No abstract

This study evaluated whether tonic immobility mediates the relations between perceived inescapability, peritraumatic fear, and posttraumatic stress disorder (PTSD) symptom severity among sexual assault survivors. Female undergraduates (N = 176) completed questionnaires assessing assault history, perceived inescapability, peritraumatic fear, tonic immobility, and PTSD symptoms. Results indicated that tonic immobility fully mediated relations between perceived inescapability and overall PTSD symptom severity, as well as reexperiencing and avoidance/numbing symptom clusters. Tonic immobility also fully mediated the relation between fear and reexperiencing symptoms, and partially mediated relations between fear and overall PTSD symptom severity, and avoidance/numbing symptoms. Results suggest that tonic immobility could be one path through which trauma survivors develop PTSD symptoms. Further study of tonic immobility may inform our ability to treat trauma victims.

The present study examined patterns of sexual assault and its psychological correlates among gay men, lesbians, and bisexual men and women (GLB). A community sample of 342 GLB individuals completed questionnaires assessing victimization history and psychological functioning. Nearly 63% of participants reported some form of sexual assault, and nearly 40% reported sexual revictimization, defined as contact or penetrative sexual assault reported in both childhood and adulthood. Gay men and bisexual men and women were more likely to report sexual revictimization than lesbians. Sexual victimization was associated with greater psychological distress, with sexually revictimized individuals reporting the highest levels of psychological symptomatology. The implications of these findings are discussed, and suggestions for future directions are offered.

This article reviews the descriptive literature on sexual revictimization and the evidence for the theoretical models that have been formulated to explain this phenomenon. Also, a speculative account of sexual revictimization is presented. The proposed model emphasizes individuals’ attempts to influence or control the quality, frequency, intensity, or duration of fear and arousal associated with a history of uncontrollable and unpredictable childhood sexual abuse through the use of antecedent or response-focused emotion regulation processes. The various forms of emotion regulation may produce symptoms or behaviors that may signal vulnerability to sexual predators, result in impairment of the ability to properly process danger cues, and impede successful defensive behavior. Implications of the proposed model and future directions are discussed.

Objective: Clinical video telehealth (CVT) is an innovative modality to provide care directly to Veterans' homes. Despite prior training initiatives, CVT remains underutilized. This project sought to better understand barriers to implementation and to compare responses of CVT utilizers versus nonutilizers. Method: Mental health staff were invited to complete an online anonymous survey on their use of CVT in clinical practice. Results: A total of 159 mental health staff completed the survey. Although the majority of the sample endorsed personal use of a video chat program, less than half reported using CVT for patient care. Among nonutilizers, lack of training was the most frequently endorsed barrier to CVT use whereas administrative burden was the most frequently endorsed barrier by utilizers. Conclusions: This study extends existing literature by determining barriers to CVT adoption. It identifies several barriers among utilizers versus nonutilizers. Discussion includes potential guidelines for overcoming barriers to CVT utilization. K E Y W O R D S clinical video telehealth, telemedicine, telemental health, videoconferencing