Epstein Secrets

g health-care providers require train- ing focused on minimizing negative and increasing positive social reactions. Starzynski, Ullman, Filipas, and Townsend (2005) recommended that becoming aware of rape myths will help formal support providers including health-care providers move beyond the notion tha

d in the review examined women's experi- ences of delayed disclosure to a range of health-care providers. Health-care providers included physicians (Ahrens, Campbell, Terrier-Thames, Vasco, & Sefi, 2007; Diaz et al., 2004; Fili- pas & Ullman, 2001; Golding et al., 1989; Mazza, Dennerstein, & Ryan, 1996

2006; Filipas & Ullman, 2001; Lessing, 2005; Muganyizi et al., 2009; Plumbo, 1995; Popiel & Sus- skind, 1985; Ullman, 1996b; Ullman & Siegel, 1995). Ahrens, Cabral, and Abeling (2009) found that "emotional support from medical staff was almost always considered healing" for survivors (p. 87). Emotion

rac- teristics (e.g., age, income level, education level, race). and the contextual characteristics of the crimes. Starzynski. Ullman. Filipas, and Townsend (2005) emphasized that deciding whom to tell about sexual assault is an important and potentially consequential decision for sexual assault survivo

). An ecological model of the impact of sexual assault on women's mental health. Trauma. Violence. & Abuse. 10.225-246. Campbell. R.. Wasco. S. M.. Ahrens. C. E.. Sefl, T.. & Barnes. H. E (2001). Preventing the "second rape": Rape survivors' experiences with community service providers. Journal of int

losure of a subsequent assault than those without prior victimization (Smith et al., 2000; Ullman, 1996). This is in contrast with the findings of Ahrens et al. (2010), who report no dif- ference in rates of prior sexual trauma between early and delayed disclosers. In addition, the victim's age appear

nce coping. It is con- ceivable that they delay their disclosure as a result of rape-induced psychological distress (Starzynski, Ullman, Filipas, & Townsend, 2005), not necessarily the severity of the assault. Although the final model showed acceptable goodness of fit, the percentage of explained varia