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Jones AC, Badour CL. Advancing the Measurement of Trauma-Related Shame Among Women With Histories of Interpersonal Trauma. Violence Against Women 2024; 30:2697-2720. [PMID: 36938626 DOI: 10.1177/10778012231163575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/21/2023]
Abstract
Shame is a predominant emotion for many interpersonal trauma (IPT) survivors and is associated with more severe posttraumatic stress disorder (PTSD) symptoms. Measurement challenges have led to difficulties in understanding the impact of trauma-related shame. The Trauma-Related Shame Inventory (TRSI) was developed to address this limitation, yet additional psychometric support is needed. The present study evaluated and provided psychometric support for the TRSI among women with IPT histories, although recommendations for improvement are discussed. The impact of trauma-related shame, relative to trait shame and trauma-related guilt, on PTSD symptoms was also studied, with results suggesting that trauma-related shame had the strongest association.
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Mirabile M, Gnatt I, Sharp JL, Mackelprang JL. Shame and Emotion Dysregulation as Pathways to Posttraumatic Stress Symptoms Among Women With a History of Interpersonal Trauma. JOURNAL OF INTERPERSONAL VIOLENCE 2024; 39:1853-1876. [PMID: 37942893 PMCID: PMC10913341 DOI: 10.1177/08862605231211924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
Women who have survived interpersonal trauma are at elevated risk of developing posttraumatic stress disorder (PTSD), and potentially modifiable factors that may be targeted in treatment warrant further investigation. This study examined a pathway from interpersonal trauma to PTSD symptoms via emotion dysregulation and shame in a large non-clinical sample of women. The sample comprised 380 women, aged 18 to 59 years (M = 31.70, standard deviation = 10.06), all of whom had a history of interpersonal trauma. Participants completed the Experience of Shame Scale, the Difficulties in Emotion Regulation Scale-Short Form, and the Life Events Checklist for DSM-5. A serial and parallel process model with interpersonal trauma as a predictor of PTSD symptoms, emotional dysregulation and facets of shame as intermediary variables, was analyzed using Statistical Package for Social Sciences Statistics PROCESS Model 81with bias-corrected bootstrap tests of indirect effects. Non-interpersonal trauma was included as a covariate. Interpersonal trauma, emotion dysregulation, and characterological and bodily shame were significantly and directly associated with PTSD symptoms, together explaining 59% of the variation in PTSD symptoms. While emotion dysregulation was associated with behavioral shame, interpersonal trauma was not associated with behavioral shame, nor was behavioral shame associated with PTSD symptoms. Tests of indirect effects supported a pathway from interpersonal trauma to PTSD symptoms via emotion dysregulation and characterological and bodily shame. These findings suggest interventions that are particularly effective at reducing emotion dysregulation and characterological and bodily shame, such as compassion and acceptance-based approaches, may complement evidence-based PTSD interventions when working with women who have survived interpersonal trauma.
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Affiliation(s)
| | - Inge Gnatt
- Swinburne University of Technology, Melbourne, VIC, Australia
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Lee A, Choi H. Effects of Social Acknowledgment and Interpersonal Shame on Complex Posttraumatic Stress Disorder Symptoms of Sexual Violence Survivors in South Korea. JOURNAL OF INTERPERSONAL VIOLENCE 2024:8862605241234353. [PMID: 38440809 DOI: 10.1177/08862605241234353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2024]
Abstract
Sexual violence (SV) survivors face negative social reactions, which can affect their recovery. Based on the socio-interpersonal model of trauma, understanding how societal circumstances impact SV survivors' mental health is important. This study examined conditional indirect effects of interpersonal shame and social acknowledgment on the relationship between perceived SV event severity and complex post-traumatic stress disorder (CPTSD) symptoms. Cross-sectional data from 157 community-based adults who had previously experienced SV were collected from an online panel. Exploratory factor analysis of the Social Acknowledgment Questionnaire was conducted, followed by conditional indirect analyses using Models 1, 4, and 7 of PROCESS macro. First, results showed that a two-factor model of social acknowledgment consisting of "social disapproval" and "social recognition" was more suitable for this study than a three-factor model predominantly used by Western societies. Second, interpersonal shame partially mediated the relationship between perceived SV event severity and CPTSD symptoms. Third, the conditional indirect effect of social disapproval on the mediating effect of interpersonal shame was significant when the social disapproval level was high. This indicates that the indirect effect of interpersonal shame on CPTSD increases when the social disapproval level is high. This study supported the socio-interpersonal perspective of trauma and suggested that increasing social acknowledgment beyond personal-level intervention would be a critical step for recovery of SV survivors to decrease their interpersonal shame and CPTSD.
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Affiliation(s)
- Ahyeon Lee
- Chungbuk National University, Cheongju, South Korea
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Tarzia L, Henderson-Brooks K, Baloch S, Hegarty K. Women Higher Education Students' Experiences of Sexual Violence: A Scoping Review and Thematic Synthesis of Qualitative Studies. TRAUMA, VIOLENCE & ABUSE 2024; 25:704-720. [PMID: 37036144 PMCID: PMC10666468 DOI: 10.1177/15248380231162976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
Sexual violence (SV) against women is common in higher education settings, causing serious harm to the health, well-being, and academic outcomes of victim/survivors. There have been numerous systematic reviews of the quantitative evidence on this topic, highlighting the prevalence, health impacts, and barriers and facilitators to help-seeking after SV. To date, however, qualitative research exploring the lived experience of women higher education students has not been synthesized. This scoping review and thematic synthesis of qualitative studies aims to map the global evidence on women higher education students' experiences of SV and explore how they understand and make sense of their experiences. We searched five databases (CinAHL, Academic Search Complete, Medline, PsychInfo, and SocIndex) in January 2023 for relevant articles. Eligible articles needed to be published in English and describe qualitative or mixed-methods primary research on the lived experiences of women higher education students who were victim/survivors of SV. In all, 34 articles describing 32 studies met these inclusion criteria. Thematic analysis of data extracted from the included studies suggests that, for women higher education students, the experience of SV is characterized by profound shame, with often-irreversible impacts on hopes and plans for the future. Yet, at the same time, SV is normalized and expected as a part of the "student experience." Furthermore, an imagined "specter" of "real violence" is held up as a constant comparison that serves to minimize and trivialize their experiences. These findings have important implications for higher education providers seeking to improve programs to address SV.
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Affiliation(s)
- Laura Tarzia
- The University of Melbourne, VIC, Australia
- Centre for Family Violence Prevention, The Royal Women’s Hospital, Australia
| | | | | | - Kelsey Hegarty
- The University of Melbourne, VIC, Australia
- Centre for Family Violence Prevention, The Royal Women’s Hospital, Australia
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Salim SR, Bhuptani PH, Eshelman LR, LaPlena NM, Messman TL. Trauma-Related Shame Mediates the Associations Between Self-Blame, Bisexual Minority Stress, and Rape-Related PTSD Symptoms. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:10259-10281. [PMID: 37232183 DOI: 10.1177/08862605231172487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Bisexual women experience higher rates of rape and post-traumatic stress disorder (PTSD) prevalence compared to heterosexual and lesbian women. In addition, bisexual women experience unique antibisexual stigma and minority stress, which are associated with post-trauma outcomes. The aim of the current study was to test trauma-related shame as a mechanism in the relations of self-blame and bisexual minority stress (i.e., antibisexual stigma and internalized binegativity) with rape-related PTSD symptom. The sample consisted of 192 cisgender bisexual women (ages 18-35 years) who reported an experience of rape since the age of 18. Results from path analysis conducted in Mplus indicated that trauma-related shame mediated the link between self-blame and rape-related PTSD severity, as well as the links from antibisexual stigma and internalized binegativity to rape-related PTSD severity. There was also an indirect serial effect from antibisexual stigma to internalized binegativity to shame to PTSD severity. Thus, findings highlight the mechanistic role of trauma-related shame in rape-related PTSD symptoms. We identified two risk pathways: (a) general/universal risk from self-blame about rape and shame to PTSD severity and (b) group-specific risk from bisexual minority stress and shame to PTSD severity. Results indicate that reducing trauma-related shame may be an important target to improve post-rape outcomes. Finally, stigma associated with rape and sexual violence as well as antibisexual stigma must be eradicated to improve post-trauma outcomes among bisexual survivors.
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Isaac S, McLindon E, Hegarty K, Tarzia L. Women's Experiences Accessing Mental Health Care in Australia After Sexual Violence in Adulthood. Violence Against Women 2023:10778012231176198. [PMID: 37203171 DOI: 10.1177/10778012231176198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
In Australia, at least one in every five women has experienced sexual violence since age 15. Research consistently links sexual violence with poor mental health, persisting long after the crisis period. Trauma-informed mental health support is therefore critical. This article draws on interviews with 29 women who had experienced sexual violence to understand their experiences accessing mental health services in Australia. Our findings suggest that, constrained by a biomedical model of care, mental health practitioners' understanding of trauma generally, and sexual violence particularly, may be lacking. Further, women struggle to navigate a "maze" of services.
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Affiliation(s)
- Sandra Isaac
- The University of Melbourne, Victoria, Australia
| | - Elizabeth McLindon
- The University of Melbourne, Victoria, Australia
- The Royal Women's Hospital, Victoria, Australia
| | - Kelsey Hegarty
- The University of Melbourne, Victoria, Australia
- The Royal Women's Hospital, Victoria, Australia
| | - Laura Tarzia
- The University of Melbourne, Victoria, Australia
- The Royal Women's Hospital, Victoria, Australia
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Olszewska K, Piotrowski P, Wojciechowski BW. Attitudes Towards Rape and Their Determinants Among Men, Women and Non-Binary People in Poland. SEXUALITY & CULTURE 2022; 27:863-877. [PMID: 36440434 PMCID: PMC9676860 DOI: 10.1007/s12119-022-10042-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 11/05/2022] [Indexed: 05/11/2023]
Abstract
The aim of this paper is to present the results of research on attitudes towards rape conducted in a group of 850 adult Poles, including 505 women, 310 men and 35 non-binary people, and to analyze their selected correlates: rape myth acceptance, right-wing authoritarianism and rape empathy. Non-binary people have only recently been included in research as a distinct group and little information can be found in the literature on the characteristics of their attitudes towards social problems. Therefore particular attention was paid to comparing the attitudes towards rape of non-binary people with those of women and men. In analyzing the results, the authors took into account the current socio-political situation in Poland. The results indicate that attitudes toward sexual aggression are related to the type of gender identification. The most positive attitudes towards rape victims among the groups participating in the research are held by non-binary people. Furthermore, attitudes towards rape are determined by rape myths, right-wing authoritarianism and empathy for victims of rape.
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Affiliation(s)
- Klaudia Olszewska
- Faculty of Management and Social Communication, Jagiellonian University in Krakow, Krakow, Poland
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Mindful self-compassion intervention among young adults with a history of childhood maltreatment: Reducing psychopathological symptoms, shame, and self-criticism. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03761-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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9
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Bhuptani PH, Messman TL. Self-compassion and Shame Among Rape Survivors. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP16575-NP16595. [PMID: 34107808 DOI: 10.1177/08862605211021994] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Women are at increased risk for post-traumatic stress disorder (PTSD) and depression associated with rape, and shame plays a vital role in the development and maintenance of PTSD and depression. Thus, there is a need to identify factors that may decrease shame among female survivors of adult rape. Self-compassion may be one such factor. The present study used path analysis in MPlus version 7.3 to examine the indirect effect of self-compassion on PTSD and depression via rape-related shame. We hypothesized that higher levels of self-compassion would be associated with lower levels of rape-related shame, which in turn would be associated with lower levels of PTSD and depression. College women (N = 305) who reported experiencing rape completed anonymous online surveys assessing rape, self-compassion, rape-related shame, PTSD, and depression. Consistent with our hypothesis, results indicated that self-compassion was negatively associated with assault-related shame, which in turn was positively associated with PTSD and depression. There was also a significant indirect effect of self-compassion on PTSD and depression via rape-related shame. Further, rape-related shame fully explained the relation between self-compassion and PTSD. Findings suggest that self-compassion may be an appropriate target to reduce rape-related shame and may subsequently facilitate reductions in PTSD and depression symptoms.
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Sinko L, Ploutz-Snyder R, Kramer MM, Conley T, Arnault DS. Trauma History as a Significant Predictor of Posttraumatic Growth Beyond Mental Health Symptoms in Women-Identifying Survivors of Undergraduate Non-Consensual Sexual Experiences. VIOLENCE AND VICTIMS 2022; 37:396-421. [PMID: 35654488 DOI: 10.1891/vv-d-20-00082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
There is little data on what influences posttraumatic growth for women who experienced non-consensual sexual contact (NCSC) as an undergraduate college student. The purpose of this study is to garner a better understanding of posttraumatic growth among women-identifying survivors of undergraduate NCSC by addressing the following aims: 1) evaluate the mediating role of NCSC-related shame on the relationship between perceived peer rape myth acceptance and posttraumatic growth (n = 174); and 2) evaluate the shared and independent variance contributions of mental health symptoms and trauma history clusters on posttraumatic growth (n = 151).NCSC-related shame did not mediate the relationship between perceived peer rape myth acceptance and posttraumatic growth. Mental health symptoms and trauma history significantly contributed to 35.27% of posttraumatic growth variance, with the trauma history cluster significantly influencing posttraumatic growth scores beyond mental health symptoms. Based on these findings, it is important that clinicians assess for a history of trauma and the impact of that trauma in addition to mental health symptoms when trying to understand posttraumatic growth after campus sexual violence.
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Affiliation(s)
- Laura Sinko
- Department of Nursing, Temple University College of Public Health, Philadelphia, PA, USA
| | - Robert Ploutz-Snyder
- Applied Biostatistics Laboratory, University of Michigan School of Nursing, Ann Arbor, MI, USA
| | - Michelle Munro Kramer
- Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor MI, USA
| | - Terri Conley
- Department Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Denise Saint Arnault
- Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor MI, USA
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Martingano AJ. Helpful and Hurtful Empathy: How the Interplay of Empathy, Shame, and Anger Predicts Responses to Hypothetical Rape Disclosures. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:1779-1795. [PMID: 32486878 DOI: 10.1177/0886260520922345] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Responses to rape victims, although often helpful, can be hurtful and hinder victims' health and recovery. Adopting a multidimensional approach to dispositional empathy, this research investigated how different subfacets of empathy predict responses to hypothetical rape victims. Before reading a sexual assault scenario, 282 participants completed measures of cognitive and emotional empathy. Participants' subsequent emotional arousal was measured by self-report, as were their intentions to help, avoid, or blame the victim. A path model demonstrated that dispositional empathy predicted behavioral intentions toward hypothetical rape victims by altering their vulnerability to experience shame or anger. People who tended to feel personal distress were more likely to mirror rape victims' assumed shame. Due to its antisocial nature, experiencing shame, in turn, led to hurtful behaviors such as blaming or distancing oneself from the victim. On the other hand, people who tended to feel empathic concern were more likely to feel anger on behalf of the victim following a rape disclosure. Anger is a motivating force for action and promotes helping behavior. A second study demonstrated that these results appear unique to rape disclosure, namely, participants reactions to nonsexual assault were unsuccessfully captured by this model. Understanding how empathetic arousal of shame can lead to hurtful intentions toward rape victims has important implications for future interventions: Programs that draw attention to the shame or humiliation experienced by rape victims may do more harm than good. For instance, some anti-rape campaigns portray pictures of women covering their faces. These campaigns, however well intentioned, may discourage people from helping victims because they may evoke feelings of shame in the perceiver. On the other hand, societal movements, such as the #Metoo movement, may be particularly effective by reducing the shame surrounding sexual assault and promote helpful behaviors.
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Graham AC, Knopp AF, Beers K. I'm Just a Person: Self-Labeling Following Sexual Assault. JOURNAL OF FORENSIC NURSING 2021; 17:202-209. [PMID: 34561402 DOI: 10.1097/jfn.0000000000000343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
OBJECTIVE The purpose of this study was to examine college women's self-labeling as a victim or a survivor following a sexual assault and describe the relationship of self-labeling with mental health, self-blame, control over recovery, and help-seeking. METHODS This cross-sectional study collected data in an online anonymous survey in November and December of 2018. Participants (N = 375) were recruited from two public universities, were 18- to 24-year-old undergraduate students, identified as female, and had experienced a sexual assault since entering college. RESULTS Most respondents (46.4%, 174/375) chose labels other than victim or survivor. Statistically significant differences were found between choice of label (survivor, victim, or other) and depression, well-being, characterological self-blame, and perceived control over recovery. Short-answer responses revealed three major themes for alternative labels: choosing no label, normalizing, and seeking congruence. CONCLUSION As when caring for a patient with any diagnosis, nurses and other healthcare providers should see a person-not a patient, a survivor, or a victim.
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Sexual Violence in the Indian Diaspora: How Culture Impacts Coping and Support-Seeking. INTERNATIONAL JOURNAL FOR THE ADVANCEMENT OF COUNSELLING 2021. [DOI: 10.1007/s10447-021-09433-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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My Physical Appearance at the Center of Others' Concerns: What are the Consequences for Women's Metadehumanization and Emotions? Psychol Belg 2021; 61:116-130. [PMID: 33815812 PMCID: PMC7996437 DOI: 10.5334/pb.558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Despite the frequency of women’s exposure to sexually objectifying behaviors in their daily life (e.g., through comments on their appearance, gazing or touching), no previous work has investigated how such a focus on their physical appearance influences women’s meta-perceptions. Capitalizing on recent studies showing that sexually objectified women are dehumanized by both male and female participants, the present paper investigates women’s metadehumanization (i.e., their perceptions of being viewed as less than fully human) and its emotional consequences following interpersonal sexual objectification. In three studies, we showed that when an interaction partner focuses on their physical appearance, women report higher levels of metadehumanization, as well as increased anger and sadness, than when the partner focuses on non-physical parts. Theoretical and empirical contributions of the present findings are discussed.
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Cummings J, Baumann SL. Understanding Shame as an Obstacle: Toward a Global Perspective. Nurs Sci Q 2021; 34:196-201. [PMID: 33749430 DOI: 10.1177/0894318420987186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In this paper, the authors suggest that shame is a barrier to many patients' willingness to disclose their history of trauma to nurses and other members of the healthcare team and that the clinicians participate in this withholding of information because of their experience of vicarious shame. The authors propose that shame and vicarious shame reduce the accuracy of assessment, limit the nurse-patient relationship, and reduce the ability of the healthcare teams to accurately diagnose and treat patients. Shame as a barrier to trauma assessment is also considered in light of the Roy adaptation model and from a global perspective. Implications for education, research, and nursing practice are discussed.
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Affiliation(s)
- Jeanne Cummings
- Post-doctoral student, The Graduate School of The City University of New York, USA
| | - Steven L Baumann
- Hunter College of the City University of New York, Williston Park, NY, USA
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Wang Y, Chung MC, Wang N, Yu X, Kenardy J. Social support and posttraumatic stress disorder: A meta-analysis of longitudinal studies. Clin Psychol Rev 2021; 85:101998. [PMID: 33714168 DOI: 10.1016/j.cpr.2021.101998] [Citation(s) in RCA: 78] [Impact Index Per Article: 26.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Revised: 02/09/2021] [Accepted: 02/23/2021] [Indexed: 11/15/2022]
Abstract
Social support has long been associated with posttraumatic stress disorder (PTSD), but there is no consistent evidence on the strength and direction of this relationship. Whereas the social causation model claims that social support buffers against PTSD, the social selection model states that PTSD reduces social support resources. As the first meta-analysis of the prospective relationships between social support and PTSD, this study synthesized the available longitudinal data (75 samples including 32,402 participants) on these two constructs with a random-effects model. In total, three hundred and fifty-five effect sizes (including cross-sectional, prospective and cross-lagged coefficients) were included in the meta-analysis. With prior levels of the relevant outcomes controlled for, results showed that social support and PTSD reciprocally predicted each other over time with similar effect sizes: Social support predicted PTSD with β = -0.10; PTSD predicted social support with β = -0.09. Moderator analyses suggested that the effects held across most sample characteristics and research designs except for several moderators (gender, time lag, publication year, source of support). These findings provided strong evidence for both the social causation and social selection models, suggesting that the link between social support and PTSD is symmetrically reciprocal and robust.
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Affiliation(s)
- Yabing Wang
- School of English Education, Guangdong University of Foreign Studies, Guangzhou, Guangdong, China.
| | - Man Cheung Chung
- Department of Educational Psychology, Chinese University of Hong Kong, Hong Kong.
| | - Na Wang
- Department of Educational Psychology, Chinese University of Hong Kong, Hong Kong.
| | - Xiaoxiao Yu
- School of Foreign Languages, Guangzhou College, South China University of Technology, Guangzhou, Guangdong, China.
| | - Justin Kenardy
- School of Psychology, University of Queensland, Australia.
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Chevallereau T, Maurage P, Stinglhamber F, Demoulin S. Sex-based and beauty-based objectification: Metadehumanization and emotional consequences among victims. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2021; 60:1218-1240. [PMID: 33506508 DOI: 10.1111/bjso.12446] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 01/06/2021] [Indexed: 11/30/2022]
Abstract
We investigated how two forms of objectification (i.e., sex- and beauty-based objectification) relate to metadehumanization (i.e., the perception of being dehumanized) and emotional consequences for victims. Capitalizing on previous research, we hypothesized that sex-based objectification would induce animalistic metadehumanization and that beauty-based objectification would induce mechanistic metadehumanization. Our four studies showed that sex-based objectification elicits stronger mechanistic metadehumanization than beauty-based objectification, which also elicits higher mechanistic metadehumanization than non-objectifying control condition. Unexpectedly, animalistic metadehumanization did not vary across conditions. These findings suggest that, consistent with the social metaphor, objectified women feel mechanistically dehumanized, independently of the objectification type faced. Sex- and beauty-based objectifications also elicit more anger but less sadness than the control condition. However, only sex-based objectification increases guilt feelings. The general discussion contrasts perpetrators' vision of objectified women to women's own experience of objectification.
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Affiliation(s)
- Tina Chevallereau
- Louvain Social Psychology Lab, Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Pierre Maurage
- Louvain Experimental Psychopathology Research Group (LEP), Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Florence Stinglhamber
- Work, Organizational and Career Psychology Lab (WOrC Psy Lab), Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Stéphanie Demoulin
- Louvain Social Psychology Lab, Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
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Datta T, Terradas M. Le sentiment de honte chez les femmes victimes d’agression sexuelle pendant l’enfance : rôle de l’identité ethnique. EUROPEAN JOURNAL OF TRAUMA & DISSOCIATION 2020. [DOI: 10.1016/j.ejtd.2020.100158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Badour CL, Dutton CE, Wright JJ, Jones AC, Feldner MT. Shame Proneness, Negative Cognitions, and Posttraumatic Stress Among Women with a History Sexual Trauma. JOURNAL OF AGGRESSION, MALTREATMENT & TRAUMA 2020; 29:699-713. [PMID: 33716493 PMCID: PMC7954215 DOI: 10.1080/10926771.2020.1725211] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 11/07/2019] [Accepted: 12/16/2019] [Indexed: 06/12/2023]
Abstract
While fear and anger have been extensively studied as emotions involved in posttraumatic stress disorder, shame is an important emotion to examine in those who have experienced a traumatic event, as it is often associated with treatment avoidance and treatment resistance. Compared to guilt, which is associated with having participated in something that violates social/cultural norms or expectations, shame is associated with a negative perception of the self. The current paper sought to examine the role of shame proneness and guilt proneness, as it relates to posttraumatic cognitions and posttraumatic stress symptoms (PTSS) among women reporting a history of sexual trauma. Seventy-two community-recruited women with a history of sexual trauma completed self-report measures of shame and guilt proneness and negative posttraumatic cognitions as well as a semi-structured interview assessing PTSS. There was an indirect effect of shame proneness on PTSS, through its positive association with negative cognitions about the self but not others or the world. Guilt proneness was not significantly related to PTSS or negative posttraumatic cognitions. The current paper outlines the importance of these findings and future directions for continuing to better understand the relations between shame and posttraumatic stress disorder symptoms and treatment.
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Carretta RF, Szymanski DM. Stranger Harassment and PTSD Symptoms: Roles of Self-Blame, Shame, Fear, Feminine Norms, and Feminism. SEX ROLES 2019. [DOI: 10.1007/s11199-019-01073-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Hoffman J, Liddell B, Bryant RA, Nickerson A. A latent profile analysis of moral injury appraisals in refugees. Eur J Psychotraumatol 2019; 10:1686805. [PMID: 31762953 PMCID: PMC6853233 DOI: 10.1080/20008198.2019.1686805] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 09/23/2019] [Accepted: 10/03/2019] [Indexed: 11/13/2022] Open
Abstract
Background: Refugees often exhibit reactions to traumatic events that may be conceptualized as moral injury (i.e. the impact of events that violate important moral values). There have been two types of moral injury appraisals found in refugees: transgressions by others and transgressions by oneself. Objective: To examine whether these types of moral injury appraisals co-occur or whether one form is usually predominant. Additionally, to investigate what types of events (trauma, living difficulties) and outcomes (PTSD, depression, anger, suicidality) were associated with each moral injury appraisal profile. Method: Participants included 221 refugees and asylum seekers residing in Australia. Data was collected online, and via pen and paper. A latent profile analysis was used to identify profiles of moral injury appraisals. Results: Results indicated a three-profile solution: Moral Injury-Other (MI-O; 37.8%), Moral Injury Other + Self (MI-OS; 35.2%), and no moral injury (No-MI; 26.9%). MI-O and MI-OS were predicted by both trauma experience and living difficulties. MI-O and MI-OS were also associated with greater psychopathology across all outcome variables compared to No-MI. MI-OS was also associated with greater anger and depression, compared to the MI-O profile. Conclusions: The association between the moral injury appraisal profiles and traumatic events, living difficulties and psychopathology, will have important clinical implications.
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Affiliation(s)
- Joel Hoffman
- School of Psychology, UNSW Australia, Sydney, Australia
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22
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Bhuptani PH, Kaufman JS, Messman-Moore TL, Gratz KL, DiLillo D. Rape Disclosure and Depression Among Community Women: The Mediating Roles of Shame and Experiential Avoidance. Violence Against Women 2018; 25:1226-1242. [PMID: 30474500 DOI: 10.1177/1077801218811683] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Many women who disclose a rape encounter victim-blaming responses, which are associated with negative outcomes. The present study examined rape-related shame and experiential avoidance as mediators of the relation between victim-blaming responses to rape disclosure and depression among 103 rape survivors drawn from a community sample. Results revealed that victim-blaming responses were positively associated with depressive symptoms through rape-related shame and experiential avoidance, and shame was indirectly related to depression via avoidance. Findings suggest clinical interventions should focus on rape-related shame and experiential avoidance in targeting depression among rape survivors, and future research should continue to examine how victim-blaming responses to rape disclosure may be related to these factors.
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Flowe HD, Maltby J. An experimental examination of alcohol consumption, alcohol expectancy, and self-blame on willingness to report a hypothetical rape. Aggress Behav 2018; 44:225-234. [PMID: 29243270 PMCID: PMC5918593 DOI: 10.1002/ab.21745] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2017] [Revised: 11/01/2017] [Accepted: 11/02/2017] [Indexed: 11/09/2022]
Abstract
This study experimentally examined the role of victim alcohol intoxication, and self-blame in perceiving and reporting rape to the police using a hypothetical interactive rape scenario. Participants (N = 79) were randomly assigned to consume alcohol (mean BAC = 0.07%) or tonic water before they engaged in the scenario. Alcohol expectancy was manipulated, and participant beliefs about the beverage they thought they had consumed and their feelings of intoxication were measured. Alcohol consumption and expectancy did not affect the likelihood that the nonconsensual intercourse depicted in the scenario was perceived and would be reported as rape. Participants with higher levels of self-blame were less likely to say they would report the hypothetical rape. Self-blame levels were higher for participants who believed they had consumed alcohol, and were associated with increased feelings of intoxication. The implications are discussed.
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Affiliation(s)
| | - John Maltby
- School of Neuroscience, Psychology and Behavior; University of Leicester; Leicester UK
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24
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Neilson EC, Norris J, Bryan AEB, Stappenbeck CA. Sexual Assault Severity and Depressive Symptoms as Longitudinal Predictors of the Quality of Women's Sexual Experiences. JOURNAL OF SEX & MARITAL THERAPY 2017; 43:463-478. [PMID: 27390081 PMCID: PMC5219874 DOI: 10.1080/0092623x.2016.1208127] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Depressive symptoms are one consequence of adult/adolescent sexual victimization (ASV) and are linked to sexual health. Female nonproblem drinkers (N = 419) with an ASV history participated in a one-year longitudinal study. Participants completed measures of lifetime ASV severity and four quarterly assessments of depressive symptoms, ASV severity, and sexual experience quality. Multilevel models revealed that depressive symptoms interacted with ASV severity: Women with low-lifetime ASV severity reported higher ratings of sexual pain as depressive symptoms increased. ASV reported during assessment months predicted sexual experience quality. Interventions to improve survivors' sexual experiences should consider incorporating treatment for depressive symptoms.
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Affiliation(s)
- Elizabeth C. Neilson
- Corresponding author: Elizabeth C. Neilson, MSW, MPH, University of Washington, Department of Psychology, Box 351525, Seattle, WA 98195,
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25
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Abstract
One of the most devastating long-term outcomes of childhood maltreatment is a sense of shame, which is connected to distress and reduced well-being. The aim of the current study was to examine a dual-path model and to test the relations between childhood maltreatment, shame, and well-being as mediated by both self-objectification and a sense of disrupted body boundaries among 531 female college/university students living in Israel. Results from the structural equation modeling analyses indicated that both self-objectification and disrupted body boundaries significantly mediated the association between childhood maltreatment and sense of shame. In addition, both were associated with reduced levels of well-being, through the mediating role of shame. Finally, we discuss the role these paths may play in the detrimental long-term effects of childhood maltreatment and how they may be targeted in clinical interventions for adult survivors.
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Affiliation(s)
- Anat Talmon
- The Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel
| | - Karni Ginzburg
- The Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel
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26
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Monteith LL, Bahraini NH, Menefee DS. Perceived Burdensomeness, Thwarted Belongingness, and Fearlessness about Death: Associations With Suicidal Ideation among Female Veterans Exposed to Military Sexual Trauma. J Clin Psychol 2017; 73:1655-1669. [DOI: 10.1002/jclp.22462] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2016] [Revised: 11/10/2016] [Accepted: 01/03/2017] [Indexed: 11/12/2022]
Affiliation(s)
- Lindsey L. Monteith
- Rocky Mountain Mental Illness Research; Education and Clinical Center and University of Colorado Anschutz Medical Campus
| | - Nazanin H. Bahraini
- Rocky Mountain Mental Illness Research; Education and Clinical Center and University of Colorado Anschutz Medical Campus
| | - Deleene S. Menefee
- Michael E. DeBakey Veterans Affairs Medical Center; South Central Mental Illness Research; Education and Clinical Center, and Baylor College of Medicine
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Ashamed and Afraid: A Scoping Review of the Role of Shame in Post-Traumatic Stress Disorder (PTSD). J Clin Med 2016; 5:jcm5110094. [PMID: 27809274 PMCID: PMC5126791 DOI: 10.3390/jcm5110094] [Citation(s) in RCA: 69] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Revised: 10/24/2016] [Accepted: 10/26/2016] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Despite considerable progress in the treatment of post-traumatic stress disorder (PTSD), a large percentage of individuals remain symptomatic following gold-standard therapies. One route to improving care is examining affective disturbances that involve other emotions beyond fear and threat. A growing body of research has implicated shame in PTSD's development and course, although to date no review of this specific literature exists. This scoping review investigated the link between shame and PTSD and sought to identify research gaps. METHODS A systematic database search of PubMed, PsycInfo, Embase, Cochrane, and CINAHL was conducted to find original quantitative research related to shame and PTSD. RESULTS Forty-seven studies met inclusion criteria. Review found substantial support for an association between shame and PTSD as well as preliminary evidence suggesting its utility as a treatment target. Several design limitations and under-investigated areas were recognized, including the need for a multimodal assessment of shame and more longitudinal and treatment-focused research. CONCLUSION This review provides crucial synthesis of research to date, highlighting the prominence of shame in PTSD, and its likely relevance in successful treatment outcomes. The present review serves as a guide to future work into this critical area of study.
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Andreu JM, Peña ME, de La Cruz MÁ. Psychometric evaluation of the Posttraumatic Cognitions Inventory (PTCI) in female survivors of sexual assault. Women Health 2016; 57:463-477. [PMID: 26881475 DOI: 10.1080/03630242.2016.1153019] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The authors of this study evaluated the factor structure, internal consistency, and concurrent and discriminant validity of the Posttraumatic Cognitions Inventory (PTCI; Foa et al. 1999) in a sample of 107 female survivors of sexual assault with a mean age of 29.1 years (SD = 7.7). All participants were recruited between July 2010 and December 2014 from a care center for sexual assault victims in Madrid, Spain. Results supported the three-factor structure of the PTCI: (1) negative cognition about self, (2) negative cognition about the world, and (3) self-blame. The negative cognitions about self and the world subscales showed adequate internal consistency (Cronbach's alpha = 0.92 and 0.82, respectively), as well as good concurrent and discriminant validity. Nevertheless, the subscale measuring self-blame showed poor internal consistency (Cronbach's alpha = 0.75) and discriminant validity. The PTCI presents sound psychometric characteristics and has the potential to contribute to women's sexual posttrauma assessment.
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Affiliation(s)
- José M Andreu
- a Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology , Complutense University of Madrid , Madrid , Spain
| | - M Elena Peña
- a Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology , Complutense University of Madrid , Madrid , Spain
| | - M Ángeles de La Cruz
- a Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology , Complutense University of Madrid , Madrid , Spain
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Schoenleber M, Gratz KL, Messman-Moore T, DiLillo D. Borderline personality disorder and self-conscious emotions in response to adult unwanted sexual experiences. J Pers Disord 2014; 28:810-23. [PMID: 24689761 PMCID: PMC4182161 DOI: 10.1521/pedi_2014_28_138] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Borderline personality disorder (BPD) is associated with a proneness to unpleasant self-conscious emotions (SCE). Given that BPD is also associated with heightened rates of SCE-eliciting events (including unwanted sexual experiences), research examining the factors influencing SCE in response to these events is needed. This study examined associations between BPD pathology and SCE in response to adult unwanted sexual experiences among 303 community women. Extent of sharing about and perceived personal responsibility for the event were examined as moderators of the association between BPD and current event-related SCE. Both self-reported BPD symptom severity in the full sample and interview-based measures of BPD symptom count and diagnosis in a subsample (n = 75) were associated with greater SCE at the event and currently. Moreover, in the subsample, both BPD symptom count and diagnosis were associated with heightened current SCE only when (a) extent of sharing was low or (b) perceived personal responsibility was high.
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Affiliation(s)
- Michelle Schoenleber
- Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS 39216, USA
| | - Kim L. Gratz
- Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS 39216, USA,Correspondence concerning this article should be addressed to Kim L. Gratz, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA; Phone: (601) 815-6450;
| | | | - David DiLillo
- Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE 68588, USA
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30
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Miles-McLean H, Liss M, Erchull MJ, Robertson CM, Hagerman C, Gnoleba MA, Papp LJ. “Stop Looking at Me!”. PSYCHOLOGY OF WOMEN QUARTERLY 2014. [DOI: 10.1177/0361684314561018] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectification has been conceptualized as a form of insidious trauma, but the specific relationships among objectification experiences, self-objectification, and trauma symptoms have not yet been investigated. Participants were women with ( n = 136) and without ( n = 201) a history of sexual trauma. They completed a survey measuring trauma history, objectification experiences (body evaluation and unwanted sexual advances), constructs associated with self-objectification (body surveillance and body shame), and trauma symptoms. The relationships among the variables were consistent for both women with and without a history of sexual trauma. Our hypothesized path model fit equally well for both groups. Examination of the indirect effects showed that experiencing unwanted sexual advances was indirectly related to trauma symptoms through body shame for those with and without a history of sexual trauma. Additionally, for women with a history of sexual trauma, the experience of body evaluation was indirectly related to trauma symptoms through the mediating variables of body surveillance and body shame. The data indicate that the experience of sexual objectification is a type of gender-based discrimination with sequelae that can be conceptualized as insidious trauma. Clinicians may consider the impact of these everyday traumatic experiences when working with women who have clinical symptoms but no overt trauma history.
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Affiliation(s)
- Haley Miles-McLean
- Department of Psychology, University of Mary Washington, Fredericksburg, VA, USA
| | - Miriam Liss
- Department of Psychology, University of Mary Washington, Fredericksburg, VA, USA
| | - Mindy J. Erchull
- Department of Psychology, University of Mary Washington, Fredericksburg, VA, USA
| | - Caitlin M. Robertson
- Department of Psychology, University of Mary Washington, Fredericksburg, VA, USA
| | - Charlotte Hagerman
- Department of Psychology, University of Mary Washington, Fredericksburg, VA, USA
| | - Michelle A. Gnoleba
- Department of Psychology, University of Mary Washington, Fredericksburg, VA, USA
| | - Leanna J. Papp
- Department of Psychology, University of Mary Washington, Fredericksburg, VA, USA
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31
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McLean CP, Foa EB. Prolonged exposure therapy for post-traumatic stress disorder: a review of evidence and dissemination. Expert Rev Neurother 2014; 11:1151-63. [DOI: 10.1586/ern.11.94] [Citation(s) in RCA: 98] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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32
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Kramer K. Overweight and the sexual assault forensic medical examination: A pressing problem. J Forensic Leg Med 2013; 20:207-10. [DOI: 10.1016/j.jflm.2012.07.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2012] [Accepted: 07/28/2012] [Indexed: 10/28/2022]
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33
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Byers ES, Glenn SA. Gender differences in cognitive and affective responses to sexual coercion. JOURNAL OF INTERPERSONAL VIOLENCE 2012; 27:827-845. [PMID: 22007110 DOI: 10.1177/0886260511423250] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This study examined gender differences in responses to sexual coercive experiences in mixed-sex (male-female) relationships. Participants were 112 women and 28 men who had experienced sexual coercion and completed measures of cognitive (attributions to self, attributions to the coercer, internal attributions) and affective (guilt, shame) self-blame, trauma symptoms, and upset at the time of the incident) with respect to their most serious or upsetting sexually coercive experience. The women were more upset than were the men at the time of the incident. Contrary to predictions, the men and women did not differ in the extent to which they attributed blame to themselves or the strength of their internal attributions, guilt, or shame. Both the men and women attributed more blame to the coercer than to themselves; however, the women attributed more blame to the coercer than did the men. The women reported more trauma symptoms than the men did which was related to the finding that more women than men had experienced sexual coercion involving physical force. These results are discussed in terms of the similarities and differences between men's and women's cognitive and affective responses to sexual coercion.
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Affiliation(s)
- E Sandra Byers
- Department of Psychology, University of New Brunswick, New Brunswick, Canada.
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34
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Feldner MT, Frala J, Badour C, Leen-Feldner EW, Olatunji BO. An Empirical Test of the Association Between Disgust and Sexual Assault. Int J Cogn Ther 2010. [DOI: 10.1521/ijct.2010.3.1.11] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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35
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Budden A. The role of shame in posttraumatic stress disorder: A proposal for a socio-emotional model for DSM-V. Soc Sci Med 2009; 69:1032-9. [DOI: 10.1016/j.socscimed.2009.07.032] [Citation(s) in RCA: 78] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2008] [Indexed: 10/20/2022]
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