Advocates’ Perception of the Secondary Victimization of Rape Survivors by Law Enforcement,the Legal System,and Hospital Professionals

Abstract

Sexual victimization occurs frequently and it remains important to consider rape victim advocates’ perceptions of survivors' secondary victimization due to treatment from police, the legal system, and medical professionals working in hospital emergency departments. Data from interviews with 41 U.S. advocates provide a comprehensive perspective of secondary victimization. Most advocates perceive that survivors face secondary victimization because they are doubted or blamed, face repeated questioning, feel left out of the legal processes, experience invasive evidence collection, and do not receive the desired legal outcome. Advocates share their ways to reduce secondary victimization, such as preparing, empowering, and listening to survivors.

Keywords

secondary victimization rape victim advocate sexual victimization rape

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References

Ahrens

Campbell

Wasco

Aponte

Grubstein

Davidson

(2000). Sexual assault nurse examiner programs: Alternative systems for service delivery for sexual assault victims. Journal of Interpersonal Violence, 15(9), 921–943. https://doi.org/10.1177/088626000015009002

Alderden

Ullman

S. E.

(2012). Creating a more complete and current picture: Examining police and prosecutor decision-making when processing sexual assault cases. Violence Against Women, 18(5), 525–551. https://doi.org/10.1177/1077801212453867

Amnesty International (2010). Case closed. Rape and human rights in the Nordic countries. Summary Report. www.amnesty.org/en/documents/ACT77/001/2010/en

Anderson

R. E.

Tarasoff

L. A.

VanKim

Flanders

(2021). Differences in rape acknowledgment and mental health outcomes across transgender, nonbinary, and cisgender bisexual youth. Journal of Interpersonal Violence, 36(13–14), NP7717–NP7739. https://doi.org/10.1177/0886260519829763

Antonsdótti

H. F.

Jónsdóttir

E. K.

Georgsdóttir

M. T.

Þórisdóttir

M. I.

Skúladóttir

Konop

Cardenas

Vilhjlamsson

H. H.

Asgeirsdottir

B. B.

Sigurvinsdottir

(2024). Testifying in court: Virtual reality as a preparation strategy for survivors of sexual violence in Iceland. International Criminology, 4, 16–30. https://doi.org/10.1007/s43576-024-00110-y

Ask

(2010). A survey of police officers’ and prosecutors’ beliefs about crime victim behaviors. Journal of Interpersonal Violence, 25(6), 1132–1149. https://doi.org/10.1177/0886260509340535

Beijer

Colbey

Klip

(1995). Witness evidence, Article 6 of the European Convention on Human Rights and the principle of open justice. In Harding

Fennel

Jorg

Swart

(Eds.), Criminal justice in Europe: A comparative study (pp. 283–300). Clarendon Press.

Blackburn

Bystrynski

Rieger

Garthe

Piasecki

Allen

N. E.

(2023). Sexual assault revictimization among sexual minority individuals: A systematic review and meta-analysis. Psychology of Violence, 13(4), 1–13. https://dx.doi.org/10.1037/vio0000477

Bollingmo

Wessel

Eilertsen

Magnussen

(2008). Credibility of the emotional witness: A study of ratings by police investigators. Psychology, Crime, & Law, 14(1), 29–40. https://doi.org/10.1080/10683160701368412

10.

Brooks-Hay

(2020). Doing the “Right Thing”? Understanding why rape victim-survivors report to the police. Feminist Criminology, 15(2), 174–195.

11.

Campbell

(1998). The community response to rape: Victims’ experiences with the legal, medical, and mental health systems. American Journal of Community Psychology, 26(3), 355–379. https://doi.org/10.1023/A:1022155003633

12.

Campbell

(2006). Rape survivors’ experiences with the legal and medical systems: Do rape victim advocates make a difference? Violence Against Women, 12(1), 30–45. https://doi.org/10.1177/1077801205277539

13.

Campbell

Fehler-Cabral

(2018). Why police “couldn’t or wouldn’t” submit sexual assault kits for forensic DNA testing: A focal concerns theory analysis of untested rape kits. Law & Society Review, 52(1), 73–105. https://doi.org/100.11.144.79

14.

Campbell

B. A.

Lapsey

D. S.

Wells

(2019). An evaluation of Kentucky’s sexual assault investigator training: Results from a randomized three-group experiment. Journal of Experimental Criminology, 16, 1–23. https://doi.org/10.1007/s11292-019-09391-0

15.

Campbell

Patterson

Lichty

L. F.

(2005). The effectiveness of sexual assault nurse examiner (SANE) programs. Trauma, Violence, & Abuse, 6(4), 313–329. https://doi.org/10.1177/1524838005280328

16.

Campbell

Raja

(2005). The sexual assault and secondary victimization of female veterans: Help-seeking experiences in military and civilian social systems. Psychology of Women Quarterly, 29(1), 97–106. https://doi.org/10.1111/j.1471-6402.2005.00171.x

17.

Campbell

Wasco

S. M.

Ahrens

C. E.

Sefl

Barnes

H. E.

(2001). Preventing the “second rape”: Rape survivors’ experiences with community service providers. Journal of Interpersonal Violence, 16(12), 1239–1259. https://doi.org/10.1177/088626001016012002

18.

Carroll

C. P.

(2023). Reinvestigating the sexual violence “justice gap” in the Swedish criminal justice system: Victim-centered alternatives to the criminal trial. Feminist Criminology, 18(1), 45–64. https://doi.org/10.1177/15570851221077673

19.

Charmaz

(2006). Constructing grounded theory. Sage Publications.

20.

Corbin

Strauss

(1990). Grounded theory research: Procedures, canons, and evaluative criteria. Qualitative Sociology, 13, 3–21. https://doi.org/10.1007/BF00988593

21.

Dammer

Albanese

(2013). Comparative criminal justice systems, 5/e. Wadsworth.

22.

Darwinkel

Powell

Tidmarsh

(2013). Improving police officers’ perception of sexual offending through intensive training. Criminal Justice and Behavior, 40(8), 895–908. https://doi.org/10.1177/0093854813475348

23.

DuMont

White

McGregor

M. J.

(2009). Investigating the medical forensic examination from the perspectives of sexually assaulted women. Social Sciences & Medicine, 68(4), 774–780. https://doi.org/10.1016/j.socscimed.2008.11.010

24.

Ehrlich

(2012). Perpetuating—and resisting rape myths in trial discourse. In Sheehy

E. A.

(Ed.), Sexual assault in Canada: Law, legal practice and women’s activism (pp. 389–408). University of Ottawa Press.

25.

Fehler-Cabral

Campbell

Patterson

(2011). Adult sexual assault survivors’ experiences with sexual assault nurse examiners (SANEs). Journal of Interpersonal Violence, 26(8), 3618–3639. https://doi.org/10.1177/0886260511403761

26.

Flores

Langton

Meyer

Romero

(2020). Victimization rates and traits of sexual and gender minorities in the United States: Results from the National Crime Victimization Survey, 2017. Science Advances, 6(40), 1–10. https://doi.org/10.1126/sciadv.aba6910

27.

Franklin

C. A.

Garza

A. D.

Goodson

Bouffard

L. A.

(2020). Police perceptions of crime victim behaviors: A trend analysis exploring mandatory training and knowledge of sexual and domestic violence survivors’ trauma responses. Crime & Delinquency, 66(8), 1055–1086. https://doi.org/10.1177/0011128719845148

28.

Glaser

B. G.

Strauss

A. L.

(1967). The discovery of grounded theory: Strategies for qualitative research. Aldine.

29.

Greeson

M. R.

Campbell

(2013). Sexual assault response teams: An empirical review of their effectiveness. Trauma, Violence and Abuse, 14(2), 83–95. https://doi.org/10.1177/1524838012470035

30.

Greeson

M. R.

Campbell

Fehler-Cabral

(2014). Cold or caring? Adolescent sexual assault victims’ perceptions of their interactions with the police. Violence and Victims, 29(4), 636–651. https://doi.org.10.1891/0886-6708.VV-D-13-00039

31.

Hine

Murphy

(2019). The influence of “high” vs. “low” rape myth acceptance on police officers’ judgements of victim and perpetrator responsibility, and rape authenticity. Journal of Criminal Justice, 60, 100–107. https://doi.org/10.1016/j.jcrimjus.2018.08.001

32.

Horvath

Brown

(2009). Setting the scene: Introduction to understanding rape. In Horvath

Brown

(Eds.), Rape: Challenging contemporary thinking (pp. 1–14). Routledge.

33.

Horvath

Tong

Williams

(2011). Critical issues in rape investigations: An overview of reform in England & Wales. Journal of Criminal Justice Research, 1, 1–18. https://api.semanticscholar.org/CorpusID:150513124

34.

Hurst

T. E.

(2021). Prevention of child sexual exploitation: Insights from adult survivors. Journal of Interpersonal Violence, 36(13–15), P7350–P7372. https://doi.org/10.1177/0886260519825881

35.

Kelly

Burton

Reagan

(1996). Beyond victim of survivor: Sexual violence, identity and feminist theory and practice. In Adkins

Merchant

(Eds.), Sexualizing the social power and organization of identity (pp. 77–101). St. Martin’s Press.

36.

Konradi

(2007). Taking the stand: Rape survivors and the prosecution of rapists. Praeger.

37.

Lathan

E. C.

Langhinrichsen-Rohling

Stefurak

J. T.

Duncan

Selwyn

C. N.

(2022). Trauma-informed sexual assault investigations training: Lessons learned attempting to enhance sexual assault-related understanding and reduce rape myth beliefs and burnout among police officers. Policing: A Journal of Policy and Practice, 16(4), 539–559. https://doi.org/10.1093/police/paab076

38.

Ledingham

Wright

Mitra

(2022). Sexual violence against women with disabilities: Experience with force and lifetime risk. American Journal of Preventative Medicine, 62(6), 895–902. https://doi.org/10.1016/j.amepre.2021.12.015

39.

Leigh

Williams

(1981). The management of the prosecution process in Denmark, Sweden, and the Netherlands. J. Hall.

40.

Long

(2018). Rape victim advocates experiences with law enforcement in the emergency room. Feminist Criminology, 13(5), 498–515. https://doi.org/10.1177/1557085116687033

41.

Lorenz

(2023). How do investigation experiences shape views of the police? Qualitatively exploring sexual assault survivors’ interactions with police detectives and subsequent views of the police. Crime & Delinquency, 69(2), 342–366. https://doi.org/10.1177/00111287221120186

42.

Lorenz

DeWald

Venema

(2021). “I was worried I wouldn't be believed”: Sexual assault victims’ perceptions of the police in the decision to not report. Violence and Victims, 36(3), 455–476. https://doi.org/10.1891/VV-D-20-00058

43.

Lorenz

Kirkner

Ullman

S. E.

(2019). Qualitative study of sexual assault survivors’ post-assault legal system experiences. Journal of Trauma Dissociation, 20(3), 263–287. https://doi.org/10.1080/15299732.2019.1592643

44.

Lorenz

Maskaly

(2018). The relationship between victim attitudes, training, and behaviors of sexual assault investigators. Journal of Crime and Justice, 41(3), 1–17. https://doi.10.1080/0735648X.2016.1218356

45.

Lovett

Kelly

(2009). Different systems, similar outcomes? Tracking attrition in reported rape cases across Europe. Child and Woman Abuse Studies Unit, London Metropolitan University. https://cwasu.org/wp-content/uploads/2016/07/different_systems_03_web2.pdf

46.

Madigan

Gamble

(1991). The second rape: Society’s continued betrayal of the victim. Lexington Books.

47.

Maier

S. L.

(2008). “I have heard horrible stories…” rape victim advocates’ perceptions of the revictimization of rape victims by the police and medical system. Violence Against Women, 14(8), 786–808. https://doi.org/10.1177/1077801208320245

48.

Maier

S. L.

(2012). Sexual assault nurse examiners’ perceptions of the revictimization of rape victims. Journal of Interpersonal Violence, 27(2), 287–315. https://doi.org/10.1177/0886260511416476

49.

Maier

S. L.

(2014). Rape, victims, and investigations. Experiences and perceptions of law enforcement officers responding to reported rapes. Routledge.

50.

Maier

S. L.

(2024). Rape victim advocates’ perceptions of the racial bias in the #MeToo movement. Journal of Ethnicity in Criminal Justice, 1–20. https://doi.org/10.1080/15377938.2024.2400358

51.

Maiorano

Travers

Vallières

(2023). The relationship between rape myths, revictimization by law enforcement, and well-being for victims of sexual assault. Violence Against Women, 29(4), 2783–2790. https://doi.org/10.1177/1077801223119605

52.

Martin

P. Y.

(2005). Rape work: Victims, gender, and emotions in organization and community context. Routledge.

53.

McMillan

White

(2015). “Silly girls” and “nice young lads”: Vilification and vindication in the perceptions of medico-legal practitioners in rape cases. Feminist Criminology, 10(3), 279–298. https://doi.org/10.1177/1557085115578163

54.

Milne

Bull

(2007). Investigative interviewing: Psychology and practice. Wiley.

55.

Murphy-Oikonen

Chambers

Miller

McQueen

(2022a). Sexual assault case attrition: The voices of survivors. SAGE Open, 12(4), 1–12. https://doi.org/10.1177/21582440221144612

56.

Murphy-Oikonen

McQueen

Miller

Chambers

Hiebert

(2022b). Unfounded sexual assault: Women’s experiences of not being believed by the police. Journal of Interpersonal Violence, 37(11-12), NP8916–NP8940. https://doi.org/10.1177/0886260520978190

57.

Noble

Smith

(2015). Issues of validity in qualitative research. Evidence-based Nursing, 18(2), 34–35. http://dx.doi.org/10.1136/eb-2015-102054

58.

O’Neal

(2019). Victim is not credible.”: The influence of rape culture on police perceptions of sexual assault complainants. Justice Quarterly, 36(1), 127–160. https://doi.org/10.1080/07418825.2017.1406977

59.

Page

(2008). Gateway to reform? Policy implications of police officers’ attitudes toward rape. American Journal of Criminal Justice, 33, 44–58. https://doi.org/10.1007/s12103-007-9024-9

60.

Patel

(2008). Faith in the state? Asian women’s struggles for human rights in the UK. Feminist Legal Studies, 16, 9–36. https://doi.org/10.1007/s10691-007-9076-8

61.

Patterson

(2011). The linkage between secondary victimization by law enforcement and rape case outcomes. Journal of Interpersonal Violence, 26(2), 328–347. https://doi.org/10.1177/0886260510362889

62.

Patterson

Greeson

Campbell

(2009). Understanding rape survivors’ decisions not to seek help from formal social systems. Health & Social Work, 34(2), 127–136. https://doi.org/10.1093/hsw/34.2.127

63.

Patterson

Tringali

(2015). Understanding how advocates can affect sexual assault victim engagement in the criminal justice process. Journal of Interpersonal Violence, 30(12), 1987–1997. https://doi.org/177/088626051455227

64.

Patton

M. Q.

(2014). Qualitative research & evaluation methods. Sage.

65.

Plichta

S. B.

Clements

P. T.

Houseman

(2007). Why SANEs matter: Models of care for sexual violence victims in the emergency department. Journal of Forensic Nursing, 3(1), 15–23. https://doi.org/10.1111/j.1939-3938.2007.tb00088.x

66.

Raitt

F. E.

(2010). Independent legal representation for complainants in rape trials. In McGlynn

Munro

V. E.

(Eds.), Rethinking rape law: International and comparative perspectives (pp. 267–280). Routledge.

67.

Ralston

K. M.

(2020). “If I was a ‘Real Man’”: The role of gender stereotypes in the recovery process for men who experience sexual victimization. The Journal of Men’s Studies, 28(2), 127–148. https://doi.org/10.1177/1060826519864475

68.

Regehr

Alaggia

Lambert

Saini

(2008). Victims of sexual violence in the Canadian criminal courts. Victims & Offenders, 3(1), 99–113. https://doi.org/10.1080/15564880701783699

69.

Rich

(2019). Trauma-informed police responses to rape victims. Journal of Aggression, Maltreatment & Trauma, 28(4), 463–480. https://doi.org/10.1080/10926771.2018.1540448

70.

Richards

T. N.

Tillyer

M. S.

Wright

E. M.

(2019). When victims refuse and prosecutors decline: Examining exceptional clearance in sexual assault cases. Crime & Delinquency, 65(4), 474–498. https://doi.org/10.1177/0011128719828351

71.

Rudolfsson

(2023). “I Want to Be Heard”: Rape Victims’ encounters with Swedish police. Violence Against Women, 30(12-13), 3163–3186. https://doi.org/10.1177/10778012231176206

72.

Shaw

Campbell

Cain

Feeney

(2017). Beyond surveys and scales: How rape myths manifest in sexual assault police records. Psychology of Violence, 7(4), 602–614. https://doi.org/10.1037/vio0000072

73.

Slatton

B. C.

Richard

A. L.

(2020). Black women’s experiences of sexual assault and disclosure: Insights from the margins. Sociology Compass, 14(6), 1–12. https://doi.org/10.1111/soc4.12792

74.

Sleath

Bull

(2017). Police perceptions of rape victims and the impact on case decision making: A systematic review. Aggression and Violent Behavior, 34, 102–112. https://doi.org/10.1016/j.avb.2017.02.003

75.

Smith

Skinner

(2017). How rape myths are used and challenged in rape and sexual assault trials. Social & Legal Studies, 26(4), 441–466. https://doi.org/10.1177/096466391660310

76.

Spencer

Dodge

Ricciardelli

Ballucci

(2018). “I think it’s re-victimizing victims almost every time” police perceptions of criminal justice responses to sexual violence. Critical Criminology, 26, 189–209. https://doi.org/10.1007/s10612-018-9390-2

77.

Spohn

(2020). Sexual assault case processing: The more things change, the more they stay the same. International Journal for Crime, Justice and Social Democracy, 9(1), 86–94. https://doi.org/10.5204/ijcjsd.v9i1.1454

78.

Spohn

Tellis

(2010). Justice denied? The exceptional clearance of rape cases in Los Angeles. Albany Law Review, 74(3), 1379–1421. https://www.albanylawreview.org/article/70024-justice-denied-the-exceptional-clearance-of-rape-cases-in-los-angeles

79.

Stanko

Hohl

(2018). Why training is not improving the police response to sexual violence against women: A glimpse into the ‘black box’ of police training. In Milne

Brennan

South

Turton

(Eds.), Women and the criminal justice system failing victims and offenders? (pp. 167–186). Palgrave Macmillan.

80.

Strauss

A. L.

Corbin

(1990). Basics of qualitative research: Grounded theory procedures and techniques. Sage.

81.

European Parliament: Directorate-General for Internal Policies of the Union, Strid

Agarwal

Francis

May-Chahal

Lombardo

Towers

Sugarman

Walby

Olive

Franzway

Krizsán

(2013). Overview of the worldwide best practices for rape prevention and for assisting women victims of rape. Publications Office. https://data.europa.eu/doi/10.2861/37950

82.

Swedish Police and Prosecution Authorities (2019). Violence in close relationships and sexual offences against adults. Swedish Police Authority and Swedish Prosecution Authority.

83.

Temkin

Gray

J. M.

Barrett

(2018). Different functions of rape myth use in court: Findings from trial observation study. Feminist Criminology, 13(2), 205–226. https://doi.org/10.1177/1557085116661627

84.

Thompson

Tapp

S. N.

(2023). Criminal victimization, 2022. U.S. Department of Justice, Bureau of Justice Statistics. https://bjs.ojp.gov/document/cv22.pdf

85.

United Nations. Department of Economic and Social Affairs, Division for the Advancement of Women (2009). Handbook for legislation on violence against women. https://www.un.org/womenwatch/daw/vaw/handbook/Handbook%20for%20legislation%20on%20violence%20against%20women.pdf

86.

Urquhart

(2013). Grounded theory for qualitative research: A practical guide. Sage.

87.

Valdes

(2018). Don’t tell Latinas to sit down and shut up about #MeToo. Latina Rebels. https://www.latinorebels.com/2018/05/14/donttelllatinas/

88.

Venema

(2016). Police officer schema of sexual assault reports: Real rape, ambiguous cases, and false reports. Journal of Interpersonal Violence, 31(5), 872–899. https://doi.org/10.1177/0886260514556765

89.

Venema

R. M.

Lorenz

Sweda

(2019). A descriptive study of training and its perceived helpfulness among Illinois sexual assault investigators. Journal of Crime and Justice, 43(1), 110–124. https://doi.org/10.1080/0735648X.2019.1601585

90.

Wemmers

(2023). Restoring victims’ confidence: Victim-centered restorative practices. International Review of Victimology, 29(3), 466–486. https://doi.org/10.1177/02697580221128830

91.

White

McMillan

(2021). [De]-centering the victim: Police perceptions of victims of sexual violence through a comparative lens of evidence collection and processing. Feminist Criminology, 16(5), 680–700. https://doi.org/10.1177/15570851211031991

92.

Williams

J. E.

(1984). Secondary victimization: Confronting public attitudes about rape. Victimology, 9, 66–81. https://psycnet.apa.org/record/1988-29977-001