This is the abstract that was submitted online with the paper: Despite the fact that many survivors of human trafficking have experienced complex trauma, there are no established interventions designed to specifically address these impacts. Leaders in the field of complex trauma have advocated for the need for somatic approaches to intervention. This paper presents STARS Experiential Group treatment, the first structured bodybased group intervention that has been designed to address complex trauma in survivors of human trafficking. Three pilot groups were run in residential settings with adolescent and adult survivors of sex trafficking. Two adaptations were utilized, with one focusing on application of expressive arts modalities and the other incorporating theater games. Qualitative results, using thematic analysis, identified several themes related to challenges and potential benefits of these groups. Potential benefits of the STARS groups were found in the areas of Interpersonal Relationships, Regulation, and Self/ Identity, with fourteen sub-themes further describing positive impacts. Challenges within these areas are explored, to inform the development of group interventions for trafficking survivors. The results of this paper suggest that experiential, somatically-oriented group treatment shows promise as an important element of holistic intervention with trafficking survivors.
Sexual coercion is a pervasive problem but rarely examined in men. This study examined sexual coercion and psychosocial correlates among 284 diverse adolescent and emerging adult males in high school and college. Over 4 in 10 participants (43%) experienced sexual coercion: more specifically, the participants reported: verbal coercion (31%, n ϭ 86), seduction coercion (26%, n ϭ 73), physical coercion (18% n ϭ 52), and substance coercion (7%, n ϭ 19). Rates were comparable across high school and college students. Racial differences were found such that Asian participants reported significantly lower rates of sexual coercion than Black, White, and Latino participants. Ninety-five percent of the respondents reported women as the perpetrators; participants also described internal obligation, seductive, and peer pressure tactics in descriptions of coercion experiences. Sexual coercion tactic (i.e., verbal, substance, seduction, physical) and resulting sexual activity (i.e., fondling/attempted intercourse, completed intercourse) were associated with psychosocial outcomes. Specifically, sexual coercion that resulted in sexual intercourse was associated with greater sexual risk-taking and alcohol use. Verbal and substance coercion were associated with psychological distress, and substance coercion was also associated with sexual risk-taking. Considerations for future research and practice implications are discussed.
Objective
To determine the extent to which current U.S. based HIV/AIDS prevention and risk reduction interventions address and include aspects of cultural beliefs in definitions, curricula, measures and related theories that may contradict current safer sex messages.
Method
A comprehensive literature review was conducted to determine which published HIV/AIDS prevention and risk reduction interventions incorporated aspects of cultural beliefs.
Results
This review of 166 HIV prevention and risk reduction interventions, published between 1988 and 2010, identified 34 interventions that varied in cultural definitions and the integration of cultural concepts.
Conclusion
HIV interventions need to move beyond targeting specific populations based upon race/ethnicity, gender, sexual, drug and/or risk behaviors and incorporate cultural beliefs and experiences pertinent to an individual’s risk. Theory based interventions that incorporate cultural beliefs within a contextual framework are needed if prevention and risk reduction messages are to reach targeted at risk populations. Implications for the lack of uniformity of cultural definitions, measures and related theories are discussed and recommendations are made to ensure that cultural beliefs are acknowledged for their potential conflict with safer sex skills and practices.
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