Saturday, July 18, 2009

Psychological response to rape

Psychological response to rape

Main article: Rape Trauma Syndrome
[edit]Self blame
Self blame is among the most common of both short- and long-term effects and functions as an avoidance coping skill that inhibits the healing process and can often be remedied by a cognitive therapy technique known as cognitive restructuring.
There are two main types of self blame: behavioral self blame (undeserved blame based on actions) and characterological self blame (undeserved blame based on character). Victims who experience behavioral self blame feel that they should have done something differently, and therefore feel at fault. Victims who experience characterological self blame feel there is something inherently wrong with them which has caused them to deserve to be assaulted.
A leading researcher on the psychological causes and effects of shame, June Tangney, lists five ways shame can be destructive:[15]
lack of motivation to seek care;
lack of empathy;
cutting themselves off from other people;
anger;
aggression.
Tangney says shame has a special link to anger. "In day-to-day life, when people are shamed and angry they tend to be motivated to get back at a person and get revenge."
In addition shame is connected to psychological problems - such as eating disorders, substance abuse, anxiety, depression, and other mental disorders as well as problematic moral behavior. In one study over several years shame-prone kids were prone to substance abuse, earlier sexual activity, less safe sexual activity, and involvement with the criminal justice system.[15]
Behavioral self blame is associated with feelings of guilt within the victim. While the belief that one had control during the assault (past control) is associated with greater psychological distress, the belief that one has more control during the recovery process (present control) is associated with less distress, less withdrawal, and more cognitive reprocessing.[16]
Counseling responses found helpful in reducing self blame are supportive responses, psychoeducational responses (learning about rape trauma syndrome) and those responses addressing the issue of blame.[17] A helpful type of therapy for self blame is cognitive restructuring or cognitive-behavioral therapy. Cognitive reprocessing is the process of taking the facts and forming a logical conclusion from them that is less influenced by shame or guilt.[18]
[edit]Suicide
Childhood and adulthood victims of rape are more likely to attempt or commit suicide.[19][20][21] The association remains, even after controlling for sex, age, education, symptoms of post-traumatic stress disorder and the presence of psychiatric disorders.[22][23][24] The experience of being raped can lead to suicidal behavior as early as adolescence. In Ethiopia, 6% of raped schoolgirls reported having attempted suicide.[25] A study of adolescents in Brazil found prior sexual abuse to be a leading factor predicting several health risk behaviours, including suicidal thoughts and attempts.[26]

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