Public Health and Sexuality

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Chapter 17: Sexual Coercion:
Harassment, Aggression, and Abuse

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Sexual Coercion:
Harassment, Aggression, and Abuse

  • Sexual harassment
  • Harassment and discrimination against gay, lesbian, bisexual, and transgender people
  • Sexual aggression
  • Child sexual abuse

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Sexual Harassment

  • Sexual harassment
  • Abuse of power for sexual ends
  • Creation of hostile environment
  • Hostile environment – In which someone acts in sexual ways that interfere with a person’s performance at school or in the workplace

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What is Sexual Harassment?

  • Equal Employment Opportunity Commission (EEOC) guidelines define sexual harassment as:
  • Unwelcome sexual advances
  • Requests for sexual favors
  • Other verbal or physical conduct of a sexual nature when this conduct:
  • Explicitly or implicitly affects an individual’s employment
  • Unreasonably interferes with an individual’s work performance
  • Creates an intimidating, hostile, or offensive work environment

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Examples of Sexual Harassment

  • Verbally harassing or abusing someone
  • Exerting subtle pressure for sexual activity
  • Making remarks about a person’s clothing, body, or sexual activities
  • Leering at or ogling a person’s body
  • Engaging in unwelcome touching, patting, or pinching
  • Brushing against a person’s body

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Examples of Sexual Harassment

  • Making demands for sexual favors
  • Physically assaulting someone
  • Stalking - One type of harassment that may not involve sexual harassment
  • Defined as a course of action that would cause a reasonable person to feel fear

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Figure 1: Type and Percentage of Most Common Stalking Tactics Used Against Women and Men Who Reported Being Stalked In Their Lifetime.

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Figure 2: Lifetime Reports of Stalking Among Female and Male Victims, by Type of Perpetrator

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Flirtation Versus Harassment

  • Whether flirtation is sexual harassment depends on
  • Whether you have equal power
  • Whether you are approached appropriately
  • Whether you wish to continue contact

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Harassment in School and College

  • Harassment in elementary and high school
  • “Time-honored” practice for boys to tease girls
  • Name calling
  • Spreading sexual gossip
  • Fun if defined as teasing - Impact is discounted
  • Viewed differently if thought of as sexual harassment
  • Occurs most often when boys are in groups
  • Usually ignored by adults
  • Regarded as normal or typical behavior among boys

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Harassment in School and College

  • Harassment in the workplace
  • Work setting is an important place for adults to meet potential partners
  • Sexual undercurrents or interactions often take place
  • Issues of sexual harassment are complicated
  • Line between flirtation and harassment problematic—especially for men
  • Many women do not realize they were being harassed until much later
  • Most pervasive in formerly all-male occupations
  • Men too victims of harassment, from either a woman or a man

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Figure 3: Types of Sexual Harassment Experienced by College Students

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Figure 4: Percentage of Women and Men Experiencing Forms of Sexual Harassment in Public Spaces In Their Lifetime

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Harassment and Discrimination Against Gay, Lesbian, Bisexual, and Transgendered People

  • Heterosexual bias - Tendency to see the world in heterosexual terms and to ignore or devalue homosexuality
  • Ignoring the existence of lesbian, gay, bisexual, and transgendered people
  • Segregating gay, lesbian, bisexual, and transgendered people from heterosexual people
  • Subsuming gay, lesbian, bisexual, and transgendered people into a larger category

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Prejudice, Discrimination, and Violence

  • Anti-gay prejudice - Strong dislike, fear, or hatred of gay, lesbian, bisexual, and transgender people because of their sexual orientation
  • Homophobia - Irrational or phobic fear of gay, lesbian, bisexual, and transgender people
  • Outcomes of anti-gay prejudice and discrimination
  • Discriminated against in access to housing, employment opportunities, adoption of children, and parental rights
  • Harassed and bullied and become victims of physical violence
  • Prejudice influences parents resulting in estrangement

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Prejudice, Discrimination, and Violence

  • Violence against gay men and lesbian women
  • Burning to death of “sodomites” during the middle ages
  • Homosexuals were among the first victims of the Nazis
  • Continue to be targets of violence even today

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Ending Anti-Gay Prejudice and
Enactment of Antidiscrimination Laws

  • Education and positive social advocacy and interactions are important to combat prejudice
  • Nine areas in which legal rights should be afforded to LGBT persons
  • Marriage and relationship recognition
  • Nondiscrimination employment laws
  • Nondiscrimination housing laws
  • Joint adoption
  • Second-parent adoption
  • Stepparent and parental presumption
  • Safe school laws
  • Hate crime laws
  • Birth certificate laws

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Figure 5: States With Hate Crime Laws Protecting People Based on Sexual Orientation and Gender Equality, September 2014.

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Sexual Aggression

  • Sexual activity performed against a person’s will through the use of force, argument, pressure, alcohol or drugs, or authority
  • Includes petting, oral genital sex, anal intercourse, penile-vaginal intercourse
  • Sexual coercion - Broader term than “rape” or “sexual aggression”
  • Includes arguing, pleading, and cajoling, as well as force and the threat of force
  • Sexual assault – Forced sexual contact
  • Does not meet the legal definition of rape
  • Term used by the criminal justice system

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The Nature and Incidence of Rape

  • Means of achieving power or expressing anger and hatred
  • Forces victim (“survivor”) into an intimate physical encounter with the rapist against her or his will
  • Actual prevalence rates of rape in the United States are unknown
  • Most survivors do not report the crime

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Figure 6: Percentage of Women and Men Having Experienced In Their Lifetime Various Sexual Violence Tactics Against Them

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Myths About Rape

  • Rape is a crime of passion
  • Women want to be raped
  • “But she wanted sex”
  • Women ask for it
  • Women are raped only by strangers
  • Women could avoid rape if they really wanted to
  • Women cry rape for revenge
  • Rapists are crazy or psychotic
  • Most rapists are a different race than their victims
  • Men cannot control their sexual urges
  • Rape is “no big deal”
  • Men cannot be raped

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Forms of Rape

  • Date rape - Sexual intercourse with a dating partner that occurs against the victim’s will
  • Lifetime experience of date rape ranges from 13% to 27% for women
  • Confusion about what constitutes consent
  • Postrefusal sexual persistence - Pursuit of sexual contact with a person after he or she has refused an initial advance

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A Date-Raper Profile

  • Hold traditional beliefs about women and women’s roles
  • Grew up in a violent home environment
  • Have an antisocial orientation
  • Display hostility toward women
  • Believe in rape-supportive myths
  • Accept general physical violence
  • Express anger and dominance sexually
  • Report high levels of sexual activity
  • Use exploitative techniques
  • Report alcohol and drug use
  • Report early sexual experiences
  • Tend to be narcissistic, having low empathy and a sense of entitlement

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Forms of Rape

  • Acquaintance rape
  • Party rape (includes gang rapes), rape in a nonparty and nondate situation, rape by a former intimate, and rape by a current intimate
  • Stranger rape
  • Marital rape – Crime in all 50 states
  • Gang rape
  • Disproportionately occurs in close-knit groups such as fraternities, athletic teams, street gangs, prison groups, and military units

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Forms of Rape

  • Statutory rape
  • Consensual sexual contact with a person younger than a state’s age of consent
  • Age differences may or may not matter
  • Male rape
  • Under reported due to several reasons

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Figure 7: Type of Relationship With Offender of Female Survivors of Rape and Sexual Assault

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Figure 8: Percentage of College Men and Women Experiencing Postrefusal Sexual Persistence Tactics

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Motivations for Rape

  • Anger rape
  • Physically violent
  • Weapons
  • Power rape
  • Dominance
  • Sadistic rape
  • Least frequent
  • Most brutal

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The Aftermath of Rape

  • Rape trauma syndrome
  • Emotional changes undergone as a result of rape
  • Acute phase - Begins immediately following the rape and may last for several weeks or more
  • Feelings of self-blame and fear
  • Long term phase - The rape is a crisis in a person’s life and relationships
  • Effects on sexuality
  • Victims find that their sexuality is severely affected for at least a short time after a rape

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Child Sexual Abuse

  • Any sexual interaction between and adult and a prepubescent child
  • Includes fondling, sexual kissing, and oral sex, as well as vaginal or anal penetration
  • Extrafamilial abuse - Sexual abuse by unrelated people
  • Intrafamilial abuse - Sexual abuse by biologically related people and step-relatives
  • Nonpedophilic sexual abuse - An adult’s sexual interaction with a child that is not sexually motivated

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Forms of Intrafamilial Sexual Abuse

  • Incest - Sexual intercourse between people too closely related to legally marry
  • Father-daughter sexual abuse
  • Brother-sister sexual abuse
  • Incest does not discriminate
  • Occurs in all types of families

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Figure 9: Relationship Between the Child Survivor and the Perpetrator of Sexual Abuse

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Effects of Child Sexual Abuse

  • Initial effects
  • Emotional disturbances
  • Physical consequences
  • Sexual disturbances
  • Social disturbances
  • Long-term effects
  • Depression
  • Self destructive tendencies
  • Somatic disturbances and dissociation
  • Health risk behaviors
  • Negative self concept

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Effects of Child Sexual Abuse

  • Interpersonal relationship difficulties
  • Revictimization
  • Sexual function difficulties
  • Sexual abuse trauma - Contains
  • Traumatic sexualization
  • Betrayal
  • Powerlessness
  • Stigmatization

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Preventing Child Sexual Abuse

  • Most child abuse prevention programs include group instruction in schools
  • Either as a component of regular classroom instruction or as an after-school program
  • Programs focusing on educating parents
  • Seek to help parents discover abuse or abusers by identifying warning signs
  • Programs for professionals
  • Especially teachers, physicians, mental health workers, and police officers

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Megan’s Law

  • Enacted in 1995
  • 1997 the Supreme Court ruled in its favor
  • Requires law enforcement authorities to make information about registered sex offenders available to the public

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Final Thoughts

  • Sexual harassment
  • Harassment and discrimination against gay, lesbian, bisexual, and transgender people
  • Sexual aggression
  • Child sexual abuse