Abstract
Psychological trauma can alter people’s fundamental beliefs and change the way in which they interact with the world. Sexual and gender-based violence, including sexual assault, childhood sexual abuse (CSA), sexual harassment, stalking, and intimate partner violence (IPV), constitutes a form of psychological trauma and is associated with mental and physical health concerns. Given the frequency of sexual and gender-based violence, all medical providers care for people who have had these experiences, even if they are unaware that the patient in front of them is a survivor. A basic understanding of psychological trauma and its effects is essential to providing quality trauma-informed care, and it can assist medical providers in engaging patients in physical healthcare or bridging patients to mental healthcare. This chapter reviews psychological trauma with a specific focus on sexual and gender-based violence. We discuss characteristics of and reactions to sexual and gender-based violence and present important information to guide medical providers’ care of trauma survivors.
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References
Breslau N. The epidemiology of trauma, PTSD, and other posttrauma disorders. Trauma Violence Abuse. 2009;10(3):198–210.
Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry. 1995;52:1048–60.
Kilpatrick DG, Resnick HS, Milanak ME, Miller MW, Keyes KM, Friedman MJ. National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. J Trauma Stress. 2013;26:537–47.
Kessler RC, Aguilar-Gaxiola S, Alonso J, Benjet C, Bromet EJ, Cardoso G, et al. Trauma and PTSD in the WHO world mental health surveys. Eur J Psychotraumatol. 2017;8(sup5):1353383.
Benjet C, Bromet E, Karam EG, Kessler RC, McLaughlin KA, Ruscio AM, et al. The epidemiology of traumatic event exposure worldwide: results from the world mental health survey consortium. Psychol Med. 2016;46(2):327–43.
McCann IL, Pearlman LA. Psychological trauma and the adult survivor: theory, therapy, and transformation. New York: Brunner/Mazel; 1990. p. 360.
McCann IL, Sakheim DK, Abrahamson DJ. Trauma and victimization: a model of psychological adaptation. Couns Psychol. 1988;16(4):531–94.
Janoff-Bulman R. Shattered assumptions: towards a new psychology of trauma. New York: The Free Press; 2002. p. 272.
Foa EB, Kozak MJ. Emotional processing of fear: exposure to corrective information. Psychol Bull. 1986;99(1):20–35.
Rauch S, Foa EB. Emotional processing theory (EPT) and exposure therapy for PTSD. J Contemp Psychother. 2006;36(2):61–5.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C.: American Psychiatric Association; 2013.
Weathers FW, Keane TM. The criterion a problem revisited: controversies and challenges in defining and measuring psychological trauma. J Trauma Stress. 2007;20(2):107–21.
Basile KC, Smith SG, Breiding MJ, Black MC, Mahendra RR. Sexual violence surveillance: uniform definitions and recommended data elements. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2014. Report No: Version 2.0.
Taket A, Crisp BR. Eliminating gender-based violence: Routledge; 2017.
Coker AL, Davis KE, Arias I, Desai S, Sanderson M, Brandt HM, et al. Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med. 2002;23(4):260–8.
Smith SG, Chen J, Basile KC, Gilbert LK, Merrick MT, Patel N, et al. The national intimate partner and sexual violence survey (NISVS): 2010–2012 state report. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2017.
Nickerson A, Steenkamp M, Aerka IM, Salters-Pedneault K, Carper TL, Barnes JB, et al. Prospective investigation of mental health following sexual assault. Depress Anxiety. 2012;7:1–7.
Del Gaizo AL, Elhai JD, Weaver TL. Posttraumatic stress disorder, poor physical health and substance use behaviors in a national trauma-exposed sample. Psychiatry Res. 2011;188(3):390–5.
Campbell J, Jones AS, Dienemann J, Kub J, Schollenberger J, O’campo P, et al. Intimate partner violence and physical health consequences. Arch Intern Med. 2002;162(10):1157–63.
Smith SG, Zhang X, Basile KC, Merrick MT, Wang J, Kresnow M, et al. National intimate partner and sexual violence survey (NISVS): 2015 data brief. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2018.
Avina C, O’Donohue W. Sexual harassment and PTSD: is sexual harassment diagnosable trauma? J Trauma Stress Off Publ Int Soc Trauma Stress Stud. 2002;15(1):69–75.
Monteith LL, Bahraini NH, Matarazzo BB, Soberay KA, Smith CP. Perceptions of institutional betrayal predict suicidal self-directed violence among veterans exposed to military sexual trauma. J Clin Psychol. 2016;72(7):743–55.
Molnar BE, Buka SL, Kessler RC. Child sexual abuse and subsequent psychopathology: results from the national comorbidity survey. Am J Public Health. 2001;91(5):753–60.
Caron C. Gymnast maggie nichols wants “everyone to know” about larry nassar’s abuse. New York Times. 2018. https://www.nytimes.com/2018/01/09/sports/maggie-nichols-abuse-larry-nassar.html. Accessed 23 July 2019.
Dworkin ER, Menon SV, Bystrynski J, Allen NE. Sexual assault victimization and psychopathology: a review and meta-analysis. Clin Psychol Rev. 2017;56:65–81.
Walsh K, Zinzow HM, Badour CL, Ruggiero KJ, Kilpatrick DG, Resnick HS. Understanding disparities in service seeking following forcible versus drug-or alcohol-facilitated/incapacitated rape. J Interpers Violence. 2016;31(14):2475–91.
Bell ME, Street AE, Stafford J. Victims’ psychosocial Well-being after reporting sexual harassment in the military. J Trauma Dissociation. 2014;15(2):133–52.
Bonanno GA. Resilience in the face of potential trauma. Curr Dir Psychol Sci. 2005;14(3):135–8.
Bonanno GA, Mancini AD. The human capacity to thrive in the face of potential trauma. Pediatrics. 2008;121(2):369–75.
Bonanno GA, Westphal M, Mancini AD. Resilience to loss and potential trauma. Annu Rev Clin Psychol. 2011;7(5):511–35.
Steenkamp MM, Dickstein BD, Salters-Pedneault K, Hofmann SG, Litz BT. Trajectories of PTSD symptoms following sexual assault: is resilience the modal outcome? J Trauma Stress. 2012;25(4):469–74.
Rothbaum BO, Foa EB, Riggs DS, Murdock T, Walsh W. A prospective examination of post-traumatic stress disorder in rape victims. J Trauma Stress. 1992;5:455–75.
Bonanno GA. Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol. 2004;59(1):20–8.
Resick PA, Monson CM, Chard KM. Cognitive processing therapy for PTSD: a comprehensive manual: Guilford Publications; 2016.
Foa EB. Prolonged exposure therapy: past, present, and future. Depress Anxiety. 2011;28(12):1043–7.
Cahill SP, Foa EB. Psychological theories of PTSD. Handb PTSD Sci Pract. 2007:55–77.
Resick PA, Schnicke MK. Cognitive processing therapy for sexual assault victims. J Consult Clin Psychol. 1992;60(5):748–56.
Resick PA, Schnicke MK. In: Conte JR, editor. Cognitive processing therapy for rape victims: a treatment manual: Sage Publications; 1993. p. 178.
Orchowski LM, Untied AS, Gidycz CA. Factors associated with college women’s labeling of sexual victimization. Violence Vict. 2013;28(6):940–58.
Peter-Hagene LC, Ullman SE. Social reactions to sexual assault disclosure and problem drinking: mediating effects of perceived control and PTSD. J Interpers Violence. 2014;29(8):1418–37.
Littleton HL. The impact of social support and negative disclosure reactions on sexual assault victims: a cross-sectional and longitudinal investigation. J Trauma Dissociation. 2010;11(2):210–27.
Ullman SE, Filipas HH. Predictors of PTSD symptom severity and social reactions in sexual assault victims. J Trauma Stress. 2001;14(2):369–89.
Budden A. The role of shame in posttraumatic stress disorder: a proposal for a socio-emotional model for DSM-V. Soc Sci Med. 2009;69(7):1032–9.
Ullman SE, Peter-Hagene L. Social reactions to sexual assault disclosure, coping, perceived control, and PTSD symptoms in sexual assault victims. J Community Psychol. 2014;42(4):495–508.
Campbell R, Raja S. Secondary victimization of rape victims: insights from mental health professionals who treat survivors of violence. Violence Vict. 1999;14(3):261.
Campbell R. The psychological impact of rape victims. Am Psychol. 2008;63(8):702.
Miller-Graff LE, Cater ÅK, Howell KH, Graham-Bermann SA. Victimization in childhood: general and specific associations with physical health problems in young adulthood. J Psychosom Res. 2015;79(4):265–71.
Dillon G, Hussain R, Loxton D, Rahman S. Mental and physical health and intimate partner violence against women: a review of the literature. Int J Fam Med. 2013;2013.
Sledjeski EM, Speisman B, Dierker LC. Does number of lifetime traumas explain the relationship between PTSD and chronic medical conditions? Answers from the National Comorbidity Survey-Replication (NCS-R). J Behav Med. 2008;31(4):341–9.
Elliott DE, Bjelajac P, Fallot RD, Markoff LS, Reed BG. Trauma-informed or trauma-denied: principles and implementation of trauma-informed services for women. J Community Psychol. 2005;33(4):461–77.
Nelson HD, Bougatsos C, Blazina I. Screening women for intimate partner violence: a systematic review to update the US preventive services task force recommendation. Ann Intern Med. 2012;156(11):796–808.
Iverson KM, Huang K, Wells SY, Wright JD, Gerber MR, Wiltsey-Stirman S. Women veterans’ preferences for intimate partner violence screening and response procedures within the veterans health administration. Res Nurs Health. 2014;37(4):302–11.
Feder GS, Hutson M, Ramsay J, Taket AR. Women exposed to intimate partner violence: expectations and experiences when they encounter health care professionals: a meta-analysis of qualitative studies. Arch Intern Med. 2006;166(1):22–37.
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Buchholz, K.R., McCaughey, V.K., Street, A.E. (2020). What Is Psychological Trauma?. In: Ades, V. (eds) Sexual and Gender-Based Violence. Springer, Cham. https://doi.org/10.1007/978-3-030-38345-9_1
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DOI: https://doi.org/10.1007/978-3-030-38345-9_1
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