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2008 Ohio Psychologist - Ohio Psychological Association

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thought to be “among the most severe and longest lasting<br />

consequences for victimized men,” these problems are often<br />

overlooked (Tewksbury, 2007, p. 31). No studies have examined<br />

sexual identity problems with a control or comparison group,<br />

yet almost every study that has examined case studies or men’s<br />

comments concerning sexual assault experiences have described<br />

sexual identity and orientation confusion in men following<br />

sexual assault experiences. For example, in a community sample<br />

of 40 British men who were sexually assaulted, 70% reported<br />

long-term sexual identity problems and 68% a “damaged<br />

masculine identity” (Walker et al., 2005). Homosexual victims may<br />

experience internalized homophobia and feel that the assault was<br />

a punishment for being gay (Garnets, Herek, & Levy, 1990), while<br />

heterosexual victims may feel confused about their sexuality and<br />

masculinity, especially if their body sexually responded during the<br />

assault (Mezey & King, 1992; Scarce, 1997).<br />

Predictors of <strong>Psychological</strong> Symptoms from Sexual Trauma<br />

A few studies have examined predictors or correlates of<br />

psychological symptoms and functioning in men after a sexual<br />

assault experience. A past history of childhood sexual abuse has<br />

been shown to be related to experiencing a sexual assault as an<br />

adult (Coxell et al., 1999; Elliott, Mok, & Briere, 2004). One study<br />

examined several demographic factors and found that being male,<br />

younger, and experiencing an incident of adult sexual assault<br />

in the last year increased the likelihood of reporting trauma<br />

symptoms (Elliott et al., 2004). Burnam et al. (1988) found that<br />

younger male victims were more likely to report subsequent<br />

drug abuse than older victims, whereas older victims were more<br />

likely to report obsessive-compulsive symptoms. Experimental<br />

studies also suggest that men find unwanted sexual contact from<br />

men more negative than unwanted sexual contact from women<br />

(Lev-Wiesel & Besser, 2006; Struckman-Johnson & Struckman-<br />

Johnson, 1993), and have more negative reactions as the level of<br />

coercion increases (Struckman-Johnson & Struckman-Johnson,<br />

1994).<br />

Implications for Help-Seeking, Practice & Research<br />

Male rape victims often remain silent, do not report their assault<br />

to police, family, or friends (Coxell et al., 1999; Hillman, O’Mara,<br />

Tomlinson, & Harris, 1991) and are reluctant to seek counseling<br />

or medical services (Hillman et al., 1991; Ratner et al., 2003).<br />

Male victims who decide to disclose their assault may have to<br />

endure unsympathetic and unsupportive statements from law<br />

enforcement, friends, crisis centers, counselors, co-workers, and<br />

family members (Brochman, 1991; Donnelly & Kenyon, 1996;<br />

Sarrel & Masters, 1982; Kassing & Prieto, 2003). These responses<br />

seem to be influenced by homophobia, gender stereotypes, and<br />

rape myths and can be detrimental to the service provision and<br />

support available for male victims (Donnelly & Kenyon, 1996).<br />

In a survey conducted with representatives of 30 rape crisis<br />

agencies, many representatives voiced a lack of sympathy for<br />

male victims, traditional gender role stereotypes, and a general<br />

lack of responsiveness to male victims (Donnelly & Kenyon, 1996).<br />

Another survey of counselors-in-training found that trainees,<br />

especially those who were inexperienced, show some degree of<br />

acceptance of rape myths and believe that a man who does not<br />

physically resist his attacker should have done so (Prieto, 2003).<br />

Davies and Rogers (2006) concluded that counselors and other<br />

professionals need to be aware of negative attributional biases<br />

and judgments of male sexual assault victims and possible<br />

negative reactions of those to whom the victim disclosed their<br />

assault experiences, and more information and publicity is needed<br />

to encourage male victims to come forward and to dispel male<br />

sexual assault myths.<br />

Whereas research has demonstrated that male sexual assault<br />

does occur and can have long-term detrimental effects, the vast<br />

majority of studies investigating sexual assault and rape only<br />

assess the experiences of female victims. Although the majority of<br />

adult sexual crimes are committed by men against women, sexual<br />

assault can be perpetrated by or against members of both sexes.<br />

More research is clearly needed concerning the psychological<br />

effects as well as predictors of psychological functioning in men<br />

after an assault, especially among high risk populations such as<br />

gay, bisexual, and transgendered individuals. Moreover, it has<br />

also been noted by researchers (King, Coxell, & Mezey, 2000;<br />

Larimer et al., 1999) that there has been almost no psychometric<br />

evaluation of the measures used to assess male sexual assault, and<br />

that this is needed to advance reasearch in this area. Efforts must<br />

also be made to educate counselors, law enforcement, support<br />

service providers, and the general public. Until male sexual<br />

assault is publicly acknowledged and accepted, male victims will<br />

be isolated and marginalized, leading to unnecessary secondary<br />

victimization of these men.<br />

About the Author<br />

Jessica A. Turchik, MS, is currently a fourth<br />

year clinical psychology doctoral student<br />

at <strong>Ohio</strong> University. Her research interests<br />

include sexual risk taking, sexual assault, scale<br />

development and validation, and assessment.<br />

References<br />

Balsam, K. F., Rothblum, E. D., & Beauchaine, T. P. (2005).<br />

Victimization over the life span: A comparison of lesbian, gay,<br />

bisexual, and heterosexual siblings. Journal of Consulting and<br />

Clinical Psychology, 73(3), 477-487.<br />

Brochman, S. (1991). Silent victims: Bringing male rape out of<br />

the closet. The Advocate, 582, 38-43.<br />

Burnam, M. A., Stein, J. A., Golding, J. M., Siegel, J. M.,<br />

Sorenson, S. B., Forsythe, A. B. et al. (1988). Sexual assault<br />

and mental disorders in a community population. Journal of<br />

Consulting & Clinical Psychology, 56(6), 843-850.<br />

Busby, D. M., & Compton, S. V. (1997). Patterns of sexual<br />

coercion in adult heterosexual relationships: An exploration of<br />

male victimization. Family Process, 36, 81-94.<br />

Coxell, A. W. & King, M. (1996). Male victims of rape and sexual<br />

abuse. Sexual and Marital Therapy, 11, 297-308.<br />

Coxell, A. W., King, M., Mezey, G. & Gordon, D. (1999). Lifetime<br />

prevalence, characteristics and associated problems of nonconsensual<br />

sex in men: Cross sectional survey. British Medical<br />

Journal, 318, 846-850.<br />

Davies, M. (2002). Male sexual assault victims: a selective<br />

review of the literature and implication for support services.<br />

Aggression and Violent Behavior, 7, 203-214.<br />

THE OHIO PSYCHOLOGIST AUGUST <strong>2008</strong> 35

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