Tag Archives: Sexual assault

When a woman’s first sexual experience is forced, a look at the impact


Laura Hawkes and colleagues have published a prevalence and impact study of American women and their first sexual experience. The sample of women between the ages of 18 and 44 (13,000 plus) records that 6% experienced rape as their first sexual experience. On average, the rape took place when the woman was 15 years of age. The perpetrator was, on average, 27 years of age. (For a news oriented summary of this study, go to this story on NPR.

Force (of any kind) + unwanted sex = rape

When you think of the term rape, you may immediately imagine physical violence. And certainly, many sexual assaults and rape are unimaginably violent acts. But, it is important to realize that verbal and emotional coercion may also play a very large role in forced sex/rape. When a person uses their position, status, verbal power, threats of violence, threats of loss of safety, emotional manipulation and the like to get another person to engage in sexual intercourse, this can be defined as rape. If it was unwanted but the person did not physically fight back, it is still considered rape.

Rape of any kind is destructive and traumatizing. For some, emotional coercion adds an extra layer of shame and trauma because either they or others may not consider the experience an assault. “Well, he didn’t hold a gun to my head…” or “I didn’t fight him off…so maybe it wasn’t really an assault.” Common but destructive questions such as, “What were you wearing? Why did you go there” add additional trauma.

What impact might that have on a person?

When forced sex is the first sexual experience, there are a cascade of potential health problems that may plague the victim. Reproductive health consequences loom large as to be expected. Many of these continue long afterwards. Mental health challenges such as anxiety, depression, PTSD, and addictions also may become chronic experiences. In what may be often overlooked, chronic insomnia (a not surprising result) can lead to long-term auto-immune disorders and cancers. No wonder we don’t just “get over” something like this.

Discouraged? Yes. Helpless? No.

You can read a study like this and leave feeling discouraged about our society. That would be an appropriate response. And, you may also leave knowing that you can do two things that do make a difference:

  1. Increase your awareness of and compassion for those who have experienced rape/sexual assault. Your capacity to hold their stories and acknowledge the impact may actually begin to lessen shame and isolation and improve quality of life.
  2. Be willing to speak up about any and all behavior that minimizes abuses of power, especially as it relates to sexual activity.

To read the official abstract of the study, go here.

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Telling Painful Memories: Recommendations for Counselors


[What is below was shared with Rwandan caregivers and counselors. It is written in simpler English and has no footnotes. Academically oriented readers will recognize the interventions come from narrative exposure therapy models for children].

Counselors invite others to tell their stories of pain, heartache, fears, and traumas so that they can find relief from their troubles. However, not every way of talking about past problems is helpful and some ways of talking can actually harm the person. So, it is important that all caregivers and counselors understand how to help others tell their difficult stories in ways that invite recovery and do not harm.

Good Storytelling Practices

Counselors who do the following can encourage healthy and safe storytelling of difficult events:

  1. Allow the client to tell their story at their own pace without pressure
  2. Allow the client not to tell a part of their story
  3. Use silence and body language to show interest
  4. Encourages the use of storytelling without words (art, dance, etc.) or with symbols
  5. Ensures the difficult stories start and end at safe points
  6. Encourages good coping skills before story telling
  7. Points out resiliency and strength in the midst of trauma
  8. Encourages the story to be told from the present rather than reliving the story

Unhelpful Practices

Here are some things that we should avoid doing when helping another tell a difficult story

  1. Frequent interruptions
  2. Forcing the person to tell their story
  3. Asking the person to relive the story
  4. Avoiding painful emotions
  5. Exhorting the person to get over the feelings; telling them how to feel
  6. Only talking about the trauma, ignoring strengths and other history
  7. Ending a session without talking about the present or a safe place

**Trigger Warning: rape, threatened violence

A Case Study With 2 Storytelling Interventions

Patience, a 13 year old girl, suffered a rape on her way to school last month. The rapist’s family paid a visit to the girl’s family and offered money as a token of penance. The girl’s father accepted the money because, “nothing can make the rape go away so we will take the money for now.” Patience was told by some family members to not tell anyone about the rape and to just act as if it never happened. However, Patience is suffering from nightmares, refuses to go to school, and sometimes falls down when she catches a glimpse of the rapist in town. Her father has threatened to beat her if she doesn’t return to school or help out with the chores at home. Her favorite aunt, a counselor/caregiver, learns about the rape and asks her to come for a visit in a nearby city.

[Warning: these two interventions are not designed to rid a person immediately of all trauma symptoms. In addition, these interventions must be used only after a counselor has formed a trusting relationship with the client.]

  1. Symbolic story telling. The aunt tells Patience that keeping a story bottled up inside can cause problems, like shaking a bottle of soda until it bursts out. Using a long piece of rope (representing her entire life) and flowers (representing positive experiences) and rocks (representing difficult experiences), the aunt directs Patience to tell her life story. They start with her first memories of her mother, father and two brothers. She tells of her going to school, the time when her mother got really sick but then got better again, the time when her cousins moved away, and the time when a boy told her he liked her. Patience noticed how she had many flowers along the rope and only a few rocks. Then, they put a large stone down on the rope representing the rape. Patience had difficulty saying much at all. She remembered being afraid, the weight of the man, the pain, and worry that her family would reject her. She remembered getting up and going to school and acting as if nothing happened. Her aunt noted that Patience was a strong girl—she had gone to school for a week before telling her mother. So, Patience placed a tiny flower next to the rock to represent that strength. After stopping for a cup of tea and some bread, the aunt asked Patience to notice how much more rope was left. This represented her future. Patience was surprised to see the rope and said that she didn’t think she would have a future now that she was spoiled. Her aunt encourages her to consider what she would like to be in her future. They continued to discuss this over the next day. By the time Patience returned home, she was able to see that she still had a future. Seeing the rapist still bothered her. However, she was able to go to school with two friends along a new path so that she would feel safe. Patience kept a drawing of the rope with the flowers and rocks and extra rope to remind her that she had a good future.
  2. Accelerated Storytelling. About six months later, Patience visited her aunt again. She was still going to school and able to do more chores (getting firewood and buying food in the market). However, she still suffered from nightmares and sometimes fell down when she heard footsteps behind her. This time, her aunt asked her to help create a “movie” of event. Before Patience was to narrate the rape, they first recounted the safety she felt at home before the rape and the safety she felt when she told her mother about the rape and was comforted. Next, her aunt asked her to identify all of the “actors” in the play: her mother, father, herself, brothers who went to school without her, classmates, teacher, and rapist. Patience then made a figurine out of paper for each actor and drew a small map of her village including the path from home to school. Then, the aunt asked her to tell her story as fast as she could from safe place to safe place and to only look at the figurines (and to move them along the map). Her aunt noted those places where Patience slowed down in the story. When she paused, the aunt asked her to try to keep moving. Once the story was complete (when she told her mother about the rape), she asked Patience to tell the story backwards as quickly as possible. Then, she instructed Patience to tell the story forwards again twice as fast. However, this time, Patience stopped part way through the story. She added one detail she had not disclosed before. She recalled that a young boy of about 5 was peering at them from behind some bushes. Her aunt encouraged her to finish the story and thanked her for her courage. Patience indicated that she was so ashamed of being seen in such a position. Again, her aunt thanked her for working so hard but asked her to tell her story forwards and backwards one more time. Patience noticed that she was less upset by the presence of the 5 year old than she had been the first time through the story.

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Do therapy dogs in the courtroom create an undue benefit for the prosecution?


Check out this NY Times article about the use of therapy dogs in the courtroom. They are being used to comfort someone testifying about their sexual assault. In the article, it tells of the dog Rosie who provided a girl some measure of comfort as she testified against her father about his rape of her. She would pause or delay her answers and the dog would sense her pain and nuzzle her.

Seems like a good thing! But wait, the defense doesn’t think so. Each time the dog comforts the child, the jury sees her distress more clearly and develops sympathy for the client. Does such a dog sway the court toward conviction? The defense worries that the girl might be under distress from lying and thus the dog might aid her to tell a better lie.

I’m sure that these dogs are providing a wonderful service that ought to be continued. Someone with a bright mind will figure out how to have the dog in the courtroom and yet shield the jury from seeing the dog do his or her work. And other bright minds will try to craft ways to eliminate the dogs and give the defense the upper hand again.

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Lies, sexual assault prosecution, and the truth


Don’t know if you have seen the news that former IMF chief Mr. Dominique Strauss-Kahn, accused of sexually assaulting a chambermaid and ordered to house arrest while awaiting trial, has been freed from house arrest and it appears that the case against him is evaporating. Why? It appears that his defense team has done a good job in providing evidence that the chambermaid has a credibility problem. Lies on her asylum application, lies to the investigators as to what happened after she was assaulted (what she did next), and lies on her taxes. There may be other lies too.

But of course none of these lies are about that actual assault. It will be sad if (a) she did fabricate the assault, or (b) he did assault her but previous lies allows him to avoid being found guilty. While you and I do not know the truth, we do know that some of the evidence has not been explained (forensic evidence, his prior history of sexual harassment) away. But, due to the legal system values we protect the possibly guilty over the possibly abused. Better to let a guilty man go free than an innocent man be jailed. Note that the victim is not in this equation.

I do not know who is telling the truth. I do know that those who have means and power tend to be able to launch all out defenses and so destroy the credibility of victims so as to either make them appear to be lying or make it appear to be consensual. What I do know is that victims with checkered backgrounds probably receive little justice and that offenders with power or prestige are more likely to get off. What I also know is that one day, lies and truth will be revealed.

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Listening to trauma


Those interested in trauma recovery work in international settings where rape is used as a tool of war will find this article on CNN to be of interest. WARNING: Not for those who are easily triggered by trauma stories!

Here’s a couple of reasons to read the article.

1. Why do this work?

They believe that listening is acknowledgement — and that acknowledgment is a kind of apology. Listening, they say, is the least the world owes.

2. Impact of this work?

You will experience secondary trauma. Don’t think you won’t.

3. How to do this work?

Start with an open question: Tell me about your experience. Look them in the eye. Don’t look at your notepad. If they say, “No, I don’t want to talk,” then leave. If they say, “Yes,” and tell you horrible things, wipe the emotion from your face. Get over being surprised they would tell a stranger, you, such intimate violations.

Know they are telling you because they need to tell someone, for whatever reason. And bearing that in mind, make no promises. Different victims want different things — revenge, financial compensation, asylum, prosecution of their attackers. Tell them that you can only listen, and do only that.

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