Binegativity Exacerbates the Effects of Sexual Victimization Disclosure on Posttraumatic Stress and Drinking Among Bisexual Women

2021 ◽  
pp. 088626052110479
Author(s):  
Selime R. Salim ◽  
Lee R. Eshelman ◽  
Terri L. Messman
Keyword(s):  
Posttraumatic Stress ◽  
Sexual Victimization ◽  
Mental Health Problems ◽  
Clinical Intervention ◽  
Hazardous Drinking ◽  
Victim Blame ◽  
Lesbian Women ◽  
Bisexual Women ◽  
Victimization Experience ◽  
Bisexual Identity

Bisexual women experience higher rates of sexual victimization and mental health problems compared to heterosexual and lesbian women. Bisexual women also receive more unsupportive or overtly negative reactions when they disclose experiences of sexual victimization. The current study aimed to examine the interaction of negative social reactions and binegativity (i.e., experiences of stigma due to bisexual identity) in predicting posttraumatic stress, depression, and hazardous drinking among bisexual women. The sample consisted of 161 young adult bisexual women (ages 18–35) who disclosed a sexual victimization experience to at least one person. Moderation analyses were conducted via the PROCESS macro for SPSS. “Turning against” reactions to disclosure (e.g., victim blame and avoidance of the victim) predicted increased posttraumatic stress and hazardous drinking in the presence of binegativity. In addition, reactions to disclosure that acknowledged the experience but were unsupportive predicted increased drinking in the context of binegativity. Depression was not associated with either type of negative reactions, regardless of binegativity. Thus, findings suggest that binegativity in combination with negative responses to disclosure of sexual victimization are important factors in specific types of distress related to sexual violence among bisexual women. Implications for research, clinical intervention, and policy are discussed.

Measurement Invariance of the Sexual Assault Script Scale (SASS): An Examination Among Hispanic and Non-Hispanic White College Women

2021 ◽  
pp. 088626052098549
Author(s):  
Elizabeth A. Yeater ◽  
Kristen N. Vitek ◽  
Ryan S. Ross ◽  
Meredith Blackwell ◽  
Katie Witkiewitz ◽  
...  
Keyword(s):  
Sexual Assault ◽  
College Women ◽  
Measurement Invariance ◽  
Sexual Victimization ◽  
Factor Model ◽  
The United States ◽  
Bisexual Women ◽  
Increased Risk ◽  
Hispanic White ◽  
White College

Rates of sexual victimization have remained steady over several decades, and preventative interventions to reduce men’s sexually aggressive behavior have been largely ineffective. As such, research has endeavored to find novel approaches to identify women at increased risk for sexual victimization. Sexual assault scripts, or “cognitive models” that women adhere to that guide their beliefs about sexual assault are posited to influence their victimization risk. Prior studies on sexual assault scripts primarily have been qualitative in nature; however, recent work yielded a 27-item measure of putative risk for sexual victimization called the Sexual Assault Script Scale (SASS). The SASS has four subscales called Stereotypical Assault Scripts, Acquaintance Assault Scripts, Assault Resistance Scripts, and Date/Friend Assault Scripts, which were found in prior work to be internally consistent and associated with putative risk factors for sexual victimization. The focus of the current study was to test the measurement invariance of the SASS among Hispanic and non-Hispanic White college women who were recruited in the prior study. Four hundred sixty-nine ( N = 469) Hispanic and 415 non-Hispanic White US undergraduate heterosexual or bisexual women from a Southwestern university in the United States completed the SASS. Confirmatory factor analysis (CFA) replicated the prior four-factor model with an acceptable fit to the data, and tests of measurement invariance revealed the SASS to be invariant across Hispanic and non-Hispanic White college women, suggesting that the SASS is measuring a similar construct in these groups.

Factors Associated With Posttraumatic Stress Disorder Symptomology Among Women Who Have Experienced Sexual Assault in Canada

2019 ◽  
pp. 088626051986008
Author(s):  
Janice Du Mont ◽  
Holly Johnson ◽  
Cassandra Hill
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Sexual Assault ◽  
Posttraumatic Stress ◽  
Dating Violence ◽  
Sexual Victimization ◽  
Stress Disorder ◽  
General Social Survey ◽  
Future Research ◽  
Ptsd Symptoms ◽  
Sexually Assaulted

There is a dearth of information about the association of victim-related and assailant-related characteristics and posttraumatic stress disorder (PTSD) among sexually assaulted women. Recently, Statistics Canada included items measuring the possible presence of PTSD symptoms in their 2014 nationally representative General Social Survey on Victimization (GSS-V), for the purpose of improving the understanding of mental health impacts associated with sexual victimization. The present study used the GSS-V to examine the association of sociodemographic, health, and assailant characteristics and prior traumatic experiences in the form of physical or sexual dating violence, physical assault, stalking, childhood abuse, and witnessing of violence between parents with PTSD symptomology among sexually assaulted women. Among 319 women who reported experiencing at least one incident of sexual assault in the 12 months prior to the survey, 68.6% had experienced at least one negative emotional impact as a result, among whom, 43.6% reported past-month PTSD symptoms. Logistic regression modeling revealed that prior traumatic events in the form of physical or sexual dating violence, stalking, and having witnessed violence between parents were associated with higher odds of experiencing PTSD symptoms, as was having been sexually assaulted by a known assailant. In contrast, the odds of experiencing PTSD symptoms was lower for Aboriginal or visible minority women. The results suggest that PTSD symptoms in the near aftermath of sexual victimization are common, and there are a range of factors that contribute to the likelihood of developing these symptoms. Implications for future research are discussed.

scholarly journals An experimental investigation of victim blaming in sexual assault: The roles of victim sexual orientation, coercion type, and stereotypes about bisexual women

2020 ◽  
Author(s):  
Christina Dyar ◽  
Brian A. Feinstein ◽  
RaeAnn Elizabeth Anderson
Keyword(s):  
Sexual Orientation ◽  
Sexual Assault ◽  
Experimental Manipulation ◽  
Lesbian Women ◽  
Bisexual Women ◽  
Related Factors ◽  
Negative Attitudes ◽  
Female Victims ◽  
Assault Victims ◽  
Influence Perceptions

Bisexual women are more likely to be sexually assaulted and to receive negative reactions to disclosures of sexual assault than heterosexual and lesbian women. However, few studies have examined the extent to which victim sexual orientation and related factors influence perceptions of sexual assault victims and perpetrators. To fill this gap, the current study used an experimental manipulation to examine the influence of victim sexual orientation and coercion type on perceptions of sexual assault victims and perpetrators. Participants (N = 826) were randomly assigned to read one of nine vignettes in which the sexual orientation of the female victim (bisexual, lesbian, heterosexual) and the type of coercion (verbal, physical, alcohol incapacitation) were varied. Then, participants were asked a series of questions about the victim and the perpetrator. Results indicated that bisexual and heterosexual female victims were both perceived as having wanted to have sex with the perpetrator more and as having “led the perpetrator on” more than lesbian victims. In contrast, victim sexual orientation was not associated with explicit ratings of victim or perpetrator responsibility or victim suffering. Bisexual female victims were also perceived as more promiscuous than both lesbian and heterosexual female victims. In turn, perceiving the victim as more promiscuous was associated with perceiving the victim as more responsible, having wanted to have sex with the perpetrator more, having “led the perpetrator on” more, and suffering less, and with perceiving the perpetrator as less responsible. In sum, our findings suggest that efforts to reduce sexual violence toward bisexual women should attend to negative attitudes toward bisexual women, especially the perception of bisexual women as promiscuous.

Intoxication and drugs in facilities

2015 ◽  
Author(s):  
Jason D. Ourada ◽  
Kenneth L. Appelbaum
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Active Substance ◽  
Mental Health Problems ◽  
Interdisciplinary Approach ◽  
Clinical Intervention ◽  
Comprehensive Treatment ◽  
Therapeutic Alliances ◽  
Assessment And Treatment ◽  
Life Threatening

Active abuse of substances by inmates poses a challenge for correctional psychiatrists. Substance use disorders (SUD) are common among inmates, with higher prevalence usually found in those with general psychiatric conditions. Knowledge about substance use in correctional facilities fosters competent clinical intervention and enhances management at all levels. Psychiatrists working in jails and prisons have the challenging task of maintaining therapeutic alliances with patients who have co-occurring SUDs and also may be actively using substances. Patients might not spontaneously report use during incarceration because they fear retribution by correctional staff or not receiving needed treatment for medical and mental health problems. Psychiatrists need to remain aware of this and to screen for SUD and active substance use as part of comprehensive treatment planning. The clinical challenges in jails and prisons differ, and the substances found in facilities vary geographically. Active substance abuse by inmates presents clinical and systemic challenges for correctional psychiatrists. The interplay among mental health, medical, and custody staff regarding screening, detection, triage, management, and treatment lies at the heart of these challenges. Correctional psychiatrists make important contributions by providing direct assessment and treatment to inmates, and by offering educational, clinical, and policy consultations to other staff. These contributions help prevent potentially life-threatening complications of intoxication and withdrawal, ensure integrated and evidence-based care, and avoid misguided or ill-informed disciplinary or other institutional practices. This chapter highlights these differences, outlines clinical management, and describes an interdisciplinary approach to intervention.

scholarly journals Coming Out to Parents in Lesbian and Bisexual Women: The Role of Internalized Sexual Stigma and Positive LB Identity

2020 ◽  
Vol 11 ◽  
Author(s):  
Roberto Baiocco ◽  
Jessica Pistella ◽  
Mara Morelli
Keyword(s):  
Sexual Orientation ◽  
Coming Out ◽  
Future Research ◽  
Lesbian Women ◽  
Bisexual Women ◽  
Sexual Stigma ◽  
Positive Identity ◽  
And Bisexual ◽  
Internalized Sexual Stigma

The experience of “coming out” (CO) to parents is often a crucial event in the lives of lesbian and bisexual (LB) women, associated with lower internalized sexual stigma (ISS) and higher positive LB identity. Few studies have compared the experiences of LB women in the CO process. Rather, most prior research has either: (1) not addressed bisexuality or eliminated bisexual individuals from the analysis; (2) combined bisexual women and bisexual men in the same sexual orientation group; or (3) examined bisexual participants alongside lesbian women and gay men, using a single monolithic measure. Thus, the present research aimed at investigating the role of ISS and positive LB identity in inhibiting or encouraging CO to parents in a sample of 241 lesbian women (Mage = 27.61, SD = 7.19) and 186 bisexual women (Mage = 25.23, SD = 5.81), aged 18–40 years. Most participants reported that they had already revealed their sexual orientation to their mother (69%) and their father (52%). More lesbian women had CO to both their mother and their father than had bisexual women. These lesbian women reported lower levels of ISS and higher levels of LB positive identity relative to bisexual women. On average, CO to mothers occurred at age 20 (SD = 5.54), while CO to fathers occurred at age 22 (SD = 5.63). LB women did not differ in the average age of CO to mothers or fathers, or in parental reactions to CO. Finally, ISS was found to affect the process of CO to both parents via positive identity (bootstrapping estimate = −0.26, SE = 0.08, 95% CI = −0.43, 0.11), whereas sexual orientation was not found to moderate the path from ISS to CO to both parents. The present study contributes to our understanding of the differences between LB women when developing their sexual orientation, highlighting the relevance of a positive LB identity for CO to parents. Research and clinical implications and directions for future research are discussed.

Use of and satisfaction with support received among survivors from three Scandinavian countries after the 2004 Southeast Asian tsunami

2011 ◽  
Vol 26 (7) ◽  
pp. 436-440 ◽  
Author(s):  
P.O. Michel ◽  
S. Rosendal ◽  
L. Weisaeth ◽  
T. Heir
Keyword(s):  
Posttraumatic Stress ◽  
Mental Health Problems ◽  
Informal Support ◽  
Stress Reactions ◽  
Home Support ◽  
Stress Symptoms ◽  
Disaster Survivors ◽  
Degree Of Satisfaction ◽  
Close Relatives ◽  
High Degree

AbstractIntroductionThere is limited guidance regarding effective preventions for post-disaster mental health problems and what kind of support is preferred by disaster survivors.AimTo describe the use of and satisfaction with support in three Scandinavian countries after the tsunami and analyzing the association between support and posttraumatic stress reactions.MethodThe sample comprises 6772 responders who returned to Scandinavia from the tsunami-struck countries of Southeast Asia in 2004.ResultsMost were satisfied with informal support on site. Support from embassies/consulates was not received well, leaving about 64% of the Danes/Norwegians and 73% of the Swedes dissatisfied. After returning home, support from close relatives rendered highest degree of satisfaction. Consultation with general practitioner (GP) was reported by 63% of Norwegians, 40% of Danes, and 16% of Swedes. Most responders (60–77%) were satisfied with their GP, although Norwegians were least satisfied. Using support was associated with higher levels of posttraumatic stress symptoms.ConclusionsInformal support was used to a high degree and rendered considerable satisfaction in all three countries, while the use of and satisfaction with formal support varied more. Lack of satisfaction with embassies and consulates may indicate deficiencies in the authorities’ preparedness in assisting disaster stricken citizens abroad.

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