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4.1AssignmentDiscussion: Public MisconceptionsOne misconception about rape is that women who dress provocatively were “asking for it.” According to Rape Victim Advocates (RVA), rape is a crime of power and control, so how a woman dresses is irrelevant. Can you think of other public misconceptions that lead to “victim blaming”?In a minimum of 150 words, describe some of the public misconceptions regarding sexual assault you may have heard. Describe the concept of “victim blaming.” Why are victims of sexual assault more likely to experience blame than victims of other crimes? Compare at least two countries and note any differences.READING MATERIALRape Victim Advocates. (n.d.). Sexual violence myths and facts. Retrieved June 6, 2018, from https://www.rapevictimadvocates.org/what-you-need-to-know/myths-and-facts/Sexual Violence Myths & FactsThere is a lot of information that circulates about sexual violence and the people affected by it. The following myths are common and can impact survivors of assault or abuse, as well as the behavior and effectiveness of friends, family, medical, social service and law enforcement personnel. This sheet will help clarify some of the most common myths.Myth: Sexual assault is an act of lust and passion that can’t be controlled.Fact: Sexual assault is about power and control and is not motivated by sexual gratification.[1]Myth: If a victim of sexual assault does not fight back, they must have thought the assault was not that bad or they wanted it.Fact: Many survivors experience tonic immobility or a “freeze response” during an assault where they physically cannot move or speak.[2]Myth: A lot of victims lie about being raped or give false reports.Fact: Only 2-8% of rapes are falsely reported, the same percentage as for other felonies.[3]Myth: A person cannot sexually assault their partner or spouse.Fact: Nearly 1 in 10 women have experienced rape by anintimate partnerin their lifetime.[4]Myth: Sexual assaults most often occur in public or outdoors.Fact: 55% of rape or sexual assault victimizations occur at or near the victim’s home, and 12% occur at or near the home of a friend, relative, or acquaintance.[5]Myth: Rape does not happen that often.Fact: There is an average of 293,066 victims ages 12 or older of rape and sexual assault each year in the U.S. This means 1 sexual assault occurs every 107 seconds.[6]Myth: People that have been sexually assaulted will be hysterical and crying.Fact: Everyone responds differently to trauma- some may laugh, some may cry, and others will not show any emotions.[7]Myth: Men are not victims of sexual violence.Fact: 1.5% of all men have been raped and 47% of bisexual men have experienced some form of unwanted sexual contact in their lifetime.4Myth: Wearing revealing clothing, behaving provocatively, or drinking a lot means the victim was “asking for it”.Fact: The perpetrator selects the victim- the victim’s behavior or clothing choices do not mean that they are consenting to sexual activity.[8]Myth: If a parent teaches a child to stay away from strangers they won’t get raped.Fact: 60% of child sexual abuse cases are perpetrated by someone the child knows outside the family, and 30% are assaulted by family members.[9]Myth: Being sexually assaulted by someone of the same gender can make a person gay or lesbian.Fact: The assault is typically not based on the sexual preferences of the victim or rapist, and therefore does not necessarily change the victim’s sexual orientation.[10]Myth: People with disabilities are at low risk for sexual assault.Fact: People with disabilities are victims of sexual assault twice as much as people without disabilities.6Myth: Sex workers cannot be raped because they are selling sex.Fact: Sex workers have the right to give and withhold consent to any sexual activity, and therefore, can be raped just like anyone else.[11]Myth: Getting help is expensive for survivors of assault.Fact: Services such as counseling and advocacy are offered for free or at a low cost by sexual assault service providers.[12]Myth: There is nothing we can do to prevent sexual violence.Fact: There are many ways you can help prevent sexual violence including intervening as a bystander to protect someone who may be at risk.[13][1] Groth, A., Burgess, W., & Holmstrom, L. Rape: Power, anger, and sexuality. American Journal of Psychiatry, 134(11), 1239-43. Pubmed.gov.[2] TeBockhorst, S., O’Halloran, M., & Nyline, B. (2014). Tonic Immobility Among Survivors of Sexual Assault. Psychological Trauma: Theory, Research, Practice, and Policy, 7(2). 171-178[3] Lonsway, K., Archambault, J., & Lisak, D. (2009). False Reports: Moving Beyond the Issue to Successfully Investigate and Prosecute NonStranger Sexual Assault. The Voice, 3(1).[4] Centers for Disease Control and Prevention. National Intimate Partner and Sexual Violence Survey. (2011).[5] Planty, M., Langton, L., Krebs, C., Berzofsky, M., & Smiley-McDonald, H. (2013). Female Victims of Sexual Violence, 1994-2010. Bureau of Justice Statistics.[6] U.S. Department of Justice. National Crime Victimization Survey. 2009-2013.[7] Fanflik, P. (2007). Victim Responses to Sexual Assault: Counterintuitive or Simply Adaptive?[8] The National Child Traumatic Stress Network: The Truth About Sexual Abuse[9] US Department of Justice: Facts and Statistics[10] Facts and Myths[11] Sullivan, B. (2007). Rape, Prostitution, and Consent. Australian & New Zealand Journal of Criminology (Australian Academic Press), 40(2), 127-142.[12] RAINN: Find Help Near You[13] RAINN: Your Role in Preventing Sexual AssaultDaigle, L. E. (2018). Victimology (2nd ed.). Thousand Oaks, CA: Sage Publishing.Chapter 3, “Consequences of Victimization” (pp. 32–46)Victimology, 2nd Edition by Daigle, L.E. Copyright 2018 by Sage College. Reprinted by permission of Sage College via the Copyright Clearance Center.Chapter 3 Consequences of VictimizationLet us revisit Polly, the young woman whose victimization was described in Chapter 2. When we left her, Polly was on her way back home after leaving a bar alone at night, and she was robbed and assaulted by two men. But Polly’s story does not end there, and although the incident itself ended, Polly dealt with it for quite some time. Polly made it home safely; she entered her apartment, locked her door, and started to cry. She felt scared and alone, and her head was hurting. She told one of her roommates, who was home when she returned, what happened. Her roommate, Rachel, told her she should call the police and have someone look at her head. Polly was hesitant—after all, she did not know what to expect—but she really wanted to make sure that the men were caught, so she called the police and told the dispatcher what had occurred.The police and emergency personnel arrived. She was taken to the hospital for her head injury and was released after receiving 10 stitches. Before she could go home, though, the police wanted to take her statement. They questioned her for more than an hour, asking minute details about what happened and about the offenders. They also asked her why she was walking home alone at night. The police officers left her with assurances that they would do everything they could to identify her attackers.The days passed, and Polly had a hard time forgetting about the men and what had transpired. She was having a hard time getting out of bed. In fact, she missed several days of class. She found herself avoiding going out alone at night. She felt as though her life had taken an unexpected, unwanted, and frightening turn—one that she was worried would forever alter her life. Polly’s concerns, like others’, were most likely not unfounded.Physical InjuryClearly, when people suffer personal victimizations, they are at risk of physical injury. These injuries can include bruises, soreness, scratches, cuts, broken bones, contracted diseases, and stab or gunshot wounds. Some of these injuries may betemporary and short-lived, whereas others can be long-lasting or permanent.According to data from the National Crime Victimization Survey (NCVS) in 2008, 21% of assault victims sustained physical injuries. Those who experienced robbery were more likely to be injured; 37% of robbery victims suffered physical injury. A larger percentage of female victims were injured than male victims, although the differences were not large. For example, 24% of female assault victims compared with 19% of male assault victims reported being injured (Bureau of Justice Statistics [BJS], 2011). There appears to be a difference in injury for racial groups as well. For both assault and robbery, injuries were present in a larger percentage of Black victims than White victims (BJS, 2011). The victim–offender relationship was also related to injury—incidents perpetrated by nonstrangers were more likely to result in injury than those perpetrated by strangers (27% for assault and 39% for robbery) (BJS, 2011). In addition, the most recent provisional National Health Service (NHS) data available on assault admissions to hospitals in England show that, for the 12 months ending April 2015, there were 28,992 hospital admissions for assault (Office for National Statistics, 2015)The most serious physical injury is, of course, death. Although the NCVS does not measure murder—remember, it asks people about their victimization experiences—the Uniform Crime Reports (UCRs) can be used to find out the extent to which deaths are attributable to murder and nonnegligent manslaughter. In 2015, UCR figures showed that 15,696 murders were brought to the attention of the police (FBI, 2015f). The majority of murder victims were male (79%) (FBI, 2015g). Just more than half of murder victims were Black and 44% were White (FBI, 2015h), and 21% were murdered by an acquaintance (FBI, 2015i). Almost three-fourths of the homicides that involved a weapon were gun related (FBI, 2015j). The most common circumstance surrounding a murder is an argument—23% of the homicides for which the circumstances were known resulted from an argument (FBI, 2015k).Mental Health Consequences and CostsPeople differentially respond to trauma, including victimization. Some people may cope by internalizing their feelings and emotions, whereas others may experience externalizing responses. It is likely that the way people deal with victimization is tied to their biological makeup, their interactional style, their coping style and resources, and the context in which the incident occurs and in which they operate thereafter. Some of the responses can be quite serious and long- term, whereas others may be more transitory.Three affective responses that are common among crime victims are depression, reductions in self-esteem, and anxiety. The way in which depression manifests itself varies greatly across individuals. It can include symptoms such as sleep disturbances, changes in eating habits, feelings of guilt and worthlessness, and irritability. Generally, depressed persons will experience a decline in interest in activities they once enjoyed, a depressed mood, or both. For youth, depression is a common outcome for those who are victimized by peers, such as in bullying (Sweeting, Young, West, & Der, 2006). With the advent of technology and the widespread use of the Internet, recent research has explored online victimization and its effects. Online victimization is related to depressive responses in victims (Tynes & Giang, 2009).Victimization may be powerful enough to alter the way in which a crime victim views himself or herself. Self-esteem and self-worth both have been found to be reduced in some crime victims, particularly female victims. In one study of youths in Virginia, Amie Grills and Thomas Ollendick (2002) found that, for girls, being victimized by peers was associated with a reduction in global self-worth and that their self-worth was related to elevated levels of anxiety. There may also be a difference in crime’s impact on self-appraisals based on the type of victimization experienced. For example, victims of childhood sexual abuse are likely to suffer long-term negative impacts to their self-esteem (Beitchman et al., 1992). Sexual victimization also has been linked to reductions in self-esteem (Turner, Finkelhor, & Ormrod, 2010). Beyond victimization of females, research has also found that victimization among older Americans (those 50 years of age and older) is also related to reductions in self-esteem and self-efficacy for African Americans (DeLisi, Jones-Johnson, Johnson, & Hochstetler, 2014).Anxiety is another consequence linked to victimization. Persons who suffer from anxiety are likely to experience a range of emotional and physical symptoms. Much like depression, however, anxiety affects people differently. Most notably, anxiety is often experienced as irrational and excessive fear and worry, which may be coupled with feelings of tension and restlessness, vigilance, irritability, and difficulty concentrating. In addition, because anxiety is a product of the body’s fight-or-flight response, it also has physical symptoms. These include a racing and pounding heart, sweating, stomach upset, headaches, difficulty sleeping and breathing, tremors, and muscle tension (Dryden-Edwards, 2007).Although anxiety that crime victims experience may not escalate to a point where they are diagnosed with an anxiety disorder by a mental health clinician, victimization does appear to be linked to anxiety symptoms. For example, adolescents who experience victimization by their peers experience anxiety at higher levels than nonvictimized adolescents (Storch, Brassard, & Masia-Warner, 2003). The relationship between anxiety and victimization is likely complex in that victimization can lead to anxiety, but anxiety and distress are also precursors to victimization (R. S. Siegel, La Greca, & Harrison, 2009). Some victims do experience mental health consequences tied to anxiety that lead to mental health diagnoses.Post-Traumatic Stress DisorderOne of the recognized disorders associated with a patterned response to trauma, such as victimization, is post-traumatic stress disorder (PTSD). Commonly associated with individuals returning from war and combat, PTSD is a psychiatric condition that recently has been recognized as a possible consequence of other traumatic events, such as criminal victimization. Currently classified by the American Psychiatric Association in the DSM-V as an anxiety disorder, PTSD is diagnosed based on several criteria outlined in detail in Table 3.1. A person must have experienced or witnessed a traumatic event that involved actual or threatened death or serious injury to oneself or others, or threat to the physical integrity of oneself or others. The person must have experienced fear, helplessness, or horror in response to the event and then reexperienced the trauma over time via flashbacks, nightmares, images, and/or reliving the event. The person must avoid stimuli associated with the traumatic event and may experience numbness of response, such as lack of affect and reduced interest in activities. Finally, PTSD is characterized by hyperarousal.Focus on ResearchResearch on the physical and mental health consequences of victimization has established that victimization can have short- and long-term effects. Leana Bouffard and Maria Koeppel (2014) recently discovered that experiencing repeated bullying in childhood before the age of 12 is linked to poor outcomes in early adulthood. They found that when respondents were between the ages of 18 and 23, those who experienced this specific type of victimization experienced worse negative mental health, were more likely to be homeless during the previous 5 years, and to have poor or fair physical health. What do these findings mean for policy? Given these findings, what should teachers, health care professionals, or others who interact with children do for those who experience bullying?Source: Bouffard, L. A., & Koeppel, M. D. H. (2014). Understanding the potential longterm physical and mental health consequences of early experiences of victimization. Justice Quarterly, 31, 568–587.1 of 7 3/20/18, 9:46 AMhttps://jigsaw.vitalsource.com/api/v0/books/9781506388502/print?f…Source: Reprinted with permission from The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. Copyright © 2013. American Psychiatric Association. All rights reserved.In order for PTSD to be diagnosed, symptoms must be experienced for more than 1 month and must cause clinically significant distress or impairment in social, occupational, or other functional areas (American Psychiatric Association, 2000). As you may imagine, PTSD can be debilitating and can impact a victim’s ability to heal, move on, and thrive after being victimized. About 8% of Americans will experience PTSD, although women are more likely than men to experience this disorder (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995). The traumatic events most likely to lead to PTSD for men are military combat and witnessing a serious injury or violent death. Women, on the other hand, are most likely to be diagnosed with PTSD related to incidents of rape and sexual molestation (Kessler et al., 1995).Although it is difficult to know how common PTSD is among crime victims, some studies suggest that PTSD is a real problem for this group. The estimate for PTSD in persons who have been victimized is around 25%. Lifetime incidence of PTSD for persons who have not experienced a victimization is 9%. Depression also commonly co-occurs in victims who suffer PTSD (Kilpatrick & Acierno, 2003). Research has shown that victims of sexual assault, aggravated assault, and persons whose family members were homicide victims are more likely than other crime victims to develop PTSD (Kilpatrick & Tidwell, 1989). In support of this link, the occurrence of PTSD in rape victims has been estimated to be almost 1 in 3 (Kilpatrick, Edmunds, & Seymour, 1992).Self-Blame, Learned Helplessness, and the BrainVictims of crime may blame themselves for their victimization. One type of self-blame is characterological self-blame, which occurs when a person ascribes blame to a nonmodifiable source, such as one’s character (Janoff-Bulman, 1979). In this way, characterological self-blame involves believing that victimization is deserved. Another type of self-blame is behavioral self-blame, which occurs when a person ascribes blame to a modifiable source—behavior (Janoff-Bulman, 1979). When a person turns to behavioral self-blame, a future victimization can be avoided as long as behavior is changed.In addition to self-blame, others may experience learned helplessness following victimization. Learned helplessness is a response to victimization in which victims learn that responding is futile and become passive and numb (Seligman, 1975). In this way, victims may not activate to protect themselves in the face of danger and, instead, stay in risky situations that result in subsequent victimization experiences. Although learned helplessness as originally proposed by Seligman is not alone sufficient in explaining victimization, research on animals shows that exposure to inescapable aversive stimuli (such as shocks to rats’ tails) is related to behavioral changes that are likely related to fear—changes in eating and drinking, changes in sleep patterns, and not escaping future aversive stimuli when possible. These behavioral changes are linked to changes in brain chemistry, and researchers have hypothesized that these are similar to the neurochemical and behavioral changes seen in humans who suffer from major depressive disorders (Hammack, Cooper, & Lezak, 2012). In this way, then, it is possible that people who have been exposed to serious trauma and who interpret this trauma as being unavoidable may become depressed and experience behavioral changes that are then linked to future risk of victimization.Economic CostsNot only are victimologists concerned with the impact that being a crime victim has on an individual in terms of health, but they are also concerned with the economic costs incurred by both the victim and the public. In this sense, victimization is a public health issue. Economic costs can result from property losses; monies associated with medical care; time lost from work, school, and housework; pain, suffering, and reduced quality of life; and legal costs. In 2008, the NCVS estimated the total economic loss from crimes at $17.4 trillion. The NCVS also shows that the median dollar amount of loss attributed to crime was $125 (BJS, 2011). Although this number may appear to be low, it largely represents the fact that the typical property crime is a simple larceny-theft. Other research estimating the costs of specific types of victimization has estimated that the total costs of victimizations range from an average of $9,540 for a motor vehicle theft to $157,500 for a rape (in 2010 dollars) (Chalfin, 2016).2 of 7 3/20/18, 9:46 AMhttps://jigsaw.vitalsource.com/api/v0/books/9781506388502/print?f…Direct Property LossesCrime victims often experience tangible losses in terms of having their property damaged or taken. Generally, when determining direct property losses, the value of property that is damaged, taken, and not recovered, and insurance claims and administration costs are considered. According to the NCVS, in 2008, 94% of property crimes resulted in economic losses (BJS, 2011). In one of the most comprehensive reports on the costs of victimization—sponsored by the National Institute of Justice—Ted Miller, Mark Cohen, and Brian Wiersema (1996) estimated the property loss or damage experienced per crime victimization event. These estimates were used by Brandon Welsh and colleagues (2008) in their article on the costs of juvenile crime in urban areas. They found that arson victimizations resulted in an estimated $15,500 per episode. Motor vehicle theft costs about $3,300 per incident. Results from the NCVS show that personal crime victimizations typically did not result in as much direct property loss. For example, only 18% of personal crime victimizations resulted in economic loss. Rape and sexual assaults typically resulted in $100 of property loss or property damage. It is rare for a victim of a violent or property offense to recover any losses. Only about 29% of victims of personal crime and 16% of victims of property crime recover all or some property (BJS, 2011).Medical CareTo be sure, many victims would gladly suffer property loss if it meant they would not experience any physical injury. After all, items can be replaced and damage repaired. Physical injury may lead to victims needing medical attention, which for some may be the first step in accumulating costs associated with their victimization. Medical care costs encompass such expenses as transporting victims to the hospital, doctor care, prescription drugs, allied health services, medical devices, coroner payments, insurance claims processing fees, and premature funeral expenses (T. R. Miller, Cohen, & Wiersema, 1996).Results from the NCVS indicate that in 2008, 542,280 violent crime victims received some type of medical care. Of those victims who received medical care, slightly more than one-third received care in the hospital emergency room or at an emergency clinic and 9% went to the hospital. Receiving medical care often results in victims incurring medical expenses. Almost 6% of victims of violence reported having medical expenses as a result of being victimized. About 63% of injured victims had health insurance or were eligible for public medical services (BJS, 2011).Costs vary across types of victimization. For example, the annual cost of hospitalizations for victims of child abuse is estimated to be $6.2 billion (Prevent Child Abuse America, 2000). Medical treatment for battered women is estimated to cost $1.8 billion annually (Wisner, Gilmer, Saltman, & Zink, 1999). Per-criminal-victimization medical care costs also have been estimated. Assaults in which there were injuries cost $1,470 per incident. Drunk-driving victims who were injured incurred $6,400 in medical care costs per incident (T. R. Miller et al., 1996).Gun violence is associated with substantial medical costs for victims. Although most crime victims do not require hospitalization, even if they are treated in the emergency room, a report on gun violence published by the Office for Victims of Crime showed that gunshot victims make up one-third of those who require hospitalization (as cited in Bonderman, 2001). Persons who are shot and admitted to the hospital are likely to face numerous rehospitalizations and incur medical costs throughout their lifetimes. In this same report, it was shown that in 1994, the lifetime medical costs for all victims of firearm injuries totaled $1.7 billion. Spinal cord injuries are particularly expensive, with average expenses for first-year medical costs alone totaling more than $217,000. The average cost per victim of violence-related spinal cord injury is more than $600,000 (as cited in Bonderman, 2001).Photo 3.1 The victim of a gunshot receives CPR in the emergency room.© iStockphoto.com/vmMental Health Care CostsWhen victims seek mental health care, this also adds to their total cost. It is estimated that between 10% and 20% of total mental health care costs in the United States are related to crime (T. R. Miller et al., 1996). Most of this cost is a result of crime victims seeking treatment to deal with the effects of their victimization. Between one-quarter and one-half of rape and child sexual abuse victims receive mental health care. As a result, sexual victimizations, of both adults and children, result in some of the largest mental health care costs for victims. The average mental health care cost per rape and sexual assault is $2,200, and the average for child abuse is $5,800. Victims of arson who are injured incur about $10,000 of mental health care expenditures per victimization. Secondary victimization, which is discussed in detail in a later section, is also associated with mental health care costs. The average murder results in between 1.5 and 2.5 people receiving mental health counseling (T. R. Miller et al., 1996).Losses in ProductivityPersons who are victimized may experience an inability to work at their place of employment, complete housework, or attend school. Not being able to do these things contributes to the total lost productivity that crime victims experience. In 2008, about 7% of persons in the NCVS who said they were violently victimized lost some time from work. About the same percentage of victims of property offenses lost time from work. Some victims are more prone to miss work than others. For example, almost one-tenth of burglary victimizations cause victims to miss at least one day of work. Data from the NCVS show that 9% of robbery victimizations resulted in victims missing more than 10 days of work (BJS, 2011), whereas victims of intimate partner violence lost almost 8 million paid days of work annually (Centers for Disease Control and Prevention, 2003). Employers also bear some costs when their employees are victimized; victimized employees may be less productive, their employers may incur costs associated with hiring replacements, and employers may experience costs dealing with the emotional responses of their employees. Parents also may suffer costs when their children are victimized and they are unable to meet all their job responsibilities as a result of doing things such as taking the child to the doctor or staying home with the child (T. R. Miller et al., 1996).Pain, Suffering, and Lost Quality of LifeThe most difficult cost to quantify is the pain, suffering, and loss of quality of life that crime victims experience. When these elements are added to the costs associated with medical care, lost earnings, and programs associated with victim assistance, the cost to crime victims increases 4 times. In other words, this is the largest cost that crime victims sustain. For example, one study estimated the cost of out-of-pocket expenses to victims of rape to be slightly less than $5,100. The crime of rape, however, on average, costs $87,000 when its impact on quality of life is considered (T. R. Miller et al., 1996).Another cost that crime victims may experience is a change in their routines and lifestyles. Many victims report that after being victimized, they changed their behavior. For example, victims of stalking may change their phone numbers, move, or change their normal routines. Others may stop going out alone or start carrying a weapon when they do so. Although these changes may reduce risk of being victimized again, for victims to bear the cost of crime seems somewhat unfair. Did Polly sustain any of these costs?System CostsThe victim is not the only entity impacted economically by crime. The United States spends an incredible amount of money on criminal justice. When including system costs for law enforcement, the courts, and corrections, the direct expenditures of the criminal justice system are more than $214 billion annually (BJS, 2006b). The criminal justice system employs more than 2.4 million persons, whose collective pay tops $9 billion. Obviously, crime is big business in the United States!Insurance companies pay about $45 billion annually due to crime. The federal government also pays $8 billion annually for restorative and emergency services for crime victims. There are other costs society must absorb as a result of crime. For example, it costs Americans when individuals who are not insured or are on public assistance are victimized and receive medical care. The U.S. government covers about one-fourth of health insurance payouts to crime victims. Gunshot victims alone cost taxpayers more than $4.5 billion dollars annually (Headden, 1996). These costs are not distributed equally across society. Some communities have been hit especially hard by violence—gun violence in particular. Some 96% of hospital expenses associated with gun violence at King/Drew Medical Center in Los Angeles are paid with public funds (as cited in Bonderman, 2001). We discuss in Chapter 5 just how these costs are paid and who pays them.Vicarious VictimizationIt is not only the victim and the system that are saddled with costs. The effects that victimization has on those close to the victim are also critical in understanding the total impact of crime. So far, we have discussed how a victim may need medical care, may seek mental health counseling, may lose time from work, and may have a less full life after being victimized. But what happens to those who love and care about these victims? Does witnessing a loved one go through victimization also exact a price?The effects that victimization has on others are collectively known as vicarious victimization. Vicarious victimization has been most widely studied in regard to homicide survivors—people whose loved ones have been murdered—given the profound effect that homicide has on family members, even when compared with nonhomicide deaths. Homicide deaths are almost exclusively sudden and violent. Surviving family members often experience guilt about not being able to prevent the death. The involvement of the criminal justice system also adds an element to the response family members have, and there is often a feeling that others view the death as at least partly the victim’s fault.The studies on homicide survivors have largely found that they experience many of the same post-trauma symptoms that crime victims themselves experience. One study found that almost one-quarter of homicide-surviving family members developed PTSD after the murder of their family member (as cited in Kilpatrick, Amick, & Resnick, 1990). The disorder and PTSD symptomology are often not transient, with homicide survivors exhibiting PTSD symptoms for up to 5 years3 of 7 3/20/18, 9:46 AMhttps://jigsaw.vitalsource.com/api/v0/books/9781506388502/print?f…following the murder (Redmond, 1989). Being a homicide survivor also may be related to greater PTSD symptoms than being a victim of a crime such as rape (Amick-McMullan, Kilpatrick, & Veronen, 1989). Also interesting, homicide survivors experience higher levels of PTSD than do family members who lose a loved one through means other than homicide, such as accidentally (Applebaum & Burns, 1991). PTSD is not the only psychological response that homicide survivors show. They also have higher levels of distress, depression, anxiety, and hostility than persons who have not experienced trauma (Thompson, Kas

 
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