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Research on abuse is often piecemeal and focused on specific forms, populations, and social situations. As a result, these studies tend to ignore the web of abuse resulting from the interactive effects of various forms of abuse over the life course, together referred to as "lifetime abuse." An examination of abuse from the point of view of older adults is likely to provide a lifetime perspective based on linking child abuse to elder abuse over the life course and an assessment of its consequences. Despite the growing awareness and resulting body of knowledge regarding this phenomenon, proposed theoretical formulations about it remain limited. The present article aimed to conceptualize the multifaceted phenomenon of lifetime abuse and to gain a deeper perspective of the topic by understanding its dimensions, meanings, and experiences in older age, based on a critical review of empirical studies. A model is suggested, which can be useful for future exploration and understanding of lifetime abuse. Based on a critical review of previous studies, we suggest a theoretical framework of lifetime abuse from the perspective of older adults, identifying three key domains: (a) perception of time and life review in old age; (b) cumulative and interactive abusive life events; and (c) resilience versus vulnerability over the life course. We propose a heuristic model to explore and understand lifetime abuse. We believe our proposed model is open to reflection and elaboration and is intended to raise questions that could enhance the need for our understanding of lifetime abuse in old age. [ABSTRACT FROM AUTHOR]

Sexual assault is prevalent among undergraduates in Greek-letter organizations (GLO). Prevention efforts promote sexual consent, though few explicitly employ theoretical constructs known to positively influence behavior. This study evaluated theory-informed educational posters promoting sexual consent seeking. Forty undergraduate GLO students (20 female, 20 male) were recruited through in-person, email, and social media solicitation. Data collection was completed March–November 2019 during the spring and fall semesters. A double-blind randomized controlled trial was conducted. Intervention participants viewed theory-informed educational posters promoting sexual consent. The intervention group demonstrated more favorable consent intention (p =.024; η2 = 0.131) and consent subjective norms (p =.040; η2 = 0.109). Intervention group males showed a greater improvement in one of four consent attitudes (p =.045; η2 = 0.211). Brief exposures to theory-informed messaging may help to improve subjective norms and behavioral intent to seek sexual consent among undergraduate GLO members. [ABSTRACT FROM AUTHOR]

Nationwide efforts to enhance services for adolescents experiencing commercial sexual exploitation (CSE) in the judicial system have led to the emergence of specialty courts, including human trafficking and girls' courts. Given that prior research has documented competing stances on the effectiveness of specialty courts for CSE-impacted populations, we conducted a systematic review of the literature to identify key characteristics of programming, profiles of adolescents served, and effectiveness of these courts. To identify relevant research and information, we systematically searched scholarly databases and information sources, conducted reference harvesting, and forwarded citation chaining. Articles presenting primary data with quantitative, qualitative, or mixed methodologies or programmatic descriptions of specialty courts serving adolescents at risk or with confirmed histories of CSE that were published after 2004 were included. We identified 39 articles on 21 specialty courts serving adolescents at risk or with confirmed histories of CSE, including seven specialty courts with evaluation or outcome data. Across specialty courts, adolescents benefited from an increase in linkage to specialized services, improved residential placement stability, and reduction in recidivism-measured by new criminal charges. Specialty court participation was also associated with improved educational outcomes and decreased instances of running away. A lack of empirical data, specifically of evaluation studies, emerged as a weakness in the literature. Still, findings support that specialty courts can be an integral judicial system response to CSE. Multidisciplinary collaboration can help target and respond to the multifaceted needs of adolescents, encourage healthy behaviors, and promote their overall wellness.

Japanese and Canadian laws regarding sexual assault vary in the degree to which they incorporate the concept of sexual consent, with Japanese law being less consent-oriented than Canadian law. Although the Japanese law has incorporated the concept of sexual consent in the 2023 amendment, the public understanding of the concept is still limited. Reflecting such difference, it could be expected that the general public in both countries also differ in their perceptions and attitudes regarding punishment of sexual crime and sexual consent. The present study aimed to test these expectations and further examine the mediational mechanism that explains the national difference between Japan and Canada. The data from 1125 Japanese and 1125 Canadian respondents showed that Japanese respondents were less likely to perceive the imposition of punishment on an alleged perpetrator described in scenarios as appropriate. In contrast, the difference in the perceived victim’s consent was significant only in three out of seven scenarios. The relation between nations (Japan vs. Canada) and perceived appropriateness of punishment was mediated by the perceived victim’s consent.

Background: Transgender and gender diverse (TGD) people are disproportionately incarcerated in the United States relative to the general population. A dearth of quantitative research has explored victimization as a risk factor for incarceration as well as the victimization experiences of formerly incarcerated TGD populations. Methods: In 2019, 574 TGD adults completed an online survey assessing sociodemographics, victimization across settings, and incarceration history. Latent class analysis was used to identify two sets of latent subgroups based on respondent's victimization experiences: 1) lifetime victimization (low; moderate; and high) and 2) classes of victimization while incarcerated (low; moderate; and high). Bivariate and multivariable logistic regression analyses examined sociodemographic, mental health, and lifetime victimization experiences associated with lifetime incarceration (Outcome 1). Among those with incarceration histories, bivariate hierarchical logistic regression analyses also explored the association between gender identity, race/ethnicity, HIV status, visual gender non-conformity, and class of victimization during incarceration (Outcome 2) . Results: Participants' mean age was 31.4 (SD = 11.2), 43.4% had a non-binary gender identity, 81.5% were White, non-Hispanic, 2.1% were living with HIV, and 13.2% had been incarcerated. In the multivariable model for Outcome 1, high levels of victimization, age, being a racial/ethnic minority, being a trans woman, living with HIV, and past-12-month polysubstance use were all associated with increased odds of lifetime incarceration (p-values < 0.05). In the bivariate hierarchical logistic regression analyses for Outcome 2, living with HIV and having a visually gender non-conforming expression were significantly associated with elevated odds of experiencing high levels of victimization while incarcerated (p-values < 0.05). Conclusion: Findings document the relationships between victimization and incarceration among TGD people as well as identify the subpopulations at greater risk for incarceration and experiencing victimization while incarcerated. Efforts are needed to prevent victimization across the life course, including while incarcerated and support TGD individuals in coping with the negative sequelae of victimization and incarceration experiences.

The present article addresses claims commonly made by prosecution witnesses in sexual assault trials: that attention narrows under stress, and that these attended aspects of the event are encoded in a way that ensures accuracy and resistance to fading and distortion. We provide evidence to contradict such claims. Given that what is encoded is largely the gist of one's interpretation of experience, we discuss the way in which attention and emotion can bias the interpretation of experience. We illustrate with issues of memory reports in cases of acquaintance rape, where the primary issue is the presence or absence of consent. We provide some specific illustrations concerning effects of emotion on interpretation of sexual consent. Finally, based on what is known regarding priming effects on memory retrieval and judgment, we conclude with discussion of the potential of some “trauma-informed” interviewing strategies to promote false memories (such as FETI: Forensic Experiential Trauma Interview).

Intimate partner violence (IPV) is associated with poor HIV care linkage and retention, medication adherence, and viral suppression. However, limited knowledge exists regarding potential mechanisms linking IPV to these outcomes. We aimed to (a) identify the top barriers to accessing HIV care experienced by women living with HIV (WLHIV) who report a history of IPV and have suppressed viral load (VL) versus unsuppressed VL and (b) understand how these barriers influence VL, comparing WLHIV with a history of IPV to WLHIV without a history of IPV. Study data come from newly diagnosed WLHIV in rural Uganda participating in the standard-of-care control arm of a randomized trial (n = 152). Descriptive results ranking mean scores from highest to lowest showed that, among women with a history of IPV, irrespective of viral suppression status, paying for transportation to come to clinic, having to wait at the clinic for long periods of time, and finding a clinic within reasonable travel distance were the top three barriers to accessing HIV care. WLHIV with a history of IPV were significantly more likely to have unsuppressed VL versus suppressed VL if they reported higher levels of difficulty finding a clinic within reasonable travel distance (RRR = 1.7, 95% CI [1.1-2.7]), getting permission to take time off from work (RRR = 1.5, 95% CI [1.0-2.9]), and finding time to come to the clinic for an appointment (RRR = 1.6, 95% CI [1.0-2.6]). The same relationships were not present among WLHIV without a history of IPV, suggesting these barriers and their effect on VL may be uniquely related to IPV. Interventions should address IPV and HIV care continuum outcomes in tandem, targeting barriers to accessing HIV care likely associated with IPV. Additional research is necessary to better understand how IPV relates to HIV care barriers and VL.

IntroductionWhile sexual assault may have particularly adverse emotional effects compared with other forms of trauma, it remains unclear which emotional outcome dimensions are impacted, whether cannabis outcomes are similarly impacted, and whether gender differences exist in sexual assault’s links with these outcomes.MethodsN = 100 cannabis users with trauma histories (M age = 33.1) completed standardized measures of demographics, trauma exposure, posttraumatic stress (PTS) and depressive symptoms, hopelessness, and cannabis outcomes (frequency, medicinal prescription, motives, and craving).ResultsSexual assault was experienced more often by women (83.9%) than men (31.8%). A series of 2 × 2 analyses of variance [gender: women (n = 56) vs. men (n = 44) × trauma type: sexual assault (n = 61) vs. other (n = 39)] and logistic regression revealed that sexual assault survivors scored higher than other trauma survivors on re-experiencing and hyperarousal PTS symptoms (DSM-5 Clusters B and E), cognitive depressive symptoms, hopelessness, cannabis use frequency, medicinal cannabis prescription, cannabis use to cope with psychological symptoms, and compulsivity craving; and lower on social and enhancement cannabis use motives. In terms of gender main effects, women scored higher than men on cannabis use to cope with negative emotions. In terms of interactions for PTS Cluster D symptoms (negative alterations in mood/cognitions), among men only, sexual assault survivors scored higher than other trauma survivors; and for cannabis enhancement motives and purposefulness cannabis craving, among sexual assault survivors only, women scored higher than men.DiscussionAcross many different trauma, women survivors’ use of cannabis to cope with negative affect should be a specific therapeutic focus. Moreover, we identified specific emotional and cannabis use outcomes that should be of specific clinical concern among sexual assault survivors regardless of gender. Finally, in terms of gender differences of clinical interest among sexual assault survivors, while PTS Cluster D symptoms should be specific treatment targets in men, cannabis enhancement motives and purposefulness craving should be treatment targets in women.

Bullying of sexual minorities in the United States is common and often begins in middle and high school, yet research that examines sexual harassment of sexual minorities is limited. This study examines whether sexual minorities are more likely than straight people to (a) report sexual harassment and (b) report sexual harassment as adolescents at middle or high school. We analyzed survey data from a cross-sectional study of sexual harassment and assault, conducted with nationally representative samples of adults in 2019 (N = 2,205). Sexual harassment was categorized as non-physically aggressive sexual harassment only (NPSH; e.g., verbal or cyber harassment), physically aggressive sexual harassment (PSH; e.g., stalking, rubbing up against you; with or without NPSH), sexual assault (SA; i.e., forced sex; with or without NPSH or PSH), or no sexual harassment (none). In total, 6% of female and male respondents identified as a sexual minority. A history of sexual harassment or assault was reported by 95.0% of sexual minority women and 80.3% of straight women (p = .001), and by 77.3% of sexual minority men and 41.3% of straight men (p = .001). Multivariable multinomial models demonstrate that sexual minorities were more likely than straight individuals to report NPSH (Adjusted Odds Ratio [AOR] = 2.88, 95% [Confidence Interval] CI = [1.33, 6.20]), PSH (AOR = 4.15, 95% CI: [1.77, 9.77]), and SA (AOR = 5.48, 95% CI = [2.56, 11.73]; reference group: no harassment), as well as to report PSH (AOR = 2.67, 95% CI = [1.30, 5.47]) at school in middle or high school. These abuses demonstrate increased risk for sexual harassment among sexual minorities, including increased risk for physically aggressive sexual harassment when in middle and high school.

Sexual violence has been found to have psychosocial and sexual ramifications for men who have sex with men (MSM) but has not been studied in the Middle East. We assessed the prevalence and correlates of experiences of child and post-child sexual violence among young MSM residing in Beirut, Lebanon. In total, 226 MSM, aged 18 to 29, were recruited with long-chain peer referrals and administered a survey that included questions on history of being pressured to have sex, as well as specific forms of sexual harassment and abuse, in addition to measures of psychosocial functioning and sexual behavior. Logistic regression analysis was used to examine correlates of child sex abuse and experiences of sexual violence post-childhood; 17.3% experienced sexual abuse as a child (below age 13), while 63.3% experienced any form of sexual violence post-childhood-furthermore, 48.7% had experienced being forced or pressured to have sex during their lifetime, including 32.3% prior to age 18. Participants who experienced child sex abuse were more likely to experience abusive relationships in adulthood, as well as at least one type of sexual harassment/abuse post-childhood. Experience of any sexual violence post-childhood was correlated with greater recent sexuality-related discrimination and more recent male sex partners. These findings reveal a high prevalence of sexual violence among MSM in Beirut, both in childhood and post-childhood. More research within the Middle East is needed to better understand the drivers of sexual violence in this population, and how to best provide prevention and coping services.

The homeless population is aging; older homeless adults may be at high risk of experiencing violent victimization. To examine whether homelessness is independently associated with experiencing physical and sexual abuse, we recruited 350 adults, aged 50 and older in Oakland, California, who met criteria for homelessness between July 2013 and June 2014. We interviewed participants at 6-month intervals for 3 years in Oakland about key variables, including housing status. Using generalized estimating equations, we examined whether persistent homelessness in each follow-up period was independently associated with having experienced physical or sexual victimization, after adjusting for known risk factors. The majority of the cohort was men (77.4%) and Black American (79.7%). At baseline, 10.6% had experienced either physical or sexual victimization in the prior 6 months. At 18-month follow-up, 42% of the cohort remained homeless. In adjusted models, persistent homelessness was associated with twice the odds of victimization (adjusted odds ratio [AOR] = 2.01; 95% confidence interval [CI]: [1.41, 2.87]). Older homeless adults experience high rates of victimization. Re-entering housing reduces this risk. Policymakers should recognize exposure to victimization as a negative consequence of homelessness that may be preventable by housing.

IntroductionAttachment patterns are established during early childhood; however, extreme experiences throughout life may change this structure, either toward attachment security or insecurity. We analyzed changes in attachment dimensions in women with acute post-traumatic stress disorder (PTSD) following sexual assault, that were randomized to a 14-week treatment with either the medication sertraline or Interpersonal Psychotherapy.MethodsSeventy-four adult women who presented significant reduction in PTSD symptoms across the trial responded to the Revised Adult Attachment Scale at baseline, on week 8 of treatment, and at the end of the trial, on week 14. We fitted a generalized linear model to explain the attachment anxiety and avoidance scores at baseline. A generalized linear mixed model investigated how attachment dimensions changed over time. Socioeconomic data, treatment type, history of childhood trauma, and PTSD severity over the 14-week period were the considered covariates.ResultsAt baseline, attachment anxiety was associated with a history of early trauma. Attachment anxiety remained stable during the follow-up. Attachment avoidance, on the other hand, significantly increased from baseline to week 14. Higher avoidance was observed in patients with higher total PTSD scores and on the cluster of hyperarousal symptoms. Races other than White (black, mixed-race, or Asian) and younger age were associated with higher attachment avoidance.DiscussionContrary to our expectations, attachment avoidance increased during follow-up, indicating changes in the interpersonal realm beyond the symptoms of PTSD.

From 2018 to 2022, the Lebanese Association of Victims of Terrorism (AVT-L), in collaboration with the United Nations (UNODC, United Nations Office for Drug and Crime) and with the support of the government of the Netherlands, conducted a project to provide psychological care to victims of terrorism in Iraq. Ninety Yezidi women participated in this program. Each participant had experienced sexual violence during the control of part of Iraqi territory by the jihadists of the Islamic State group (ISIS) between 2014 and 2018. After a semi-structured interview, these Yezidi women first participated in experience-sharing sessions for three consecutive days. Then, they benefited from an individual psychological follow-up for 6 months. Over the last ten years, the association's team has developed a protocol that combines art therapy with group and individual psychotherapy. The care is regularly evaluated. From the first interview, the psychologist uses the results of the Traumaq. An evaluation tool that assesses trauma-related symptoms. Subsequently, the PCL5 scale is used to measure the evolution of the symptoms. A considerable support that is studied in resonance with the life story and the social, personal, and professional evolution of each person. At the end of the psychological support sessions, significant changes were observed, particularly for criteria B and D of the DSM-5. We recorded a reduction in intrusive memories, as well as an improvement in emotional and physical reactions to these memories. Feelings of guilt had subsided and a significant improvement in sleep and concentration was noted. Participants experienced an improvement in their self-esteem, with a desire to pursue studies and active projects in their community. However, anger regarding injustice and lack of compensation remains palpable. This work culminated in supporting and accompanying these women in making their voices heard at the United Nations headquarters in New York. In this paper, we will highlight the beneficial aspects of art therapy used in this program. We will emphasize the value of clay art therapy particular within this context. [ABSTRACT FROM AUTHOR]

De 2018 à 2022, l'Association libanaise des victimes du terrorisme (AVT-L), en collaboration avec les Nations unies (United Nations Office for Drug and Crime [UNODC]) et avec le soutien du gouvernement des Pays-Bas, a mené un projet de prise en charge psychologique de victimes du terrorisme en Irak. Quatre-vingt-dix femmes yézidies ont participé à ce programme. Chacune des participantes a subi des violences sexuelles pendant la prise de contrôle d'une partie du territoire irakien par les jihadistes du groupe État islamiste (Daech) entre 2014 et 2018. Après un entretien semi-directif, ces femmes yézidies ont d'abord participé à des séances de partage d'expérience pendant trois jours consécutifs. Ensuite, elles ont bénéficié d'un suivi psychologique individuel pendant six mois. Depuis dix ans, l'équipe de l'association a développé un protocole qui allie l'art-thérapie et la psychothérapie groupale et individuelle. La prise en charge est régulièrement évaluée. Dès le premier entretien, le psychologue se base sur les résultats du Traumaq, un outil d'évaluation qui permet d'évaluer les symptômes liés au traumatisme. Par la suite, l'échelle PCL-5 est employée pour mesurer l'évolution des symptômes. Un appui considérable qui est étudié en résonance avec le récit de vie et l'évolution sociale, personnelle et professionnelle de chacune. À la fin de la prise en charge, des modifications significatives ont été observées, notamment pour les critères B et D du DSM-5. Nous avons enregistré une réduction des souvenirs intrusifs, ainsi qu'une amélioration des réactions émotionnelles et physiques face à ces souvenirs. Le sentiment de culpabilité s'est apaisé avec une amélioration notable du sommeil et de la concentration. Les participantes ont constaté une amélioration de leur estime de soi, avec l'envie d'entamer des études et de développer des projets actifs pour leur communauté. Cependant, la colère concernant l'injustice et le manque d'indemnisation reste palpable. Ce travail a été couronné par l'accompagnement d'une délégation de ces femmes pour faire entendre leur voix au siège des Nations unies à New York. Au cours de cette communication, nous allons présenter la partie art-thérapie de ce dispositif. Nous soulignerons l'intérêt que l'art-thérapie par l'argile apporte dans ce cadre. From 2018 to 2022, the Lebanese Association of Victims of Terrorism (AVT-L), in collaboration with the United Nations (United Nations Office for Drug and Crime [UNODC]) and with the support of the government of the Netherlands, implemented a project to provide psychological care to victims of terrorism in Iraq. Ninety Yezidi women participated in this program. Each one of the participants had experienced sexual violence during the takeover of part of the Iraqi territory by the jihadists of the Islamic State group (ISIS) between 2014 and 2018. Following a semi-structured interview, these Yezidi women first participated in experience-sharing sessions for three consecutive days. Then, they benefited from an individual psychological follow-up for a period of 6 months. Over this ten-year period, the association's team has developed a protocol that combines art therapy with group and individual psychotherapy. The care is evaluated on a regular basis. From the first interview, the psychologist uses the results of the Traumaq, an evaluation tool that assesses trauma-related symptoms. Subsequently, the PCL-5 scale is used to measure the evolution of the symptoms. A considerable support that is studied in association with the participant's life story and the social, personal, and professional evolution of each person. At the end of the treatment, significant changes were observed, particularly for criteria B and D of the DSM-5. We recorded a reduction in intrusive memories, as well as an improvement in emotional and physical reactions to these memories. Feelings of guilt were reduced. Significant improvement in sleep and concentration was also noted. Participants experienced an improvement in their self-esteem, with a desire to pursue studies and be involved in active projects in their community. However, anger about injustice and a lack of compensation remained palpable. This work culminated in the accompaniment of a delegation of these women to make their voices heard at the United Nations headquarters in New York. In this paper, we will highlight the art therapy aspect of this program, especially that of using clay as the medium for the art therapy. [ABSTRACT FROM AUTHOR]

Two hundred forty-seven (N = 247) undergraduate women at a medium-sized, Southwestern university provided written descriptions of a hypothetical sexual assault (SA). Women with a prior history of SA also described their actual SA experiences; women without a SA history provided a written description of a prior bad date or hookup. The contextual features of SA scripts were compared to those of actual SA experiences. Several characteristics of a stereotypical or "blitz rape" (e.g., physical force by a stranger) were more likely to be included in SA scripts relative to women's actual SA experiences. Victimized women were also more likely to include verbal coercion, a hangout/hookup context, and previous consensual kissing in their SA experiences, in comparison to their SA scripts. The contextual features of SA experiences were also compared to the contextual features of bad dates or bad hookups. SA experiences, relative to bad dates, were more likely to include alcohol use, physical and verbal coercion by the perpetrator, and passive resistance. SA experiences, relative to bad hookups, were more likely to include physical and verbal coercion by the perpetrator, and knowing the man for less than 1 week. Victimized participants SA experiences were also found to be less likely to include previous consensual kissing and consensual intercourse in comparison to bad hookup experiences of nonvictimized women. Overall, there was considerable overlap between the contextual features present across all experiences. The lack of differentiation among these events may explain why women experience difficulty acknowledging whether they have experienced SA. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV) is associated with poor HIV care linkage and retention, medication adherence, and viral suppression. However, limited knowledge exists regarding potential mechanisms linking IPV to these outcomes. We aimed to (a) identify the top barriers to accessing HIV care experienced by women living with HIV (WLHIV) who report a history of IPV and have suppressed viral load (VL) versus unsuppressed VL and (b) understand how these barriers influence VL, comparing WLHIV with a history of IPV to WLHIV without a history of IPV. Study data come from newly diagnosed WLHIV in rural Uganda participating in the standard-of-care control arm of a randomized trial (n = 152). Descriptive results ranking mean scores from highest to lowest showed that, among women with a history of IPV, irrespective of viral suppression status, paying for transportation to come to clinic, having to wait at the clinic for long periods of time, and finding a clinic within reasonable travel distance were the top three barriers to accessing HIV care. WLHIV with a history of IPV were significantly more likely to have unsuppressed VL versus suppressed VL if they reported higher levels of difficulty finding a clinic within reasonable travel distance (RRR = 1.7, 95% CI [1.1-2.7]), getting permission to take time off from work (RRR = 1.5, 95% CI [1.0-2.9]), and finding time to come to the clinic for an appointment (RRR = 1.6, 95% CI [1.0-2.6]). The same relationships were not present among WLHIV without a history of IPV, suggesting these barriers and their effect on VL may be uniquely related to IPV. Interventions should address IPV and HIV care continuum outcomes in tandem, targeting barriers to accessing HIV care likely associated with IPV. Additional research is necessary to better understand how IPV relates to HIV care barriers and VL.

For asylum seekers to be granted asylum, they must convince immigration officials that they have been persecuted or that they fear they will be persecuted if returned to their home country. This article discusses the reluctance of asylum seekers to be forthcoming about sexual assault as a form of persecution and the ways in which traumatic memory can affect narratives of persecution for rape survivors. Many asylum seekers, particularly those who have been sexually assaulted, show symptoms consistent with trauma survivors. Consequently, their narratives of persecution are often shaped by partial and incomplete memory recall. The result is that how asylum seekers who have been sexually assaulted tell their stories of persecution is the antithesis of the expectations of credibility. This article is based on qualitative research in Los Angeles, California, and New York City, New York, in the United States. It includes interviews with asylum seekers, immigration attorneys, immigrant service providers, asylum officers, and immigration judges; observations of immigration court hearings; and content analysis of asylum applications. I use these sources to argue that the harm of rape and its long-lasting effects evidenced by symptoms of traumatic memory impacts how asylum seekers articulate stories of persecution. How these stories are told can have devastating effects for asylum seekers that may jeopardize their ability to gain asylum if immigration officials do not view them as credible applicants.

Healthy sexual function among women service members/veterans (SM/Vs) is associated with higher quality of life, lower incidence and severity of mental health diagnoses, higher relationship satisfaction, and less frequent suicidal ideation. Although trauma exposure has been established as a predictor of poor sexual function and satisfaction in women SM/Vs, no study to date has examined whether specific trauma types, such as military sexual trauma (MST), increase risk for sexual issues. Moreover, the possible mechanisms of this association have not been explored. The current study examined whether posttraumatic stress disorder (PTSD) and depression symptom clusters mediated the association of trauma type and sexual function and satisfaction in 426 trauma-exposed women SM/Vs. Two hundred seventy participants (63.4%) identified MST as their index trauma. Path analyses demonstrated that MST was related to poorer sexual function and lower satisfaction relative to the other traumas (χ2[28, N = 426] = 43.3, p = 0.03, CFI = 1.00, TLI = 0.99, and RMSEA = 0.04), and this association was mediated by higher non-somatic depressive symptoms and PTSD symptom clusters of anhedonia and negative alterations in cognition and mood (NACM). Causality cannot be inferred due to the cross-sectional nature of the data. However, our findings suggest that interventions aimed at decreasing sexual issues among female SM/Vs with MST should target depressogenic symptoms, whether the origin is depression or PTSD. Longitudinal research exploring the etiological processes that contribute to sexual dysfunction among those with MST is needed.

Bullying of sexual minorities in the United States is common and often begins in middle and high school, yet research that examines sexual harassment of sexual minorities is limited. This study examines whether sexual minorities are more likely than straight people to (a) report sexual harassment and (b) report sexual harassment as adolescents at middle or high school. We analyzed survey data from a cross-sectional study of sexual harassment and assault, conducted with nationally representative samples of adults in 2019 (N = 2,205). Sexual harassment was categorized as non-physically aggressive sexual harassment only (NPSH; e.g., verbal or cyber harassment), physically aggressive sexual harassment (PSH; e.g., stalking, rubbing up against you; with or without NPSH), sexual assault (SA; i.e., forced sex; with or without NPSH or PSH), or no sexual harassment (none). In total, 6% of female and male respondents identified as a sexual minority. A history of sexual harassment or assault was reported by 95.0% of sexual minority women and 80.3% of straight women (p = .001), and by 77.3% of sexual minority men and 41.3% of straight men (p = .001). Multivariable multinomial models demonstrate that sexual minorities were more likely than straight individuals to report NPSH (Adjusted Odds Ratio [AOR] = 2.88, 95% [Confidence Interval] CI = [1.33, 6.20]), PSH (AOR = 4.15, 95% CI: [1.77, 9.77]), and SA (AOR = 5.48, 95% CI = [2.56, 11.73]; reference group: no harassment), as well as to report PSH (AOR = 2.67, 95% CI = [1.30, 5.47]) at school in middle or high school. These abuses demonstrate increased risk for sexual harassment among sexual minorities, including increased risk for physically aggressive sexual harassment when in middle and high school.

Introduction: Even though sexual assault is rarely considered a serious social problem; it can lead to severe mental-health consequences. Aim: The aim of the current study was to assess the attrition rates and the effectiveness of a therapeutic program of art and mindfulness on Post-Traumatic Stress Disorder (PTSD) in female sexual assault survivors. Method: This study was a controlled clinical trial with a design of pre-test, post-test, and a two-month follow-up. The population included women with sexual assault experience that had sought professional help in the psychotherapy clinics of Hamedan in 2019. 16 individuals were first selected using purposive sampling and then were allocated randomly to control (N=8) and experimental groups (N=8). The utilized questionnaires included the Impact-of-Event-Scale (2007) and the Depression-Anxiety-Stress-Scale-21 (1995). The combined treatment of art and mindfulness was conducted for the experimental group through eight two-hour weekly sessions. The data were analyzed using descriptive and inferential statistics, one-way ANCOVA and SPSS software-version 22. Results: Findings indicated that the combined art and mindfulness therapeutic program reduced intrusion (F=20.34, P

Sexual violence is highly prevalent in sociopolitical conflict contexts. Even though its negative effects are well documented, further research is needed on how community experiences of social growth and rebuilding could positively impact victims of sexual violence in these contexts. As a starting point, we conducted a two-phase systematic review. The first phase focused on the relationships between sociopolitical conflict, sexual violence, and psychological effects or trauma (2010–2017), and, in addition to the deep negative psychological effects, it also found reports of posttraumatic growth in victims. This led to a second phase that related sexual violence in sociopolitical conflict contexts to posttraumatic growth and resilience (2017–2022). We found nine publications documenting experiences of resilience and posttraumatic growth in victims of sexual violence in sociopolitical conflicts. Interestingly, resilience and posttraumatic growth were shown not only in victims but also in communities and new generations, which is relevant to understanding the long-lasting effects of violence in contexts of sociopolitical conflict. [ABSTRACT FROM AUTHOR]

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Reassessing the confluence model of men's risk for sexual aggression—the confluence model of sexual aggression has been widely used to study men's risk for perpetrating sexual violence. Over time, researchers have attempted to expand this model to improve its predictive utility. Unfortunately, this work has continued to produce similar results with only slight improvements in prediction at best. One explanation for the inability to enhance the model could be due to changes in the dating landscape and shifts in beliefs about gender roles. Therefore, the current study aims to reassess the confluence model using a more contemporary construct, hostile sexism, in an effort to improve the predictive utility of the confluence model of sexual aggression. Participants were 258 college men recruited from a medium-sized public university in the northeastern United States, using an online participant pool of students who volunteered to participate as part of a requirement for a psychology course. Structural equation modeling using mean- and variance-adjusted weighted least squares estimation indicated that the confluence of hostile sexism and impersonal sex appears to be a better predictor of sexual aggression in comparison to the confluence of hostile masculinity and impersonal sex. The results suggest that replacing hostile masculinity with hostile sexism may produce a model that is better able to predict men's risk for perpetrating sexual aggression. These results can provide insight for future iterations of the confluence model, which may include hostile sexism as a core construct. Attitudes that stem from hostile sexism may be a beneficial target for future interventions designed to decrease the frequency of perpetration. [ABSTRACT FROM AUTHOR]

Traditional sport norms and gender-based biases that are prevalent in the sport environment, both explicit and implicit, have contributed to a culture where sexual harassment and abuse is commonplace. This article examines how sport tolerates the development of this culture, and more importantly, how practices and polices can be utilized to transform sport's culture to one that is inclusive and safe. Reform is needed in attitudes and norms towards gender bias and sexual violence that primarily, but not exclusively, targets girls and women in sport and is perpetrated by boys and men. The application of various theories from psychology is recommended as one strategy to rid sport of both a culture of misogyny and of those who resist change to achieve this objective. [ABSTRACT FROM AUTHOR]

Sexual assault is highly prevalent among the population of college students, which includes student-athletes. The context of athletics introduces unique risk factors related to alcohol consumption and aspects of sport culture, opportunities for prevention, and ethical considerations and consequences of disclosing and reporting sexual assault. Sport psychology practitioners are closely connected to athletes, and they can potentially serve an important and influential role in prevention and response to sexual assault. In this article, we review literature on sexual assault in college, highlight relevant aspects of the athletic context, summarize legislation and ethical considerations pertinent to sexual assault reporting, and provide practical recommendations for sport psychology practitioners so that they may contribute to preventative efforts and better serve student-athletes who are victims and survivors of sexual assault. [ABSTRACT FROM AUTHOR]

The prevalence of HIV is exceptionally high among Jamaican men who have sex with men (JMSM) compared to similar populations within the Caribbean. A noticeable gap in the literature is the impact of childhood sexual abuse (CSA) and sexual assault on the state of the epidemic among this population. This study focused on JMSM's experiences with CSA and sexual assault and how these domains relate to HIV prevention. We analyzed qualitative data from 20 semi-structured in-depth interviews and focus group discussions with 10 men. Common themes emerged that highlight the patterns and nature of the abuse, the characteristics of the perpetrators, and the ways in which participants engage agency and resiliency as a basis to reclaim personal power. These findings serve as a catalyst for understanding how experiences with CSA and sexual assault affect the lives of young JMSM; how those experiences may impact attitudes and behaviors regarding HIV testing, engagement in care; and have implications for shaping legal policy, clinical, and mental health services for JMSM survivors.

African American women survivors of intimate partner violence disproportionately experience homicide due, in part, to the racism and racial discrimination they experience during their help-seeking process. Yet, existing scholarship neglects to examine how this multiply-marginalized population of women navigate sociocultural barriers to obtain crisis services and supports from the domestic violence service provision system. Fundamental to developing culturally-salient interventions is more fully understanding their help-seeking behavior. We conducted 30 in-depth, semi-structured interviews with women who self-identified as African American. Constructivist grounded theory methodology was employed. Sensitizing concepts from the Transtheoretical Model of Change and Intersectionality theories, along with Agency framework were conceptually bound. The Theory of Help-Seeking Behavior emerged from the data. This nascent theory provides practitioners and researchers with a theoretical model to examine African American women's nuanced help-seeking efforts. [ABSTRACT FROM AUTHOR]

The association between earthquakes and youth post-traumatic stress disorder (PTSD) has been well described, but little is known about the relationship between other stressful life events (SLEs) and PTSD among earthquake-affected youth. This study examines a variety of SLEs, including earthquake, and their association with PTSD among school-going Haitian youth following a major earthquake in 2010. In 2013, we assessed 120 students ages 18-22 for PTSD and other SLEs using a modified Structured Clinical Interview for DSM-IV (SCID)-based interview and the Stressful Life Events Checklist (SLE Checklist). Only 51.7% of participants on the SLE Checklist and 31.7% in the interview endorsed being affected by the earthquake or another disaster. Sexual assault showed the strongest association with PTSD in multivariable logistic regression. Contrary to our hypothesis, exposure to earthquake or another disaster was not significantly associated with current PTSD. In this population, exposure to interpersonal violence may have had a greater impact on PTSD risk than exposure to natural disaster. These data underscore the need to examine and reduce both acute and chronic stressors among disaster-affected youth.

ObjectiveThere are strong associations among trauma and eating disorders. However, while trauma and eating disorders are more common among veterans than other populations, there is little information on how military-specific stressors affect eating disorder risk. This study's objective was to determine whether military sexual trauma and combat exposure were independent predictors of eating disorders among women veterans, a high-risk group.MethodParticipants were women age 18-70, using VA medical center services, without psychotic disorders or suicidal ideation (N = 407). We estimated a cross-sectional logistic regression model to predict eating disorders (anorexia, bulimia, binge eating disorder) as a function of military sexual trauma and combat exposure, adjusting for demographic variables.ResultsSixty-six percent of participants reported military sexual trauma, 32% reported combat exposure, and 15% met eating disorder criteria. Mean age was 49 years (SD = 13); 40% were veterans of color. Women reporting military sexual trauma had twice the odds of an eating disorder compared to women who did not (odds ratio [OR]: 2.03; 95% CI [1.03-3.98]). Combat exposure was not associated with eating disorders. Asian race (OR: 3.36; 95% CI [1.26-8.97]) and age (OR: 1.03; 95% CI [1.01-1.06]) were associated with eating disorders.ConclusionsThe high rates of military sexual trauma and eating disorders highlight a need for continued work. Results suggest that it may be useful to focus on women reporting military sexual trauma when implementing eating disorder screening and treatment programs. Given associations among trauma, eating disorders, obesity, and mortality, such efforts could greatly improve veteran health. (PsycINFO Database Record

Objective After learning of the rape allegation against the Attorney-General, Australians were divided in their support for an inquiry. We hypothesised that motivated reasoning on this issue would be associated with ideological preferences. We therefore examined whether perceptions of arguments about the inquiry could be explained by participants’ political orientation, preference for hierarchy (SDO), and motivation to justify the gender status quo (GSJ). Method Three months after the allegation was made public, we recruited a gender-balanced sample of 554 Australians to complete an online survey. Results Participants believed that an article arguing for an inquiry was stronger than an article arguing against an inquiry. However, this effect was weaker among those on the right of the political spectrum and those high on SDO. Political orientation was also associated with differing evaluations of the article’s authors: left-leaning participants found the pro-inquiry author more credible, but right-leaning participants did not. GSJ was not associated with differing evaluations of the articles or their authors. Conclusions These findings suggest that ideological preferences are associated with motivated reasoning when evaluating partisan allegations of sexual misconduct. Evaluations of such allegations appear to vary according to people’s political attitudes and preferences for social equality or hierarchy. KEY POINTS What is already known about this topic: (1) In early 2021, Australians were deeply divided in their support for an inquiry into the rape allegation against Christian Porter. (2) Individuals tend to respond to political sexual misconduct allegations with a partisan bias. (3) Gender system justification (GSJ) and social dominance orientation (SDO) are associated with the denial of injustice towards women, and the maintenance of social hierarchies, respectively. What this topic adds: (1) Ideological preferences can help to explain how people evaluate arguments about the inquiry. (2) Participants on the political left and those low on SDO evaluated a pro-inquiry article as significantly stronger than the anti-inquiry article, but this effect was reduced amongst those on the right and those high on SDO. (3) These findings provide evidence that political orientation and SDO are associated with motivated reasoning when evaluating partisan allegations of sexual misconduct.

In the 1970s rape became a central focus of second-wave feminist activism, and also, as censorship waned, a frequent narrative event in New Hollywood cinema, often, as a number of critics noted, in strikingly misogynistic forms. A few films, however, reflect and engage with second-wave feminism's new perspectives on sexual assault. Sidney Furie's The Entity (1982) uses its horror premise, a woman repeatedly raped by an invisible, aethereal attacker, as a powerful metaphor for what feminists termed 'rape culture'. The film enlists our identification with, and sympathy for, its protagonist in her struggle against both the invisible rapist and against a medical establishment that denies the truth of her experience. Larry Cohen's God Told Me To will be briefly considered as a film that reimagines the story of Jesus's conception in feminist terms as sexual violation and Abel Ferrara's Ms. 45 will be discussed as a representation of women's experience of rape culture. [ABSTRACT FROM AUTHOR]

The aim of the article was to analyze the dangerousness and personality characteristics of perpetrators of sexual violence (SVA). 69 inmates who participated in this study were serving time for sexual crimes in a closed regime and were divided into two groups: SVA convicted of victimizing children (G1) (n = 41) and SVA convicted of victimizing adolescents and adults (G2) (N = 28). The collected data derived from the reading of the criminal case and the application of the Rorschach test in the Performance Assessment System (R-PAS). For data analysis, a variable called dangerousness was created, through the principal component factor analysis, using criminal profile variables, to verify the correlation between the R-PAS variables and the participants' riskiness. Comparisons were also made between the groups. The results showed that the greater the danger, the greater the use of intellectualization as a defense mechanism, in order not to deal directly and realistically with aspects that generate emotional or social anguish. In addition, G2 showed a higher degree of danger. [ABSTRACT FROM AUTHOR]

Gender-Based Violence (GBV) trauma recovery models have evolved in such a way that survivors are viewed as actively engaging in a multitude of strategies. In addition to seeking help and coping, survivors engage in diverse lifestyle, social, spiritual, and practical strategies to promote their health and wellbeing. This exploratory sequential mixed-methods study develops an instrument to measure the holistic recovery actions used by GBV survivors. The qualitative phase combined recovery action codes from interviews with 50 GBV survivors in three different survivor samples to create an initial six-concept 41-item Trauma Recovery Actions Checklist (TRAC). The quantitative psychometrics phase used data from 289 American GBV survivors. Results revealed a five-factor 35-item final version (sharing/connecting; building positive emotions; reflecting and creating healing spaces; establishing security; and planning the future). There were positive significant correlations between sharing/connecting and depression scores, and between sharing/connecting, reflecting, and building security with PTSD scores. No correlations were found between any recovery action type and the barriers to help-seeking subscales of Problem Management Beliefs, Discrimination, or Unavailability. However, there were significant negative correlations between Shame and Financial barriers and Sharing/Connecting, and between Feeling Frozen, Constraints, and Establishing Security. Implications for research, clinical practice and ways of understanding survivorship recovery are suggested.

Mass participation sport events (MPSEs) have become a popular form of recreational sport participation. Understanding experiences of participants is pivotal to designing and implementing socially just and sustainable events. Applying constructivist grounded theory methodology, this inquiry explored experiences of participation in MPSEs, with particular attention to the impact of gender on participation experiences. In-depth interviews were conducted with 13 women who participated in MPSEs. Fear and power were two core themes in interviewees’ experiences. Fear of sexual assault, injury, and “something bad” was a significant element in women’s experiences which related to perceptions of place and time. The second theme, power, was generated from strong sport identities, camaraderie among female runners, all-women races, and finishing mixed-gender races. The findings provide some guidelines for practitioners to enhance experiences of female participants and encourage repeated participation that is key to sustainability of the events.

The crime detection of sexual violence needs to be optimized and improved. This study aims to substantiate, elaborate, and apply in practice the method of a transformed interview (based on mathematical modeling) to obtain information about sexual violence. For the first time the transformed-interview method was used while studying the hidden (latent) victims of sexual violence who do not want to report a crime to law enforcement agencies because they do not want the fact of violence against them to be made public. Participated 2570 Ukrainian women of different social status, 16-35 years old. It was found that the increase of intermediaries during the information transmission reduces reliability of the information about crimes against the person’s sexual inviolability. While investigating such types of crimes the needed information can be obtained with a higher degree of reliability not from the victim, but from her closest surroundings. The transformed-interview method proved to be an effective tool to extract the information related to the behavior of both the offender and his victim. This method shows reliability and makes it possible to reduce the latency of most crimes in the situation of the victim’s refusal to testify at the re-trial investigation.

Compared to female rape victims, the literature addressing male rape victims remains a growing area of interest for counselors and scholars. This article aims to review the growing literature on male sexual assault victims. Specifically, the review will examine the literature on male victims of sexual assault in nine sections: (a) an overview of male sexual assault, (b) male rape myths, (c) prevalence, (d) responses to male victimization, (e) populations and perpetrators of male victimization, (f) risk factors, (g) reporting, (h) the impact of sexual assault on men, (i) help-seeking, and (j) implications for counseling. Empirical studies, case reports, and books are included in the review.

Researchers have theorized and empirically shown that compared with low rape myth acceptance (RMA) individuals, those high in RMA are more likely to discount rape prevention messages. These researchers have urged the development of approaches to counteract the defensiveness and related processes that are presumed to cause such discounting. In the present research we empirically tested the effectiveness of a self-affirmation approach designed to reduce defensiveness to and increase engagement with important but potentially self-threatening information about sexual assault. Female participants classified as low or high in RMA were randomly assigned to either a self-affirmation or no-affirmation control condition and then read about a controversial case of campus sexual assault. We found support for the effectiveness of such a self-affirmation intervention for high-RMA women. Specifically, on a questionnaire administered after the exposure, affirmed high-RMA women relative to the control group reported greater endorsement of the realistic use of the "yes means yes" standard of consent, higher self-standards in defining consensual sexual behavior, increases in perceived knowledge of available resources for sexual assault victims, lower support of rape myths, and greater support for punishing someone convicted of sexual assault. As expected, for women low in RMA there were no significant differences in reporting on these measures between the affirmation condition and the no-affirmation condition. From an agentic perspective these results are encouraging. This approach may merit further development as part of an intervention for reducing biased processing and increasing the effectiveness of consent campaigns and other sexual violence prevention programs. [ABSTRACT FROM AUTHOR]

Grounded in the self-persuasion paradigm (an indirect persuasion approach, which places people in situations that motivate them to change their behavior), this study evaluated a brief, online intervention to reduce sexual aggression perpetration and increase prosocial bystander behaviors among heterosexual male college students (N = 241) in the United States. Students were randomly assigned to three conditions: (a) a self-persuasion intervention, (b) a social norms control condition, and (c) a control condition focusing on sense of belongingness. The self-persuasion intervention integrated three social psychological theoretical perspectives on attitudinal and behavioral change—cognitive dissonance (e.g., creating a personalized video message for incoming male college freshmen to explain the importance of consent in sexual contact), self-affirmation (e.g., reflecting on one's core values and how they are congruent with sexual consent), and personal relevance (e.g., writing about personally relevant reasons to always seek consent when having sexual contact). Participants in the self-persuasion condition reported greater prosocial bystander behaviors (e.g., intervening in situations to prevent sexual aggression) 6 months after the intervention as compared with those in the other two conditions; however, there were no significant difference in the rate of self-reported sexual aggression perpetration across conditions. The positive effect of the self-persuasion intervention on prosocial bystander behaviors was mediated by reduced self-perceived likelihood to commit sexual aggression and moderated by in-group solidarity with other college students. That is, the intervention had the most positive effect on prosocial bystander behaviors among participants with a lower sense of in-group solidarity. These findings are discussed in light of the promise of self-persuasion for future sexual aggression prevention work. [ABSTRACT FROM AUTHOR]

The thematic scope of the article is related to the re-edition of the book by Fr. Michał Sopoćka, entitled - Family in legislation in the Polish Lands (Ethical and legal study), published in Vilnius in 1926. This is the published version of the doctoral dissertation on the basis of which Fr. Michał Sopoćko, received a doctorate in theology on March 1, 1926. The article does not pretend to be a comprehensive study of the issue contained in the title, it is only an attempt to draw attention to the topicality of the issue of the family raised by Fr. Sopoćko in his doctoral dissertation and the need to continue this issue in the context of legislation and ethics, and Christian morality. The reference to the family theory of Fr. Michał Sopocko - a zealous priest, theologian, social worker, servant of God, it is all the more justified that in the era of strong ideological, worldview, propaganda and ideological tendencies against the national and Christian culture, the 20th / 21st century family found itself in the face of difficult problems - there is even talk of a family crisis. Formerly hidden are coming to light: violence, harassment on various grounds, psychological torment, and even sexual violence against children, incest and crimes of infanticide. Hence, the reference to the Christian model of a family created on the basis of a humanistic approach to human existence is becoming particularly important today and - perhaps - most needed by people. It allows us to strive for the place and right of existence of the Christian vision of the world, the image of man and the Christian system of values in the public space. The more so because Fr. Michał Sopoćko, as an apostle of the truth and worship of Divine Mercy, recognized the truth about man, marriage and family on the basis of the intellectual tradition of personalism and Christian culture. Father Michał Sopoćko pointed out that without the family, its concern for education and service to life, there is no development of the nation and the Church. [ABSTRACT FROM AUTHOR]

This study extends prior analyses from a 5-year multisite cluster-randomized controlled trial to examine how the previously reported effects of the Green Dot bystander-based prevention program worked to reduce violence perpetration. Bystander-based interventions are hypothesized to prevent violence by reducing violence acceptance and increasing trained participants' willingness and ability to actively engage others in violence prevention using safe and effective bystander actions to diffuse or avoid potentially violent situations. We tested this hypothesis by examining whether Green Dot worked to reduce violence through two mediators measured over time: reducing violence acceptance and increasing bystander actions. When accounting for changes in these mediators over time, the effect of this intervention on violence perpetration was hypothesized to be attenuated or explained. At baseline (spring 2010) and annually (2011-2014), all students in recruited high schools (13 intervention, 13 control) completed an anonymous survey (response rate = 83.9%). Student responses were aggregated as school-level counts for the analysis. Path analyses estimated direct and indirect effects at specific points in the implementation of the intervention. Longitudinal models were used to determine if changes in violence acceptance and bystander actions could explain or attenuate the effect of the intervention. Time-framed path model analyses indicated that the intervention worked as expected to increase bystander behaviors and reduce violence acceptance; both potential mediators were significantly associated with sexual violence perpetration. In addition, after adjusting intent-to-treat models for the hypothesized mediators, the intervention was no longer associated with violence perpetration. In conclusion, these findings indicate that this bystander intervention worked as hypothesized to reduce sexual violence perpetration by creating theory-based changes in students' violence acceptance and bystander actions. [ABSTRACT FROM AUTHOR]

We developed the first Fear of False Accusations scale, measuring the public's fear of personally being the target of untrue child sexual abuse allegations despite no actual wrongdoing as well as the fear of false allegations being a common problem in society. The scale was statistically reliable within a diverse sample of 964 participants. Several months later, in an ostensibly unrelated mock trial experiment, a subset of the participants assumed the role of mock juror and considered a criminal case involving an accusation of child sexual abuse. As predicted, (a) mock jurors with higher levels of fear were less likely than others to believe a specific child sexual abuse allegation (but did not differ in ratings of victim credibility nor responsibility), (b) men had significantly higher levels of this fear than did women, and (c) mediational analyses revealed that gender differences in fear partially explained men's tendency to believe the child abuse allegation less than women did. This research is important for developing the first empirically validated measure of fear of false accusation and linking this fear to perceptions of specific child sexual abuse allegations, and for finding a partial explanation for gender differences in mock jurors' reactions to child sexual abuse allegations. [ABSTRACT FROM AUTHOR]