Dangerous safe havens: institutional betrayal exacerbates sexual trauma

J Trauma Stress. 2013 Feb;26(1):119-24. doi: 10.1002/jts.21778.

Abstract

Research has documented the profound negative impact of betrayal within experiences of interpersonal trauma such as sexual assault (Freyd, 1994, 1996; Freyd, DePrince, & Gleaves, 2007). In the current study of college women (N = 345, 79% Caucasian; mean age = 19.69 years, SD = 2.55), we examined whether institutional failure to prevent sexual assault or respond supportively when it occurs may similarly exacerbate posttraumatic symptomatology-what we call "institutional betrayal." Almost half (47%) of the women reported at least one coercive sexual experience and another 21% reported no coercion, but at least one unwanted sexual experience (total reporting unwanted sexual experiences, N = 233). Institutional betrayal (e.g., creating an environment where these experiences seemed more likely, making it difficult to report these experiences) was reported across different unwanted sexual experiences (47% and 45% of women reporting coercion and no coercion, respectively). Those women who reported institutional betrayal surrounding their unwanted sexual experience reported increased levels of anxiety (R(2) = .10), trauma-specific sexual symptoms (R(2) = .17), dissociation (R(2) = .11), and problematic sexual functioning (R(2) = .12). These results suggest that institutions have the power to cause additional harm to assault survivors.

MeSH terms

  • Adolescent
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / psychology
  • Coercion*
  • Dangerous Behavior*
  • Deception*
  • Dissociative Disorders / diagnosis
  • Dissociative Disorders / psychology
  • Ethics, Institutional*
  • Humans
  • Male
  • Psychometrics
  • Rape / psychology
  • Risk Factors
  • Safety*
  • Sex Offenses / psychology*
  • Sexual Dysfunctions, Psychological / diagnosis
  • Sexual Dysfunctions, Psychological / psychology
  • Sleep Wake Disorders / diagnosis
  • Sleep Wake Disorders / psychology
  • Social Environment*
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / psychology*
  • Students / psychology
  • Surveys and Questionnaires
  • Trust*
  • Young Adult