Module 2 Rape Handouts

Question 1

What is rape trauma syndrome?

Answer 1

a cluster of symptoms which occur during, immediately

following, and for a time period after a sexual assault

Question 2

What 2 categories does the rape trauma syndrome fall under?

Answer 2

1. Disorganization (the immediate acute phase), and 2. Reorganization (the
   long term phase). The victim’s life may be affected physically, emotionally, sexually
   and socially

Question 3

During disorganization phase of rape trauma syndrome, what is the immediate impact?

Answer 3

Emotions expressed by the victim may range from
controlled (calm, composed, subdued) to expressive (angry, fearful, restless,
tense, crying, nervous)

Question 4

During disorganization phase of rape trauma syndrome, what are the emotional reactions?

Answer 4

Fear, stress reactions to a perceived threat, fear
of being physically injured, mutilated or killed, humiliation, guilt, shame,
embarrassment, self-blame, anger, and helplessness. Victims may experience
mood swings, fluctuating emotions, temper tantrums, jumpiness, irritability, or
extreme caution

Question 5

During disorganization phase of rape trauma syndrome, what are the physical reactions?

Answer 5

Decrease in appetite, sleep disturbances, nausea,

general feelings of body soreness, or pain or ailments specific to the assault.

Question 6

During disorganization phase of rape trauma syndrome, what are the social responses?

Answer 6

Reliving the assault over and over, flashbacks,
depression, or low self-esteem. They may become less communicative and
isolated from social settings.

Question 7

During disorganization phase of rape trauma syndrome, what are the sexual reactions?

Answer 7

Feeling fearful of intimacy, an abhorrence for any

sexual relations, or a general dissatisfaction

Question 8

During reorganization phase of rape trauma syndrome, what are the psychological responses?

Answer 8

Nightmares, phobias, paranoia, or compulsivity

Question 9

During reorganization phase of rape trauma syndrome, what are the physical problems?

Answer 9

Victims may experience gynecological and/or menstrual
problems, backaches, urinary infections, migraines, and/or eating or sleeping
disturbances.

Question 10

During reorganization phase of rape trauma syndrome, what are the social responses?

Answer 10

Victims may be seeking to change an aspect of their lives.
They may change residences, telephone numbers, move back in with parents, visit
family and friends, experience marital problems, or become overprotective of
children.

Question 11

During reorganization phase of rape trauma syndrome, what are the sexual relationships like?

Answer 11

Sex may be something that is feared or not desired. Some
victims may have flashbacks during sexual relations while others may become
promiscuous.

Question 12

What is consent?

Answer 12

Consent is a freely given yes. The person has the choice between
yes and no, and there are no bad consequences to either answer.
Consensual sex is the only legal sex

Question 13

What is coercion?

Answer 13

Coercion is begging, lying, making someone feel guilty, arguing,
wearing someone down, trying to turn a “no” into a “yes,” or using
emotional blackmail

Question 14

Is coercion legal?

Answer 14

No

Question 15

What is the age of consent in PA?

Answer 15

16

Question 16

What constitutes satutory sexual assault in PA?

Answer 16

Statutory Sexual Assault occurs when a person is 13, 14, or 15 and is
having sexual intercourse with someone who is FOUR or more years
older, and is not married to that person

Question 17

What % of the time does a child know his/her abuser?

Answer 17

85%

Question 18

What is the most common type of abuse?

Answer 18

Situational- no sexual preference for children, just occurs because the situation allows it

Question 19

What are pedophiles?

Answer 19

Preferential sexual abusers, that are preferential for age and uses the grooming process

Question 20

What is the grooming process?

Answer 20

identify vulnerable victim –> gain childs or parents trust —> desensitizes child to ouch (tickling) –> tells child to keep touching secret

Question 21

In their lifetime, how many women are victim to sexual assault?

Answer 21

1 in 3

Question 22

In their lifetime, how many men are victim to sexual assault?

Answer 22

1 in 6

Question 23

What is the #1 date rape drug?

Answer 23

Alcohol

Question 24

What is GHB?

Answer 24

Date rape drug, Sx begin withing 1/2 hour and lasts 4-6 hours

Question 25

What is rohypnol?

Answer 25

10x as strong as valium, lose memory for 8-12 hours and can last 2-3 DAYS

Question 26

What is ketamine?

Answer 26

Sx begin within 5-20 mins and last 2-8 hours

Question 27

What are the 3 Sx of PTSD?

Answer 27

1. re-experiencing the trauma (flashbacks). 2. emotional numbing 3.increased irratibility

Question 28

What is the most important factor of recovery from rape trauma syndrome?

Answer 28

Immediate personal contacts after the assault

Question 29

What are the 5 steps for the forensic rape examination?

Answer 29

Interview –> physical exam –> genital exam –> evidence recovery –> follow-up

Question 30

What is the main goal of the rape interview?

Answer 30

to obtain a detailed and factual description of the entire sexual assault

Question 31

What is the main goal of the physical rape exam?

Answer 31

To assess the condition of clothing, emotional state, injuries or pain

Question 32

What occurs for 70% of rape traumas?

Answer 32

Posterior forchette tears

Question 33

80% of injury in rape is from what?

Answer 33

penile penetration

Question 34

What is the foley catheter technique?

Answer 34

A foley is inserted just past the hymen on pubertal girls –> baloon inflated with water –> slight traction on hymen to assess hymen

Question 35

What is reflex anal dilation (RAD)?

Answer 35

internal anal sphincter dilates when the patient is put in the position in which the abuse routinely occurs

Question 36

What specialized dye is used for the detection of motile sperm on the epidermis?

Answer 36

Toluidine blue