First of all, you are not alone. Sexual trauma is extremely prevalent across the lifespan for males and females. This may include multiple events of trauma across their lifespan starting in early childhood, during the military, and continuing into adulthood with not only sexual trauma, but also a variety of abusive and unsupportive relationships. Sexual trauma makes you feel alone, that nobody understands, and that nobody cares... but that is not true!
Unfortunately, rates of sexual trauma are extremely high. In the military, it is estimated that 55-70% of women experience sexual harassment, and 11-48% experienced sexual assault (Goldzweig, Balekian, Rolon, Yano, & Shekelle, 2006). Several studies estimate that 1-4% of men experience sexual assault in the military (Suris & Lind, 2008). Rate of MST incurred in recent conflicts in Iraq and Afghanistan range from15% to 42% for women and 1% to 12.5% for men (Kimerling, et al., 2010; Katz, et al., 2012).
Sexual trauma can affect nearly all systems of a person’s physical, emotional, behavioral health and well-being, relationships, finances, and happiness. Those with MST had been found to have three times the rate of depression, twice the rate of substance abuse, more obesity, smoking, myocardial infarctions, and hysterectomies before age 40 than those without MST (Frayne, et al, 1999; Frayne et. al, 2003; Hankin, et al, 1999; Skinner et al, 2000).
Sexual trauma (and MST) may lead to a cascade of negative consequences and compounding life stressors such as Posttraumatic Stress Disorder (PTSD) (American Psychiatric Association, 2013). Although there are many treatments for PTSD, those with sexual trauma may suffer from many symptoms in addition to PTSD including feeling betrayed, blaming oneself, resentment, lack of closure or justice, and relationship difficulties. Below is a sample of consequences and this is not an exhaustive list!
In order to understand MST, it is necessary to understand the context in which these events occur. Several elements may contribute such as training people in aggression, creating a male-dominated hyper-masculine culture, putting everyone under extreme physical and emotional stress, concentrating the ages between 18 to 30 years old, including a portion of people with pre-military abuse/trauma, confining everyone to an isolated environment for a year or longer, adding alcohol for dis-inhibition, and a possible sense of lawlessness where these things are not prosecuted. Because military personnel live and work in the same environment, victims are “captive” and have to continue to work and live with their perpetrators. They may need to rely on their perpetrators or friends of their perpetrators in combat, for medical help, for promotions, or simply to do their jobs. In some cases reporting may be helpful, but unfortunately for others, reported could lead to further abuse, being targeted, or blamed.
Most sexual trauma (civilian and military) is by a known perpetrator who is either opportunistic or works to gain the trust of a victim (e.g., offers a drink, ride home, help, or friendship). This makes it easy to coax the victim into a vulnerable situation for ST. Afterwards, the victim must not only deal with a sexual violation but also betrayal of trust. The relationship with the perpetrator must be renegotiated as well as all of the relationships connected to the perpetrator. This contributes to victims of ST blaming themselves, not disclosing what happened, and feeling isolated and alone.
This may be a contributing factor explaining Fontana and Rosenheck’s (1998) finding that service members were four times more likely to develop PTSD from sexual trauma than from combat.
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