Military sexual assault is a pervasive problem throughout the military services, despite numerous initiatives to end it. No doubt the military’s lack of progress stems from the complexity of sexual assaults, yet in order to develop effective strategies and programs to end sexual assault, deep understanding and appreciation of these complexities are needed. In this paper, we describe the root causes and numerous myths surrounding sexual assault, the military cultural factors that may unintentionally contribute to sexual assault, and the uncomfortable issues surrounding sexual assault that are often ignored (such as the prevalence of male sexual assault within the military). We conclude by offering a broad, yet comprehensive set of recommendations that considers all of these factors for developing effective strategies and programs for ending sexual assault within in the military.
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National Defense Research Institute (NDRI). Sexual assault and sexual harassment in the military: top-line estimates for active-duty service members from the 2014 RAND military workplace study. Washington, D.C.; 2014. This report contains the most recent estimates of sexual harassment and assaults occurring with the military.
Street A, Vogt D, Dutra L. A new generation of women veterans: stressors faced by women deployed to Iraq and Afghanistan. Clin Psychol Rev. 2009;29(8):685–94.
Turchik J, Wilson S. Sexual assault in the US military: a review of the literature and recommendations for the future. Aggress Violent Behav. 2010;15(4):267–77.
Hall M, Hall J. The long-term effects of childhood sexual abuse: counseling implications. 2011. http://www.counseling.org/docs/disaster-and-trauma_sexual-abuse/long-term-effects-of-childhood-sexual-abuse.pdf?sfvrsn=2. Accessed 01 Feb 2015.
Krebs C, Lindquist C, Warner T, Fisher B, Martin S. College women’s experiences with physically forced, alcohol-or other drug-enabled, and drug-facilitated sexual assault before and since entering college. J Am Coll Health. 2009;57(6):639–49.
Defense Manpower Data Center. 2012 Workplace and gender relations survey of active duty members. Washington: Department of Defense; 2013.
Krug E, Mercy J, Dahlberg L, Zwi A. The world report on violence and health. Lancet. 2002;360(9339):1083–8.
Watts C, Zimmerman C. Violence against women: global scope and magnitude. Lancet. 2002;359(9313):1232–7.
Department of Defense. Sexual Assault Prevention and Response (SAPR) Program. Directive number 6495.01. 2015 Jan 20.
Dripps D. After rape law: will the turn to consent normalize the prosecution of sexual assault. Akron Law Rev. 2008;41:957–80.
Department of Defense. Annual report on sexual assault in the military. Washington, D.C.; 2013.
Department of Defense. Report to the President of the United States on Sexual Assault Prevention and Response. Washington, D.C.; 2014. This Department of Defense (DoD) report to the President of the United States details the progress and efforts that DoD has made in sexual assault prevention. It is an important source for what has and hasn’t been done.
Kang H, Dalager N, Mahan C, Ishii E. The role of sexual assault on the risk of PTSD among gulf war veterans. Ann Epidemiol. 2005;15(3):191–5.
Yaeger D, Himmelfarb N, Cammack A, Mintz J. DSM‐IV diagnosed posttraumatic stress disorder in women veterans with and without military sexual trauma. J Gen Intern Med. 2006;21(S3):S65–9.
Campbell R, Greeson M, Bybee D, Raja S. The co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment: a mediational model of posttraumatic stress disorder and physical health outcomes. J Consult Clin Psychol. 2008;76(2):194–207.
Hankin C, Skinner K, Sullivan L, Miller D, Frayne S, Tripp T. Prevalence of depressive and alcohol abuse symptoms among women VA outpatients who report experiencing sexual assault while in the military. J Trauma Stress. 1999;12(4):601–12.
Lang A, Rodgers C, Laffaye C, Satz L, Dresselhaus T, Stein M. Sexual trauma, posttraumatic stress disorder, and health behavior. Behav Med. 2003;28(4):150–8.
Laws A, Golding J. Sexual assault history and eating disorder symptoms among White, Hispanic, and African-American women and men. Am J Public Health. 1996;86(4):579–82.
Skinner K, Kressin N, Frayne S, Tripp T, Hankin C, Miller D, et al. The prevalence of military sexual assault among female Veterans’ Administration outpatients. J Interpers Violence. 2000;15(3):291–310.
Frayne S, Skinner K, Sullivan L, Tripp T, Hankin C, Kressin N. Medical profile of women veterans administration outpatients who report a history of sexual assault occurring while in the military. J Womens Health Gend Based. 1999;8(6):835–45.
Smith S, Breiding M. Chronic disease and health behaviours linked to experiences of non-consensual sex among women and men. Public Health. 2011;125(9):653–9.
Castro C, Kintzle S, Hassan A. The State of the American Veteran: the Los Angeles County veterans study. 2014. http://cir.usc.edu. Accessed 01 Feb 2015.
Dichter ME, True, G. This is the story of why my military career ended before it should have: premature separation from military service among U.S. women veterans. Affilia. Published online 14 Oct 2014.
Brown P. Trauma sets female veterans adrift back home. The New York Times. 2013 Feb 27. http://www.nytimes.com/2013/02/28/us/female-veterans-face-limbo-in-lives-on-the-street.html?pagewanted=all. Accessed 01 Feb 2015.
Hunter M. Honor betrayed: sexual abuse in America’s military. Fort Lee: Barricade Books Incorporated; 2007.
Kurpius S, Lucart A. Military and civilian undergraduates: attitudes toward women, masculinity, and authoritarianism. Sex Roles. 2000;43(3–4):255–65.
Aosved A, Long P. Co-occurrence of rape myth acceptance, sexism, racism, homophobia, ageism, classism, and religious intolerance. Sex Roles. 2006;55(7–8):481–92.
Murnen S, Wright C, Kaluzny G. If “boys will be boys”, then girls will be victims? A meta-analytic review of the research that relates masculine ideology to sexual aggression. Sex Roles. 2002;46(11–12):359–75.
Santana M, Raj A, Decker M, La Marche A, Silverman J. Masculine gender roles associated with increased sexual risk and intimate partner violence perpetration among young adult men. J Urban Health. 2006;83(4):575–85.
Katz L, Bloor L, Cojucar G, Draper T. Women who served in Iraq seeking mental health services: relationships between military sexual trauma, symptoms, and readjustment. Psychol Serv. 2007;4(4):239–49. This paper details the long-term impact of sexual assault on the victims that persists years after the assault occurs and provides useful recommendations for caring for these victims.
Hannagan R, Arrow H. Reengineering gender relations in modern militaries: an evolutionary perspective. J Trauma Dissociation. 2011;12(3):305–23.
Neill K. Duty, honor, rape: sexual assault against women during war. J Int Women’s Stud. 2000;2(1):43–51.
Merrill L, Newell C, Thomsen C, Gold S, Milner J, Koss M, et al. Childhood abuse and sexual revictimization in a female Navy recruit sample. J Trauma Stress. 1999;12(2):211–25.
Sadler A, Booth B, Cook B, Doebbeling B. Factors associated with women’s risk of rape in the military environment. Am J Ind Med. 2003;43(3):262–73.
Arata C. Child sexual abuse and sexual revictimization. Clin Psychol Sci Pract. 2002;9(2):135–64.
Katz J, May P, Sörensen S, DelTosta J. Sexual revictimization during women’s first year of college: self-blame and sexual refusal assertiveness as possible mechanisms. J Interpers Violence. 2010;25(11):2113–26.
Messman-Moore T, Walsh K, DiLillo D. Emotion dysregulation and risky sexual behavior in revictimization. Child Abuse Negl. 2010;34(12):967–76.
Rich C, Gidycz C, Warkentin J, Loh C, Weiland P. Child and adolescent abuse and subsequent victimization: a prospective study. Child Abuse Negl. 2005;29(12):1373–94.
Ullman S, Najdowski C, Filipas H. Child sexual abuse, post-traumatic stress disorder, and substance use: predictors of revictimization in adult sexual assault survivors. J Child Sex Abus. 2009;18(4):367–85.
Hill M, Fischer A. Does entitlement mediate the link between masculinity and rape-related variables? J Couns Psychol. 2001;48(1):39–50.
Corbett S. The women’s war. The New York Times Magazine. 2007 March 18. http://www.nytimes.com/2007/03/18/magazine/18cover.html?pagewanted=all. Accessed 02 Feb 2015.
Bouffard LA. Exploring the utility of entitlement in understanding sexual aggression. J Crim Just. 2010;38(5):870–9.
Copelon R. Resurfacing gender: reconceptualizing crimes against women in time of war. In: Stilgmayer A, editor. Mass rape: the war against women in Bosnia-Herzegovina. U. of Nebraska Press; 1994.
Department of Defense. Report of the Defense Task Force on Sexual Harassment and Violence at the Military Service Academies. Washington, D.C.; 2005.
Abbey A, Wegner R, Woerner J, Pegram SE, Pierce J. Review of survey and experimental research that examine the relationship between alcohol consumption and men’s sexual aggression perpetration. Trauma Violence Abuse. 2014;15(4):265–82. This review article details the effects that alcohol has as an antecedent to sexual violence.
McCrummen S. The choice. The Washington Post. 12 April 2014. http://www.washingtonpost.com/sf/national/2014/04/12/the-choice/. Accessed 15 Jan 2015.
Kovaleski T, Wagner L, Escamilla F. Military women: we got fired for being raped. 4 March 2014. http://www.nbcbayarea.com/news/local/Military-Women-We-Got-Fired-For-Being-Raped-248287311.html. Accessed 15 Jan 2015.
Pershing JL. Why women don’t report sexual harassment: a case study of an elite military institution. Gend Issues. 2003;21(4):3–30.
Department of Defense. Annual report on sexual assault in the military. Fiscal year 2012. Washington, D.C.; 2012.
U.S. Department of Justice. Executive Office for United States Attorneys. United States Attorneys’ Annual Statistical Report. Fiscal year 2010. Washington, D.C.; 2010.
Bogdanich W. Reporting rape, and wishing she hadn’t. The New York Times. 2014. http://www.nytimes.com/2014/07/13/us/how-one-college-handled-a-sexual-assault-complaint.html?_r=0. Accessed 02 Feb 2015.
Campbell R, Raja S. The sexual assault and secondary victimization of female veterans: help‐seeking experiences with military and civilian social systems. Psychol Women Q. 2005;29(1):97–106.
Hamblin J. All she said was no. The Atlantic. 10 June 2014. http://www.theatlantic.com/health/archive/2014/06/opinion-columnist-questions-sexual-assault/372475/. Accessed 15 Jan 2015.
Ader M, Cuthbert R, Hoechst K, Simon EH, Strassburger M, Wishnie M. Casting troops aside: the United States military’s illegal personality disorder discharge problem. Silver Spring: Vietnam Veterans of America; 2012.
Davis K. The doctors try to turn it around like you’re crazy. Army Times. 7 Oct 2013. http://www.armytimes.com/article/20131007/CAREERS/310070008/-doctors-try-turn-around-like-you-re-crazy. Accessed 15 Jan 2015.
Kilmas J. Pentagon using change in diagnoses to hide sexual assault cases, critics charge. Washington Times. 2014. http://www.washingtontimes.com/news/2014/may/26/pentagon-using-change-in-diagnoses-to-hide-sexual-/print/. Accessed 02 Feb 2015.
Penn N. Son, men don’t get raped. GQ Magazine. 2014. http://www.gw.com/long-form/male-military-rape. Accessed 15 Jan 2015.
Rock L, Van Winkle E, Namrow N, Hurley M. 2014 Department of Defense Report of Focus Groups on Sexual Assault Prevention and Response. DMDC report no. 2014-041. Alexandria: Defense Manpower Data Center; 2014.
Barkalow C, Raab A. In the men’s house: an inside account of life in the Army by one of West Point’s first female graduates. New York: Poseidon Press; 1990.
Civil Rights Act of 1964, Pub. L. 88–352, 78 Stat. 241. 1964
Hillman EL. The“Good soldier” defense: character evidence and military rank at courts-martial. Yale Law J. 1999;108(4):879–911.
H.R. 3979, 113th Congress. Carl Levin and Howard P. “Buck” McKeon National Defense Authorization Act for Fiscal Year 2015. 2014.
Manual for Courts-Martial (MCM), United States. Mil R Evid . 2008.
Rosenthal ME. Where is the Justice? The sexual assault crisis plaguing the military and a lack of meaningful justice. Univ Miami Natl Sec Armed Conflict L Rev. 2014;295. This article provides a useful critique of the military (and civilian) justice system in holding sexual perpetrators accountable.
Protect Our Defenders. Press release: President Obama signs executive order undermining rape shield protections for victims of rape in the military. 17 June 2014. http://www.protectourdefenders.com/press-release-president-obama-signs-executive-order-undermining-rape-shield-protections-for-victims-of-rape-in-the-military/. Accessed 01 Feb 2015.
Horzepa HR. Victim blaming: an all-too-common response to sexual assault. Huffington Post. 11 Nov 2011. http://www.huffingtonpost.com/hayley-rose-horzepa/victim-blaming_b_847310.html. Accessed 15 Jan 2015.
Van den Bos K, Maas M. On the psychology of the belief in a just world: exploring experiential and rationalistic paths to victim blaming. Personal Soc Psychol Rev. 2009;35(12):1567–78.
Joint Knowledge Online (JKO) Level I Antiterrorism Awareness Training. 2015. http://jko.jten.mil/courses/atl1/launch.html. Accessed 09 Feb 2015.
Hoyt T, Klosterman Rielage J, Williams LF. Military sexual trauma in men: a review of reported rates. J Trauma Dissociation. 2011;12(3):244–60. This review article is useful in assisting in the interpretation of sexual assaults among men.
Turner C, Frayne S. Military sexual trauma: veterans health initiative independent study course. Birmingham: Department of Veterans Affairs; 2004. http://www.publichealth.va.gov/docs/vhi/military_sexual_trauma.pdf.
US Government Accountability Office (GAO). Military personnel—actions needed to address sexual assaults of male servicemembers. GAO-15-284. Washington, D.C.; 2015.
Burt MR. Cultural myths and supports for rape. J Pers Soc Psychol. 1980;38(2):217–30.
Lonsway KA, Fitzgerald LF. Rape myths in review. Psychol Women Q. 1994;18(2):133–64.
Saffer H, Grossman M. Drinking age laws and highway mortality rates: cause and effect. Econ Inq. 1987;25(3):403–17.
US Government Printing Office (GPO). National minimum drinking age. 23 U.S.C. § 158. http://www.gpo.gov/fdsys/pkg/USCODE-2011-title23/html/USCODE-2011-title23.htm. Washington, D.C.; 1984.
Champion HL, Foley KL, Durant RH, Hensberry R, Altman D, Wolfson M. Adolescent sexual victimization, use of alcohol and other substances, and other health risk behaviors. J Adolesc Health. 2004;35(4):321–8.
Mayer RR, Forster JL, Murray DM, Wagenaar AC. Social settings and situations of underage drinking. J Stud Alcohol Drugs. 1998;59(2):207–15.
Hingson RW, Zha W, Weitzman ER. Magnitude of and trends in alcohol-related mortality and morbidity among US college students ages 18–24, 1998–2005. J Stud Alcohol Drugs. 2009;16:12–20.
Fisher BS, Daigle LE, Cullen FT, Turner MG. Reporting sexual victimization to the police and others results from a national-level study of college women. Crim Justice Behav. 2003;30(1):6–38.
Ruback RB, Menard KS, Outlaw MC, Shaffer JN. Normative advice to campus crime victims: effects of gender, age, and alcohol. Violence Vict. 1999;14(4):381–96.
US Government Accountability Office (GAO). DOD’s and the coast guard’s sexual assault prevention and response programs face implementation and oversight challenges. GAO-08-924. Washington, D.C.; 2008.
US Air Force. Office of the Assistant Secretary of the Air Force. Report Concerning the Assessment of USAF Sexual Assault Prevention and Response. Washington, D.C.; 2004.
Wong L, Gerras SJ. Lying to ourselves: dishonesty in the Army profession. U.S. Army War College Strategic Studies Institute. Carlisle Barracks: United States Army War College Press; 2015.
Federal Bureau of Investigations (FBI). Uniform crime reports. Washington, D.C.: US Department of Justice; 1997.
Lisak D, Gardinier L, Nicksa SC, Cote AM. False allegations of sexual assault: an analysis of ten years of reported cases. Violence Against Women. 2010;16(12):1318–34.
Elk LC, Devereaux S. The failure of bystander intervention. The New Inquiry. 23 Dec 2014. http://thenewinquiry.com/essays/failure-of-bystander-intervention/. Accessed 15 Jan 2015.
Bradley R, Greene J, Russ E, Dutra L, Westen D. A multidimensional meta-analysis of psychotherapy for PTSD. Am J Psychiatry. 2005;162(2):214–27.
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Conflict of Interest
Carl Andrew Castro, Sara Kintzle, Ashley C. Schuyler, and Carrie L. Lucas declare that they have no conflict of interest.
Christopher H. Warner declares that he is on active duty in the US Army.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
This article is part of the Topical Collection on Military Mental Health
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Castro, C.A., Kintzle, S., Schuyler, A.C. et al. Sexual Assault in the Military. Curr Psychiatry Rep 17, 54 (2015). https://doi.org/10.1007/s11920-015-0596-7
- Sexual assault
- Root causes
- Military culture
- Myths of sexual assault