Male Survivors of Domestic Violence, Challenges in Cultural Response, and Impact on Identity and Help-Seeking Behaviors: A Systematic Review

Male experiences of domestic and relational violence have been only marginally explored in the literature. In connection to this, attitudes in the community and among service providers and criminal justice system entities can vary dramatically. This variance in attitudes creates an instability which has a differential impact on the help-seeking behaviors of victims. Additionally, help-seeking behaviors are often influenced by internalized shame and confusion on the part of the survivors themselves when their social constructions of masculinity do not align with lived experience. More is needed to understand the nature of male survivorship in situations of relational violence. A systematic review was conducted to begin organizing the data on the topic. This review started with 15,547 peer-reviewed articles. Those were systematically narrowed to a total of 16 of the most recent pieces of empirical science on the topic. The final articles were thematically analyzed. Findings suggest (a) cultural stigma around constructions of masculinity, (b) fear of disclosure, and (c) negative experiences with criminal justice and support system responses, among the highest drivers for the disparate experience and hesitation to seek help.

Victimhood and Blame Dialectics in Culturally Diverse Male Students' Discussions About Sexual Assault Policies

Culture and Perspectives on Sexual Assault Policy was a qualitative, focus-group study conducted at four Canadian universities to gather culturally diverse student perspectives on university sexual violence or sexual assault policies and services. This article highlights two categories of dialectical tension expressed during several male focus groups. The Wrongful Blame Dialectic involved tension between anxieties about wrongful accusations and opposition to victim-blaming. Perceived risk of wrongful accusations was often linked to racism or ethnocentrism. The Male Victim Denial/Recognition Dialectic involved tension between denial and recognition of male sexual victimization. Male participants felt more vulnerable to wrongful accusation than to sexual violence. They felt more likely to be blamed and disbelieved, whether as respondents or complainants.

Earlier Sexual Debut and Anti-Gay Victimization Among Men Who Have Sex With Men (MSM) in Kazakhstan

Limited research has examined predictors of anti-gay victimization among men who have sex with men (MSM), despite anti-gay violence continuing to be a global problem. We conducted a secondary analysis of data from structured interviews with 600 MSM adults to examine anti-gay victimization and earlier sexual debut among MSM in Kazakhstan. Multiple linear regression was used to test for associations between earlier sexual debut-categorized as age of sexual onset between 13 and 15 years of age and prior to 13 years old, with ages 16 and older as the reference group-and recent and lifetime anti-gay victimization. Adjusted logistic regression models were used to assess earlier sexual debut and specific types of victimization. The majority of MSM reported lifetime (89%) or recent (68%) experiences of anti-gay victimization. Earlier sexual debut prior to 13 years of age was significantly associated with greater number of types of lifetime and recent reports of anti-gay victimization. Among specific types of anti-gay victimization, earlier sexual debut was associated with higher odds of experiencing verbal, physical, and sexual violence. Anti-gay violence in Kazakhstan is a significant and prevalent public health issue. Future research and clinical interventions addressing anti-gay victimization among MSM populations should consider the lifetime and current implications of consensual and non-consensual childhood and adolescent sexual experiences.

Exploring the Role of Prior Sexual Abuse in the Commercial Sexual Exploitation of Boys and Young Men

Although there has been a large body of research conducted on girl and young women victims of commercial sexual exploitation, boy and young men victims do not receive the same attention. The scant research that exists demonstrates mixed findings on the prevalence of boys and young men as victims of commercial sexual exploitation. For example, some studies find they are not as likely to be victims and others find they are victimized equally, or in some cases, potentially even more so than girls and young women, depending on location. ECPAT published a study in 2013 that revealed a lack of awareness and misclassification of boys as victims and the lack of services available to help them. The purpose of this study is to replicate the ECPAT study and determine what changes might have occurred over the past decade. We consulted with key individuals involved in serving boys and young men and conducted a survey of anti-trafficking service agencies to gather current information on the boys/young men being referred to them for care, the dynamics of their victimization, their most pressing needs, the services/programs being offered, and gaps in service in their respective locations. Among other relevant findings, one commonality among the boys and young men served by the responding agencies was a history of sexual abuse. Findings inform service providers and contribute to advocacy efforts and policy recommendations at the local, state, and federal levels.

Male Victims of Sexual Abuse: Impact and Resilience Processes, a Qualitative Study

The increasing prevalence of sexual abuse calls for exceptional awareness of its multidimensional impact on the mental, sexual, and social wellbeing of male adults. This study aims to deepen the overall understanding of sexual abuse consequences; to highlight some common resilience factors; and to strengthen therapeutic and social support. In this qualitative research, we conducted seven semi-structured interviews with male victims of sexual violence. The data were analysed with the interpretative phenomenological analysis. They shed light on the great suffering linked to sexual violence, and on seven themes which are seemingly pillars of resilience: bond to others, bond to the body, making sense of things, expression, rediscovering oneself, institutions, and finally, learning and commitment. The exploration of these themes reveals several avenues for adjusting care, most of which imply the importance of raising awareness so that spaces receiving the victims' word can emerge.

Exploring Sociodemographic and Mental Health Differences Among Constructed Male Victim Severity Profiles

Stigmas and taboos surrounding male sexual violence, stating that men cannot be sexually victimized and would not experience many adverse effects as a result, continue to shroud the issue of male sexual victimization (SV). Male victims, therefore, remain under-recognized in research, policy, and treatment provisions. Furthermore, knowledge regarding male SV is severely compromised by studying male victims in convenience samples with a focus on hands-on forms of sexual violence. Finally, severity of SV is often described using a one-dimensional approach based on presumed severity leading to an oversimplified image. This study addresses these various gaps in scientific research by constructing severity profiles of male SV based on self-reported consequences, prevalence, and co-occurrence of SV. A total of 1,078 male victims were selected from a Belgian nationally representative sample collected between October 2019 and January 2021. Profiles are constructed using latent class analysis. Sociodemographic differences across the profiles are examined through multinomial regression analysis. Finally, differences in current mental health problems across the profiles are assessed. Four distinct male victim profiles are identified: (a) low severity-low victimization (58.3%), (b) medium severity-hands-off victimization (21.4%), (c) medium severity-poly-victimization (13.3%), and (d) high severity-poly-victimization (7.0%). Group comparisons show how male victims in the high-severity class report significantly higher rates of mental health problems such as depression, anxiety, and suicide and/or self-harm. Significant differences in class membership were found for age, occupational status, relationship status, sexual orientation, and financial status. This study provides new insights in the patterns of male SV and highlights the presence of poly-victimization among male victims. Additionally, we point out how the so-called minor forms of SV (i.e., hands-off SV) can have a large effect on male victims. The study ends with suggestions for care and future research.

The Unusual Case of Sexual Homicide Against Males: Comparisons and Classification

This study examines the specificities of sexual homicides involving male victims. First, this study aims to identify characteristics specific to SH involving male victims by comparing them to SH involving female victims and determine whether rational choice approach and routine activities theories are useful to explain the crime-commission process. Second, this study aims to provide the first empirical classification of SH involving male victims. The sample used in this research comes from the Sexual Homicide International Database (SHIelD) including 662 cases of cases-100 cases involving male victims and 552 involving female victims. Bivariate and multivariate analysis are performed to examine the differences between the two groups and latent class analysis is used to generate an empirical classification of cases involving male victims. Findings indicate the victim's gender plays an important role in the different choices made by sexual homicide offenders of male victims to successfully complete their crime. They adapted their crime-commission process to overcome the risks associated with a physical confrontation with a male victim (i.e., target selection, approach strategy, method of killing). Classification analysis suggests that it exists three different types of sexual murderers assaulting male victims: the robber sexual murderer, the sadistic sexual murderer, and the pedophile murderer. This research proposes the first empirical typology of sexual homicide involving male victims and provides both a true picture of the reality and a comprehensive understanding of this phenomenon.

Sexual Assault and Behavioral Health: What Can We Learn From a Probability Sample of Young Sexual Minority Men?

BACKGROUND

Previous research indicates that young sexual minority men (YSMM) are at increased risk of experiencing sexual assault compared to their heterosexual peers. While this increased risk is documented in comparison studies, very little is known about the specific range of sexual assault experiences. The aim of this study was to investigate prevalence of sexual assault experiences and their association with depression and alcohol use for YSMM.

METHODS

In 2017 and 2018, 124 YSMM (18-24 year-olds) were recruited to participate in an online study using probability-based sampling methods, in Los Angeles, CA. Participants answered items about lifetime and recent sexual assault experiences (i.e., unwanted touching, oral rape, penetrative rape), characteristics of the coercive behaviors, recent alcohol use, and depression. Analysis of variance (ANOVAs) and multiple linear regressions investigated the relationships between sexual assault experiences and behavioral health.

RESULTS

The sample reported a range of lifetime sexual assault experiences: 70% unwanted touching and 28% penetrative rape. Fifty-five percent of the sample reported some type of recent sexual assault, with 17% reporting a recent penetrative rape. ANOVAs of the impact of different forms of sexual assault on behavior health indicated that unwanted touching was associated with higher depression and alcohol use. Further investigation of recent unwanted touching indicated that frequency is associated with depression and binge drinking. Of participants who reported experiences of unwanted touching, 61% reported it occurred while they were intoxicated.

DISCUSSION

Findings support previous evidence of high rates of sexual assault among YSMM. Further, the majority of men who reported sexual assault indicated that it occurred while they were intoxicated, suggesting that unwanted touching is occurring while men are drinking alcohol, likely in bars. The culture of gay bars may encourage nonconsensual touching during intoxication and these experiences of sexual assault have consequences (i.e., higher levels of depression and alcohol use).

Health associations for male survivors of unwanted and non-consensual sex

Literature has established that men with non-consensual sexual experiences exhibit a higher likelihood of engaging in high-risk sexual behaviors; however, previous research does not explore men with unwanted sexual experiences, nor their sexual and general health outcomes. Weighted data from the 2011-2017 National Survey of Family Growth included men aged 18-49 years who ever experienced oral, vaginal, or anal sex by partners of any gender (N = 10,763). The Pearson χ² test compared the sociodemographic of men with or without a history of unwanted or non-consensual sex. Logistic regressions were used to examine the association of this history to sexual health and general health outcomes, while controlling for age, race/ethnicity, and education level. Approximately 1 in 10 (10.3%) American men reported experiencing unwanted or non-consensual sex in their lifetime. Men with these experiences were more likely to rate their health as fair or poor (aOR = 1.5, 95% CI = [1.1, 2.0]) and have difficulty concentrating, remembering, or making decisions due to a physical, mental, or emotional condition (aOR = 2.1, 95% CI = [1.7, 2.7]). Men with forced sex experiences reported higher odds of gonorrhea (aOR = 5.4; 95% CI = [3.0, 10.0]) or chlamydia diagnoses (aOR = 2.5; 95% CI = [1.5, 4.4]) in the past year, and a diagnosis of genital herpes (aOR = 2.7; 95% CI = [1.6, 4.6]), genital warts (aOR = 1.7; 95% CI = [1.0, 5.6]), and syphilis (aOR = 2.4; 95% CI = [1.0, 5.6]) in their lifetime than men who did not report these experiences. The association of sexually transmitted infections and general health outcomes to unwanted and non-consensual sex validates the demand for clinicians to integrate trauma-informed care into their practice with male patients.

Understanding the Profile and Needs of Abused Men: Exploring Call Data From a Male Domestic Violence Charity in the United Kingdom

Current understandings on service engagement by male victims of domestic violence and abuse (DVA) within the United Kingdom (UK) have generally been captured by qualitative research. As such, large-scale quantitative data detailing the profile, needs and outcomes of abused men, upon both presentation and use of services, is currently lacking. The present study analyzed the client data of 719 callers to a domestic abuse helpline for men in the UK. Findings showed that the overwhelming majority of callers reported they were abused by female perpetrators, most of whom were still their current partner, and that many of the men were fathers. Vulnerable populations (GBTQ+ and disabled men) were under-represented in the sample. Most men were seeking emotional support, along with a range of practical advice and signposting to other services. The confidentiality of the helpline was crucial for many men, and almost half had struggled to access the service (suggesting a severe lack of resourcing). Findings are discussed in relation to the need for gender-inclusive services, which cater for the unique challenges and barriers experienced by abused men.

Male Victims' Experiences With and Perceptions of the Criminal Justice Response to Intimate Partner Abuse

Intimate partner abuse (IPA) carries severe physical and psychological consequences for victims, and the police and courts are some of the essential formal structures that help victims address their victimization. Studies suggest that male victims of IPA are reluctant to speak about or report their victimization to the police. This qualitative study examines the experiences male victims of IPA had with the criminal justice system (i.e., the courts and police). We conducted interviews with 16 men who had experienced IPA in their previous relationship in Canada. Two major themes about the police response were identified: the barriers to contacting the police for help and negative experiences with the police response. We found that men who chose not to contact the police did it due to the negative expectations of being ridiculed by the police, not being believed, and fear of being arrested. Those men who called the police for help reported unfriendly and antagonistic police treatment and the police's reluctance to charge abusive female partners. The themes that reflected the male victims' interactions with the court pointed to: (1) legal and administrative abuse by female partners, including false accusations and manipulations of child custody, and (2) a general bias against men in the courtroom. This study brings attention to the need for law enforcement officers to be aware of the experiences and perceptions male victims have of the criminal justice system and the need for the criminal justice system to create more inclusive strategies to help male victims of IPA.

Male Victims at a Dutch Sexual Assault Center: A Comparison to Female Victims inCharacteristics and Service Use

Recently, there has been an increase in referrals of male victims of sexual assault to interdisciplinary sexual assault centers (SACs). Still, there is limited research on the characteristics of men who refer or are referred to SACs and the services they need. To facilitate the medical, forensic, and psychological treatment in SACs, a better understanding of male victims is indispensable.The first aim of the study was to analyze the victim and assault characteristics of male victims at a Dutch SAC, and to compare them to those of female victims. The second aim was to analyze and compare SAC service use between male and female victims.The victim characteristics, assault characteristics, and service use of 34 male victims and 633 female victims were collected in a Dutch SAC. T-tests and chi-square tests were used to analyze differences between male and female victims.No differences between males and females in victim or assault characteristics were found. Most victims received medical and psychological care, with no differences between male and female victims. Female victims were more likely to have contact with the police, but no differences in reporting or forensic medical examinations between males and females were found.These findings indicate that SACs can and do provide equal services to male and female victims, and that the current services are suitable for male victims as well. However, a focus on educating and advising male victims about police involvement is advisable.

Perceptions of Contexts of Intimate Partner Violence Among Young, Partnered Gay, Bisexual and Other Men Who Have Sex With Men in the United States

There has been a growth in research illustrating that gay, bisexual, and other men who have sex with men (GBMSM) experience intimate partner violence (IPV) at rates that are comparable to those among heterosexual women. However, the majority of research on IPV among same-sex male couples has focused on adults, and research on the experience of IPV among younger men (those aged under 18), remains at a nascent stage, despite knowledge that IPV is often common among younger men. This article adds to the growing body of literature on IPV among young GBMSM (YGBMSM) through of an analysis of qualitative data from in-depth interviews (IDI) with GBMSM aged 15-19 (n = 30) in romantic relationships partnerships. The study sought to explore issues of relationship development, relationship contexts, and understandings of IPV. More than one-half of the sample reported experiencing some form of IPV in their current or past relationships. Participants described a range of experiences of IPV, including physical IPV, emotional IPV, sexual IPV, and controlling behaviors. Emotional IPV in the form of negative comments and controlling behaviors such as jealousy were the most commonly reported forms of violence behaviors. Although few participants reported experiencing physical or sexual IPV, several discussed concerns about giving, and partners' acknowledging, sexual consent. Antecedents to IPV included wanting or feeling pressured to participate in normative development milestones, short-lived relationships, and societal stigma. Interventions that develop content on IPV and that reflect the lived realities of YGBMSM who are experiencing their first relationships are urgently needed. Study findings also support the need for training teachers, health care providers, and parents to identify signs of IPV and provide them with the knowledge and skills to talk to YGBMSM about relationships and violence to reduce IPV.

Abused by the Patriarchy: Male Victims, Masculinity, "Honor"-Based Abuse and Forced Marriages

The causes and effects of what is often referred to as "honor"-based violence/abuse (HBV/A) and forced marriages on men and boys is an under-researched field of patriarchal violence. This lack of research has resulted in an imperfect understanding of how and why men become victims of HBV/A and an absence of an effective theoretical framework in which to analyze their experiences. Through an examination of 29 Case Files obtained through a gender-neutral domestic abuse refuge charity in the East Midlands, the United Kingdom, this original research will explore the ways that men, particularly younger males and those who do not conform to cultural norms of masculinity, are harmed by patriarchal structures. In doing so, this article brings to light new data and adds to the patriarchal framework for understanding HBV/A and why it is committed against men. The results of this study reveal that the ways in which HBV/A and forced marriages were presented in the Case Files present both analogies to and distinctions with the infliction of Violence Against Women and Girls (VAWG) in similar circumstances. This discovery is important for several reasons: (a) it demonstrates that men and boys are harmed by patriarchy and that patriarchal theories of violence must therefore evolve to better recognize groups of male victims; (b) it provides a typological framework to identify the different types of male victims, the types of abuse and the perpetrators involved, including the involvement of mothers as primary and secondary perpetrators; and (c) that male victims require appropriate intervention and must be taken seriously by state agencies if men are to come forward and disclose abuse.

Sexual and Physical Assault Before Age 18 and Young Adults' Perception of Unfair Treatment

Research indicates that sexual and physical assault generate negative emotions of shame and anger, undermine self-esteem, and increase interpersonal sensitivity. This in turn may bring about behavioral changes and cognitive bias, which may adversely affect victims' social interactions. The purpose of this study was to examine whether sexual or physical assault before age 18 is associated with a heightened sense of being treated unfairly in early adulthood. A nationally representative sample of young adults age 18-21 (N = 2,770; 49% female) self-reported on whether they had ever been sexually or physically assaulted, whether it first occurred in childhood or adolescence, and how frequently they are treated unfairly in their everyday interactions with other people, as measured by the Everyday Discrimination Scale (EDS). Multivariate regression results indicated that child (≤age 12) physical assault and adolescent-onset (age 13-17) physical assault were associated with higher scores on the EDS for both men and women. Child sexual assault was associated with the EDS for men; adolescent-onset sexual assault was associated with the EDS for women. Violence as a minor was associated with each item of the EDS (e.g., treated with less respect, less courtesy, other people act of afraid of you, etc.). Violence victims attributed their elevated levels of perceived unfair treatment to their gender, race, age, and aspects of their physical appearance. Overall, the results suggest a mechanism through which a history of sexual and physical assault can affect social interactions.

Negative Third-Party Reactions to Male and Female Victims of Rape: The Influence of Harm and Normativity Concerns

Male and female victims of sexual violence frequently experience secondary victimization in the form of victim blame and other negative reactions by their social surroundings. However, it remains unclear whether these negative reactions differ from each other, and what mechanisms underlie negative reactions toward victims. In one laboratory study (N = 132) and one online study (N = 421), the authors assessed participants' reactions to male and female victims, and whether different (moral) concerns underlay these reactions. The reactions addressed included positive and negative emotions, behavioral and characterological blame, explicit and implicit derogation, and two measures of distancing. It was hypothesized that male victimization would evoke different types of (negative) reactions compared with female victimization, and that normative concerns would predict a greater proportion of the variance of reactions to male victims than female victims. Multivariate analyses of variance (MANOVAs) were conducted to test whether reactions to male and female (non-)victims differed. Multiple regression analyses were conducted to test the influence of gender traditionality, homonegativity, as well as binding and individualizing moral values on participants' reactions. Results revealed that participants consistently reacted more negatively to victims than to nonvictims, and more so to male than to female targets. Binding values were a regular predictor of negative reactions to victims, whereas they predicted positive reactions to nonvictims. The hypothesis that different mechanisms underlie reactions to male versus female victims was not supported. The discussion addresses implications of this research for interventions targeting secondary victimization and for future research investigating social reactions to victims of sexual violence. It also addresses limitations of the current research and considerations of diversity.

Injury patterns and associated demographics of intimate partner violence in men presenting to U.S. emergency departments

Research suggests that there are differences between sexes in physical intimate partner violence (IPV) victimization that could lead to different injury patterns. In addition, research shows that men under-report their injuries yet may suffer grave consequences. It is, thus, vital to establish physical injury patterns in male IPV victims. A retrospective review of prospectively collected data was performed using the National Electronic Injury Surveillance System-All Injury Program data from 2005 to 2015 for all IPV-related injuries in both male and female patients. Sex differences by demographics, mechanism, anatomic location, and diagnoses of IPV injuries were analyzed using statistical methods accounting for the weighted stratified nature of the data. IPV accounted for 0.61% of all emergency department visits; 17.2% were in males and 82.8% in females. Male patients were older (36.1% vs. 16.8% over 60 years), more likely to be Black (40.5% vs. 28.8%), sustained more injuries due to cutting (28.1% vs. 3.5%), more lacerations (46.9% vs. 13.0%), more injuries to the upper extremity (25.8% vs. 14.1%), and fewer contusions/abrasions (30.1% vs. 49.0%), compared to female IPV patients (p < .0001). There were also more hospitalizations in men (7.9% vs. 3.7% p = .0002). Knowledge of specific IPV-related injury characteristics in men will enable healthcare providers to counteract underreporting of IPV.

Characteristics and Impacts of Sexual Violence Against Men and Boys in Conflict and Displacement: A Multicountry Exploratory Study

Evidence of sexual violence against men and boys in many conflict-affected settings is increasingly recognized. Yet relatively little is currently known about the varied forms, sites, and impacts of this violence. Further, scant research on sexual violence against men and boys in displacement contexts has been undertaken to date. To begin to address these knowledge gaps, we undertook a multicountry, qualitative, exploratory study to gain insights into these issues. Study settings and populations were Rohingya refugees in Bangladesh; refugees and migrants who had traveled through Libya residing in Italy; and refugees from eastern Democratic Republic of the Congo (DRC), Somalia, and South Sudan residing in Nairobi and Mombasa, Kenya. Methods included 55 semi-structured focus group discussions with 310 refugees and semi-structured key informant interviews with 148 aid workers and human rights experts. Data were thematically analyzed using NVivo 12. Findings suggest that sexual violence against men and boys may not be rare in Myanmar (northern Rakhine state), Libya, eastern DRC, and South Sudan. Frequently reported forms of violence in these settings were genital violence, forced witnessing of sexual violence, and rape. Sites where violence was often reported included border crossings, along the roadside, and during imprisonment. In host countries, forms of sexual violence included sexual abuse of boys, sexual exploitation particularly of adolescents and persons with diverse sexual orientation and gender identity, and rape. Impacts on survivors involved short- and long-term physical, mental, economic, and familial dimensions. These findings aim to inform sexual violence-related prevention, mitigation, and response efforts in humanitarian settings. More research is warranted, including on sexual violence against men and boys in Somalia, sexual violence by family and community members in conflict and displacement settings, sexual exploitation of adolescent boys, and sexual violence including sexual exploitation of persons with diverse sexual orientation and gender identity.

Understanding Case Outcomes for Male Victims of Forcible Sexual Assaults

While rape and sexual violence have long been a widespread social problem, and one that has garnered significant attention, research that specifically examines the phenomenon of male victimization of sexual violence remains lacking. Addressing the gaps in the research, the current study uses 10 years of law enforcement data from the United States' National Incident-based Reporting System (2007-2016) on sexual victimization of males 14 years of age or older. The study sought to assess the impact of victim, offender, and incident characteristics associated with the outcome of the case (i.e., open, arrest, and exceptional clearance due to the victim declining or the prosecution refusing to pursue the case) for 20,701 male victims who reported a forcible sex offense to law enforcement as well as agency variation for cleared crimes. Using multilevel multinomial logistic regression, exceptionally cleared cases are more likely to resemble open cases than those resulting in arrest with incident characteristics having a larger influence than victim and offender characteristics. Cases involving concomitant offenses, committed by a stranger, resulting in injury, increase the likelihood of arrest-all of which support the "real rape" hypothesis. Exceptionally cleared cases represent more than one-third of cleared cases and there is significant department variation in the usage of exceptional clearance, as a number of agencies are exceptionally clearing more than half of their cleared cases, artificially increasing their clearance rate. These results, in conjunction with research on female victims, suggests that the handling of sexual assault cases reported to law enforcement remains problematic.

Childhood Abuse Classes for Incarcerated Men and Women: Are There Unique Gender Patterns in Abuse Classes?

Childhood adversity is predictive of poorer health and behavioral health outcomes in adulthood. Males and females are known to experience different types of childhood adversity, with females experiencing more sexual and emotional harm in childhood. Latent class analysis (LCA) has been used to identify patterns among types of childhood adversity. These studies have constructed class structures using single gender or blended gender samples. Class structures based on blended gender samples, however, may misrepresent the nuances of gender-specific adversity histories through averaging, potentially distorting the relative need for gender-specific types of intervention. This study investigated whether latent class structures of childhood abuse are equivalent for incarcerated males and females. Our sample included 4,204 residents (3,986 males, 218 females) drawn from a single prison system. Residents completed an hour-long audio computer-assisted self-interview that included questions on 10 types of childhood abuse, depression, and anxiety symptoms, the Beck Hopelessness Scale (BHS), Buss-Perry Aggression Questionnaire, and Criminal Sentiments Scale-Modified (CSS-M). Overall, female residents were both more likely to experience childhood abuse and have more extensive victimization experiences. Small subgroups of males, however, had even more extensive victimization experiences. Abuse patterns for males and females, while optimally clustering in four classes, are rather unique, especially for higher abuse classes, in terms of distribution of membership and types of abuse. These differences may matter in terms of identifying the relative need for therapeutic intervention among incarcerated males and females and targeting those interventions in ways that reflect the gradient and density of therapeutic need. The next step is to test whether using blended or gendered latent class structures matters in terms of predicting outcomes, such as prison-based behavioral health problems, suicidality, and victimization.

Internal and External Barriers to Help Seeking: Voices of Men Who Experienced Abuse in the Intimate Relationships

This qualitative study explores internal and external barriers to help seeking among 41 men from four English-speaking countries who self-reported victimization from a female intimate partner. Twelve online focus groups were conducted and themes were identified inductively at a semantic level. Six identified themes represented four internal (blind to the abuse, maintaining relationships, male roles, and excuses) and two external barriers to help seeking (fear of seeking help and nowhere to go). Most participants who avoided seeking help did so due to their own lack of recognition of abuse and ability to assess their risk of harm, attempts to keep the family intact, masculine stereotypes, and excuses for their partner's abuse. Some men who expressed an interest in seeking help were discouraged from it due to fear for their personal safety, a potential revictimization in the legal system, and the lack of support services available to men. This research suggests that the individuals who are abused in relationships, service providers, and the public at large could benefit from professional training about gender inclusive approaches to intimate partner abuse.

Authentic Empathy and the Role of Victim Service Providers in (De)stigmatizing Male Sexual Victimization

Male victims of rape and sexual violence (SV) constitute a highly stigmatized group who doubly suffer the trauma of SV and hegemonic notions of real masculinity that punishes weakness and vulnerability in men. This double exposure produces a stigmatizing identity (i.e., male victim stigma) that is embedded in grand narratives about male SV. However, helping professionals have been implicated in this (de)stigmatizing process. Few studies describe the role victim service providers (VSPs) play as (de)stigmatizing agents. This study is among the first to explore VSP narratives on their stigma awareness and stigma management practices. Story-focused interview methods elicited responses from 11 VSPs (nine females and two males, age: 29-65 years) across the United States representing diverse victim-serving professions. Interviews were face-to-face or by phone, lasting between 45 and 90 minutes. Interviews were transcribed verbatim and analyzed using power-sensitive Foucauldian discourse analysis (or FDA, suitable for analyzing language and meanings linked to power dynamics). Our analysis was guided by a meaning-forming social constructionist approach. With some narrative convergence and disconvergence, three strings of narratives with supporting excerpts were identified, namely (a) stigma awareness shaped by discursive and material forces, (b) labeling as a (de)stigmatizing tool, and (c) connecting through authentic empathy (AE). The concept of AE is recommended as a possible model of care and stigma management approach in therapeutic spaces. We define AE as an aptitude to credibly provide nonjudgmental, stigma-free care, based on personal histories with trauma, membership in a stigmatized group, or an earned involvement with members of the same group. Findings bear implications for stigma-informed practices and future research to address the unique unmet needs of stigmatized male victims.

The Relationship Between Provider Gender Preferences and Perceptions of Providers Among Veterans Who Experienced Military Sexual Trauma

Previous research has demonstrated that most veterans who have experienced military sexual trauma (MST) have provider gender preferences. Although provider gender mismatch, defined as not receiving a provider of the gender of one's preference, may deter veterans from disclosing MST or seeking MST-related care, there is little research that has examined this issue. The current study aimed to explore how provider gender mismatch is related to veterans' comfort with providers, perception of their providers' competency, and their endorsement of perceived provider barriers when communicating about MST. The current study was conducted as part of a larger national survey of veterans' barriers to accessing MST-related care. Participants in the study were identified using Veterans Health Administration (VHA) administrative data. Criteria for inclusion in the overall study were being enrolled in VHA health care, having screened positive for MST, and having received at least one VHA outpatient service. A subset of eligible veterans who had endorsed MST, reported a provider gender preference, and endorsed discussing MST with a VHA provider (N = 1,591) were included in the current study. Results demonstrated that provider gender preference mismatch was associated with greater endorsement of perceived provider barriers, less comfort with providers, and lower perceived provider competency in women; and greater perceived provider barriers and less comfort with providers among men. The study demonstrates that provider gender preferences may affect care for veterans who have experienced MST, and that the impact may differ for men and women. These findings may be used to improve patient-centered care and inform future research regarding veterans' provider gender preferences.

A Qualitative Study of Intimate Partner Violence Among Young Gay and Bisexual Men

Intimate partner violence (IPV) is prevalent among young gay and bisexual men (YGBM) and is associated with physical and mental health problems, as well as deleterious psychosocial conditions. Most previous studies of IPV among YGBM have been quantitative in nature and have not examined the numerous subtypes of IPV, the chronicity of IPV experiences, and how is IPV manifested in the context of these same-sex relationships. Thus, a qualitative approach may be useful in exploring these multidimensional and understudied experiences. The present qualitative study sought to (a) explore dimensions of IPV victimization, perpetration, and bidirectional IPV among a sample of (n = 26) YGBM living in New York City and (b) explore the chronicity of IPV experiences among these YGBM. Participants were recruited from an ongoing cohort study of YGBM. Participants completed semistructured interviews that included questions about IPV victimization, perpetration, and bidirectional IPV. A modified version of the consensual qualitative research method was used to analyze the data. The YGBM in this study reported numerous forms of physical, psychological, sexual, and financial IPV victimization and perpetration. Bidirectional experiences of IPV were common. The various subtypes of IPV victimization and perpetration are explored in detail in this manuscript. In addition, many participants reported multiple experiences of abuse within the same relationship, and some participants experienced a pattern of abusive relationships over time. This study corroborates findings from quantitative studies, which indicate that IPV is a prevalent and significant health problem among YGBM, and one that warrants additional attention from researchers, practitioners, and policy-makers. Furthermore, this study adds rich qualitative data to the existing literature-data that can be used to help develop and refine future measures of IPV that are tailored for use with YGBM.

Severity of Victimization and Formal Help Seeking Among Men Who Experienced Intimate Partner Violence in Their Ongoing Relationships

This study examined the severity of intimate partner violence (IPV) experienced by men in their ongoing relationships and their help-seeking behavior with the criminal justice system and other professional agencies. This study also examined the extent to which socio-demographic variables predicted formal help seeking among male victims of IPV. Data were drawn from 2009 and 2014 cycles of the Canadian General Social Survey on Victimization with a nationally representative sample of 52,400 respondents. It is estimated that about 655,400 men in Canada reported having experienced physical and/or sexual victimization due to IPV in married/common-law relationships at the time of the surveys between 2004 and 2014. The latent class analysis generated four types of IPV victimization among men. Among male victims of physical and/or sexual IPV, about 64,000 men experienced the most severe type of IPV characterized by chronic and severe physical and psychological violence with a high probability of injuries and negative emotional effects of IPV. Although most of the male victims of IPV did not seek formal help (e.g., did not contact the police and IPV services), the severity of experienced violence was associated with the increased use of formal services. Some structural factors, such as being unemployed and residing with young children, were found to be substantial barriers to contacting formal agencies for help. Our findings highlight the need for the development of gender-inclusive and gender-sensitive public policy and intervention programs that help all victims of IPV regardless of victim gender.

Team Sports and Sexual Violence: Examining Perpetration by and Victimization of Adolescent Males and Females

The authors examined whether team athletic involvement is related to sexual violence victimization and perpetration among male and female high school students. A secondary data analysis was conducted with Minnesota Student Survey data gathered from 122,501 Minnesota eighth-grade, ninth-grade, and 11th grade students. Multivariable logistic regression indicates that sport-involved youth are more likely to be involved in sexual violence than peers not involved in sports. For example, highly sport-involved males are significantly more likely to coerce a partner into sex (odds ratio [OR] = 1.35, 95% confidence interval [CI] = [1.01, 1.67]) and be coerced (OR = 1.19, 95% CI = [1.02, 1.38]) than nonsport peers. The results suggest high school sport programs could be an important site to implement comprehensive sexual violence prevention programs targeted at individual actions as well as harmful cultural norms and systematic inequities.

High Prevalence of Sexual Assault Victimization Experiences Among University Fraternity Men

Limited research has examined sexual victimization among U.S. college men, and particularly fraternity men. We report the prevalence of sexual assault (SA) victimization among a sample of college fraternity members and the sociodemographic variables associated with this victimization. In April 2018, we conducted a web-based survey study among a random sample of fraternity members (n = 102) from a list of all fraternity members at a large Midwestern university. We used Fisher's exact tests, Student's t-tests, and log-binomial regression models to assess associations between sociodemographic variables and any SA victimization (attempted or completed penetrative sexual assault). Over a quarter (27.5%) of respondents reported experiencing any SA victimization-penetrative sexual assault (13.7%) or attempted penetrative sexual assault (25.5%)-since entering college. Age, school year, and being on a varsity sports team were significantly associated with any SA victimization (p-values: <.01, <.01, and .02, respectively). Regression analyses showed older fraternity men had experienced significantly greater prevalence of any SA victimization compared to younger fraternity men (prevalence ratio [PR]: 2.78, 95% confidence interval (CI): 1.35-5.73). Furthermore, any SA victimization was also more common among varsity sports team members (3%) compared to nonmembers (0%). These findings indicate that college men, particularly fraternity members, may experience sexual assault victimization at high rates. Our more inclusive survey language may have captured sexually violent experiences that traditional measures have not, such as "made to penetrate" experiences. We encourage the use of queries that are sensitive to the specific characteristics of male sexual violence victimization, including experiences of nonconsensual sexual activity where the victim is either the penetrated or the penetrator. Furthermore, prevention efforts and supportive services for survivors should be expanded to better address male SA victimization on college campuses.

Teacher-Student Sexual Relationships: The Role of Age, Gender, and Multiple Victims on Incarceration and Registration Outcomes

Minimal research has examined sentencing outcomes in teacher-student sexual abuse cases, while the research that has been conducted has primarily focused on gender and attractiveness. Furthermore, the body of literature examining how gender affects sentencing has contradictory findings. Age of the victim and number of victims may also play a role in sentencing outcomes. The current study aimed to better understand which factors (by examining how gender of the victim and defendant, age of the victim and defendant, and having multiple victims) are associated with sentencing outcomes in cases where teachers engage in inappropriate sexual relationships with students. The sentencing outcomes that were assessed include length of incarceration, likelihood of having to register as a sexual offender, and likelihood of being incarcerated. The current study reviewed 250 cases that were covered in the media between 2008 and 2010 that involved a defendant who was accused of sexual contact with a student whom they had contact with through their role as an educator or school staff member. Results indicate that defendant age, victim age, and whether there was one or multiple victims had significant implications for sentencing outcomes. An increase in victim age was associated with a decreased likelihood of incarceration, shorter incarceration lengths, and a decreased likelihood to be required to register as a sexual offender. An increase in defendant age was also associated with increased likelihood of incarceration. Furthermore, having multiple victims was associated with increased incarceration lengths. This study has implications for school policies and teacher training specific to building appropriate relationships and boundaries with students. Given the rise in reporting of sexual abuse cases between teachers and their students, implementing more comprehensive ethics training is paramount.

Clinical Features of Heterosexual Intimate Partner Violence Victims With Escalating Injury Severity

Intimate partner violence (IPV) is largely recognized to have a cyclical pattern and violence escalation in terms of frequency and intensity over time. However, there is a lack of systematic investigation of the profiles of victims and quantification of the patterns of injury of the victims associated with the first time versus repeated violence episodes. This study aimed to fill this knowledge gap by medical chart review of 878 victims in a 5-year period from 2010 to 2014 in Accident and Emergency Department (AED) of two public general hospitals in Hong Kong. The differences in injury patterns between the first IPV episode (FE) and recurrent IPV episodes (REs) experienced by male and female victims in heterosexual relationship were evaluated. The results indicated the violence escalation occurred in recurrent IPV in both genders. In female victims, there was significant increase in the number of injury locations (mean [M] = 2.0 vs. 2.2, p < .05), number of causes of injury (M = 1.7 vs. 2.2, p < .001) and police escort (15.2% vs. 22.1%, p < .05) in RE compared to FE. In male victims, however, only the increase in the number of causes of injury was significant (M = 1.6 vs. 2.1, p < .05) in RE compared to FE. In summary, our results highlight the escalation in the severity of harm of IPV victims in heterosexual relationship, and the gender differences in severity aggression and injury and help-seeking behavior change in recurrent IPV. Preventive measures are indicated to intervene the IPV occurrence and recurrence with rising morbidity and a potential of mortality.

Jordanian Men's Experience of Emotional Abuse in Marital Relationships: The Role of Marriage Length and Motivation

Though emotional abuse is one of the worst and most common types of intimate partner violence, it has not been investigated in Arabic literature. Thus, this study explored the prevalence of emotional abuse among married Jordanian men. Furthermore, the moderating roles of marriage length, marriage motivation, age, and area in the path to emotional abuse were investigated. An online survey was conducted using a random sample of Jordanian married men in Amman. A total of 1,003 participants with an average age of 42.51 and a marital relationship duration ranging from 1 to 53 years were selected. The results revealed that isolation was the most prevalent emotional abuse domain, followed by degradation, property damage, and sexual coercion. However, all emotional abuse domains were more prevalent among rural rather than urban men, in both traditional and love marriages. Emotional abuse was higher among men who married for love. Younger men reported experiencing higher emotional abuse levels, which declined with age and increasing marriage length. Further research is required to explore the nature of emotional abuse forms and their underlying reasons among married men, as differences in sociodemographic characteristics could affect the identification and understanding of emotional abuse and contribute to developing an intellectual framework capable of finding solutions for abusive marital relations in the Jordanian context.

"Men Cannot Be Raped": Correlates of Male Rape Myth Acceptance

Despite the increased attention surrounding rape and sexual assault, research on male victims remains limited, particularly concerning the adherence to rape myths. Rape myths, which are false beliefs that are widely accepted, contribute to the justification and normalization of sexual violence by offenders and focus on the actions and behavior of victims while minimizing the harm. Addressing the gaps in the research, the present study examines how demographics, personal experiences with rape (i.e., being or knowing a survivor), and belief systems relate to rape myth adherence for male victims. The sample consisted of 1,220 adults in the United States who completed an online survey via Amazon's Mechanical Turk (MTurk). The number of myths endorsed ranged from 0 to 21 with a mean of 4.1 (SD = 4.7). In the final model of the hierarchical regression, results indicate rape myth acceptance was positively associated with individuals who were male, older, and more likely to believe males falsely report rapes to law enforcement at a high rate. Of the gender and sexuality attitudinal scales, individuals who adhered to female rape myths, held negative attitudes toward homosexuals, accepted traditional sexual double standards, and believed in traditional social gender roles were more likely to adhere to male rape myths. Findings demonstrate that rape myths operate similarly for male and female victims. Sexual assault programming and interventions need to address that males can be victims of sexual violence and the myths associated with male victimization in addition to generally challenging the adverse belief systems that serve as the foundation for rape myths generally.

"I Feel Permanently Traumatized By It": Physical and Emotional Impacts Reported by Men Forced to Penetrate Women in the United Kingdom

This article reports findings from the first empirical study in the United Kingdom on forced-to-penetrate cases, where a man is forced to penetrate a woman either orally, vaginally, or anally with his penis and without his consent. Using an online survey, data were collected in relation to the physical and emotional impacts experienced by 154 men following their most recent forced-to-penetrate experience. Quantitative and qualitative data were collected through the use of closed and open-ended survey questions, where participants were asked about the context and circumstances of their most recent experience and whether they had suffered any physical injuries. A unipolar scale was used to measure the emotional impact on participants, with an open-ended follow-up question gathering qualitative data. The majority of participants did not report suffering physical injuries, but those that did suffered injuries to their genitalia and upper bodies. Participants most frequently indicated that their most recent forced-to-penetrate experience had had a severe negative emotional impact on them. Negative emotional impacts disclosed by participants were complex, ranging from anxiety and depression, to self-harm and suicidal thoughts and attempts. Quantitative analysis highlighted that when certain variables were present, participants more frequently reported physical injuries, as well as higher average levels of emotional harm. The findings from the study challenge existing understandings of masculinity and rigid sex and gender roles, which assume that men will always consent to sexual activity with a woman and that they cannot or do not experience emotional or physical harms at the hands of a woman. The findings are also considered in relation their implications for law and legal discourse, where evidence of harm is used as a justification for the criminalisation of certain behaviors and the severity of the legal response through sentencing.

Male Sexual Victimization: Examining Variation in the Probability of Weapon Use and Victim Injury

The sexual victimization of adult males remains an understudied subject within criminology. Prior research has generally been restricted to descriptive analysis of small clinical samples and inmate populations. Using general strain theory (GST), this study examines the simultaneous influence of community- and incident-level factors on the likelihood of weapon use and victim injury in cases of adult male sexual victimization. This study applies hierarchical generalized linear modeling (HGLM) to 2,155 cases of sexual victimization of adult males nested within 113 U.S. cities. Community-level data are procured from the 2011-2015 American Community Survey (ACS) 5-year summary file and incident-level data are taken from cases of sexual violence contained in the 2011-2015 National Incident-Based Reporting System (NIBRS). Findings demonstrate moderate support for GST as a framework through which to examine male sexual victimization, as community levels of disadvantage/violence and ethnic heterogeneity, as well as offender gender, race, intoxication, and weapon use each exhibit statistically significant relations with crime severity. This study finds that community and situational context are each important in predicting weapon use and victim injury, demonstrating the need to further explore male sexual victimization from a multilevel perspective.

Mock Jurors' Perceptions of Sexual Assault on a University Campus

The purpose of this study was to examine how defendant gender, victim gender, location of sexual assault (professor's office vs. fraternity party), and whether the defendant was intoxicated influenced mock jurors' decisions in a sexual assault case. Mock jurors (N = 503) read a mock trial transcript depicting an alleged sexual assault and were asked to render a dichotomous verdict, continuous guilt rating, and rate their perceptions of the victim and defendant. There was no influence on mock jurors' dichotomous verdicts. However, the presence of intoxication did influence continuous guilt ratings; intoxicated defendants elicited higher guilt ratings compared to sober defendants. Whether the defendant was intoxicated and the location of the crime were found to impact mock jurors' perceptions of the defendant (e.g., believability, credibility); whereas the gender of the defendant affected the perceived control the defendant had over the situation. Victim gender was found to impact mock jurors perceptions of the victim, such that female victims were perceived more favorably than male victims; this may support the idea that male victims of sexual assault are generally perceived more negatively than female victims. These results, and more, are discussed in terms of the current study and the larger implications.

Person- and Incident-Level Predictors of Blame, Disclosure, and Reporting to Authorities in Rape Scenarios

Rapes perpetrated during college are both common and underreported. Research highlights that several person- and incident-level factors relating to gender and sexuality may diminish reporting, by themselves and as they pertain to attributions of blame for the assault. In this study, male and female college students (N = 916) read vignettes describing a rape perpetrated by a man against a woman, a man against a man, or a woman against a man. Participants rated the blameworthiness of both perpetrator and victim and rated the likelihood that they would disclose the rape to social ties or health services or report it to authorities if they were in the victim's position. We found that male gender and heterosexual orientation predicted higher victim blame, lower perpetrator blame, and lower likelihood of disclosure, although relative endorsement of masculine gender ideology seemed to be driving these associations, as well as predicted lower likelihood of reporting to authorities. Controlling for other factors, vignettes portraying a woman raping a man led to a lower likelihood of disclosing or reporting the assault, compared with a male-on-female rape. We also found that the effects of female-on-male rape and traditional masculine ideologies tied to rape disclosure partially by decreasing blame to the perpetrator, which itself carried a unique influence on decisions to report. Our findings overall indicate that factors related to gender, sexuality, and blame have myriad influences and may contribute to low rates of disclosing rape to important outlets.

Using Technology to Conduct Focus Groups With a Hard-to-Reach Population: A Methodological Approach Concerning Male Victims of Partner Abuse in Four English-Speaking Countries

Research shows that the experiences of male victims of partner abuse (PA) are often denied by the public and the professionals who are charged to support PA victims. Recruiting female victims for research on PA victimization is relatively easy because there are existing structures to serve this group of victims. Thus, male victims are considered a hard-to-reach (HTR) population, and studying them can be difficult. This article focuses on the use of technology to collect qualitative data from male PA victims in an international study focusing on male victims. The researchers used their own professional networks to recruit and screen a convenience sample of male victims of female-to-male PA, in four different English-speaking countries: Australia, Canada, England, and the United States. Four web-based, video-enabled, focus groups were held for each country-for a total of 12 groups and 41 male participants. This article addresses recruitment methods, the use of technology in data collection, protecting the confidentiality of male victims, methods for informed consent, and lessons learned to facilitate future research.

Boys Are Victims, Too: The Influence of Perpetrators' Age and Gender in Sexual Coercion Against Boys

Sexual coercion among adolescent boys in South Africa is an underresearched topic despite the frequency of such events. Although quantitative research has illuminated the prevalence of sexual coercion toward boys, it has provided little understanding of the context of sexual coercion for adolescent boys. Given the often severe consequences of sexual coercion, it is important to further understand these experiences to inform prevention efforts. The current study aims to provide a more nuanced understanding of the context of sexual coercion. Data come from the baseline assessment for a translational research evaluation of a school-based intervention. The current study focuses on a subset of early and middle adolescent boys who reported experiencing sexual coercion (n = 223). Analyses examine boys' reports of their perpetrators' characteristics and details about the sexual coercion encounter. Logistic regression is used to examine how coercion tactics used by the perpetrator differs depending on the perpetrator's age and gender. Eighth-grade boys were most likely to report that their perpetrator was a similar-aged female and that perpetrator's age played a particularly important role in what tactics were used. Adult perpetrators were more likely to use physical force, threaten them, harass them electronically, and drink or use drugs at the time. Results provide important insight into boys' experiences of sexual coercion that have implications for both future research and intervention efforts. Although much research is needed on the topic, intervention programs should recognize that both male and female adolescents can be victim and perpetrator.

"But He's a Star Football Player!": How Social Status Influences Mock Jurors' Perceptions in a Sexual Assault Case

There have been several recent, high-profile cases in the media that have shed light on the perceived leniency in sentencing defendants in sexual assault cases. In a number of these cases, the defendant was well known within their community (e.g., Brock Turner; People v. Turner) or nationally (e.g., Ghomeshi; R v. Ghomeshi). The purpose of this study was to examine how the social status of the defendant (low vs. high), victim social status (low vs. high), victim gender (male vs. female), and the reason the victim was unconscious during the assault (consuming alcohol vs. consuming cold medicine) influenced mock jurors' decisions in a sexual assault case. Mock jurors (N = 489) read a mock trial transcript depicting an alleged sexual assault. Mock jurors were asked to render a dichotomous verdict, continuous guilt rating, and rate their perceptions of the victim and defendant. There was no influence of the variables on mock jurors' dichotomous verdicts; however, social status influenced guilt ratings. There also was a combined influence of the defendant's social status and the reason the victim was unconscious such that when the defendant was described as low status, and the victim was unconscious due to alcohol consumption, the defendant received higher guilt ratings compared with when the victim was unconscious due to cold medicine. Moreover, the victim was perceived as having more control over the situation when the defendant was the star quarterback (i.e., high status), the victim was female, and she was unconscious due to alcohol consumption compared with cold medicine. These results suggest that victims may be blamed based on their perceived social status and other factors that may have influenced their control over the sexual assault, such as alcohol consumption.

Can I Ask for Help? The Relationship Among Incarcerated Males' Sexual Orientation, Sexual Abuse History, and Perceptions of Rape in Prison

In 2003, Congress passed the Prison Rape Elimination Act (PREA). Although subsequent research to PREA has shed light on the prevalence and incidence of sexual violence in American prisons, few studies examine inmates' perceptions of rape and safety from rape in prison. Even less is known about how inmates' perceptions of rape influence mental health treatment-seeking behavior during incarceration. Using a sample of incarcerated men, this study adds to the limited body of research by examining the perceived fear of rape and mental health treatment-seeking behavior in two vulnerable prison populations-gay and bisexual inmates and inmates with a history of childhood sexual abuse. Compared with straight inmates, gay and bisexual inmates were approximately two times more likely to perceive that rape was a threat and three times more likely to voluntarily request mental health treatment in prison. Inmates with a history of childhood sexual abuse were over twice as likely to perceive the threat of rape and nearly four times more likely to request mental health treatment than inmates who did not report a history of childhood sexual abuse. Policy, practice implications, and recommendations for future research are discussed.

Male Victims of Female-Perpetrated Partner Violence: A Qualitative Analysis of Men's Experiences, the Impact of Violence, and Perceptions of Their Worth

There has been a recent increase in the amount of research on male victims of female-perpetrated partner violence (PV) but research needs to be conducted to understand how the patterns of abuse persist in these relationships. In the current study, the experiences of 59 male PV victims in the USA, recruited through online advertisements in professional networks and websites (e.g., agencies that specialize in male victims of PV), were explored through a thematic analysis. Analyses suggested that the help seeking process of male PV victims is complex and heterogeneous and can often lead to further negative consequences due to various structural, cultural, social, and organizational factors. The findings also highlight the potential societal issues that male victims perceived as contributing to male victimization and lack of available resources for them. The results are discussed in terms of its implications for agencies, service providers, and general societal attitudes that are relevant to raising awareness about this phenomenon.

Extending the ACEs Framework: Examining the Relations Between Childhood Abuse and Later Victimization and Perpetration With College Men

Research has revealed that forms of violence are interconnected, but less work focuses on the interconnection of victimization and perpetration, particularly with men. Subsequently, our understanding of the complexities of violence exposure in men's lives and related policies and treatments remains limited. The present study utilizes a sample of at-risk for violence involvement, college men, to examine the relationships between childhood victimization, adulthood victimization, and adulthood perpetration. Participants are 423 college men receiving course credit who completed a battery of standardized questionnaires via an anonymous web survey. Logistic regression is used. Results indicate that 27% of the men report polyperpetration (two or more types of perpetration), 43.5% report polyvictimization (two or more types of victimization), and 60% report experiencing both forms of victimization and perpetration in the past year. Childhood physical abuse has predictive power for perpetration (psychological aggression and polyperpetration) and victimization (sexual violence, psychological aggression, and polyvictimization) for the men in the past year. Childhood sexual abuse has strong predictive power for perpetration (physical violence, sexual violence, and polyperpetration) and victimization (physical violence and sexual violence) with the men in the past year. Finally, emotional abuse has predictive power for victimization (physical violence and psychological aggression), but not perpetration, for the men in the past year. Developmental psychopathology and the adverse childhood experiences frameworks are used to posit potential pathways explaining the relation between childhood abuse and the overlap between victimization and perpetration in adulthood for men. Implications of this study include the use of trauma-informed models of care with men and expanding the scope of study to examine experiences of both victimization and perpetration, and various types of violence, among men.

How Men's Sexual Assault Victimization Experiences Differ Based on Their Sexual History

This study examined the differences in men's sexual assault victimization experiences based on their history of only having sex with women (MSW) or having sex with women and men (MSW/M). Based on the previous research, we expected that MSW/M would be more likely to report a sexual assault history, experience a significantly greater number of sexual assault acts, experience more severe levels of unwanted sexual activity and tactics (i.e., physically forced attempted or completed rape), and report both male and female perpetrators, compared with MSW. Community, nonproblem drinking men, ages 21 to 30 (N = 311), reported on their sexual assault victimization experiences since age 14 using a modified version of the Sexual Experiences Survey. Six items were used to assess participants' number of unwanted sexual experiences (i.e., unwanted sexual contact, attempted and completed rape) that included the use of intoxication, physical force, both, or neither. For each item, participants indicated if the perpetrator(s) was/were male, female, or both male and female. Two fifths of men reported experiencing sexual assault, the majority of which involved attempted or completed rape. Replicating and extending previous research, MSW/M were significantly more likely to be victims (65% vs. 39%), experienced a significantly greater number of sexual assault acts since age 14, were more likely to have experienced attempted or completed rape through the use of physical force, and were more likely to report male only or both male and female perpetrators across their victimization experiences, as compared with MSW. Results indicate a clear need for additional research on the unique victimization experiences of MSW/M. Additionally, sexual assault prevention programming needs to provide men with the skills to identify and negotiate unwanted sexual advances made by men and women and to promote healthy sexual relationship behaviors.

The Preference for Strangulation in a Sexually Motivated Serial Killer

The existing literature on the killing method of choice for sexually motivated serial killers suggests strangulation as the preferable means of homicide, when the victim is female. When homicide victims are male, however, existing research suggests that firearms and blades are preferable methods of causing death. A case is presented here of a sexually motivated male serial killer who exclusively targeted males and who chose strangulation as his means of killing. Analysis suggests that not only is the psychological constitution of the killer an important factor in understanding how they kill victims but, also, the nature of the sexual act is an important determinant in the method of killing in male on male sexually motivated killing.

Influence of Intimate Terrorism, Situational Couple Violence, and Mutual Violent Control on Male Victims

The goal of the current study is to test - among samples of men - some previous findings relative to Johnson's (2008) typology of partner violence (PV). Among samples of exclusively women, Johnson has found that the frequency and severity of PV - and victims' mental health - are worse for female victims of intimate terrorism (IT) than of situational couple violence (SCV). However, such findings have rarely been tested in male victims of PV. Furthermore, although Johnson posits that mutual violent control (MVC) is relatively rare, other research suggests that it is about as common as IT and may be associated with worse PV and health. We examined the relative frequency and severity of various forms of PV, and the relative health and mental health between men who (a) experienced IT versus SCV, and (b) experienced IT versus MVC. Our two samples were 611 men who sought help for PV victimization and 1,601 men from a population-based sample. Our analyses showed that across samples, men who were victims of IT had significantly worse mental health than men who experienced SCV, and IT victims experienced more severe and frequent PV, including physical, sexual, and non-physical forms of PV. Male victims of IT had worse mental and physical health than either men who perpetrated IT or experienced MVC, but men involved in MVC were involved in relationships with more types of PV than either male IT perpetrators or victims. Results are discussed in terms of their implications for Johnson's typology, future research, and service providers.

Rape and Posttraumatic Stress Disorder (PTSD): Examining the Mediating Role of Explicit Sex-Power Beliefs for Men Versus Women

Many rape survivors exhibit symptoms of post-traumatic stress disorder (PTSD), and recent literature suggests survivors' beliefs about sex and control may affect PTSD symptoms. The present study examined beliefs about sex and power as potential mediators of the relationship between rape and PTSD symptoms for men versus women. Participants ( N = 782) reported lifetime history of rape, current PTSD symptoms, and beliefs about sex and power. Women reported higher levels of lifetime history of rape than men (19.7% for women; 9.7% for men). While rape history predicted PTSD symptoms for both genders, beliefs about sex and power were shown to be a significant partial mediator of this relationship for men, but not for women. Results extend the literature on rape and PTSD by suggesting that survivors' beliefs about sex and power are connected and can affect their PTSD symptoms. Additionally, results illustrate how sexual violence against men may reaffirm male gender roles that entail power and aggression, and ultimately affect trauma recovery.

The Place of Culture and Religion in Patterns of Disclosure and Reporting Sexual Abuse of Males: A Case Study of Ultra Orthodox Male Victims

This article deals with reporting patterns of sexual abuse in males in a religious-cultural context through a case study of ultra-Orthodox Jewish (Haredi) men who were young victims of sexual abuse. The study is based on in-depth interviews with 40 Haredi men. The results indicate that sexual abuse involving ultra-Orthodox boys was and is underreported. Moreover, the results indicate that even when such incidents were reported, the avenues for disclosure were parents, educational-religious figures, and friends. It was also found that silencing in matters related to sexuality, viewing sexual abuse in boys as a serious sin and taboo, and encouraging blind obedience-all of which characterize Haredi society-were factors in the underreporting. The results also show a strong tendency to cover up incidents of sexual abuse on an individual level, on a family level, and at the community level. The findings indicate a linkage between the religious and cultural background of male victims of sexual abuse and their reporting patterns.

Characterizing Drug-Facilitated Sexual Assault Subtypes and Treatment Engagement of Victims at a Hospital-Based Rape Treatment Center

Variation among existing studies in labeling, defining, identifying, and subtyping cases of suspected drug-facilitated sexual assault (DFSA) poses challenges to integrating research findings for public health purposes. This descriptive study addressed methodological issues of nomenclature and DFSA operational definitions to improve case identification and was designed to distinguish assault subtypes. We studied a 2-year ethnically diverse cohort of 390 patients who presented acutely to an urban rape treatment center (RTC). We abstracted data from RTC medical and mental health records via chart review. Assault incidence rates; engagement into medical, forensic, and mental health services; injury sustained; and weapon use were calculated separately for assault subtypes and compared. DFSA accounted for over half of the total sexual assault (SA) cases. Involuntary DFSA (in which an incapacitating substance was administered to victims without their knowledge or against their will) increased from 25% to 33% of cases over the 2-year period. DFSA victims presented sooner, and more often attended medical follow-up and psychotherapy than non-DFSA victims. Incidence rates indicated increasing risk for young males. These findings indicate that DFSA continues to be a growing and complex phenomenon and suggest that DFSA victims have greater service needs. The field would benefit from innovations to address symptomatology arising from this novel type of trauma and the unique risks and needs of male victims, as well as underscoring the ongoing need for DFSA-specific prevention efforts for both victims and perpetrators.

The mental health of male victims and their children affected by legal and administrative partner aggression

The authors recently developed a psychometrically valid measure of legal and administrative (LA) intimate partner violence (IPV) victimization (Hines, Douglas, & Berger, 2014). The current article explores the impact of actual and threatened LA aggression on the mental health of male physical IPV victims and their children. In the current study, a sample of 611 men who sought help after experiencing physical IPV from their female partners completed a survey assessing the types and extent of IPV that occurred in their relationship, including LA aggression, their own mental health outcomes, and the mental health of their oldest child. A series of OLS regressions indicated that after controlling for covariates, actual LA aggression was associated with more symptoms of PTSD and depression in male victims, and that both threatened and actual LA aggression were associated with higher levels of affective and oppositional defiant symptoms in the men's school age children. The current findings suggest that it is important to screen couples for the presence of LA aggression and male partners and their children should be referred for mental health treatment if LA aggression is occurring in the relationship. Aggr. Behav. 42:346-361, 2016. © 2015 Wiley Periodicals, Inc.

Relative Influence of Various Forms of Partner Violence on the Health of Male Victims: Study of a Helpseeking Sample

Researchers argue that partner violence (PV) is a multidimensional and heterogeneous phenomenon that needs to be measured in multiple ways to capture its range, extent, severity, and potential consequences. Several large scale, population-based studies show that about 40%-50% of PV victims in a one-year time period are men; this finding is consistent whether the study focuses on physical PV or a combination of several forms of PV. However, no one has investigated how the different forms of PV contribute to male victims' poor mental health, although research suggests that physical, psychological, and sexual PV contribute unique variance to female victims' poor health. The current study investigated how six forms of PV - physical, sexual, severe psychological, controlling, legal/administrative (LA), and injury - contributed to the poor health of 611 male victims of PV who sought help. We found that the combination of PV contributed significant unique variance to men's depression, post-traumatic stress disorder, physical health, and poor health symptoms, after controlling for demographic and other traumatic experiences. The common variance among the forms of PV victimization was the strongest contributor to victims' poor health; the types of PV that contributed the most unique variance were controlling behaviors, LA aggression, sexual aggression, and injury. Discussion focuses on the research and practice implications of these findings.

A self-report measure of legal and administrative aggression within intimate relationships

Although experts agree that intimate partner violence (IPV) is a multidimensional phenomenon comprised of both physical and non-physical acts, there is no measure of legal and administrative (LA) forms of IPV. LA aggression is when one partner manipulates the legal and other administrative systems to the detriment of his/her partner. Our measure was developed using the qualitative literature on male IPV victims' experiences. We tested the reliability and validity of our LA aggression measure on two samples of men: 611 men who sustained IPV and sought help, and 1,601 men in a population-based sample. Construct validity of the victimization scale was supported through factor analyses, correlations with other forms of IPV victimization, and comparisons of the rates of LA aggression between the two samples; reliability was established through Cronbach's alpha. Evidence for the validity and reliability of the perpetration scale was mixed and therefore needs further analyses and revisions before we can recommend its use in empirical work. There is initial support for the victimization scale as a valid and reliable measure of LA aggression victimization among men, but work is needed using women's victimization's experiences to establish reliability and validity of this measure for women. An LA aggression measure should be developed using LGBTQ victims' experiences, and for couples who are well into the divorce and child custody legal process. Legal personnel and practitioners should be educated on this form of IPV so that they can appropriately work with clients who have been victimized or perpetrate LA aggression.