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Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
Thank you so much for trusting us with this extremely difficult question. Please know you are not alone and this does not invalidate the trauma you experienced. Arousal during sexual assault is a possible, but involuntary physiological response that does not imply consent or enjoyment. Resist the feelings of shame and self-blame that you are feeling. It is not your fault and your experiences are valid.
Survivors can experience a wide range of confusing and conflicting emotions and sensations after their assault, especially if they believe they experienced sexual arousal. Sexual arousal is a physical response that can occur even in the absence of sexual desire or consent. Arousal can be caused by fear, excitation transfer, nerve stimulation, or other factors. It is possible that your body's natural response to physical stimulation was triggered during your experience, even if those feelings are not wanted or desired.
To bring forward some research, of those who report sexual violence, it is estimated that around 1 in 20 people also describe experiencing orgasm. But the true numbers are likely much higher. For example, in a 2004 review paper, a clinician reports, “I (have) met quite a lot of victims (males) who had the full sexual response during sexual abuse…I (have) met several female victims of incest and rape who had lubrication and orgasm.” This further emphasizes that this is something many people struggle with, and there is nothing to be ashamed of.
If you are struggling with these feelings, it may be helpful to seek support from a mental health professional who specializes in trauma and sexual assault. I know it can feel embarassing to bring this up to your therapist, but if they have a background in sexual trauma, this is probably something they have heard before from other clients. Trained mental health providers can help you process your experiences and develop coping strategies to manage these difficult emotions. If you feel your therapist will not understand, perhaps you would benefit from some complementary support from others who are more knowledgable about the diverse ways trauma and violence can manifest. You do not need to go through this alone.
Thank you for asking this tough question. We are here for you if you need us.
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Grounding activity
Find a comfortable place to sit. Gently close your eyes and take a couple of deep breaths - in through your nose (count to 3), out through your mouth (count of 3). Now open your eyes and look around you. Name the following out loud:
5 – things you can see (you can look within the room and out of the window)
4 – things you can feel (what is in front of you that you can touch?)
3 – things you can hear
2 – things you can smell
1 – thing you like about yourself.
Take a deep breath to end.
From where you are sitting, look around for things that have a texture or are nice or interesting to look at.
Hold an object in your hand and bring your full focus to it. Look at where shadows fall on parts of it or maybe where there are shapes that form within the object. Feel how heavy or light it is in your hand and what the surface texture feels like under your fingers (This can also be done with a pet if you have one).
Take a deep breath to end.
Ask yourself the following questions and answer them out loud:
1. Where am I?
2. What day of the week is today?
3. What is today’s date?
4. What is the current month?
5. What is the current year?
6. How old am I?
7. What season is it?
Take a deep breath to end.
Put your right hand palm down on your left shoulder. Put your left hand palm down on your right shoulder. Choose a sentence that will strengthen you. For example: “I am powerful.” Say the sentence out loud first and pat your right hand on your left shoulder, then your left hand on your right shoulder.
Alternate the patting. Do ten pats altogether, five on each side, each time repeating your sentences aloud.
Take a deep breath to end.
Cross your arms in front of you and draw them towards your chest. With your right hand, hold your left upper arm. With your left hand, hold your right upper arm. Squeeze gently, and pull your arms inwards. Hold the squeeze for a little while, finding the right amount of squeeze for you in this moment. Hold the tension and release. Then squeeze for a little while again and release. Stay like that for a moment.
Take a deep breath to end.