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Thursday, February 16, 2012
Chris Brown Goes head-on On Haters, Tweets “I Got A Grammy”
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Chris Brown had yet another angry twitter rant yesterday, but if you don’t follow him, you may have missed it as his tweet has since been deleted.
“Strange how we pick and choose who to hate!” he began. “Let me ask u this. Our society is full of rappers (which I listen to) who have sold drugs (poisoning). … But yet we glorify them and imitate everything they do. Then right before the worlds eyes a man shows how he can make a Big mistake and learn from it, but still has to deal with day to day hatred! You guys love to hate!!! But guess what???”
He quickly took it down and replaced with, “I’m so OVER everyone’s opinions.. Really!!!”
I’m all about giving folks second chances, but when you continually act the fool and go on these rants, you’re not helping your case.
The singer who performed twice at the 54th Grammy Awards on Sunday night after a two-year shutout clearly had an impact on the audience. Folks on Twitter went off… some fans were happy to see his return but there were those who were clearly pissed off that he was welcomed back with open arms.
Chris tweeted to his haters:
“HATE ALL U WANT BECUZ I GOT A GRAMMY Now!” “That’s the ultimate F*** OFF.”
Wednesday, February 15, 2012
Kobe Bryant Seen French Kissing Soon to be Ex Wife Vanessa Bryant on Val's Day!!!!
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Apparently Kobe Bryant and his wife Vanessa could be getting back together rather than finalizing their divorce. The Black Mamba was seen sucking face with his ex-wife after the Hawks game last night. Vanessa filed for divorce in September, and according to the TMZ report linked above, the two have already settled their property, giving Vanessa three Newport Beach estates. The divorce will not be final until June, giving the couple plenty of time to reconcile their differences and get back together. Well, I can say Valentine's day do really have it's own spirit.
Fast Food Joints Record High Patronage On Valentine’s Day
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FAST food restaurants and bars in Abuja made brisk business on Tuesday, as families, friends and their loved marked the Valentine’s Day celebration in high spirit.
Various branches of prominent fast food restaurants like Mr Biggs, Tantalizer, Dreams Garden located in Wuse II, among others, had hectic time serving their customers.
Prominent hotels like Sheraton Hotel and Towers, Nicon Luxury, Transcorp Hilton and Cedi Plaza were not left out of the celebration. Thank goodness there was no bomb blast in any part of the metropolis.
FAST food restaurants and bars in Abuja made brisk business on Tuesday, as families, friends and their loved marked the Valentine’s Day celebration in high spirit.
Various branches of prominent fast food restaurants like Mr Biggs, Tantalizer, Dreams Garden located in Wuse II, among others, had hectic time serving their customers.
Prominent hotels like Sheraton Hotel and Towers, Nicon Luxury, Transcorp Hilton and Cedi Plaza were not left out of the celebration. Thank goodness there was no bomb blast in any part of the metropolis.
Oil Marketer's Attempt to bribe Panel
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IN a bid to escape exposure, oil marketers and fuel importers are dangling multi-billion naira deals before members of the House of Representatives panel probing the oil subsidy regime in the country, investigations hane revealed.
Quite a number of the 140 oil business firms being probed by the House’s Ad Hoc Commitee on Subsidy Regime, our correspondent learnt, were not willing to appear before the panel and had been offering mouth-watering deals to members of the comittee in order to stay away.
The panel, headed by Mr. Farouk Lawan, was inaugurated by the House in the wake of unsavoury tales of corruption involved in subsidy management that followed the January 1 removal of subsidy on local petrol consumption by President Goodluck Jonathan and the consequent nationwide protests.
Curiously, former members of the National Assembly who are friends of the oil businessmen are serving as the middlemen brokering the deals between their friends and the lawmakers.
When confronted with findings, Lawan admitted that members of his committee were under “pressure” to compromise their investigation.
He confirmed that ex-members of the House were the agents negotiating the deals packaged in form of partnership with the oil marketers.
A member of the House panel who wished not to be named confided in our correspondent that many of the oil marketers had approached the lawmakers with tempting business deals.
The lawmaker told our correspondent, “I can tell you that a number of them (marketers) tried to reach us; they made business proposals, including offers to become partners in their operations.
“But, it was a useless gamble because this investigation is one exercise that the committee members resolved never to toy with.
“The entire House and Nigerians expect so much from our findings.”
The lawmaker, however, denied that bribery was among the offers made in the course of the four-week public hearing.
When contacted, Lawan admitted the panel was under, “pressure and overtures” made to members, but denied that money was offered to lawmakers.
Asked to elaborate on what he meant by ‘pressure and overtures,’ Lawan explained that he was aware of people using “indirect ways” to appeal to the panel to soft-pedal on their cases.
“They come through some of our colleagues to appeal that they should not be put under the spotlight.
“They knew our stance that members of the committee were not approachable; they did not have the courage to come to us directly,” he stated.
He insisted that money was not part of the pressure. “I have never used the word bribe, but I can say that there were overtures,” he added.
Lawan claimed that the difficult questions put to most of the importers suggested that nobody took bribe from them.
Another member of the committee, Eucheria Azodo, also spoke on the work of the committee but denied being offered bribe.
“There was no offer of bribery to the best of my knowledge”, she said.
Findings also showed that the committee resolved not to investigate the one million excess barrels of crude oil allegedly supplied to Liberia by the Nigerian National Petroleum Corporation in 2009.
An audit report before the panel indicates that the authorities in the West African country had requested a transaction of 10, 000 barrels of crude.
The report, which was prepared by the Office of the Auditor-General of Liberia, indicated that the NNPC supplied one million barrels in excess of the 10, 000 originally requested.
When a member of the panel, Mr. Abiodun Faleke, tabled the matter on Thursday last week, the Group Managing Director of the NNPC, Mr. Austin Oniwon, denied knowledge of the transaction, though he promised to investigate it.
However, the panel members were said to have reviewed the report and resolved that it was not part of the mandate of the committee.
It was learnt that the members decided that their mandate was to investigate the fuel subsidy regime and how funds voted for subsidy were managed.
Another member of the com,itee revealed on Tuesday, “The truth is that there are many rotten areas in our oil and gas industry.
“Each of these areas will require a separate investigation to thoroughly examine it and punish the culprits.
“The issue of crude oil sales, like the one involving Liberia, is one of them; the level of corruption is intimidating.”
He added, “At best, the committee will recommend to the House to set up a separate inquiry on the issue.
“If we have to look into everything that came before the committee, we may never conclude the assignment in the next one year.
“Again, people will pick up the terms of reference of the committee and challenge you on why you decided to go into an area not covered by the terms.
“The industry, from what we have discovered, is complex; a single investigation can never address all the issues.”
Lawan confirmed the position of the committee on the matter, saying that the best the committee could do would be to mention it in its report.
IN a bid to escape exposure, oil marketers and fuel importers are dangling multi-billion naira deals before members of the House of Representatives panel probing the oil subsidy regime in the country, investigations hane revealed.
Quite a number of the 140 oil business firms being probed by the House’s Ad Hoc Commitee on Subsidy Regime, our correspondent learnt, were not willing to appear before the panel and had been offering mouth-watering deals to members of the comittee in order to stay away.
The panel, headed by Mr. Farouk Lawan, was inaugurated by the House in the wake of unsavoury tales of corruption involved in subsidy management that followed the January 1 removal of subsidy on local petrol consumption by President Goodluck Jonathan and the consequent nationwide protests.
Curiously, former members of the National Assembly who are friends of the oil businessmen are serving as the middlemen brokering the deals between their friends and the lawmakers.
When confronted with findings, Lawan admitted that members of his committee were under “pressure” to compromise their investigation.
He confirmed that ex-members of the House were the agents negotiating the deals packaged in form of partnership with the oil marketers.
A member of the House panel who wished not to be named confided in our correspondent that many of the oil marketers had approached the lawmakers with tempting business deals.
The lawmaker told our correspondent, “I can tell you that a number of them (marketers) tried to reach us; they made business proposals, including offers to become partners in their operations.
“But, it was a useless gamble because this investigation is one exercise that the committee members resolved never to toy with.
“The entire House and Nigerians expect so much from our findings.”
The lawmaker, however, denied that bribery was among the offers made in the course of the four-week public hearing.
When contacted, Lawan admitted the panel was under, “pressure and overtures” made to members, but denied that money was offered to lawmakers.
Asked to elaborate on what he meant by ‘pressure and overtures,’ Lawan explained that he was aware of people using “indirect ways” to appeal to the panel to soft-pedal on their cases.
“They come through some of our colleagues to appeal that they should not be put under the spotlight.
“They knew our stance that members of the committee were not approachable; they did not have the courage to come to us directly,” he stated.
He insisted that money was not part of the pressure. “I have never used the word bribe, but I can say that there were overtures,” he added.
Lawan claimed that the difficult questions put to most of the importers suggested that nobody took bribe from them.
Another member of the committee, Eucheria Azodo, also spoke on the work of the committee but denied being offered bribe.
“There was no offer of bribery to the best of my knowledge”, she said.
Findings also showed that the committee resolved not to investigate the one million excess barrels of crude oil allegedly supplied to Liberia by the Nigerian National Petroleum Corporation in 2009.
An audit report before the panel indicates that the authorities in the West African country had requested a transaction of 10, 000 barrels of crude.
The report, which was prepared by the Office of the Auditor-General of Liberia, indicated that the NNPC supplied one million barrels in excess of the 10, 000 originally requested.
When a member of the panel, Mr. Abiodun Faleke, tabled the matter on Thursday last week, the Group Managing Director of the NNPC, Mr. Austin Oniwon, denied knowledge of the transaction, though he promised to investigate it.
However, the panel members were said to have reviewed the report and resolved that it was not part of the mandate of the committee.
It was learnt that the members decided that their mandate was to investigate the fuel subsidy regime and how funds voted for subsidy were managed.
Another member of the com,itee revealed on Tuesday, “The truth is that there are many rotten areas in our oil and gas industry.
“Each of these areas will require a separate investigation to thoroughly examine it and punish the culprits.
“The issue of crude oil sales, like the one involving Liberia, is one of them; the level of corruption is intimidating.”
He added, “At best, the committee will recommend to the House to set up a separate inquiry on the issue.
“If we have to look into everything that came before the committee, we may never conclude the assignment in the next one year.
“Again, people will pick up the terms of reference of the committee and challenge you on why you decided to go into an area not covered by the terms.
“The industry, from what we have discovered, is complex; a single investigation can never address all the issues.”
Lawan confirmed the position of the committee on the matter, saying that the best the committee could do would be to mention it in its report.
OMG! The Biggest Boy and Top Nigerian Musician Tuface Idibia Proposes to Annie on Feb 14th
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Innocent Idibia who is also known as Tudace and multi-award winning singer proposed to his long term girlfriend and baby mama Annie Macaulay, on the 14th Feb 2012 in the full glare of friends, family, fans and well wishers.
We were told that Annie could not believe her ears when TuFace asked her to marry him. We were also told that Annie broke down in tears, apparently surprised at 2Face's request.
This unexpected news has however been welcomed by fans and fellow celebrities on social networks with both personalities (Tuface & Annie) both having their status a trending topic on Social Networking site, Twitter. in front of friends, families and fans to the surprise of many who never saw it coming.
Tuface Idibia, a supposed father of 6 (six) kids, whose past relationships and 'Baby booming' notoriety has gathered wide responses from fans and critics alike with mixed feelings on his personal and relationship life being brought into question.
Annie Macaulay is the baby mama of 2Face. Their relationship produced as a daughter, Isabella, who is 3.
I wish them all the best.
Innocent Idibia who is also known as Tudace and multi-award winning singer proposed to his long term girlfriend and baby mama Annie Macaulay, on the 14th Feb 2012 in the full glare of friends, family, fans and well wishers.
We were told that Annie could not believe her ears when TuFace asked her to marry him. We were also told that Annie broke down in tears, apparently surprised at 2Face's request.
This unexpected news has however been welcomed by fans and fellow celebrities on social networks with both personalities (Tuface & Annie) both having their status a trending topic on Social Networking site, Twitter. in front of friends, families and fans to the surprise of many who never saw it coming.
Tuface Idibia, a supposed father of 6 (six) kids, whose past relationships and 'Baby booming' notoriety has gathered wide responses from fans and critics alike with mixed feelings on his personal and relationship life being brought into question.
Annie Macaulay is the baby mama of 2Face. Their relationship produced as a daughter, Isabella, who is 3.
I wish them all the best.
Tuesday, February 14, 2012
Watching Police: IG gives out phone numbers
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IN a bid to redeem the battered image of the Nigeria Police Force, NPF, the Acting Inspector-General of Police, IGP, Mohammed Abubakar has asked Nigerians to directly report unethical conduct of police officers to him through short message services, SMS, via numbers 08077446699, or 0810255581, for prompt disciplinary measures against such erring officers. Well we pray this could actually work, especially since he pulled out all police check points both inside and outside the state because of the niusance they the police officers has been causing.
IN a bid to redeem the battered image of the Nigeria Police Force, NPF, the Acting Inspector-General of Police, IGP, Mohammed Abubakar has asked Nigerians to directly report unethical conduct of police officers to him through short message services, SMS, via numbers 08077446699, or 0810255581, for prompt disciplinary measures against such erring officers. Well we pray this could actually work, especially since he pulled out all police check points both inside and outside the state because of the niusance they the police officers has been causing.
Kaduna Bomb blast caught on tape!!!!! this ɪs totally not a good sight
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Second bomb blast in KD caught on video live! www.youtube.com/watch?v=0MAGkrDgL1w&feature=youtube_gdata_player
I really can't believe how incompetent the Nigerian police can be in doing their so called duties, and every year the government spends Billions of Naira in allocating outrageous sum of money to the security sector!!!! This ɪƨ a real shame τ̲̅ǿ the Nigerian government!!
Second bomb blast in KD caught on video live! www.youtube.com/watch?v=0MAGkrDgL1w&feature=youtube_gdata_player
I really can't believe how incompetent the Nigerian police can be in doing their so called duties, and every year the government spends Billions of Naira in allocating outrageous sum of money to the security sector!!!! This ɪƨ a real shame τ̲̅ǿ the Nigerian government!!
Top 10 facts about Sex!!!
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1. 200 million people have SEX Valentine Day. It holds the world record for the day with the most sexual activity.
2. 1 million young girls loose their virginity on Valentines day...100 million acts of sexual intercourse each day approxi.
3. Globally we are having sex - 103 times per year, or
1.98 times per week, or 0.28 times per day.
4. 9 is the number of erections men have in one night
5. Sex can burn about 70-120 calories for a 130 pound woman, and 77 to 155 calories for a 170 pound man every hour.
6. 4.2 million porn websites in the world and growing everyday with millions of videos depicting sexual intercourse
7. 124 and 117 sexual activities per year put the Americans & Greeks on the list of the most sex addicted nation.
8. In 2004 porno star Lisa Sparxxx created a very unusual world record - she had sex with 919 men in 24 hours.
9. 64 sexual positions for making love and sexual intercourse is in the Kama Sutra.
10. King Tonga dis-virgin-ed 37,800 virgins
Deflowering Virgins has been popular in the past too so much so that Fatafehi Paulah, King of Tonga in the 17th century - deflowered 10 virgins a day and during his entire reign had slept with 37,800 virgins.
Part of Durex Survey..Happy Valentine Day love with your heart but always use your head...
1. 200 million people have SEX Valentine Day. It holds the world record for the day with the most sexual activity.
2. 1 million young girls loose their virginity on Valentines day...100 million acts of sexual intercourse each day approxi.
3. Globally we are having sex - 103 times per year, or
1.98 times per week, or 0.28 times per day.
4. 9 is the number of erections men have in one night
5. Sex can burn about 70-120 calories for a 130 pound woman, and 77 to 155 calories for a 170 pound man every hour.
6. 4.2 million porn websites in the world and growing everyday with millions of videos depicting sexual intercourse
7. 124 and 117 sexual activities per year put the Americans & Greeks on the list of the most sex addicted nation.
8. In 2004 porno star Lisa Sparxxx created a very unusual world record - she had sex with 919 men in 24 hours.
9. 64 sexual positions for making love and sexual intercourse is in the Kama Sutra.
10. King Tonga dis-virgin-ed 37,800 virgins
Deflowering Virgins has been popular in the past too so much so that Fatafehi Paulah, King of Tonga in the 17th century - deflowered 10 virgins a day and during his entire reign had slept with 37,800 virgins.
Part of Durex Survey..Happy Valentine Day love with your heart but always use your head...
Communication Displays Sexual Abuse and Sexual abuse in Children
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All children are vulnerable to sexual abuse.
Sexual abuse and incest occur in every race, class, religion, culture, and country.
Once a child has been sexually abused, and has not received appropriate help, support, and understanding for what has happened, s/he can be particularly vulnerable to being sexually abused again by another perpetrator. This is not the fault of the child. This is due to the fact that she has learned that sexual abuse is something that people will and can do to her/his body.
Children whose emotional needs are not met--who are emotionally deprived, or otherwise abused--can also be more vulnerable because they need attention and some perpetrators exploit that need. Again, this is not the child's fault. The child did not create the fact that her/his needs were not met, nor the fact that someone exploited that need.
Homophobia puts lesbian and gay youth at risk of sexual abuse. Many gay youth are forced to go to adult clubs, bars and other settings in order to explore their sexuality and to meet other prople who are gay.
By being in an adult setting they are more likely to be exploited (just as heterosexual girls would be at risk in an adult heterosexual setting). Also, it is unlikely that gay youth will tell anyone if they are abused because they would have to reveal that they were in a gay setting. With little or no access to information about gay sexuality, many youth misinterpret abuse experiences as representing what it means to be gay. This puts them at further risk.
All children are vulnerable to sexual abuse.
Sexual abuse and incest occur in every race, class, religion, culture, and country.
Once a child has been sexually abused, and has not received appropriate help, support, and understanding for what has happened, s/he can be particularly vulnerable to being sexually abused again by another perpetrator. This is not the fault of the child. This is due to the fact that she has learned that sexual abuse is something that people will and can do to her/his body.
Children whose emotional needs are not met--who are emotionally deprived, or otherwise abused--can also be more vulnerable because they need attention and some perpetrators exploit that need. Again, this is not the child's fault. The child did not create the fact that her/his needs were not met, nor the fact that someone exploited that need.
Homophobia puts lesbian and gay youth at risk of sexual abuse. Many gay youth are forced to go to adult clubs, bars and other settings in order to explore their sexuality and to meet other prople who are gay.
By being in an adult setting they are more likely to be exploited (just as heterosexual girls would be at risk in an adult heterosexual setting). Also, it is unlikely that gay youth will tell anyone if they are abused because they would have to reveal that they were in a gay setting. With little or no access to information about gay sexuality, many youth misinterpret abuse experiences as representing what it means to be gay. This puts them at further risk.
Practice Guidelines: Rape and Sexual Assault Empirical Treatments for PTSD Related to Rape and Sexual Assault
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It is important that trauma-screening questions are direct and behaviorally specific. For example, questions that use legal terms (e.g., "Have you ever been raped?") yield lower endorsement rates than questionnaires that use behaviorally specific terms (e.g., "Has a man or boy ever made you have sex by using force or threatening to harm you or someone close to you") (Koss, Gidycz, & Wisniewski, 1987). It is also essential that clinicians assess for disorders that co-occur with PTSD, such as major depression, panic disorder, and substance abuse.
Finally, it is important to assess factors that may influence adjustment, such as social support, coping skills, and available resources. For a more detailed description of assessment of trauma and PTSD instruments, please refer to Research Tools and Resources, Screening Measures for Violence.
Treatment of PTSD Related to Sexual Assault and Rape
There have been several reviews of treatment for rape and sexual assault (e.g., Falsetti, 1997--civilian PTSD treatment is reviewed; Foa, Rothbaum & Steketee, 1993; Foa & Rothbaum, 1998) that provide the primary material for this web brief. The interested reader should consult these sources for more information.
In general, treatments that are effective in reducing PTSD symptoms associated with rape and sexual assault are behavioral and cognitive behavioral. This is not to say that other treatments are ineffective. However, empirical studies must be conducted to determine efficacy. The following treatments are reviewed: stress inoculation training, prolonged exposure, cognitive processing therapy, multiple channel exposure therapy, and eye movement desensitization and reprocessing.
Stress Inoculation Training
Stress inoculation training (SIT) is a behavioral treatment developed by Meichenbaum (1974) and adapted by Kilpatrick, Veronen, & Resick (1982) to treat the fear and anxiety symptoms often experienced by rape victims. SIT consists of three phases: education, skill building, and application.
During the education phase, individuals learn how fear develops as a learned response to trauma; they learn to identify cues in the environment that trigger fear (e.g., dark places that resemble the location of the sexual assault; being alone); and they learn relaxation exercises such as progressive muscle relaxation (PMR).
In the skill- building phase, clients learn to control their fear reactions via exercises designed to reduce physiological sensations (e.g., diaphragmatic breathing, PMR) and fearful thoughts (e.g., thought stopping, mental rehearsal, guided self-talk, and role playing) (Falsetti, 1997).
In the application phase, clients apply the skills they have learned to engage in fearful behavior, control self-criticism and manage avoidance behavior. Clients are taught to reward themselves for their progress.
SIT usually takes 10-14 sessions. Several studies have shown SIT to be beneficial for female rape victims. Two uncontrolled studies found that SIT was effective in reducing fear, intrusion, and avoidance responses in a group of female rape victims (Kilpatrick et al., 1982- Veronen & Kilpatrick, 1982). A controlled study (Resick, Jordan, Girelli, Hutter, & Marhoefer-Dvorak, 1988) also showed that SIT produced improvements in rape-related fear and anxiety compared to a wait-list control condition. Finally, SIT has been shown to be effective in reducing PTSD symptoms in rape victims compared to a wait-list control condition (Foa, Rothbaum, Riggs, & Murdoch, 1991).
Prolonged Exposure
Prolonged Exposure (PE), also known as flooding, is a form of exposure therapy that is based on learning and information processing theories. One of the primary goals of PE is to have individuals repeatedly confront fearful images and memories of their traumatic event so that fear and anxiety decrease (Falsetti, 1997; Foa & Rothbaum, 1998).
During PE, the therapist helps the individual recount the trauma memory in an objectively safe environment (therapist office). Clients are encouraged to describe their rape experience in detail. The oral narrative is repeated several times during each session to reduce fear associated with the memory. Clients also are asked to tape record sessions and listen to the tapes to facilitate exposure. In general, the technique is similar to watching a frightening movie repeatedly. Although at first the movie may be very scary, eventually, after repeated viewing (i.e., 20 times), it is not as scary.
As part of exposure, clients are also asked to confront situations that are not dangerous but that have been associated with danger at the time of the trauma (e.g., dating, going out with friends- dark places). This is called in-vivo exposure, as it generally involves exposure to objects or situations in real life, whereas recounting the thoughts, memories, or images of the rape is called imaginal exposure (Falsetti, 1997).
PE has been shown to be an effective treatment for rape victims with PTSD. PE has been shown to be superior to no treatment, traditional counseling, and SIT in reducing PTSD symptoms in a group of rape victims (Foa et al., 1991). Foa, Hearst-Ikeda, and Perry (1995) also found that brief PE (in combination with relaxation training and cognitive techniques) applied shortly following sexual assault decreased PTSD symptoms in recently assaulted rape victims. More recently, Foa et al. (1999) compared PE, SIT, and their combination in a group of women who had experienced sexual or physical assault and met criteria for PTSD. Results showed that at follow-up, PE was superior to SIT and PE-SIT on measures of PTSD, depression, anxiety, and adjustment. It should be noted, however, that the exposure component of SIT was left out in this study (so as not to confound the individual treatments), which may have reduced the effectiveness of SIT.
Cognitive Processing Therapy
Introduction
There are several treatments available for rape victims. This brief will provide a limited review of available treatments for posttraumatic stress disorder (PTSD) associated with rape and/or sexual assault. The focus of this review is on treatments with demonstrated empirical support.
Assessment
Before effective treatment can be implemented with rape victims, a thorough assessment must be conducted. The assessment should entail a detailed trauma history, including information about the lifetime number and types of trauma experienced by the victim, as well as an evaluation of trauma characteristics, such as whether the person experienced life threat or injury during the rape--factors that are associated with increased PTSD.
There are several treatments available for rape victims. This brief will provide a limited review of available treatments for posttraumatic stress disorder (PTSD) associated with rape and/or sexual assault. The focus of this review is on treatments with demonstrated empirical support.
Assessment
Before effective treatment can be implemented with rape victims, a thorough assessment must be conducted. The assessment should entail a detailed trauma history, including information about the lifetime number and types of trauma experienced by the victim, as well as an evaluation of trauma characteristics, such as whether the person experienced life threat or injury during the rape--factors that are associated with increased PTSD.
It is important that trauma-screening questions are direct and behaviorally specific. For example, questions that use legal terms (e.g., "Have you ever been raped?") yield lower endorsement rates than questionnaires that use behaviorally specific terms (e.g., "Has a man or boy ever made you have sex by using force or threatening to harm you or someone close to you") (Koss, Gidycz, & Wisniewski, 1987). It is also essential that clinicians assess for disorders that co-occur with PTSD, such as major depression, panic disorder, and substance abuse.
Finally, it is important to assess factors that may influence adjustment, such as social support, coping skills, and available resources. For a more detailed description of assessment of trauma and PTSD instruments, please refer to Research Tools and Resources, Screening Measures for Violence.
Treatment of PTSD Related to Sexual Assault and Rape
There have been several reviews of treatment for rape and sexual assault (e.g., Falsetti, 1997--civilian PTSD treatment is reviewed; Foa, Rothbaum & Steketee, 1993; Foa & Rothbaum, 1998) that provide the primary material for this web brief. The interested reader should consult these sources for more information.
In general, treatments that are effective in reducing PTSD symptoms associated with rape and sexual assault are behavioral and cognitive behavioral. This is not to say that other treatments are ineffective. However, empirical studies must be conducted to determine efficacy. The following treatments are reviewed: stress inoculation training, prolonged exposure, cognitive processing therapy, multiple channel exposure therapy, and eye movement desensitization and reprocessing.
Stress Inoculation Training
Stress inoculation training (SIT) is a behavioral treatment developed by Meichenbaum (1974) and adapted by Kilpatrick, Veronen, & Resick (1982) to treat the fear and anxiety symptoms often experienced by rape victims. SIT consists of three phases: education, skill building, and application.
During the education phase, individuals learn how fear develops as a learned response to trauma; they learn to identify cues in the environment that trigger fear (e.g., dark places that resemble the location of the sexual assault; being alone); and they learn relaxation exercises such as progressive muscle relaxation (PMR).
In the skill- building phase, clients learn to control their fear reactions via exercises designed to reduce physiological sensations (e.g., diaphragmatic breathing, PMR) and fearful thoughts (e.g., thought stopping, mental rehearsal, guided self-talk, and role playing) (Falsetti, 1997).
In the application phase, clients apply the skills they have learned to engage in fearful behavior, control self-criticism and manage avoidance behavior. Clients are taught to reward themselves for their progress.
SIT usually takes 10-14 sessions. Several studies have shown SIT to be beneficial for female rape victims. Two uncontrolled studies found that SIT was effective in reducing fear, intrusion, and avoidance responses in a group of female rape victims (Kilpatrick et al., 1982- Veronen & Kilpatrick, 1982). A controlled study (Resick, Jordan, Girelli, Hutter, & Marhoefer-Dvorak, 1988) also showed that SIT produced improvements in rape-related fear and anxiety compared to a wait-list control condition. Finally, SIT has been shown to be effective in reducing PTSD symptoms in rape victims compared to a wait-list control condition (Foa, Rothbaum, Riggs, & Murdoch, 1991).
Prolonged Exposure
Prolonged Exposure (PE), also known as flooding, is a form of exposure therapy that is based on learning and information processing theories. One of the primary goals of PE is to have individuals repeatedly confront fearful images and memories of their traumatic event so that fear and anxiety decrease (Falsetti, 1997; Foa & Rothbaum, 1998).
During PE, the therapist helps the individual recount the trauma memory in an objectively safe environment (therapist office). Clients are encouraged to describe their rape experience in detail. The oral narrative is repeated several times during each session to reduce fear associated with the memory. Clients also are asked to tape record sessions and listen to the tapes to facilitate exposure. In general, the technique is similar to watching a frightening movie repeatedly. Although at first the movie may be very scary, eventually, after repeated viewing (i.e., 20 times), it is not as scary.
As part of exposure, clients are also asked to confront situations that are not dangerous but that have been associated with danger at the time of the trauma (e.g., dating, going out with friends- dark places). This is called in-vivo exposure, as it generally involves exposure to objects or situations in real life, whereas recounting the thoughts, memories, or images of the rape is called imaginal exposure (Falsetti, 1997).
PE has been shown to be an effective treatment for rape victims with PTSD. PE has been shown to be superior to no treatment, traditional counseling, and SIT in reducing PTSD symptoms in a group of rape victims (Foa et al., 1991). Foa, Hearst-Ikeda, and Perry (1995) also found that brief PE (in combination with relaxation training and cognitive techniques) applied shortly following sexual assault decreased PTSD symptoms in recently assaulted rape victims. More recently, Foa et al. (1999) compared PE, SIT, and their combination in a group of women who had experienced sexual or physical assault and met criteria for PTSD. Results showed that at follow-up, PE was superior to SIT and PE-SIT on measures of PTSD, depression, anxiety, and adjustment. It should be noted, however, that the exposure component of SIT was left out in this study (so as not to confound the individual treatments), which may have reduced the effectiveness of SIT.
Cognitive Processing Therapy
Cognitive processing therapy (CPT) is a multicomponent treatment package developed by Resick and Schnicke (1993) for treatment of rape victims suffering from PTSD and depression. CPT is based on an information-processing model and combines elements of exposure therapy and cognitive restructuring.
The goal of CPT is to help integrate the rape by processing emotions and confronting cognitive distortions and maladaptive beliefs concerning the rape. Exposure involves writing narratives of the rape in detail and reading the narratives aloud in session and for homework. Clients write about the meaning of the rape, and themes of safety, trust, power, esteem, and intimacy are addressed. Clients are provided basic education about feelings, given information about how self-statements affect emotions, and are encouraged to identify "stuck points" (i.e., inadequately processed emotions about the trauma) in their narratives. Specific cognitive strategies are used to challenge maladaptive beliefs about the rape (e.g., self blame), helping the victim accommodate her experience in a healthy manner and maintain a balanced and realistic perception of the world.
CPT can be conducted in individual or group format and completed in 12 weekly sessions. In an uncontrolled trial of CPT, Resick and Schnicke (1992) reported significant improvements on measures of PTSD and depression in female sexual assault victims compared to a wait-list control condition. For the CPT condition, rates of PTSD went from a pretreatment rate of 90% to a posttreatment rate of 0%. Rates of major depression also decreased from 62% to 42% (see Figure 1 - Adobe Acrobat required to view or print this document). A large controlled study is currently underway to further test this treatment.
Multiple Channel Exposure Therapy
Multiple channel exposure therapy (MCET) is a treatment adapted from CPT (Resick & Schnicke, 1992), SIT (Kilpatrick et al., 1982), and Mastery of Your Anxiety and Panic (Barlow & Craske, 1988). MCET is used to treat both panic attacks and PTSD, conditions that often co-occur in rape victims. MCET was originally developed for the treatment of civilian trauma in general (e.g., domestic violence, physical assault, rape), and may be adapted for rape victims specifically.
Because exposure therapy may cause initial high levels of physiological arousal (i.e., panic symptoms), individuals who experience panic attacks may not be able to tolerate this treatment initially. Thus, MCET focuses on panic symptom reduction before trauma exposure work begins. Clients are provided education about panic and trauma, taught diaphragmatic breathing exercises to reduce panic, and learn methods to counteract negative and distorted thinking.
Individuals are then instructed to bring about panic symptoms through structured exposure exercises, such as tensing one's muscles, holding one's breath, spinning in a chair, hyperventilating, and shaking one's head from side to side. Clients gradually learn that the sensations they fear (i.e., panic symptoms) are not actually harmful or dangerous, but rather the interpretations of these symptoms are problematic. Following successful panic reduction, individuals begin writing about their rape following the procedures outlined in CPT. Cognitive strategies are also adapted from CPT to facilitate emotional processing of the trauma. Finally, in vivo exposure to environmental cues associated with the rape (e.g., sights, sounds, smells, locations) is conducted after the rape has been processed emotionally.
MCET lasts 12-weeks and can be conducted in individual or group format. Although data await publication, preliminary evidence shows that MCET is effective in reducing both PTSD and panic symptoms in female civilian trauma victims (see Figure 2 - Adobe Acrobat required to view or print this document) compared to a minimal attention control group (Falsetti & Resnick, 1998). Among women who received MCET in a group format, rates of PTSD went from a pretreatment rate of 100% to a posttreatment rate of 8.3%. Rates of panic attacks also decreased from a pretreatment rate of 100% to 50% one-month posttreatment. Treatment studies specifically with sexual assault and rape victims are needed.
Summary
There are several treatments available for the treatment of rape-related PTSD. Prior to treatment, it is essential to conduct a thorough assessment, including a detailed trauma history, event characteristics, comorbid psychiatric conditions, and factors influencing post-rape adjustment. The majority of treatments for rape-related PTSD with demonstrated empirical support are behavioral or cognitive-behavioral. Studies show that PE and SIT are effective in reducing symptoms of PTSD in female rape victims. Moreover, combination treatments, such as CPT and MCET, appear to be promising interventions for reducing rape related-PTSD, but await further empirical scrutiny. Finally, EMDR enjoys modest empirical support for the treatment of rape-related PTSD, but it is unclear at this time the specific mechanisms responsible for its efficacy.
The goal of CPT is to help integrate the rape by processing emotions and confronting cognitive distortions and maladaptive beliefs concerning the rape. Exposure involves writing narratives of the rape in detail and reading the narratives aloud in session and for homework. Clients write about the meaning of the rape, and themes of safety, trust, power, esteem, and intimacy are addressed. Clients are provided basic education about feelings, given information about how self-statements affect emotions, and are encouraged to identify "stuck points" (i.e., inadequately processed emotions about the trauma) in their narratives. Specific cognitive strategies are used to challenge maladaptive beliefs about the rape (e.g., self blame), helping the victim accommodate her experience in a healthy manner and maintain a balanced and realistic perception of the world.
CPT can be conducted in individual or group format and completed in 12 weekly sessions. In an uncontrolled trial of CPT, Resick and Schnicke (1992) reported significant improvements on measures of PTSD and depression in female sexual assault victims compared to a wait-list control condition. For the CPT condition, rates of PTSD went from a pretreatment rate of 90% to a posttreatment rate of 0%. Rates of major depression also decreased from 62% to 42% (see Figure 1 - Adobe Acrobat required to view or print this document). A large controlled study is currently underway to further test this treatment.
Multiple Channel Exposure Therapy
Multiple channel exposure therapy (MCET) is a treatment adapted from CPT (Resick & Schnicke, 1992), SIT (Kilpatrick et al., 1982), and Mastery of Your Anxiety and Panic (Barlow & Craske, 1988). MCET is used to treat both panic attacks and PTSD, conditions that often co-occur in rape victims. MCET was originally developed for the treatment of civilian trauma in general (e.g., domestic violence, physical assault, rape), and may be adapted for rape victims specifically.
Because exposure therapy may cause initial high levels of physiological arousal (i.e., panic symptoms), individuals who experience panic attacks may not be able to tolerate this treatment initially. Thus, MCET focuses on panic symptom reduction before trauma exposure work begins. Clients are provided education about panic and trauma, taught diaphragmatic breathing exercises to reduce panic, and learn methods to counteract negative and distorted thinking.
Individuals are then instructed to bring about panic symptoms through structured exposure exercises, such as tensing one's muscles, holding one's breath, spinning in a chair, hyperventilating, and shaking one's head from side to side. Clients gradually learn that the sensations they fear (i.e., panic symptoms) are not actually harmful or dangerous, but rather the interpretations of these symptoms are problematic. Following successful panic reduction, individuals begin writing about their rape following the procedures outlined in CPT. Cognitive strategies are also adapted from CPT to facilitate emotional processing of the trauma. Finally, in vivo exposure to environmental cues associated with the rape (e.g., sights, sounds, smells, locations) is conducted after the rape has been processed emotionally.
MCET lasts 12-weeks and can be conducted in individual or group format. Although data await publication, preliminary evidence shows that MCET is effective in reducing both PTSD and panic symptoms in female civilian trauma victims (see Figure 2 - Adobe Acrobat required to view or print this document) compared to a minimal attention control group (Falsetti & Resnick, 1998). Among women who received MCET in a group format, rates of PTSD went from a pretreatment rate of 100% to a posttreatment rate of 8.3%. Rates of panic attacks also decreased from a pretreatment rate of 100% to 50% one-month posttreatment. Treatment studies specifically with sexual assault and rape victims are needed.
Summary
There are several treatments available for the treatment of rape-related PTSD. Prior to treatment, it is essential to conduct a thorough assessment, including a detailed trauma history, event characteristics, comorbid psychiatric conditions, and factors influencing post-rape adjustment. The majority of treatments for rape-related PTSD with demonstrated empirical support are behavioral or cognitive-behavioral. Studies show that PE and SIT are effective in reducing symptoms of PTSD in female rape victims. Moreover, combination treatments, such as CPT and MCET, appear to be promising interventions for reducing rape related-PTSD, but await further empirical scrutiny. Finally, EMDR enjoys modest empirical support for the treatment of rape-related PTSD, but it is unclear at this time the specific mechanisms responsible for its efficacy.
An Early Treatment for PTSD in Women Who Have Been Raped Reducing the Likelihood of PTSD in Rape Victims
Women who are raped are at high risk to develop post traumatic stress disorder (PTSD), and the early treatment for PTSD for women who have been raped may be helpful in reducing the likelihood that the disorder develops.
Anywhere between 12 and 15% of women have experienced a rape at some point in their lifetime, and each year, it is estimated that approximately 683,000 women will be raped.
Women who have experienced a rape are at high risk for a number of mental health problems, including depression, anxiety, and substance abuse. The experience of a rape is also strongly linked to the development of PTSD. In fact, it has been found that 31 to 57% of women who have experienced a rape also have PTSD at some point thereafter.
Given the negative mental health consequences of experiencing a rape, it may be important to intervene early on in an attempt to reduce the likelihood that PTSD or other mental health problems develop.
The intervention is delivered through a 17-minute video that can be played during the examination. The first part of the video is designed to help reduce distress associated with the examination. It describes the examination and tells people what to expect. The video also shows a person going through and coping with the examination.
The second part of the video provides information on how people may react following the experience of a rape. It explains the types of symptoms that may arise after rape. In addition, information on effective coping skills for dealing with these symptoms are also provided.
The video intervention was found to only be effective for women or girls who had been raped before. These individuals reported less severe PTSD symptoms and depression 6 weeks later than those who did not have the video intervention.
You may be asking why the intervention did not work for everyone. It may be that women or girls who have been raped before represent more severe cases and could be at greater risk for PTSD. Therefore, the intervention may be more effective for this group of people.
Anywhere between 12 and 15% of women have experienced a rape at some point in their lifetime, and each year, it is estimated that approximately 683,000 women will be raped.
Women who have experienced a rape are at high risk for a number of mental health problems, including depression, anxiety, and substance abuse. The experience of a rape is also strongly linked to the development of PTSD. In fact, it has been found that 31 to 57% of women who have experienced a rape also have PTSD at some point thereafter.
Given the negative mental health consequences of experiencing a rape, it may be important to intervene early on in an attempt to reduce the likelihood that PTSD or other mental health problems develop.
An Early Intervention
A group of researchers at the Medical University of South Carolina and at the Boston VA developed a brief intervention that can be provided to women during the routine medical and forensic examination that many receive after being raped.The intervention is delivered through a 17-minute video that can be played during the examination. The first part of the video is designed to help reduce distress associated with the examination. It describes the examination and tells people what to expect. The video also shows a person going through and coping with the examination.
The second part of the video provides information on how people may react following the experience of a rape. It explains the types of symptoms that may arise after rape. In addition, information on effective coping skills for dealing with these symptoms are also provided.
Effectiveness of the Video Intervention
To determine the success of the video intervention in reducing the likelihood of mental health problems developing after the rape, researchers used it during the medical and forensic examinations of a group of women and adolescent girls who had been sexually assaulted in the past 72 hours.The video intervention was found to only be effective for women or girls who had been raped before. These individuals reported less severe PTSD symptoms and depression 6 weeks later than those who did not have the video intervention.
You may be asking why the intervention did not work for everyone. It may be that women or girls who have been raped before represent more severe cases and could be at greater risk for PTSD. Therefore, the intervention may be more effective for this group of people.
The Importance of Early Action
If you have experienced a rape, it is very important to take steps early on to prevent the likelihood that PTSD or other mental health difficulties develop. In addition, given that physical injuries or other medical problems (such as sexually transmitted diseases) may result from a rape, it is very important to obtain immediate medical care. The United States Department of Health and Human Services provides information on sexual assault, as well as information on what to do if you have been sexually assaulted.
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