: pseudo-adjustment; resumption of work; guilt -- blaming of self for ingratiating behavior and poor judgment.
: motor activity (e.g., changing residence), nightmares, phobic reactions, sexual problems, mistrust of men, persistent feelings of vulnerability.
Rape victim symptoms 12-30 months later
Suspicion of others 75%
Restricted going out 60%
Fear of being alone 50%
Sexual difficulties 50%
Sleep problems 25% (including nightmares)
½ have sexual difficulties
¼ have sleeping problems
¼ feel "sadder, but wiser" (lose sense of fairness).
Rape PTSD risk factors
Brutality of assault
Perception of life treat
Lack of support system
Immediate intense emotions
Rape victims have a 80% chance of getting PTSD. (Men in Vietnam had a 23% chance for PTSD) Women have a greater consciousness of crime in our society. Fear of AIDS as well (0.5% chance)
Treatment of the rape victim
Inquire about feelings at each step of the rape.
Encourage early return to routine activities.
Suggest that the survivor seek out understanding people for support.
Offer emotional support in a non-judgmental manner.
Refer to a Rape Crisis Center.
When a victim presents in the ER
- be sensitive (aware that this victim isn’t just a trauma, but a rape), have a woman present so the victim does not relive the trauma of a man violating her, use language which does not make her an active participant (i.e. not "Did you put your mouth on his penis?" rather "Did he put his penis in your mouth?"
Counter-transference feelings toward victims
- massive denial (discount severity), intellectualization, over-identification with the victim (get so upset they make premature assumptions and advice).
Benefits of learning self-defense
- minimize feelings of vulnerability, increase sense of control, increases self-esteem.