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RAPE TRAUMA SYNDROME

Every woman deals with an assault in her own way.

Survivors are not to blame for the crime committed on them by another person but need to be listened to and to have a safe environment to work through their fears.

Physical, emotional, social or sexual reactions are all natural responses to rape or other violent assault. They need to be recognised and, most importantly, acknowledged in order that sustained help can be given.

A study of rape victims has identified a three-stage process, often known as rape trauma syndrome, that occurs as a result of forcible rape or attempted forcible rape and is an acute stress reaction to a life-threatening situation which may last from two years to a lifetime. Survivors may take one step forward and two back as they move between the stages and struggle to find their way.


1. Acute: begins immediately and lasts for several days

2. Outward Adjustment: apparent return to normality masks underlying turmoil

3. Resolution: emotional and physical symptoms return but but the survivor is more able to deal with the underlying turmoil

In the later stages support from family and friends may fade away. Watford Rape Crisis will still be there to help.


1. Acute

The acute stage begins immediately and lasts up to several days after the attack.

Immediate responses include physical and emotional shock which may be openly expressed but are often controlled so that the intensity of suffering is disguised.

Physical

  • May experience pain, shaking, nausea, sleeplessness

Emotional

  • Overwhelming feelings of fear, humiliation, degradation, shame, self blame, anger and revenge
  • Crying spells, anxiety attacks, hallucinations and mood swings
  • Shows little emotion, act as though numb or stunned
  • Experience difficulty concentrating, making decisions, or doing simple, everyday tasks
  • Have poor recall of the rape or other memories

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2. Outward Adjustment

In the second stage survivors appear to come to terms with their issues and begin to function normally. In many cases this simply masks under lying problems as they struggle to re-establish normal routines and regain control of their lives. During this stage they work hard to suppress their feelings because dealing with them is so very painful. Later, the physical and emotional symptoms of the acute stage may begin to resurface but will be more difficult to bury than before, indicating a move towards the third stage.

  • Anxiety & sense of helplessness.
  • Persistent fear and/or depression.
  • Severe mood swings
  • Vivid dreams, recurrent nightmares, insomnia.
  • Physical ailments & appetite disturbances (e.g. nausea, vomiting, compulsive eating).
  • Sexual problems.
  • Concerns for personal safety
  • May try to deny or minimise the assault
  • Reluctance to leave home or visit places connected with the rape.
  • Disruption of normal routines (eg missing work or working much harder, changing travel routines, going out only at certain times).
  • Distrust of existing relationships with men and reluctance to form new relationships

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3. Resolution

In the final stage the rape is no longer the driving force in survivors’ lives. They begin to accept it as a painful experience but know that they can choose to move on. They may experience some recurrence of behaviours from the second stage but these should decline in frequency and in intensity.

The time taken for individuals to achieve this stage vary considerably. Some are able to move on by themselves whilst others will need continuous counselling and support.

 

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