Sexual Assault: What domestic violence providers need to know Scott Hampton, Psy.D. December 2-4 Lexington, KY Sexual violence? Hear no evil, see no evil, speak no evil Turf wars or hot potato? “In most areas we fight to get our fair share. However, when it comes to violence against women, particularly sexual violence, we tend to run the other way.” “I only see child abuse cases; I don’t deal with domestic violence. . . . though occasionally I do see women who endanger their kids by not leaving an abusive father” “I don’t work with rape survivors, I only work with battered women” “I could never work with sex offenders; it’s bad enough working with batterers” “I’ve done a lot of work with batterers, but never with stalkers. I wonder if there is a good training program around here.” Intimate partner violence Stalking Sexual violence Domestic Violence Overlaps of DV, Stalking and SA • Batterers are six times more likely to incest their daughters than non-batterers • Reproductive abuse: 30% of ER visits during pregnancy is DV related; #1 cause of death • Batterers use sexual violence against their partners and use sexual violence against their children to manipulate their partners • Sex offenders batter their partners to ensure that they are not reported for child abuse • Batterers stalk in legal ways • Stalkers batter when they gain access • Sex offenders stalk their potential victims as an early part of the grooming process • Domestic violence victims are sometimes forced to participate in the sexual offense of their children or to submit to sexual abuse to protect their children • DV victims are often reluctant to report child sexual abuse for fear of being accused of false reporting, PAS, DRMMS, HAP • Sexual violence is strongly correlated with persistent stalking “Exploring the Intersection of Partner Stalking and Sexual Abuse” T.K. Logan (forthcoming issue of VAWJ) Why don’t we see sexual violence? 1. 2. 3. 4. 5. 6. 7. No harm, no foul Do not disturb Never happened Prohibition It’s only a woman It was her job The make-up sex is great 8. Hooking up 9. Mood enhancers 10. Rape as adultery 11. It can’t happen 12. Not my job 13. Strictly confidential 14. Don’t make her uncomfortable 15. It’s not relevant 1.No harm, no foul Which of these are sexual crimes? • • • • • • • • • Vaginal penetration Anal penetration Fondling Kissing Bondage Exposing genitals Not wearing a condom when you have an STD Telling someone what you plan to do to them sexually Transporting a person across state or national lines for sexual purposes • Watching a person undress from another room • Taking pictures of a naked person who is not your spouse 2. Do not disturb Privacy “I have been working with Holocaust survivors in Israel since ‘78, but it didn’t even occur to me to ask about sexual assault. These people had lost so much of their dignity and privacy. I didn’t want to take that last bit of privacy from them.” -Eva Fogelman (NYC Psychologist and author of “Sexual Violence against Jewish Women during the Holocaust”) 3.Never happened Evidence of the attack “If you are stabbed, there is blood; punched, you have a black eye, bruise or broken bone, but sexually assaulted? There may be no physical evidence at all. Even a rape kit can’t prove it wasn’t consensual.” “He said, she said” “Although I truly believe this encounter between us was consensual, I recognize now that she did not and does not view this incident the same way I did. After months of reviewing discovery, listening to her attorney, and even her testimony in person, I now understand how she feels that she did not consent to this encounter.” Is consent a matter of opinion or is this a confession? Did you rape her? • Study including 229 diverse men in a BIP: – 53% acknowledged engaging at least once in conduct that met the legal definition of rape or sexual assault, – but only 8% answered "yes" to the question "Have you ever sexually abused your partner?" • (Bergen & Bukovec, Men and Intimate Partner Rape, 2006) 4.Prohibition Abstinence-only education Some studies show a higher rate of teen pregnancy in jurisdictions that adhere to the abstinence-only “curriculum.” To illustrate, Bristol Palin, who earned $262,000 as an Abstinence Ambassador told Fox News that abstinence was “not realistic at all.” This is the voice of experience since she became pregnant at age 18. 5.It’s only a woman Case against Kobe Bryant dropped By T.R. Reid, Washington Post | September 2, 2004 EAGLE, Colo. -- Kobe Bryant's rape trial ended just as it was beginning yesterday when a Colorado judge dismissed the felony sexual assault charge against the Los Angeles Lakers guard and barred prosecutors from filing new charges in the case. No charges against Roethlisberger Updated: April 12, 2010, 9:51 PM ET MILLEDGEVILLE, Ga. -- Pittsburgh Steelers quarterback Ben Roethlisberger won't face criminal charges after a 20-year-old college student accused him of sexually assaulting her inside a nightclub's bathroom. But what happened in that restroom after a night of drinking remains a mystery. Apologetic Vick gets 23-month sentence on dogfighting charges Updated: December 11, 2007, 3:49 PM ET ESPN.com news services Michael Vick was sentenced to 23 months in federal prison and three years' probation for his role in a dogfighting conspiracy. The suspended Falcons quarterback is looking at a scheduled release of July 2009. Just because Michael Vick was a star athlete, doesn’t mean he could get away with hurting animals. Child abuse vs. wife abuse “When I went to prison (for molesting a six year-old girl), I didn’t tell the other inmates what I did. Instead, I told them that I was there for raping, strangling and killing my wife. . . . Sometimes they would even high-five me. I was a hero instead of a skinner.” “We send batterers to “intervention” programs, while we send sex offenders to “treatment” programs. The philosophies are clearly different.” Deviant arousal or non-consensual Normal / Consensual Deviant / Consensual Normal/ Nonconsensual Deviant / Nonconsensual Deviant arousal or non-consensual Normal / Consensual (Marital intercourse) Deviant / Consensual (Sodomy) Normal/ Nonconsensual Deviant / Nonconsensual (Rape) (Child molestation) Deviant arousal or non-consensual Normal / Consensual (Marital intercourse) Deviant / Consensual (Sodomy) Normal/ Nonconsensual Deviant / Nonconsensual (Rape) (Child molestation) Deviant arousal or non-consensual Normal / Consensual (Marital intercourse) Deviant / Consensual (Sodomy) Normal/ Nonconsensual Deviant / Nonconsensual (Rape) (Child molestation) Sodomy laws “I have no problem with homosexuality; I have a problem with homosexual acts.” Rick Santorum, April 7, 2003 In Lawrence v. Texas (2003) The U.S. Supreme Court ruled sodomy laws unconstitutional on both privacy and equal protection grounds. John Geddes Lawrence and Tyron Garner 6.It was her job Prostitution and pornography “Nowhere has men’s oppression of women been more successful than within the institutions of prostitution and pornography. Not only do they allow men to objectify women, but also to ridicule and criminalize them.” The job no one wants to do • Imagine you have a septic tank on your property. You want it cleaned out and would rather not do it yourself. The company sends someone out who performs the task perfectly well for a reasonable price. • Do you: – Call him demeaning and offensive names? – Accuse him of being a pervert for his apparent scatalogical fixation? – Support legislation to make it a crime to clean out septic tanks because it’s just downright disgusting? (And then after it is outlawed, continue to hire them to do it anyway, because you still want it done?) 7.The make-up sex is great From the clothesline project 8. Hooking up “According to a study, traditional dating is being replaced with no-strings-attachedcasual hookups which is where only the woman thinks you’re dating.” (Seth Meyers, SNL 4/2/2011) 9. Mood enhancers The most common date rape drug is: A. Roofies B. GHB C. Ketamine Ladies night is for the benefit of women, right? “Once the anesthetic takes effect, we can begin the procedure” 10. Rape as adultery • A Nigerian woman was raped on her way home. She was arrested for committing adultery and sentenced by the tribal council to death by stoning. The council decided not to carry out the sentence immediately since her rapist had impregnated her. They would allow her to carry the pregnancy to term before executing her. • In the meantime, persistent international appeals to the Nigerian Government to intervene on her behalf were successful. Her life was saved. 11. It can’t happen Marital rape exemption It wasn’t until 1993 when all states had at least begun to address marital rape in their statutes. But even today, more than twenty states still minimize the severity of marital rape as evidenced by discounted sentences, briefer statutes of limitation and/or rules of evidence as compared to stranger rape. Marital consent • True or False? “Sex offenders perpetrate because of having no consensual sex partners.” • “False. 22% of imprisoned rapists report that they are married.” (Sex Offenses and Offenders, BJS, U.S. DOJ, February 1997) California removes marital rape exemption • In 1979, when California removed the marital rape exemption from its statutes, Bob Wilson, a CA state senator asked a group of women “If you can’t rape your own wife, who can you rape?” “Clean up in aisle seven” Usually in NJ, you have to wait 72 hours after application to receive a marriage license. However: 37:1-5. Immediate marriage if arrested upon criminal charge If a person is arrested upon a criminal charge, involving an accusation of bastardy, rape, fornication or of having had carnal knowledge of an unmarried female, and the accused person consents to marry such female, any licensing officer is authorized to immediately issue a marriage license irrespective of the provisions of sections 37:1-3 and 37:1-4 of this Title. Why allow a rapist to bypass the 72-hour waiting period? Sexual violence and lethality • Battered women who were sexually assaulted by an intimate partner were 7.6 times more likely to die than other victims. Sexual violence and lethality The bivariate analysis showed that “certain characteristics of intimate partner violence are associated with intimate partner femicide. . . . However, these risk factors, [stalking, strangulation, forced sex, abuse during pregnancy, a pattern of escalating severity and frequency of physical violence, perpetrator suicidality, perception of danger on the part of the victim, and child abuse] with the exception of forced sex, were not associated with intimate partner femicide risk in the multivariate analysis.” 12. Not my job High Risk Case Response Teams The Jeanne Geiger Crisis Center formed the Greater Newburyport High Risk Case Response Team following a domestic violence related homicide in our community. Using the research work of Jacquelyn C. Campbell, Ph.D., R.N., and F.A.A.N., founder of the Danger Assessment tool; a questionnaire designed to assess the potential for lethality in domestic violence cases, this multidisciplinary team takes a comprehensive approach to help protect victims at high risk. First complaint witness “Prosecution can only use one witness to verify the victim’s disclosure of the attack. And that person must be the first one the victim talked to. “We don’t want first responders (who are usually not trained investigators) to be that person by asking about sexual violence. We’d rather wait and have the investigator ask later.” 13. Strictly confidential Triage for dangerousness “Our confidentiality laws in Colorado prohibit the disclosure of privileged communications between advocates and victims. Therefore, we do not ask our triage team, which would need to share information among team members, to ask about sexual violence.” 14. Don’t make her uncomfortable Lethality Assessment “Officers were reluctant to ask about sexual violence due to their own discomfort talking about rape and the discomfort of the victims.” However, “When asked directly by health care professionals about sexual abuse, women respond without objection.” (Campbell, et al. 2003). The Lethality Assessment Protocol (LAP) does not screen for sexual abuse. 15. It’s not relevant Rape and strangulation “Since this training is about strangulation, it would not be complete without mentioning all forms including autoerotic asphyxiation. But while this accidentally and tragically leads to death, it is not what we are dealing with in domestic violence cases.” Consequently, the model strangulation protocol they developed does not include any questions about sexual assault. Strangulation checklist (Model protocol developed by Strack, McLean, Hawley) 1. Ask the victim to describe and demonstrate how she was strangled. Take photographs. 2. Document whether victim was strangled with 1 or 2 hands? Forearm? Objects? 3. If an object was used to strangle the victim, locate, photograph, and impound the object. 4. Determine if the suspect was wearing any jewelry, such as rings or watches? Look for pattern evidence. 5. If an object was used, how did it get there? Determine if the suspect brought the object with him to the crime scene. This information may be used to show premeditation. 6. What did the suspect say when he was strangling the victim? Use quotes. 7. Describe the suspect’s demeanor and facial expression. 8. Was the victim shaken simultaneously while being strangled? 9. Was the victim thrown against the wall, floor, or ground? Describe surface. 10. How long did the suspect strangle the victim? 11. How many times and how many different methods were used to strangle the victim? 12. How much pressure or how hard was the grip? 13. Did the victim have difficulty breathing or hyperventilate? 14. Any complaint of pain to the throat? 15. Any trouble swallowing? 16. Any voice changes? Complaint of a hoarse or raspy voice? 17. Any coughing? 18. Did the victim feel dizzy, faint, or lose consciousness? 19. What did the victim think was going to happen? (E.g. Did she think she was going to die?) 20. Did the victim, urinate or defecate as a result of being strangled? 21. Was the victim pregnant at the time? 22. Did the victim feel nauseated or vomit? 23. Any visible injury however minor? If so, take photograph and follow-up photos. 24. Any prior incidents of strangulation? 25. Any pre-existing injuries? 26. Were injuries shown to anyone? Any subsequent photos taken? 27. Did the victim attempt to protect herself or himself? Describe. 28. Any medical treatment recommended or obtained? If so, obtain medical release. 29. Any witnesses? 30. Any sexual or sexual assault context? Famous strangulation/rape cases • Jack the Ripper • Angelo Buono (The Hillside Strangler) • The Boston Strangler • The Preppy Killer (Robert Chambers) • Ted Bundy (The Campus Killer) • Rodney Alcala (The Dating game killer) • William Bonin (The Freeway Killer) • Jerry Brudos (Shoe Fetish Killer; Lust Slayer) • Dean Corll (The Candy Man) • John Wayne Gacy (Killer Clown) • Kobe Bryant (non fatal) Not-so-famous cases • Alabama: “Danny Joe Bradley was executed Thursday for the rape and strangulation of his 12-year-old stepdaughter.” • Alaska: “The victim was choked unconscious, bound with duct tape, driven to Sholes’ home and raped.” • Arizona: “Rosales is wanted in Tucson, Ariz. in the rape and strangulation of his 74-year-old landlady.” • Arkansas: “Twenty-one-year-old Vernon Kip Capshaw had been charged with capital murder and rape, for the strangulation deaths of two women.” Alarming prevalence • In a study of 133 homicides secondary to asphyxia in the Bexar County, TX Medical Examiner’s Office from 1985-1998, sexual assault was the motive in 66% of female victims of ligature strangulation and in 52% of those due to manual strangulation. Beginning the conversation • Ask about sexual violence • Validate feelings and reactions • Draw the line: educate about consent and the culture of rape How to know if you live in a rape culture • Inequality • Abuse of power • Justification of abuse • Coercive tactics • Lack of accountability