Online Disclosure of Sexual Victimization: A Systematic Review

We map the available scientific literature on how and why victims of sexual violence use digital platforms in the aftermath of victimization. Twenty-four empirical studies on sexual victimization and online disclosure were identified by systematically searching Web of Science and PsycINFO, checking reference lists, and consulting authors about relevant publications. The literature on online disclosure of sexual victimization does not yield a coherent picture. International literature pays limited attention to the various components of online disclosure like the characteristics of victims who disclosure online and the characteristics of the disclosure messages. Most studies focused on motivations for and reactions to online disclosure. Victims of sexual violence disclose sexual victimization online to seek support for clarification and validation, unburdening, documenting, seeking justice, informing others, or commercial goals (individual-oriented disclosure) and to provide support, educate, and as a form of activism (other-oriented disclosure). Responses to online disclosure are predominantly positive. Negative responses are rare. This review provides a comprehensive overview of multidisciplinary empirical information and displays knowledge gaps in victimological research. Future research should use robust quantitative and/or qualitative designs with substantial sample sizes, comparing victims who do disclose their sexual victimization online to victims who do not and comparing disclosure on different online platforms to increase generalizability. Potential for online support is identified, in which online disclosure can serve as a relatively safe alternative to off-line disclosure. This offers points of intervention for assistance and victim support in facilitating the use of the internet for support for victims of sexual violence.

Trauma, social media, and #WhyIDidntReport: An analysis of twitter posts about reluctance to report sexual assault

Recent social trends regarding sexual violence and gender have included elements of "hashtag activism," which involves using social media tools for cultural awareness and change. For example, the Twitter hashtag: #WhyIDidntReport was created for survivors of sexual victimization to share their barriers to reporting. In this project, 600 tweets attached to this hashtag were analyzed using a combination of grounded theory and content analysis methods. Results were organized into a conceptual map, with a central category (power), connected to three other ecological categories (culture, community systems, and relationships) and one category of survivor experiences. Each category has subcategories which illustrate certain contextual and internal barriers to reporting assault. The model shows how these barriers intersect and interact, and often further traumatize those who have been assaulted. The model offers implications for professionals working with those who have survived sexual trauma, as well as those studying the dynamics of abuse.

Exploring the relation between posttraumatic stress disorder and interpersonal outcomes: The role of social acknowledgment and trauma type

OBJECTIVES

Research demonstrates consistent relations between posttrauma symptoms and interpersonal dysfunction. The current study examined the extent to which perceptions of community rejection account for the relation between posttraumatic stress disorder (PTSD) and interpersonal outcomes in students exposed to assaultive and nonassaultive trauma.

METHOD

Participants (N = 137; 66.4% female; M = 20 years) completed a trauma history interview, questionnaires assessing symptom severity, social disapproval, and interpersonal outcomes.

RESULTS

Assault survivors (n = 83) reported greater symptoms (d = 0.57), disapproval (d = 0.80), and social impairment (d = 0.51) relative to the nonassault group (n = 54). However, regression analyses indicated stronger associations between PTSD and community disapproval in survivors of nonassaultive (β = 0.69; p < 0.001) versus assaultive (β = 0.34; p < 0.001) events. Indirect effects of PTSD on perceived support and interpersonal functioning through social disapproval were also larger for nonassaultive versus assaultive groups (p < 0.05).

CONCLUSION

Despite greater dysfunction among assault survivors, perceptions of disapproval may be a more salient factor for interpersonal dynamics following nonassaultive trauma.

Silencing State-Sponsored Rape in and beyond a Transnational Guatemalan Community

Although rape by soldiers occurred frequently during the recent civil war in Guatemala, rape survivors’ own accounts have been excluded from public testimonials of state violence. It is commonly assumed that cultural ideologies that blame and stigmatize rape victims are responsible for the underreporting of rape in war. Based on ethnographic research in a transnational Guatemalan community, this article challenges the claim that local culture silences survivors of state-sponsored rape. Rather, it demonstrates the ways national and international forces collude in the depoliticization of rape and the silencing of rape survivors.

Deciding Whom to Tell: Expectations and Outcomes of Rape Survivors' First Disclosures

In this study, 102 female rape survivors were interviewed regarding their first post-assault disclosure. Qualitative analysis revealed that nearly 75% of first disclosures were to informal support providers and over one third of the disclosures were not initiated by the survivors themselves. Over half of the survivors received positive reactions and less than one third felt the disclosure had a detrimental impact on their recovery. Loglinear analysis suggested that survivors who actively sought help from informal support providers were more likely to receive positive than negative reactions. In contrast, survivors who actively sought help from formal support providers were more likely to receive negative than positive reactions. When disclosure to formal support providers was initiated by the formal support providers themselves, however, survivors received exclusively positive reactions. Implications for future research are discussed.

Experiences of sexual coercion in a representative sample of adults: the Second Australian Study of Health and Relationships

Background It is important to have current reliable estimates of the prevalence, correlates and consequences of sexual coercion among a representative sample of Australian adults and to identify changes over time in prevalence and consequences.

METHODS

Computer-assisted telephone interviews were completed by a representative sample of 20094 Australian men and women aged 16-69 years. The participation rate among eligible people was 66.2%.

RESULTS

Sexual coercion (i.e. being forced or frightened into sexual activity) was reported by 4.2% of men and 22.4% of women. Sexual coercion when aged ≤16 years was reported by 2.0% of men and 11.5% of women. Correlates of sexual coercion were similar for men and women. Those who had been coerced reported greater psychosocial distress, were more likely to smoke, were more anxious about sex and more likely to have acquired a sexually transmissible infection. Few people had talked to others about their experiences of sexual coercion and fewer had talked to a professional. There were no significant differences between the First and Second Australian Study of Health and Relationships in whether men or women had experienced coercion, talked to anyone about this or talked to a counsellor or psychologist.

CONCLUSION

Sexual coercion has detrimental effects on various aspects of people's lives. It usually occurs at the ages at which people become sexually active. There is a need to reduce the incidence of sexual coercion, better identify experiences of sexual coercion, and provide accessible services to minimise the detrimental effects of sexual coercion.

Rape Myth Acceptance Impacts the Reporting of Rape to the Police

We examined the association between rape myth acceptance (RMA) and reporting rapes to the police. Situational characteristics of the rape (e.g., stranger attack, injury) are known predictors of reporting, but no existing studies have examined the association between beliefs about rape and reporting. In addition, most studies of RMA do not assess victimization history. Incarcerated women experience high rates of sexual assaults prior to incarceration. We recruited 74 rape survivors from a northwestern state prison. Results suggest that women who endorsed higher levels of RMA were less likely to report their rapes to police; however, participants endorsed few rape myths.

Adolescent sexual assault disclosure: the impact of peers, families, and schools

Adolescent sexual assault survivors are more likely to seek support from peers and families than to formal help systems, such as the medical and legal systems. In this study, we conducted in-depth qualitative interviews with N = 20 adolescent sexual assault survivors aged 14-17 who obtained services from Sexual Assault Nurse Examiner Programs to understand the pathways that led them to seek formal help. Our goal was to examine how survivors' initial disclosures to peers, families, and schools facilitated adolescents' access to formal help systems. Additionally, we explored how peer, family and school systems interact as mesosystems to effect subsequent disclosures. Results show that the peer and family microsystems were decisive in survivors' willingness to enter formal systems. Disclosure became more complex when peer, family, and school personnel all became aware of the assault. When these mesosystem interactions occurred with survivors' consent and produced a helpful response, they were perceived as positive. Alternatively, mesosystem interactions in which survivors had minimal control resulted in greater reluctance to enter formal systems. These conclusions highlight the need educating informal support providers about community services in order to make the disclosure process easier and beneficial for survivors' recovery and well-being.

To Whom Do College Women Confide Following Sexual Assault? A Prospective Study of Predictors of Sexual Assault Disclosure and Social Reactions

A prospective methodology was used to explore predictors of sexual assault disclosure among college women, identify who women tell about sexual victimization, and examine the responses of informal support providers ( N = 374). Women most often confided in a female peer. Increased coping via seeking emotional support, strong attachments, and high tendency to disclose stressful information predicted adolescent sexual assault disclosure and disclosure over the 7-month interim. Less acquaintance with the perpetrator predicted disclosure over the follow-up, including experiences of revictimization. Victim and perpetrator alcohol use at the time of the assault also predicted disclosure over the follow-up. Implications are presented.

The ties that bind: understanding the impact of sexual assault disclosure on survivors' relationships with friends, family, and partners

A growing body of research suggests that the type of social reactions sexual assault survivors receive from others can have a profound impact on their health and well-being. Far less is known about the impact of social reactions on the ensuing relationship between survivors and the people to whom they disclose. The current study sought to address this gap in the literature by examining the impact of disclosure on survivors' relationships with friends, family members, and romantic partners. A total of 76 rape survivors described 153 different disclosures to informal support providers. Qualitative analysis suggested that most relationships either were strengthened or remained strong following the disclosure, but a substantial number of survivors described relationships that deteriorated or remained poor following the disclosure. These outcomes were related to the quality of the relationship prior to the disclosure and to survivors' perceptions of the reactions they received during the disclosure. Implications of these findings for research and practice are discussed.

Silent Survivors

Prior research suggests that rape victims who do not disclose or report to the police give reasons including self-blame and fear of judgment; however, this research has not been conducted with incarcerated women. Female offenders are a unique population because they experience high rates of sexual assault prior to incarceration. This study recruited 74 women at a U.S. state prison, who experienced sexual assault prior to incarceration to explore the associations among rape myth acceptance (RMA), disclosure, and reporting of sexual assaults to the authorities. Participants were asked open-ended questions regarding why they chose to disclose their sexual assaults to others, to report to the police, or to remain silent. Narratives were audiotaped, transcribed, and coded for thematic content. Women’s narratives, particularly those of women who indicated that they remained silent, frequently included a variety of rape myths that involved blaming themselves for the rape, fearing not being believed, believing that familiar perpetrators cannot be rapists, and questioning whether the event was really a rape. Women often described such rape myth beliefs with greater frequency than discussing situational characteristics of the rape as reasons for nonreporting. Implications for these findings in clinical, research, and social justice contexts are discussed.

Spirituality and well-being: the relationship between religious coping and recovery from sexual assault

Despite a growing body of literature documenting beneficial outcomes of religious coping, there are virtually no studies examining sexual assault survivors' use of religious coping. To fill this gap in the literature, the current study examines predictors and outcomes of positive and negative religious coping among 100 sexual assault survivors who believed in God. Results suggested that African American survivors were more likely to use both forms of religious coping than survivors from other ethnicities. Yet, results also suggest that positive religious coping is related to higher levels of psychological well-being and lower levels of depression, whereas negative religious coping is related to higher levels of depression, regardless of ethnicity. The only outcome where ethnicity makes a difference is posttraumatic growth with a stronger relationship between positive religious coping and posttraumatic growth among Caucasian survivors space. The implications of these findings for research and practice are discussed.

An ecological model of the impact of sexual assault on women's mental health

This review examines the psychological impact of adult sexual assault through an ecological theoretical perspective to understand how factors at multiple levels of the social ecology contribute to post-assault sequelae. Using Bronfenbrenner's (1979, 1986, 1995) ecological theory of human development, we examine how individual-level factors (e.g., sociodemographics, biological/genetic factors), assault characteristics (e.g., victim-offender relationship, injury, alcohol use), microsystem factors (e.g., informal support from family and friends), meso/ exosystem factors (e.g., contact with the legal, medical, and mental health systems, and rape crisis centers), macrosystem factors (e.g., societal rape myth acceptance), and chronosystem factors (e.g., sexual revictimization and history of other victimizations) affect adult sexual assault survivors' mental health outcomes (e.g., post-traumatic stress disorder, depression, suicidality, and substance use). Self-blame is conceptualized as meta-construct that stems from all levels of this ecological model. Implications for curbing and/or preventing the negative mental health effects of sexual assault are discussed.

Healing or Hurtful: Sexual Assault Survivors' Interpretations of Social Reactions from Support Providers

Sexual assault survivors often receive both positive and negative reactions to the disclosure of their assault. Although positive reactions are typically more common from informal support providers and negative reactions are typically more common from formal support providers, not all formal and informal support providers react the same way. To help clarify the nature of social reactions received from specific support providers, 103 female sexual assault survivors participated in interviews about their disclosure experiences. These interviews resulted in detailed descriptions of 250 disclosure interactions. Results indicated that counselors and friends engaged in the most emotional support, fairly high levels of tangible aid, and fairly low levels of most types of negative reactions. Romantic partners provided only moderate support, the lowest amount oftangible aid, and the highest amount of blame, control, and egocentric behaviors. Romantic partners also treated survivors differently more often than other support providers. Qualitative analysis of survivors' descriptions of these reactions are used to help interpret survivors' ratings of reactions as healing or hurtful.

Disclosing sexual assault to parents: the influence of parental messages about sex

Without frank discussion of what sex is, women may not learn what sex is not and what experiences constitute sexual assault. This qualitative study explores the relation between parental discussion and messages about sex and women's decisions of whether to disclose sexual assault to parents. Participants were 18 women from diverse ethnic backgrounds. Data were analyzed using a grounded theory approach. Findings indicate that women more often disclosed sexual assault to parents who discussed sex with them in a frank and positive manner. In addition to the role of disclosure in recovery, implications for sex and parent education are discussed.

The Extensive Sexual Violation and Sexual Abuse Histories of Incarcerated Women

A growing body of research reports on the lifetime prevalence of sexual victimization experiences among incarcerated women. However, none of this research provides a detailed account of the many types and levels of sexual violations and sexual abuses, the age of occurrence, and the victim–offender relationship. This study used the Sexual Abuse Checklist (designed by the first author) and a modified version of the Sexual Experiences Survey (SES) to obtain a detailed account of 391 incarcerated women's self-reported sexual violation and abuse histories. Seventy percent of the women reported at least one violation consistent with what qualifies as “rape” in most states in the United States today, and half of the women reported child sexual abuse victimization. The most prevalent victim–offender relationships were male strangers, male lovers or boyfriends, male dates, husbands, uncles, brothers, male cousins, and stepfathers.

Sex in Australia: Experiences of sexual coercion among a representative sample of adults

OBJECTIVE

To provide reliable estimates of the prevalence, correlates and consequences of sexual coercion among a representative sample of Australian adults.

METHODS

Computer-assisted telephone interviews were completed by a representative sample of 10,173 men and 9,134 women aged 16-59 years. The response rate was 73.1% (69.4% men, 77.6% women).

RESULTS

Overall, 4.8% of men and 21.1% of women had experienced sexual coercion, i.e. being forced or frightened into unwanted sexual activity, and 2.8% of men and 10.3% of women had been coerced when aged 16 or younger. Although women were significantly more likely than men to have been sexually coerced, correlates of sexual coercion were similar for men and women and were not limited to effects on sexual behaviour. People who had been coerced reported greater psychosocial distress, were more likely to smoke, were more anxious about sex, and more likely to have acquired a sexually transmitted infection. Few people had talked to others about their experiences of sexual coercion and fewer had talked to a professional.

CONCLUSION

Sexual coercion is an unacceptably common experience. Sexual coercion has detrimental effects on various aspects of people's lives. It most commonly occurs at the ages at which people become sexually active and women are more likely than men to be sexually coerced.

IMPLICATIONS

There may be need for more readily accessible services that are better able to minimise the detrimental effects of sexual coercion. This is in addition to a more general need to reduce the incidence of sexual coercion.

Being silenced: the impact of negative social reactions on the disclosure of rape

Rape survivors who speak out about their assault experiences are often punished for doing so when they are subjected to negative reactions from support providers. These negative reactions may thereby serve a silencing function, leading some rape survivors to stop talking about their experiences to anyone at all. The current study sought to examine this worst case scenario. Focusing on the qualitative narratives of eight rape survivors who initially disclosed the assault but then stopped disclosing for a significant period of time, this study sought to provide an in-depth description of how negative reactions silenced these survivors. Three routes to silence were identified: 1) negative reactions from professionals led survivors to question whether future disclosures would be effective; 2) negative reactions from friends and family reinforced feelings of self-blame; and 3) negative reactions from either source reinforced uncertainty about whether their experiences qualified as rape. Implications for future research and practice are discussed.