Browsing by Subject "Rape"
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Item Open Access Coping with traumatic events : a theoretical model and a study of recovery from rape(1985) Cohen, Lawrence J., 1958-The study of coping with stress has been disjointed, lacking a coherent model. The present work proposes a theoretical framework for understanding coping based on approach and avoidance. Approach and avoidance are discussed in terms of the psychoanalytic concepts of defense and working through and other historical precursors as well as recent research on coping with traumatic events. Two experiments are presented. The first consists of a scale-construction study of the Cohen Roth Approach Avoidance Scale, a self- report measure of coping strategies. A revised version of this scale is proposed based on factor-analytic data from a mixed-stress sample. Experiment 2 is a study of the long-term impact of rape. Seventy-three women, who were victims of rape an average of eight years ago, were given questionnaires covering the following areas: demographics, nature of the assault, coping styles, and current level of functioning. Most of the sample was found to still be in moderate to severe distress. The relationships between outcome and demographics, situational variables, and behavior after the assault are discussed in the context of prior research in this area. Approach and avoidance strategies, measured by the revised Cohen Roth Approach Avoidance Scale, had a complex relationship with outcome. This relationship is discussed in the context of the theoretical model of coping presented in the Introduction, focusing on the difficulty women have in resolving the trauma of rape.Item Open Access Correlates of HIV testing among abused women in South Africa.(Violence Against Women, 2011-08) Adams, Julie L; Hansen, Nathan B; Fox, Ashley M; Taylor, Baishakhi B; van Rensburg, Madri Jansen; Mohlahlane, Rakgadi; Sikkema, Kathleen JGender-based violence increases a woman's risk for HIV but little is known about her decision to get tested. We interviewed 97 women seeking abuse-related services from a nongovernmental organization (NGO) in Johannesburg, South Africa. Forty-six women (47%) had been tested for HIV. Caring for children (odds ratio [OR] = 0.27, 95% confidence interval [CI] = [0.07, 1.00]) and conversing with partner about HIV (OR = 0.13, 95% CI = [0.02, 0.85]) decreased odds of testing. Stronger risk-reduction intentions (OR = 1.27, 95% CI = [1.01, 1.60]) and seeking help from police (OR = 5.51, 95% CI = [1.18, 25.76]) increased odds of testing. Providing safe access to integrated services and testing may increase testing in this population. Infection with HIV is highly prevalent in South Africa where an estimated 16.2% of adults between the ages of 15 and 49 have the virus. The necessary first step to stemming the spread of HIV and receiving life-saving treatment is learning one's HIV serostatus through testing. Many factors may contribute to someone's risk of HIV infection and many barriers may prevent testing. One factor that does both is gender-based violence.Item Open Access Perceived sexual control, sex-related alcohol expectancies and behavior predict substance-related sexual revictimization.(Child Abuse Negl, 2013-05) Walsh, Kate; Messman-Moore, Terri; Zerubavel, Noga; Chandley, Rachel B; Denardi, Kathleen A; Walker, Dave POBJECTIVES: Although numerous studies have documented linkages between childhood sexual abuse (CSA) and later sexual revictimization, mechanisms underlying revictimization, particularly assaults occurring in the context of substance use, are not well-understood. Consistent with Traumagenic Dynamics theory, the present study tested a path model positing that lowered perceptions of sexual control resulting from CSA may be associated with increased sex-related alcohol expectancies and heightened likelihood of risky sexual behavior, which in turn, may predict adult substance-related rape. METHODS: Participants were 546 female college students who completed anonymous surveys regarding CSA and adult rape, perceptions of sexual control, sex-related alcohol expectancies, and likelihood of engaging in risky sexual behavior. RESULTS: The data fit the hypothesized model well and all hypothesized path coefficients were significant and in the expected directions. As expected, sex-related alcohol expectancies and likelihood of risky sexual behavior only predicted substance-related rape, not forcible rape. CONCLUSIONS: Findings suggested that low perceived sexual control stemming from CSA is associated with increased sex-related alcohol expectancies and a higher likelihood of engaging in sexual behavior in the context of alcohol use. In turn these proximal risk factors heighten vulnerability to substance-related rape. Programs which aim to reduce risk for substance-related rape could be improved by addressing expectancies and motivations for risky sexual behavior in the context of substance use. Implications and future directions are discussed.Item Open Access Sexual victimization, fear of sexual powerlessness, and cognitive emotion dysregulation as barriers to sexual assertiveness in college women.(Violence Against Women, 2013-12) Zerubavel, Noga; Messman-Moore, Terri LThe current study examined sexual victimization and two barriers to young women's sexual assertiveness: fear of sexual powerlessness and cognitive emotion dysregulation. College women (N = 499) responded to surveys and indicated that fear of sexual powerlessness and, to a lesser extent, cognitive emotion dysregulation were barriers to sexual assertiveness. Compared with nonvictims, sexually victimized women had greater problems with sexual assertiveness, fear of sexual powerlessness, and cognitive emotion dysregulation. Among victims, fear of sexual powerlessness and emotion dysregulation interacted to impede sexual assertiveness. Findings support targeting identified barriers in interventions to improve sexual assertiveness and reduce risk for unwanted sexual experiences and sexual victimization.Item Open Access Speaking Into Silence: Services of Hope and Healing for Today's Congregations(2019) Strickland, JenniferAs many theologians and pastors have pointed out, there is much fertile ground to be discovered in combining worship with intentional pastoral care and vice versa. This concept of pastoral care being integrated into worship is rooted in the theology of an incarnational God who is intimately involved with our daily lives. When we worship God, we encounter God’s presence, which is inherently full of grace, mercy, and love. There are times in our lives when this encounter is desperately needed for what we refer to as “healing.” Unlike physical healing, spiritual and mental healing often requires that which goes beyond the body, yet involves the body. Worship services can offer this.
As a pastor, I have taken vows to walk with people through life, to care for and nurture them spiritually. A large part of this responsibility is leading them in worship and helping them make sense of their lives, as well as helping them find words to express their life experiences as they commune with God.
This thesis will explore how the Protestant Church has ministered to congregants (or failed to minister to them) through two specific life experiences: miscarriage and sexual abuse. Through surveys and interviews, I will share real stories and examples of how these individuals felt cared for (or uncared for). Finally, I will offer new liturgy for worship services that might offer pastoral care to people in similar situations. Each service will include liturgy, suggested music, Scripture passages recommended for a sermon, and ideas for interactive elements that will allow people to acknowledge their feelings and stand together in community while turning to God for hope and healing.
Item Open Access The role of substance use and emotion dysregulation in predicting risk for incapacitated sexual revictimization in women: results of a prospective investigation.(Psychol Addict Behav, 2013-03) Messman-Moore, Terri L; Ward, Rose Marie; Zerubavel, NogaIncapacitated sexual assault (ISA) is the most common form of sexual victimization experienced by college women. Although ISA victims are at risk for future assaults, few studies have examined mechanisms responsible for ISA revictimization besides heavy drinking. Using a prospective design, the present study examined whether emotion dysregulation, given its association with interpersonal trauma and substance use, increases risk for revictimization among women with a history of ISA above and beyond the effects of substance use. Female college students (n = 229) completed a baseline assessment followed by assessment of incapacitated sexual assault over a 9-week follow-up period. Approximately 36% of participants reported a history of ISA, and 73% of those victimized during the study had a history of ISA. Revictimized women reported higher levels of alcohol-related problems, greater marijuana use, greater emotion dysregulation, and higher levels of fear and guilt prior to experiencing ISA during the study; however, they did not consume more alcohol than previously victimized women. In a logistic regression analysis, guilt, emotion dysregulation, and marijuana use accurately classified 78.9% of ISA revictimized women. Women with a history of ISA are at substantial risk for ISA revictimization. Findings suggest that even very small increases in emotion dysregulation, particularly in impulsivity, as well as marijuana use, impact revictimization risk substantially. Efficacy of interventions to reduce ISA revictimization may be improved if emotion dysregulation is addressed.