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Rape Trauma Syndrome
 
 
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The Acute Phase
During this phase, the survivor experiences a complete disruption of their life, responding to the fear of death they experienced. Survivors may display any of a number of contrasting emotional responses. A survivor may cry, shout, swear, laugh nervously, be silent, discuss the weather, or sit calmly. Responses may vary depending on any one of a number of external and experiential circumstances. No response is inappropriate! However, responses fall into on of two main styles: Expressed, or Controlled

If a survivor uses the Expressed style, they openly display their emotions. They may be agitated and restless, talk a lot, cry, swear, and laugh. Any emotion is appropriate – because every person has his or her own unique way of responding to events in their life.

If a survivor uses the Controlled style, they contain their emotions. Most of the survivor's energy is directed toward maintaining composure. They may sit calmly, respond to questions in a detached, logical way, and downplay their fear, sadness, anger, and anxiety.

Both of these styles of emotional response reflect different ways of dealing with a crisis. A person may also exhibit characteristics of both styles.

In general, the survivor's initial response to the assault will be shock and disbelief. Many survivors may appear numb. Far from being inappropriate, this response provides an emotional “time-out” during which the survivor can acknowledge and begin to process the myriad components of the experience. A survivor who was assaulted by an acquaintance may have a particularly difficult time overcoming shock and disbelief. The experience of an acquaintance rape can also make a person question the trustworthiness of others in their life. If the assault was particularly terrifying or brutal, the survivor may experience an extreme shock response and completely block out the assault.

Following the shock and disbelief most survivors initially experience, they may experience a variety of emotions or mood swings. Survivors may feel angry, afraid, lucky to be alive, humiliated, dirty, sad, confused, vengeful, degraded. All of these responses, as well as many that are not listed, are normal. In short, whatever a survivor is feeling is valid because they are feeling it. It is how they express their reaction to the rape crisis.

Physical Concerns of the Acute Phase
Usually, the survivor will report a general soreness and aches throughout their body. Survivors will also report pain in the specific areas of the body that were targeted during the assault. These specific pains may be the result of actual physical trauma, or may be a psychosomatic response. Both reasons are equally valid and real.

The survivor will often notice disruptions in their usual sleeping and eating patterns. They may not be able to eat or sleep, or may eat more than usual and be unable to stay awake. Survivors may report nightmares in which they relive the assault. These may evolve into dreams in which the survivor takes the violent role in some way, in effect reclaiming the control lost during the assault. Although both types of dreams may upset a person, they are part of the healing process. Sexual assault is such a traumatic event that the survivor may dream about it in some way throughout their life.


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