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Rape has existed probably since the beginnings of human civilization, but it has not always been considered a crime. Rape has historically been used as a means of power and control and sometimes reward for the perpetrator. Well into the mid-20th century, it was common to hide rape, not talk about it, and not address it. People only sought help for physical injuries that may have occurred from the attack. There was very little, if any, retribution for the perpetrator. During the last 50 years, however, through much legislation and research, there has been an evolution in defining what constitutes rape, as well as community and mental health advances to help victims after experiencing such trauma. The research evaluated factors such as the demographics of the victim, the type of rape, the social issues surrounding the rape, and the psychological impact experienced by the victim to try to help determine the best interventions for post-rape care. The variety of results from these factors, the lack of diversity in the population seeking care, and the relative youth of rape research all lend to the limited information available regarding the effectiveness of specific interventions. However, some interventions have proved to effectively reduce most of the mental health symptoms caused by the reaction to the trauma while building coping skills that lead to a better overall quality of life. These include psychoeducation, exposure therapy, cognitive restructuring, anxiety management, cognitive behavioral therapy, and group work.

The Evolution of Post-Rape Care

During the 1960s, rape became recognized in our legal system as a violent crime. Rape crisis centers were born out of the influence of grassroots feminism in the early 1970s. The National Organization for Women (NOW) was able to successfully legislate for the laws to change parts of the legal definition of rape around the mid-1970s. Some of these changes included the removal of “spousal exceptions;” implementing a rape shield law, which restricted the use of the victim's previous sexual history in court; recognizing the difference between consent and submission; excluding the need for a witness to the rape; and increasing the age of statutory rape from 10 to 12. In 1975, the National Center for the Prevention and Control of Rape at the National Institute of Mental Health was created, and much research was generated on the topic of sexual assault. Throughout the next couple of decades using legislature, the legal system, and mental health research, rape crisis centers established a niche in communities collaborating with other established social agencies. These centers became more respected in the communities and were even able to establish funding through grants, as well as state and federal sources. Many other programs have evolved out of these organizations to continue the improvement of help and legislature for all affected by rape, regardless of gender, age, sexual orientation, or circumstance.

All of these changes during the last 50 years have helped transform the definitions of rape from those that are very limiting and inhibiting to victim care, to those that are more clear and descriptive of this traumatic and life-changing situation. According to the U.S. Department of Justice, the definition of forcible rape “is the carnal knowledge of a female forcibly and against her will. Attempts or assaults to commit rape by force or threat of force are also included; however, statutory rape (without force) and other sex offenses are excluded.” Other definitions of rape include “the nonconsensual oral, anal, or vaginal penetration obtained by force, by threat of bodily harm, or when the victim is incapable of giving consent.” And, interestingly, the multiple definitions of rape on the online resource http://www.dictionary.com include “the unlawful compelling of a woman through physical force or duress to have sexual intercourse;” “any act of sexual intercourse that is forced upon a person;” “an act of plunder, violent seizure, or abuse;” and “the act of seizing and carrying off by force.” Of note, all of these definitions include some form of “force,” and all imply a form of violence, lack of consent, and threat of harm.

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