Revictimization among women with a history of childhood sexual abuse was investigated within the context of a developmental model of interpersonal schemas. Data from the Interpersonal Schema Questionnaire (ISQ) revealed contrasting schema characteristics among sexually revictimized women (those sexually abused in childhood and sexually assaulted in adulthood) (n = 26), compared to those only abused in childhood (n = 18), and those never abused or assaulted (n = 25). Both revictimized women and never victimized women significantly generalized their predominant parental schemas to current relationships and differed only in the content of the schemas. The generalized parental schema of revictimized women viewed others as hostile and controlling while that of never victimized women viewed others as warm and noncontrolling. Women who had only been abused in childhood held schemas of parents as hostile but not controlling and did not generalize from parental to current schemas. The tendency to generalize observed in the first two groups suggest that “repetition compulsion” is not limited to those who were traumatized and are psychologically distressed. In this article, reasons for the absence of generalization among the childhood abuse only group are explored and implications for the treatment of childhood trauma survivors are discussed.

This study investigated three occupational hazards of therapy with trauma victims: vicarious trauma and secondary traumatic stress (or “compassion fatigue”), which describe therapists’ adverse reactions to clients’ traumatic material, and burnout, a stress response experienced in many emotionally demanding “people work” jobs. Among 101 trauma counselors, client exposure workload and being paid as a staff member (vs. volunteer) were related to burnout sub-scales, but not as expected to overall burnout or vicarious trauma, secondary traumatic stress, or general distress. More educated counselors and those seeing more clients reported less vicarious trauma. Younger counselors and those with more trauma counseling experience reported more emotional exhaustion. Findings have implications for training, treatment, and agency support systems.

Community-recruited women (n = 1490) were interviewed about their early and adult sexual victimization histories to determine whether there was an association between child sexual abuse and adult revictimization by sex partners and strangers/nonsex partners. Adolescent sexual abuse, lifetime sex-trading, drug treatment, and mental health treatment were examined as mediating variables. One-fourth of the women had been revictimized (i.e., experienced child sexual abuse and at least one instance of adult sexual victimization). Child sexual abuse was associated with both rape and other sexual victimization by a sex partner in adulthood, as well as adult rape by a stranger/nonsex partner. Drug and mental health treatments reduced abused women’s chances of being raped by a sex partner; drug treatment also decreased the likelihood of other sexual victimization by a sex partner. Sex-trading increased abused women’s likelihood of rape by a stranger or nonsex partner. Intervention—including drug treatment—can help women with child sexual abuse histories overcome some of the abuse-related sequelae that make them vulnerable to adult revictimization.

While considerable research has examined the relative effectiveness of different types of self-protective actions in rape avoidance, little research has considered how the situational context of the assault affects women’s choice of self-protective strategy. Through an examination of data from the National Crime Victimization Survey, this article examines the extent to which situational factors are independently related to the use of physical resistance, verbal resistance, as well as to lack of resistance. The results of the multinominal logistic regression analysis indicate that those who used verbal self-protective action were more likely to have been attacked at night, threatened with a weapon, and to be assaulted by a prior or current romantic partner than were those who chose physical resistance. Those attacked by a current or former intimate were also more likely to employ no resistance than they were physical resistance. Victims facing a substance-using assailant, however, were more likely to enact physical self-protection than to employ no resistance.

The current literature on wife rape is minimal compared to the published research in areas such as wife battering or date rape, and most of the existent work on attitudes toward wife rape is dated and/or focuses on limited samples (i.e., college populations). Using data from a nationally representative telephone survey, this study examined national attitudes toward wife rape using the following measures: perceptions of the occurrence of wife rape, perceptions of the frequency of wife rape, and perceptions of three rape scenarios. Respondent sex, education, age, race, and female victim status were predictors. Findings reveal that older, non-white respondents were less likely to believe wife rape occurs. Males and the more educated were less likely to believe it occurs frequently. Older and less educated respondents were less likely to believe forced sex scenarios between a husband and wife constitute wife rape. Among women, non-victims of forced sex were significantly less likely than current victims to believe that wife rape occurs.

This study provides estimates of the economic cost of intimate partner violence perpetrated against women in the US, including expenditures for medical care and mental health services, and lost productivity from injury and premature death. The analysis uses national survey data, including the National Violence Against Women Survey and the Medical Expenditure Panel Survey, to estimate costs for 1995. Intimate partner violence against women cost $5.8 billion dollars (95% confidence interval: $3.9 to $7.7 billion) in 1995, including $320 million ($136 to $503 million) for rapes, $4.2 billion ($2.4 to $6.1 billion) for physical assault, $342 million ($235 to $449 million) for stalking, and $893 million ($840 to $946 million) for murders. Updated to 2003 dollars, costs would total over $8.3 billion. Intimate partner violence is costly in the US. The potential savings from efforts to reduce this violence are substantial. More comprehensive data are needed to refine cost estimates and monitor costs over time.

Intimate partner violence (IPV) damages a woman’s physical and mental well-being, and indicates that her children are likely to experience abuse, neglect and other traumatic experiences. Adult HMO members completed a questionnaire about adverse childhood experiences (ACEs) including childhood abuse, neglect, and household dysfunction. We used their responses to retrospectively assess the relationship between witnessing intimate partner violence and experiencing any of the 9 ACEs and multiple ACEs (ACE score). Compared to persons who grew up with no domestic violence, the adjusted odds ratio for any individual ACE was approximately two to six times higher if IPV occurred (p < 0.05). There was a powerful graded increase in the prevalence of every category of ACE as the frequency of witnessing IPV increased. In addition, the total number of ACEs was increased dramatically for persons who had witnessed IPV during childhood. There was a positive graded risk for self-reported alcoholism, illicit drug use, IV drug use and depressed affect as the frequency of witnessing IPV increased. Identification of victims of IPV must include screening of their children for abuse, neglect and other types of adverse exposures, as well as recognition that substance abuse and depressed affect are likely consequences of witnessing IPV. Finally, this data strongly suggest that future studies, which focus on the effect of witnessing IPV on long-term health outcomes, may need to take into consideration the co-occurrence of multiple ACEs, which can also affect these outcomes.

The purpose of this article is to determine whether known cardiac risk factors are more prevalent among women veterans who report having sustained sexual assault while in the military. We surveyed a random sample of 3,632 women veterans using Veterans Administration (VA) ambulatory care nationally. Obesity, smoking, problem alcohol use, sedentary lifestyle, and hysterectomy before age 40 were found to be more common in women reporting a history of sexual assault while in the military than in women without such history. An association between myocardial infarction and prior sexual assault history may be mediated in part by known cardiac risk factors.

This study investigated the internal validity of the Index of Spouse Abuse (ISA) (Hudson & McIntosh, 1981) in a sample of 583 African American women who sought health care at a tertiary care hospital in Atlanta, Georgia. Three models were tested with confirmatory factor techniques: (a) Hudson and McIntosh’s original Index of Spouse Abuse two factor model; (b) Campbell, Campbell, Parker, and Ryan’s three factor model (Campbell, Campbell, King, Parker, & Ryan, 1994); and (c) an alternative model of physical and nonphysical abuse. This alternative model is based in part on Tolman’s conceptualization of psychological abuse as a construct comprised of two related but distinct factors: controlling and emotionally abusive behaviors (Tolman, 1999). Results show that the alternative model fits the data better than the first two models. Findings support the continued use of the ISA, but with proposed modifications.

While protective actions are consistently found to be important in rape avoidance, research is less clear on what forms of protective action are most effective. There is also little research on whether the effectiveness of particular protective actions varies depending upon the context of the assault. This study employs multivariate logistic regression to examine the situational effectiveness of physical, forceful verbal, and non-forceful verbal protective strategies using data from the National Crime Victimization Survey. It is predicted that failure to use physical and forceful verbal strategies will result in increased risk of rape as situational danger increases, while non-forceful verbal resistance will become less effective in more dangerous situations. Contrary to predictions, results indicate that the effectiveness of protective actions does not vary across most situations. Instead, among women who perform self-protective actions physical resistance is generally predictive of rape avoidance, forceful verbal resistance is ineffective, and non-forceful verbal resistance is predictive of rape completion.