When solidarity hurts: (Intra)cultural trust,cultural betrayal sexual trauma,and PTSD in culturally diverse minoritized youth transitioning to adulthood

Abstract

Sexual trauma is associated with PTSD, with perpetrators putting women and girls more at risk than men and boys. Young adulthood is a time where risk of victimization and susceptibility to mental health problems increase. Certain contributors of costly trauma outcomes may be affected by the larger context of societal inequality. Cultural betrayal trauma theory (CBTT) highlights cultural betrayal in within-group trauma in minoritized populations as a dimension of harm that affects outcomes. In CBTT, within-group trauma violates the (intra)cultural trust—solidarity, love, loyalty, connection, responsibility—that is developed between group members to buffer against societal inequality. This violation, termed a cultural betrayal, can contribute to poorer mental health. The purpose of the current study is to address a gap in the CBTT literature by examining the role of (intra)cultural trust on the association between cultural betrayal sexual trauma and symptoms of PTSD among diverse minoritized youth transitioning to adulthood. Participants (N = 173) were diverse minoritized college students, who completed a 30-min online questionnaire at a location of their own choosing. Participants received course credit and could decline to answer any question without penalty. The results reveal that the interaction between cultural betrayal sexual trauma and (intra)cultural trust predicted clinically significant symptoms of PTSD. These findings have implications for increased cultural and contextual specificity in trauma research in minoritized populations, which can aid in the development and implementation of culturally competent interventions for diverse minoritized youth survivors of sexual trauma.

Keywords

Campus sexual violence cultural betrayal trauma theory emerging adulthood minoritized youth PTSD

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References

Bauer

G. R

. (2014). Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Social Science & Medicine, 110, 10–17. https://doi.org/10.1016/j.socscimed.2014.03.022

Belgrave

F. Z.

Allison

K. W

. (2018). African American psychology: From Africa to America. Sage Publications.

Bent-Goodley

T. B

. (2001). Eradicating domestic violence in the African American community: A literature review and action agenda. Trauma, Violence, & Abuse, 2(4), 316–330.

Birrell

P. J.

Freyd

J. J

. (2006). Betrayal trauma: Relational models of harm and healing. Journal of Trauma Practice, 5(1), 49–63. https://doi.org/10.1300/J189v05n01_04

Brown

L. S.

(2008). Cultural competence in trauma therapy: Beyond the flashback. American Psychological Association.

Bryant-Davis

(2005). Thriving in the wake of trauma: A multicultural guide (No. 49). Greenwood Publishing Group.

Bryant-Davis

Chung

Tillman

Belcourt

. (2009). From the margins to the center: Ethnic minority women and the mental health effects of sexual assault. Trauma, Violence, & Abuse, 10(4), 330–357. https://doi.org/10.1177/1524838009339755

Burstow

. (2003). Toward a radical understanding of trauma and trauma work. Violence Against Women, 9(11), 1293–1317. https://doi.org/10.1177/1077801203255555

Collins

P. H

. (1997). Comment on Hekman’s “Truth and method: Feminist standpoint theory revisited”: Where’s the power? Signs, 22(2), 375–381. https://doi.org/10.1086/495162

10.

Comstock

D. L.

Hammer

T. R.

Strentzsch

Cannon

Parsons

Salazar

II (2008). Relational-cultural theory: A framework for bridging relational, multicultural, and social justice competencies. Journal of Counseling & Development, 86(3), 279–287. https://doi.org/10.1002/j.1556-6678.2008.tb00510.x

11.

Corty

E. W.

(2016). Using and interpreting statistics: A practical text for the behavioral, social, and health sciences. Worth Publishers.

12.

Crenshaw

. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6), 1241–1299. https://doi.org/10.2307/1229039

13.

DePrince

A. P.

Brown

L. S.

Cheit

R. E.

Freyd

J. J.

Gold

S. N.

Pezdek

Quina

(2012). Motivated forgetting and misremembering: Perspectives from betrayal trauma theory. In True and false recovered memories (pp. 193–242). Springer.

14.

Freyd

J. J

. (1997). Violations of power, adaptive blindness and betrayal trauma theory. Feminism & Psychology, 7(1), 22–32. https://doi.org/10.1177/0959353597071004

15.

Goldberg

L. R.

Freyd

J. J

. (2006). Self-reports of potentially traumatic experiences in an adult community sample: Gender differences and test-retest stabilities of the items in a brief betrayal-trauma survey. Journal of Trauma & Dissociation, 7(3), 39–63. https://doi.org/10.1300/J229v07n03_04

16.

Gómez

J. M.

(2012). Cultural betrayal trauma theory: The impact of culture on the effects of trauma. In Blind to betrayal. https://sites.google.com/site/betrayalbook/betrayal-research-news/cultural-betrayal

17.

Gómez

J. M

. (2015). Microaggressions and the enduring mental health disparity: Black Americans at risk for institutional betrayal. Journal of Black Psychology, 41(2), 121–143. https://doi.org/10.1177/0095779841351460

18.

Gómez

J. M

. (2017). Does ethno-cultural betrayal in trauma affect Asian American/pacific islander college students’ mental health outcomes? An exploratory study. Journal of American College Health, 65(6), 432–436. https://doi.org/10.1080/07448481.2017.1341896

19.

Gómez

J. M

. (2019a). Group dynamics as a predictor of dissociation for black victims of violence: An exploratory study of cultural betrayal trauma theory. Transcultural Psychiatry, 56(5), 878–894. https://doi.org/10.1177/1363461519847300

20.

Gómez

J. M

. (2019b). Isn’t it all about victimization? (Intra)cultural pressure and cultural betrayal trauma in ethnic minority college women. Violence Against Women, 25(10), 1211–1225. https://doi.org/10.1177/1077801218811682

21.

Gómez

J. M

. (2019c). What’s in a betrayal? Trauma, dissociation, and hallucinations among high-functioning ethnic minority emerging adults. Journal of Aggression, Maltreatment & Trauma, 28(10), 1181–1198. https://doi.org/10.1080/10926771.2018.1494653

22.

Gómez

J. M

. (2019d). What’s the harm? Internalized prejudice and intra-racial trauma as cultural betrayal among ethnic minority college students. American Journal of Orthopsychiatry, 89(2), 237–247. https://doi.org/10.1037/ort0000367

23.

Gómez

J. M

. (2020). Trainee perspectives on relational cultural therapy and cultural competency in supervision of trauma cases. Journal of Psychotherapy Integration, 30(1), 60–66. https://doi.org/10.1037/int0000154

24.

Gómez

J. M

. (2021a). Cultural betrayal as a dimension of traumatic harm: Violence & PTSS among ethnic minority emerging adults. Journal of Child & Adolescent Trauma, 14(3), 347. https://doi.org/10.1007/s40653-020-00314-0

25.

Gómez

J. M

. (2021b). Gendered sexual violence: Betrayal trauma, dissociation, & PTSD in diverse college students. Journal of Aggression, Maltreatment, & Trauma Special Issue: Sexual Violence & Trauma Among Diversity Populations, 30(5), 625–640. https://doi.org/10.1080/10926771.2020.1783737

26.

Gómez

J. M

. (2021). Does gender matter? An exploratory study of cultural betrayal trauma and hallucinations in Latino undergraduates at a predominantly white university. Journal of Interpersonal Violence, 36(3–4), NP1375–1390NP. https://doi.org/10.1177/0886260517746942

27.

Gómez

J. M.

Freyd

J. J

. (2018). Psychological outcomes of within-group sexual violence: Evidence of cultural betrayal. Journal of Immigrant & Minority Health, 20, 1458–1467. https://doi.org/10.1007/s10903-017-0687-0

28.

Gómez

J. M.

Freyd

J. J.

(2019). Betrayal trauma. In Ponzetti

J. J.

(Ed.), Macmillan encyclopedia of intimate and family relationships: An interdisciplinary approach (pp. 79–82). Cengage Learning Inc.

29.

Gómez

J. M.

Gobin

R. L

. (2020). Black women and girls & #MeToo: Rape, cultural betrayal, & healing. Sex Roles: A Journal of Research, 82, 1–12. https://doi.org/10.1007/s11199-019-01040-0

30.

Gómez

J. M.

Johnson

(in preparation). Assessing ‘friendly fire': The development and validation of the Cultural Betrayal Multidimensional Inventory for Black American Young Adults (CBMI-BAYA).

31.

Gómez

J. M.

Lewis

J. K.

Noll

L. K.

Smidt

A. M.

Birrell

P. J

. (2016). Shifting the focus: Nonpathologizing approaches to healing from betrayal trauma through an emphasis on relational care. Journal of Trauma & Dissociation, 17(2), 165–185. https://doi.org/10.1080/15299732.2016.1103104

32.

Gómez

J. M.

Rosenthal

M. N.

Smith

C.S.

Freyd

J. J

. (2015). Participant reactions to questions about gender-based sexual violence: Implications for campus climate surveys. eJournal of Public Affairs: Special Issue on Higher Education’s Role on Preventing and Responding to Gender-Based Violence, 4(2), 39–71. https://doi.org/10.21768/ejopa.v4i2.75

33.

Gross

A. M.

Winslett

Roberts

Gohm

C. L

. (2006). An examination of sexual violence against college women. Violence Against Women, 12(3), 288–300. https://doi.org/10.1177/1077801205277358

34.

Hays

P. A

. (2008). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy . American Psychological Association.

35.

Herman

J. L.

(1997). Trauma and recovery. Basic Books.

36.

Hooks

. (1994). Teaching to transgress: Education as the practice of freedom. Routledge.

37.

Hunt

Eisenberg

. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46(1), 3–10. https://doi.org/10.1016/j.jadohealth.2009.08.008

38.

Jordan

J. V.

(2010). Relational-cultural therapy. American Psychological Association.

39.

Kelley

L. P.

Weathers

F. W.

Mason

E. A.

Pruneau

G. M

. (2012). Association of life threat and betrayal with posttraumatic stress disorder symptom severity. Journal of Traumatic Stress, 25(4), 408–415. https://doi.org/10.1002/jts.21727

40.

Komarraju

Cokley

K. O

. (2008). Horizontal and vertical dimensions of individualism-collectivism: A comparison of African Americans and European Americans. Cultural Diversity and Ethnic Minority Psychology, 14(4), 336–343. https://doi.org/10.1037/1099-9809.14.4.336.

41.

Koss

M. P.

Abbey

Campbell

Cook

Norris

Testa

Ullman

West

White

. (2007). Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization. Psychology of Women Quarterly, 31(4), 357–370. https://doi.org/10.1111/j.1471-6402.2007.00385.x

42.

Koss

M. P.

Gidycz

C. A

. (1985). Sexual experiences survey: Reliability and validity. Journal of Consulting and Clinical Psychology, 53(3), 422–423. https://doi.org/10.1037/0022-006X.53.3.422

43.

Koss

M. P.

Oros

C. J

. (1982). Sexual experiences survey: A research instrument investigating sexual aggression and victimization. Journal of Consulting & Clinical Psychology, 50(3), 455–457. https://doi.org/10.1037/0022-006X.50.3.455

44.

Lorde

(2012). Sister outsider: Essays and speeches. Crossing Press.

45.

Luhtanen

Crocker

. (1992). A collective self-esteem scale: Self-evaluation of one’s social identity. Personality and Social Psychology Bulletin, 18(3), 302–318. https://doi.org/10.1177/0146167292183006

46.

Miller

J. B.

(1976). Toward a new psychology of women. Beacon Press.

47.

Miller

J. B.

Stiver

I. P.

(1997). The healing connection: How women form relationships in therapy and in life. Beacon Press.

48.

Nobles

W. W.

(1972). African philosophy: Foundations for Black psychology. In Windom

Hayes

, (Ed.), A turbulent voyage: Readings in African American studies (pp. 280–292). Rowan & Littlefield Publishers.

49.

Norcross

J. C

. (2002). Empirically supported therapy relationships. In J. C.

Norcross

, (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients (pp. 3–16). Oxford University Press.

50.

Platt

Barton

Freyd

J. J.

(2009). A betrayal trauma perspective on domestic violence. In Stark

Buzawa

E. S.

(Eds.), Violence against women in families and relationships (pp. 185–207). Greenwood Press.

51.

Porter

McQuiller Williams

. (2011). Intimate violence among underrepresented groups on a college campus. Journal of Interpersonal Violence, 26(16), 3210–3224. https://doi.org/10.1177/0886260510393011

52.

Ruggiero

K. J.

Del Ben

Scotti

J. R.

Rabalais

A. E

. (2003). Psychometric properties of the PTSD checklist—civilian version. Journal of Traumatic Stress, 16(5), 495–502. https://doi.org/10.1023/A:1025714729117

53.

Safran

J. D.

Muran

J. C.

Eubanks-Carter

. (2011). Repairing alliance ruptures. Psychotherapy, 48(1), 80–87. https://doi.org/10.1037/a0022140

54.

Sue

D. W

. (1978). Eliminating cultural oppression in counseling: Toward a general theory. Journal of Counseling Psychology, 25(5), 419–428. https://doi.org/10.1037/0022-0167.25.5.419

55.

Tang

S. S. S.

Freyd

J. J

. (2012). Betrayal trauma and gender differences in posttraumatic stress. Psychological Trauma: Theory, Research, Practice, and Policy, 4(5), 469–478. https://doi.org/10.1037/a0025765

56.

Tillman

Bryant-Davis

Smith

Marks

. (2010). Shattering silence: Exploring barriers to disclosure for African American sexual assault survivors. Trauma, Violence, & Abuse, 11(2), 59–70. https://doi.org/10.1177/1524838010363717

57.

Ullman

S. E

. (2007). Relationship to perpetrator, disclosure, social reactions, and PTSD symptoms in child sexual abuse survivors. Journal of Child Sexual Abuse, 16(1), 19–36. https://doi.org/10.1300/J070v16n01_02

58.

Weathers

F. W.

. Litz

B. T.

Herman

D. S.

Huska

J. A.

Keane

T. M.

(1993, October). The PTSD checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the meeting of the International Society for Traumatic Stress Studies, San Antonio, TX.

59.

Wendt

D. C.

Gone

J. P

. (2012). Rethinking cultural competence: Insights from indigenous community treatment settings. Transcultural Psychiatry, 49(2), 206–222. https://doi.org/10.1177/1363461511425622