ABSTRACT
The purpose of this project was to conduct a qualitative study of how participating in in-depth interviews impacted rape survivors. These interviews contained both open-ended, free response section and closed-ended, standardized assessments. The implementation of the interviews was informed by principles of feminist interviewing, which emphasized reducing hierarchy between the interviewer and interviewee, providing information and resources, and creating an emotionally supportive and compassionate setting. Narrative data were analyzed from rape survivors (N = 92) regarding how they were affected by participating in these interviews. Results suggested that the overwhelming majority of survivors found the interview to be a helpful, supportive, and insightful experience. Additional analyses revealed that the feminist interviewing principles were noticed and appreciated by the participants and contributed to their overall positive participation outcomes.
Subject(s)
Empathy , Interviews as Topic , Rape/psychology , Social Support , Adult , Emotions , Female , Feminism , Humans , Information Dissemination , Interviews as Topic/methods , Interviews as Topic/standards , Qualitative Research , Survivors/psychologyABSTRACT
Face-to-face interviewing is a common data collection technique in violence against women research. To guide the development of interviewer training programs, the authors conducted an empirical study on adult rape survivors' recommendations for interview practice. They asked survivors what interviewers should know about rape and how they should interact with participants. Data from 92 survivors revealed that interviewer training needs to emphasize diversity so that researchers are capable of working effectively with individuals with different life circumstances. The survivors also emphasized that interviewers need to show warmth and compassion and allow them to exercise choice and control during the interview process.
Subject(s)
Crime Victims/psychology , Inservice Training/methods , Interviews as Topic , Professional-Patient Relations , Rape/psychology , Survivors/psychology , Adult , Data Collection/methods , Empathy , Female , Humans , Male , Middle Aged , Patient Acceptance of Health Care/psychology , Qualitative Research , Self Concept , Social SupportABSTRACT
Nurses from a national random sample of SANE programs were interviewed about their most recent experience providing expert witness court testimony (N = 110). Forty-three percent of the SANEs characterized this experience "fine" with no difficulties, but 58% mentioned that they had encountered problems. Challenges they faced while testifying are explored in depth and implications for forensic nursing practice are discussed.
Subject(s)
Attitude of Health Personnel , Expert Testimony , Forensic Nursing/organization & administration , Nurse's Role/psychology , Rape/diagnosis , Adaptation, Psychological , Adult , Age Factors , Certification , Chi-Square Distribution , Clinical Competence , Cooperative Behavior , Expert Testimony/legislation & jurisprudence , Expert Testimony/methods , Female , Forensic Nursing/education , Health Services Needs and Demand , Humans , Interprofessional Relations , Logistic Models , Male , Nurse Administrators/education , Nurse Administrators/organization & administration , Nurse Administrators/psychology , Nursing Methodology Research , Nursing Staff/education , Nursing Staff/organization & administration , Nursing Staff/psychology , Organizational Affiliation , Rape/legislation & jurisprudence , Self Efficacy , Surveys and Questionnaires , United StatesABSTRACT
We measured the consistency with which a national random sample of 110 Sexual Assault Nurse Examiner (SANE) programs provided 17 services to sexual assault victims. SANE programs consistently offered forensic evidence collection, sexually transmitted infection (STI) prophylaxis, information on HIV, information on pregnancy risk, and referrals to community resources. Reasons programs did not routinely offer particular services (e.g., STI cultures, HIV testing/prophylaxis, emergency contraception (EC)) included financial constraints, difficulties balancing medical care with legal prosecution, and affiliations with Catholic hospitals.
Subject(s)
Emergency Nursing/organization & administration , Rape/psychology , Women's Health Services/organization & administration , Female , Humans , Interviews as Topic , Male , Middle Aged , Nurses/psychology , United StatesABSTRACT
During the past 20 years, researchers have documented the widespread problem of rape in American society. Approximately one in four women are raped in their adult lifetime, which causes severe psychological distress and long-term physical health problems. The impact of sexual assault extends far beyond rape survivors as their family, friends, and significant others are also negatively affected. Moreover, those who help rape victims, such as rape victim advocates, therapists, as well as sexual assault researchers, can experience vicarious trauma. Future research and advocacy should focus on improving the community response to rape and the prevention of sexual assault.
Subject(s)
Battered Women , Community Networks/standards , Rape , Survivors , Women's Health , Adult , Battered Women/psychology , Battered Women/statistics & numerical data , Female , Humans , Male , Primary Prevention/methods , Rape/prevention & control , Rape/statistics & numerical data , Research Design/standards , Risk Factors , Sexual Partners/psychology , Social Support , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/prevention & control , Survivors/psychology , Survivors/statistics & numerical data , United States/epidemiologyABSTRACT
A random sample of representatives from Sexual Assault Nurse Examiner (SANE) programs throughout the United States were contacted to participate in in-depth telephone interviews about program operations and services for sexual assault patients. Programs that had been in operation 5 years or less at the time of this study are compared to older programs to examine trends.
Subject(s)
Forensic Nursing/organization & administration , Nurse's Role , Rape/diagnosis , Adult , Attitude of Health Personnel , Female , Forensic Nursing/education , Health Services Needs and Demand , Humans , Male , Nursing Evaluation Research , Nursing Methodology Research , Nursing Staff/education , Nursing Staff/organization & administration , Nursing Staff/psychology , Organizational Innovation , Organizational Objectives , Outcome Assessment, Health Care , Physical Examination/nursing , Program Development , Program Evaluation , Research Design , Societies, Nursing/organization & administration , Specimen Handling/nursing , Surveys and Questionnaires , Time Factors , United StatesABSTRACT
The authors report the results of an evaluation of services provided by 54 Illinois domestic violence agencies. In collaboration with the University of Illinois at Chicago evaluation team, domestic violence advocates identified services to be evaluated, specified desired outcomes of those services, and participated in developing measures of those outcomes in both English and Spanish. With in the limitations of the study, outcomes were positive in all four program areas: hotline, counseling, advocacy, and shelter. The authors then discuss implications for evaluation of domestic violence programs that maintain victim safety as a guiding principle.
Subject(s)
Community Mental Health Services/organization & administration , Counseling/organization & administration , Domestic Violence/prevention & control , Hotlines/organization & administration , Women's Health Services/organization & administration , Attitude of Health Personnel , Community Mental Health Services/statistics & numerical data , Counseling/statistics & numerical data , Cross-Sectional Studies , Domestic Violence/statistics & numerical data , Female , Hotlines/statistics & numerical data , Humans , Illinois/epidemiology , Male , Middle Aged , Needs Assessment , Social Support , Social Welfare , Time Factors , Women's Health , Women's Health Services/statistics & numerical dataABSTRACT
This paper describes how the values of a feminist research team influenced methodological decisions in a study of rape survivors. Building upon concepts from community psychology and urban sociology, the authors created a community-based research design that respected the emotional needs of rape survivors without sacrificing methodological rigor. We developed relationships with community members in diverse settings, such as nail and hair salons, child care centers, churches, and bookstores, to advertise the study and recruit participants. Consistent with feminist approaches to interviewing, our goal was to create a safe setting for survivors to tell their stories. Although the purpose of this study was research rather than intervention, most survivors reported that participating in these interviews was healing. Our experiences in this project suggest that allowing values to influence the process of research may have beneficial outcomes for both researchers and participants.
Subject(s)
Rape/psychology , Survivors/psychology , Chicago , Female , Feminism , Humans , Research DesignABSTRACT
This article presents the descriptive results of a statewide evaluation of hotline, advocacy, and counseling services provided to sexual assault victims in Illinois. Collaborative efforts of a multidisciplinary research team and sexual assault service providers resulted in victim-sensitive evaluation measures and data that reflect, for the first time, the collective impact of services on rape victims across the state of Illinois. Results of the evaluation suggest that, overall, services provided to rape victims provided support, increased information and knowledge, and helped victims to understand options and make decisions. The evaluation approach is notable for its collaborative nature and its sensitivity to rape victims during help-seeking and delivery; however, due to the high levels of distress common among rape survivors, some evaluation methods may not be appropriate for crisis intervention services such as hotline or advocacy. Implications for future evaluation research and policy are noted.
Subject(s)
Counseling , Hotlines , Patient Advocacy , Quality of Health Care , Rape/rehabilitation , Adolescent , Adult , Female , Humans , Illinois , Rape/psychology , Treatment OutcomeABSTRACT
Approximately 15% of married or cohabiting women and as many as 60% of battered women are raped at least once by their partners. This study compared community-based counseling outcomes of battered women with outcomes of women who were both raped and battered by their partners. Over time, both groups improved in wellbeing and coping. Although those both battered and raped progressed more in counseling, they had lower scores before and after counseling compared to women who were battered only. Implications for research and intervention are discussed.
Subject(s)
Community Health Services , Counseling , Crime Victims/psychology , Domestic Violence , Rape/psychology , Adaptation, Psychological , Adolescent , Adult , Female , Humans , Mental Health , Treatment OutcomeABSTRACT
Based on a review of theory and evidence, this article highlights the limitations of trauma response models and applications of posttraumatic stress to characterize the experiences of women who are raped. There are two primary problems with trauma response theories. First, traditional notions of trauma are likely too narrow to accurately capture the complexities of women's experiences of sexual violence in a gendered society. Second, the symptoms emphasized by clinical applications of the trauma model may legitimate one sociocultural manifestation of distress while excluding others. Alternative conceptualizations are presented to stimulate more ecologically grounded and culturally inclusive study of sexual violence. Using the rape of women as an example, this article illustrates the limitations of Western views of trauma and encourages researchers and practitioners to expand notions of survivors' responses to painful events.
Subject(s)
Battered Women , Crime Victims , Rape , Stress Disorders, Post-Traumatic , Women's Health , Adaptation, Psychological , Attitude of Health Personnel , Community Mental Health Services , Counseling , Crime Victims/psychology , Female , Humans , Life Change Events , Rape/psychology , Rape/rehabilitation , Risk Factors , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/psychology , Stress Disorders, Post-Traumatic/therapyABSTRACT
This study assumes that rape victim advocates who provide community outreach services to victimized women must adjust to a heightened awareness of sexual violence to do their jobs. Using qualitative methodology, this multiple case study explored rape victim advocates' strategies for incorporating repeated exposure to sexual assault into their daily lives as well as ways that organizations can support such endeavors. Findings suggest that advocates' self-care routines draw upon various personal resources (i.e., cognitive, physical, social, spiritual, verbal), and serve 2 roles for coping with rape-related pain: (a) cathartic releasing of traumatic material, and (b) improving capacity to integrate the traumatic material into one's life. Additionally, over 20 organizational characteristics that workers perceive to be supportive (e.g., weekly meetings, flexible hours) were identified. Nonparametric and categorical statistical analyses were used to analyze the relationship between organizational support and self-care routines, finding that advocates working in organizations with higher levels of support utilize more strategies that are integrative in nature. Implications of these findings are discussed.