Adulto Joven , Adolescente , Encuestas y Cuestionarios , Pueblos del Sudeste Asiático
6.
PLoS One ; 19(4): e0302330, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38687773

RESUMEN

BACKGROUND: There is little known about the family and community maltreatment of the offspring born of the genocidal rape and the offspring's self-perceptions and how they influence their recovery from mental health problems. This study aimed to examine how the mental health prognosis of these offspring could be influenced by the family or community perceptions and attitudes toward them and their self-perception and coping strategies. METHODS: Thirty-two semi-structured qualitative interviews were conducted on 16 dyads of mothers and their offspring who were selected from countrywide. The interviews were audio-recorded and transcribed verbatims that were analysed inductively using thematic analysis within the NVivo 12 software. RESULTS: Participants reported long-term psychological and psychosomatic consequences stemming from being born of genocidal rape. Notably, family and community maltreatment of the offspring and their self-perception exacerbated psychological distress and affected their capacity to recover. The majority of the offspring were using coping strategies such as sole collaboration with peers with the same history, efforts to hide their birth history, social Isolation (silence, untrusting, involvement in media etc), hardworking, reversed roles in the parental relationship, extreme involvement in praying, and harmful alcohol use. CONCLUSION: Given the documented detrimental effects of individual, family and community attitudes and perceptions on psychological, and psychosomatic symptoms as well as the offspring coping strategies, culturally relevant mental health interventions are required to support the well-being and social reintegration of individuals born of genocidal rape while minimizing stigma and their maladaptive coping strategies.


Asunto(s)
Adaptación Psicológica , Salud Mental , Humanos , Femenino , Adulto , Masculino , Pronóstico , Violación/psicología , Persona de Mediana Edad , Adolescente , Niño , Adulto Joven , Autoimagen , Familia/psicología
7.
Turk Psikiyatri Derg ; 35(1): 14-23, 2024.
Artículo en Inglés, Turco | MEDLINE | ID: mdl-38556933

RESUMEN

OBJECTIVE: This study aimed to compare the criminal, sociodemographic and clinical characteristics, paraphilic behaviors, sexual attitudes, gender perceptions, and rape-related beliefs of people assessed for criminal liability for rape against adults and children. METHOD: The study compared 40 people investigated for criminal liability for rape against an adult (RAA) with 40 individuals investigated for criminal liability for crime of rape against a child (RAC), and 43 age, sex and education matched individuals without any sexual crime history using the Structured Clinical Interview form for DSM-5 disorders, Hendrick Brief Sexual Attitude Scale, Gender Perception Scale, Illinois Rape Myth Acceptance Scale, and Barratt Impulsiveness Scale-11. RESULTS: All participants were male. There was no difference between the groups in terms of lifelong or existing psychiatric diseases. All participants had full criminal responsibility during the crime. No participant in any group was diagnosed with a paraphilic disorder. It was determined that people in both RAC and RAA groups tended to use sexuality as a tool, paid less attention to birth control methods, had a far less egalitarian perception of gender, and their myths about rape were significantly higher compared to the control group. The control group was much more impulsive than the sex offenders. CONCLUSION: Our results show that the act of sexual assault should not be explained only by impulsivity or psychiatric disorders, and that gender perception and sexual myths may also be influential. The fact that all individuals had full criminal responsibility emphasizes the need for more research on the social and cultural origins of sexual violence.


Asunto(s)
Víctimas de Crimen , Criminales , Violación , Delitos Sexuales , Adulto , Niño , Humanos , Masculino , Femenino , Violación/psicología , Identidad de Género , Actitud , Conducta Sexual , Víctimas de Crimen/psicología
8.
Arch Sex Behav ; 53(6): 2159-2172, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38514492

RESUMEN

Individuals with paraphilic interests in sexual violence or children may be more likely to sexually offend if they possess offense-supportive cognitions. These cognitions may develop in response to childhood adversity. However, this idea is largely based on research in men convicted of sexual offenses and may not generalize to non-incarcerated adults with paraphilic interests. In a sample of 178 adults screened for paraphilic interests in violence or children (from the general Czech population), we hypothesized that childhood sexual abuse and emotional neglect would be associated with offense-supportive cognitions about rape and child molestation. Participants came from a nationally representative sample of Czech adults and were selected if they self-reported high levels of sexual interest in violence and/or children. Participants completed an online survey with self-report measures of sexual orientation, offense-supportive cognitions (Bumby RAPE and MOLEST scales), and childhood sexual abuse and emotional neglect (Childhood Trauma Questionnaire). Controlling for gender, age, and sexual orientation, we found that both rape-supportive cognitions and child molestation-supportive cognitions were significantly associated with higher levels of childhood sexual abuse, but not emotional neglect. These findings indicate that childhood sexual abuse may lead to offense-supportive cognitions among men and women with paraphilia.


Asunto(s)
Cognición , Humanos , Masculino , Femenino , República Checa , Adulto , Persona de Mediana Edad , Niño , Experiencias Adversas de la Infancia/psicología , Experiencias Adversas de la Infancia/estadística & datos numéricos , Abuso Sexual Infantil/psicología , Abuso Sexual Infantil/estadística & datos numéricos , Violación/psicología , Trastornos Parafílicos/psicología , Delitos Sexuales/psicología , Delitos Sexuales/estadística & datos numéricos , Conducta Sexual/psicología , Adultos Sobrevivientes del Maltrato a los Niños/psicología , Adultos Sobrevivientes del Maltrato a los Niños/estadística & datos numéricos , Adulto Joven , Encuestas y Cuestionarios , Adolescente
9.
Violence Vict ; 39(1): 3-20, 2024 03 07.
Artículo en Inglés | MEDLINE | ID: mdl-38453368

RESUMEN

Rape-related cognitions (typically defined as encompassing any number of cognitive constructs) are thought to play a role in sexual aggression. However, rape-related cognition scales often assess these cognitive constructs as one. The purpose of this study is to explore the factor structure of these measures using a sample of 191 community men. We found that items from the Rape Myth Acceptance, RAPE, and Illinois Rape Myth Acceptance (IRMA) scales formed one factor, which was significantly related to sexual aggression. We further found that four and six IRMA subscales were significantly related to past and likelihood of sexual aggression, respectively. Additionally, one IRMA subscale was independently related to past and likelihood of sexual aggression. The results are discussed in terms of implications and direction for future research.


Asunto(s)
Violación , Masculino , Humanos , Violación/psicología , Agresión/psicología , Estudiantes/psicología , Cognición , Conducta Sexual/psicología
10.
J Interpers Violence ; 39(13-14): 3261-3281, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38345012

RESUMEN

Verbal sexual coercion (VSC) and rape are common experiences among college women. Although they have been theorized to involve different risk markers, few prospective studies have examined predictors of VSC and rape separately. The present prospective study was designed to identify precollege risk markers for VSC and rape in first-year college women, with the goal of considering the degree to which they overlap or differ. Women (N = 449) recruited from the community just prior to high school graduation completed measures of sexual victimization (SV) since age 14 but prior to college, sexual refusal assertiveness, high school heavy episodic drinking (HED), college drinking intentions, and sociosexuality. Follow-up surveys at the end of the first and second college semesters assessed VSC and rape. Using the Sexual Experiences Survey's severity scoring method, women were classified into one of three groups according to the most severe type of SV reported in the first year of college: neither VSC nor rape (71%), VSC (16%), and rape (13%). Most women who experienced rape (73%) also experienced VSC. Precollege SV and college drinking intentions predicted both rape and VSC. Sexual refusal assertiveness and high school HED did not independently predict either form of victimization. Sociosexuality predicted rape but not VSC. Findings suggest a substantial overlap in the predictors of VSC and rape and support the severity continuum underlying many conceptualizations of SV.


Asunto(s)
Coerción , Violación , Estudiantes , Humanos , Femenino , Violación/psicología , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , Universidades , Adulto Joven , Adolescente , Víctimas de Crimen/psicología , Víctimas de Crimen/estadística & datos numéricos , Factores de Riesgo , Estudios Prospectivos , Conducta Sexual/psicología , Adulto , Delitos Sexuales/psicología , Delitos Sexuales/estadística & datos numéricos
11.
PLoS One ; 19(2): e0278810, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38315681

RESUMEN

Tonic immobility (TI) is a common uncontrollable autonomic mammalian response to an extremely fearful situation. It is one of the most immediate devastating consequences of rape and remains poorly understood. While controversies over its definition persist among researchers, this also reflects on the care for and support to victims. The study aimed to explore and describe the onset of TI and the meaning attached to the experience among women raped victims in Nigeria. The study design was the qualitative narrative inquiry approach. Criterion and purposive sampling were conducted across four post-rape care facilities in Lagos, Nigeria, to recruit 13 participants. In-depth face-to-face interviews were conducted using a semi-structured interview guide to generate data that were thematically analysed. The findings of the study revealed five themes relating to the onset of TI as follows: the first two focused on the experience of TI: (1) the onset of TI prior to rape due to perceived imminent danger, (2) the onset of TI as a self-protection mechanism from further harm) while the last three relate to the meaning-making of the experience of TI (3) self-loathing as a meaning attached to TI, (4) suicidal ideations as a meaning attached to TI, and (5) divine intervention as a meaning attached to TI. Conclusion: The findings underscore the experiences and meanings that participants attach to TI following rape. There is a strong likelihood that tonic-immobility is not an uncommon experience amongst rape victims, but that in the absence of research, specialized care on the condition, and its associated consequences will haunt many women, affecting their psychological well-being and their entire quality of life. Describing the phenomenon as it is experienced by the participants is critical because understanding the condition is the first step toward effective appropriate management.


Asunto(s)
Violación , Humanos , Femenino , Violación/psicología , Nigeria , Calidad de Vida , Miedo/psicología , Narración
12.
Psychother Psychosom Med Psychol ; 74(2): 85-93, 2024 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-38316437

RESUMEN

OBJECTIVE: To date the relationships between rape myths and other psychological constructs within males who have committed rape have not been explored sufficiently. Considered as a risk factor for the perpetration of rape it seems significant to examine their association to individual behavioral and personality characteristics more in detail. METHODS: Therefore, we analyzed the relations between self-reported rape myth acceptance and the self-evaluation of aggressiveness, assertiveness, hypersexuality, social anxiety, sexual anxiety, SCID personality characteristics and the external assessment of psychopathy within a sample of N=569 males convicted of rape. RESULTS: The results showed significant correlations with all constructs except sexual anxiety, antisocial personality and psychopathy. Furthermore, findings indicated the assignment of the relevant variables to two principal components: rape myths, aggressiveness, hypersexuality, paranoid and narcissistic personality (K1) on the one hand and psychopathy and antisocial personality (K2) on the other hand. DISCUSSION: Following the results, rape myths are contextualized within the investigated psychological constructs and their potential differentiation from psychopathy and antisocial personality is discussed.


Asunto(s)
Violación , Masculino , Humanos , Violación/psicología , Conducta Sexual , Factores de Riesgo , Trastorno de Personalidad Narcisista , Personalidad
13.
Arch Sex Behav ; 53(3): 1047-1063, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38233725

RESUMEN

Current research indicates that aggressive sexual fantasies (ASF) are related to sexual aggression, above and beyond other risk factors for this behavior. There have, however, rarely been explicitly considered in multifactor models aiming to explain sexual aggression. One exception is the multifactorial Revised Confluence Model of Sexual Aggression that was replicated in two samples of male individuals who were convicted of sexual offenses and a small sample of men from the general population and evidenced a high relevance of ASF, respectively. There were, however, no further attempts to replicate the model in larger samples from the general population. We, therefore, used a subsample from the Finnish Genetics of Sexuality and Aggression project including 3269 men (age: M = 26.17 years, SD = 4.76) to do so. Cross-sectional latent structural equation models corroborated previous research and the assumption that ASF are a central component in multifactor models that aim to explain sexual aggression: ASF and antisocial behavior/aggression were equally important associates of sexual coercion when also considering adverse childhood experiences, hypersexuality, and callous-unemotional traits. Additionally, ASF mediated the links between hypersexuality, callous-unemotional traits, as well as childhood sexual abuse and sexual coercion. These links held stable when entering further risk factors, that is, distorted perceptions, rape-supportive attitudes, and violent pornography consumption into the model. Contrasting assumptions, alcohol consumption and antisocial behavior/aggression did not interact. These results illustrate the potential importance of ASF for sexual aggression. They indicate that ASF require consideration by research on sexual aggression as well as in the treatment and risk assessment of sexual perpetrators.


Asunto(s)
Agresión , Violación , Humanos , Masculino , Adulto , Agresión/psicología , Coerción , Fantasía , Estudios Transversales , Violación/psicología , Conducta Sexual/psicología
14.
J Interpers Violence ; 39(13-14): 2997-3015, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38279685

RESUMEN

Problem drinking and depression are common following sexual assault. The current study applied a coping motives model of drinking and examined the association between rape experiences and problem drinking serially mediated by depression symptoms and coping-depression drinking motives among Hispanic college women. A total of 330 college women were classified into a single rape experience (SGL) group (n = 44), a multiple rape experiences (MLT) group (n = 70), and a no sexual assault experience group (n = 221). Participants completed self-report measures online. Serial mediation analyses with multi-categorical predictors found that significantly increased alcohol consumptions in rape survivors compared to individuals with no sexual assault experience were largely explained by the serially connected underlying mechanisms of depression symptoms and coping-depression drinking motives. The prevalence rates of rape experiences in this Hispanic female sample are alarming, suggesting Hispanic college women as a particularly vulnerable group for rape. The current results contribute to a greater understanding of the effects of rape experiences on behavioral and emotional outcomes among young Hispanic women who have been underrepresented in sexual victimization research. The findings emphasize the importance of assessing depression symptoms and coping-depression drinking motives in Hispanic rape survivors to reduce risks for hazardous drinking behavior.


Asunto(s)
Adaptación Psicológica , Depresión , Hispánicos o Latinos , Violación , Estudiantes , Humanos , Femenino , Hispánicos o Latinos/psicología , Violación/psicología , Adulto Joven , Depresión/psicología , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , Universidades , Motivación , Adulto , Víctimas de Crimen/psicología , Adolescente , Consumo de Bebidas Alcohólicas/psicología
15.
J Interpers Violence ; 39(11-12): 2687-2707, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38189155

RESUMEN

Approximately one in five college women experience a sexual assault (SA), though a meaningful percentage of survivors do not acknowledge or label their experience as such. Research indicates that acknowledgment status is often influenced by how closely SA incidents align with the "real rape" script and degree of survivor rape myth acceptance (RMA). However, studies evaluating acknowledgment paired with other attitudes and health outcomes among survivors is sparse. The current study examined the relation between acknowledgment status, RMA, weight-related constructs, and psychological well-being among three groups of college women (N = 584): non-survivors, unacknowledged survivors, and acknowledged survivors. Findings indicate that, among survivors, acknowledged compared to unacknowledged SA is significantly associated with diminished body appreciation, self-esteem, and increased internalized weight bias, though no differences in psychological distress were found.


Asunto(s)
Imagen Corporal , Violación , Autoimagen , Estudiantes , Sobrevivientes , Humanos , Femenino , Adulto Joven , Estudiantes/psicología , Sobrevivientes/psicología , Violación/psicología , Universidades , Imagen Corporal/psicología , Adulto , Víctimas de Crimen/psicología , Adolescente , Prejuicio de Peso/psicología , Delitos Sexuales/psicología
16.
Eur J Psychotraumatol ; 15(1): 2291932, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38166564

RESUMEN

Background: Sexual victimization is a serious public health problem, with a range of negative impacts on mental and physical health. Responses that individuals get to disclosure of sexual victimization play an important role in recovery. With the increased use of social media, more survivors are talking about their experiences of sexual victimization online. Research is needed to document the correlates of online disclosure of sexual victimization.Objective: The current study examined the role of demographic characteristics, assault severity, coping strategies, and social isolation as putative correlates of disclosing sexual victimization online via the hashtag #MeToo.Methods: A sample of 637 adults recruited via social media who reported a history of sexual victimization since the age of 14 completed self-report surveys using online survey software to assess disclosure of sexual victimization, assault severity, coping strategies, and social isolation.Results: Multivariate analyses suggest that levels of emotion-focused coping were positively associated with the disclosure of sexual victimization online via #MeToo. Further, individuals who had experienced completed rape by verbal coercion were less likely to disclose via #MeToo, compared to individuals who experienced other forms of assault.Conclusion: Coping strategies and assault severity play an important role in determining whether survivors disclose sexual victimization online via #MeToo. Findings suggest that individuals may disclose via #MeToo to seek support or express their emotions. Further, individuals whose sexual victimization experiences do not conform to 'typical' sexual victimization experiences are less likely to disclose via #MeToo.


HIGHLIGHTSGreater reported use of emotion-focused coping is associated with an increased likelihood of disclosing via #MeToo.Individuals who experienced completed rape by verbal coercion were less likely to disclose via #MeToo, compared to individuals who experienced other forms of assault.Findings highlight the need to further investigate correlates of disclosure via #MeToo.


Asunto(s)
Víctimas de Crimen , Violación , Adulto , Humanos , Revelación , Estudios Transversales , Violación/psicología , Emociones
17.
J Sex Res ; 61(3): 374-388, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-36755391

RESUMEN

Τhe aim of this study was to provide a detailed understanding of unprompted audience responses to a literary story of female-on-male rape on Goodreads. Thematic analysis of 429 reviews revealed 5 key themes and 16 sub-themes, which evolved around appraising the social function of the book, evaluating its literary features, assessing the depiction of female-on-male rape especially in terms of its perceived realism, as well as around a variety of explicitly emotional and cognitive responses. The esthetic features of the story proved to be of particular importance for shaping reader engagement. Reflective elaborations on the female rapist were found to constitute a marginal response pattern. Findings identified the existence of an overarching cognitive schema that construes sexual victimization as feminized and is linked to a tripartite pattern of comprehending female on- male rape (female-focused, gender-inclusive, gender-neutral). The study highlights the persistence of gendered rape myths structured around an "ideal victim" - "ideal offender" paradigm, which, however, co-exist with alternative responses oriented toward de-gendering sexual victimization. These findings suggest the importance of addressing audience responses in future investigations of female sexual violence (hands-on and hands-off behaviors) and pursuing an interventional agenda of more inclusive conceptualizations of victimization.


Asunto(s)
Víctimas de Crimen , Violación , Delitos Sexuales , Masculino , Humanos , Femenino , Violación/psicología , Delitos Sexuales/psicología , Conducta Sexual , Víctimas de Crimen/psicología , Identidad de Género
18.
Womens Health Issues ; 34(3): 303-308, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38123426

RESUMEN

BACKGROUND: Women are a growing portion of the U.S. veteran population, and every year the Veterans Health Administration (VHA) serves an increasing number of women seeking obstetrics services. Women veterans experience elevated rates of anxiety, depression, posttraumatic stress disorder (PTSD), and traumatic events, including military sexual trauma, as compared with women in the general population. It is possible that mental health disorders may be associated with birth experiences. OBJECTIVES: We investigated the link between anxiety, depression, PTSD, and military sexual trauma (MST; i.e., rape and sexual harassment) with perceived birth experience (i.e., Negative or Neutral vs. Positive). METHODS: Participants included 1,005 veterans who had recently given birth and were enrolled in the multisite, mixed methods study known as the Center for Maternal and Infant Outcomes Research in Translation study (COMFORT). Using χ2 tests, we investigated the relationship between mental health conditions including anxiety, depression, and PTSD and MST with birth experience (coded as Negative/Neutral vs. Positive). RESULTS: Findings indicated that participants who endorsed PTSD (39.5%), MST-rape (32.1%), or MST-harassment (51.4%; all p < .05) were significantly more likely to report a Negative/Neutral birth experience (14.7%) versus a Positive birth experience (85.3%). Anxiety and depression were not associated with birth experience. CONCLUSIONS: Veterans with PTSD and/or who experienced MST were more likely to report a negative or neutral birth experience. Thus, screening for PTSD and MST during obstetrics services as well as providing trauma-informed obstetrics care during pregnancy, labor, birth, and recovery may be important among veterans seeking obstetric services.


Asunto(s)
Ansiedad , Depresión , Trauma Sexual , Trastornos por Estrés Postraumático , United States Department of Veterans Affairs , Veteranos , Humanos , Femenino , Trastornos por Estrés Postraumático/psicología , Trastornos por Estrés Postraumático/epidemiología , Estados Unidos/epidemiología , Adulto , Veteranos/psicología , Veteranos/estadística & datos numéricos , Ansiedad/epidemiología , Embarazo , Trauma Sexual/psicología , Depresión/epidemiología , Depresión/psicología , Parto/psicología , Personal Militar/psicología , Personal Militar/estadística & datos numéricos , Acoso Sexual/psicología , Acoso Sexual/estadística & datos numéricos , Persona de Mediana Edad , Salud de los Veteranos , Violación/psicología , Violación/estadística & datos numéricos , Encuestas y Cuestionarios , Trauma Sexual Militar
19.
BMC Pregnancy Childbirth ; 23(1): 796, 2023 Nov 16.
Artículo en Inglés | MEDLINE | ID: mdl-37974064

RESUMEN

BACKGROUND: One in five women in the UK are survivors of rape and sexual assault, and four in five women will give birth. This implies that a substantial number of women experience rape and sexual assault before pregnancy. We highlight and explore the voices and lived experiences of survivors during pregnancy and birth, to better understand the relationship between sexual violence, biomedicine, and pregnancy and to inform maternity care practice. METHODS: This qualitative research took an intersectional feminist approach. We conducted in-depth individual interviews in England with fourteen women who self-identified as survivors of rape or sexual assault, and who had experienced pregnancy and birth after the assault. We conducted open line-by-line coding of the interview transcripts, and identified key themes and sub-themes inductively. RESULTS: Three themes help summarise the narratives: control, safety and trauma. Maintaining a sense of control was important to survivors but they often reported objectification by healthcare staff and lack of consent or choice about healthcare decisions. Participants' preferences for giving birth were often motivated by their desire to feel in control and avoid triggering traumatic memories of the sexual assault. Survivors felt safer when they trusted staff. Many participants said it was important for staff to know they were survivors but none were asked about this. Pregnancy and birth experiences were triggering when they mirrored the assault, for instance if the woman was prevented from moving. Many of our participants reported having unmet mental health care needs before, during or after pregnancy. CONCLUSIONS: Survivors of sexual violence have specific maternity care needs. For our participants, these needs were often not met, leading to negative or traumatic experiences of pregnancy and birth. Systemic biases and poor birth experience jeopardise both psychological and physical safety. Funding for maternity and mental health services must be improved, so that they meet minimum staffing and care standards. Maternity services should urgently introduce trauma-informed models of care.


Asunto(s)
Servicios de Salud Materna , Violación , Delitos Sexuales , Femenino , Humanos , Embarazo , Violación/psicología , Delitos Sexuales/psicología , Investigación Cualitativa , Sobrevivientes/psicología
20.
BMC Psychol ; 11(1): 302, 2023 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-37784148

RESUMEN

BACKGROUND: Rape is one of the principal forms of sexual violence leading to numerous psychological consequences for women. Providing effective psychological services to women survivors of rape requires identifying and considering their real needs. This study aimed to explore the psychological needs of women survivors of rape. METHODS: In this exploratory-descriptive qualitative study, the participants consisted of 19 women survivors of rape and 20 people with experience in providing services to survivors of rape, selected via purposive sampling method in Isfahan, Iran. In-depth individual semi-structured interviews and field notes were used to collect data, which were then analyzed using the conventional content analysis method. RESULTS: Based on the analysis of the interviews, the psychological needs of women survivors of rape were classified into three main categories: facing psychological problems, attention to emotional reactions, and the need to accept and adapt to reality. CONCLUSIONS: The results revealed that women survivors of rape have different psychological needs. Thus, to meet these needs, supportive and psychological interventions can be considered at both individual and environmental levels. Also, eliminating gender stereotypes affecting the occurrence of rape in the dimensions of Iranian culture can lead to the liberation of the society from the culture of rape.


Asunto(s)
Violación , Delitos Sexuales , Humanos , Femenino , Violación/psicología , Irán , Delitos Sexuales/psicología , Investigación Cualitativa , Sobrevivientes/psicología
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