Ch. 31 Sexual Assault

Question 1

Define sexual assault

Answer 1

Pressured or forced sexual contact, including sexually stimulated talk or actions, inappropriate touching or intercourse, incest, and rape

Question 2

Substances associated with rape

Answer 2

• Gamma-hydroxybutyrate (GHB) “liquid ecstasy”
• Flunitrazepam (Rohypnol) “roofies”
• Ketamine “black hole”

Question 3

Acute phase of rape trauma syndrome

Answer 3

Occurs immediately after
Lasts about 2 weeks
Consists of initial reaction & somatic reaction

Question 4

Initial reaction

Answer 4

Expressed: Emotional outbursts, including crying, laughing, hysteria, anger, & incoherence
Controlled: Appears calm & has a blunted affect, may also be confused, have difficulty making decisions, and feel numb

Question 5

Somatic reaction

Answer 5

• Bruising & soreness from attack
• Muscle tension, headaches, sleep disturbances
• GI symptoms (nausea, anorexia, diarrhea, abd. pain)
• GU symptoms (vaginal pain or discomfort)
• A variety of emotional reactions, including embarrassment, a desire for revenge, guilt, anger, fear, anxiety, and denial

Question 6

Long-term reorganization phase

Answer 6

• Flashbacks
• Increased activity, such as visiting friends for fear of recurrence
• Increased emotional responses (crying, anxiety, mood swings)
• Fears & phobias
• Difficulties with daily functioning
• Somatic reports

Question 7

Silent rape reaction symptoms

Answer 7

• Abrupt changes in relationships with partners
• Nightmares
• Increased anxiety during interview
• Marked changes in sexual behavior
• Sudden onset of phobic reactions