Online & Offline Sexual Harassment and Anxiety & Depressive Symptoms

Research Paper Title

Online and offline sexual harassment associations of anxiety and depression in an adolescent sample.

Background

The aims of this study were to study the prevalence of sexual harassment online and offline, to analyse the associations between subjection to sexual harassment and adolescents’ mental health and analyse if there are any significant differences between girls and boys. The researchers also examine if good peer-relationships interact with the associations between sexual harassment and mental health complaints.

Methods

This cross-sectional study included 594 adolescents, age 12-20. Participants responded to a web survey including the self-assessment scales Revised Children’s Anxiety and Depression Scale and Beck Youth Inventories as well as subjection to online and offline sexual harassment and peer-relational quality. Linear regression analysis was used to study whether symptoms of anxiety and depression correlated to subjection to online and offline sexual harassment and peer-relational quality.

Results

The researchers found that 48.50% of girls and 28.19% of boys reported sexual harassment victimisation. Offline was the most frequently reported site of victimisation. Online harassment correlated significantly with increased anxiety and depressive symptoms in girls but not boys. Offline harassment as well as online and offline harassment correlated significantly with increasing symptoms for both genders. Participants who reported good peer-relationships had significantly less symptoms.

Conclusions

This study shows that sexual harassment remains a common plague for adolescents, especially for girls. Offline sexual harassment is the most common form of harassment for both genders. For girls, but not for boys, online sexual harassment correlated significantly with anxiety and depressive symptoms. A strong negative correlation between satisfaction to peer-relationships and mental health symptoms was found.

Reference

Stahl, S. & Dennhag, I. (2020) Online and offline sexual harassment associations of anxiety and depression in an adolescent sample. Nordic Journal of Psychiatry. doi: 10.1080/08039488.2020.1856924. Online ahead of print.

On This Day … 22 December

People (Deaths)

  • 1902 – Richard von Krafft-Ebing, German-Austrian psychiatrist and author (b. 1840).

Richard von Krafft-Ebing

Richard Freiherr von Krafft-Ebing (1840-1902; full name Richard Fridolin Joseph Freiherr Krafft von Festenberg auf Frohnberg, genannt von Ebing) was an Austro–German psychiatrist and author of the foundational work Psychopathia Sexualis (1886).

Life

Krafft-Ebing was born in 1840 in Mannheim, Germany, studied medicine at the University of Heidelberg, where he specialised in psychiatry. He later practiced in psychiatric asylums. After leaving his work in asylums, he pursued a career in psychiatry, forensics, and hypnosis.

He died in Graz in 1902. He was recognised as an authority on deviant sexual behaviour and its medicolegal aspects.

Principal Work

Krafft-Ebing’s principal work is Psychopathia Sexualis: eine Klinisch-Forensische Studie (Sexual Psychopathy: A Clinical-Forensic Study), which was first published in 1886 and expanded in subsequent editions. The last edition from the hand of the author (the twelfth) contained a total of 238 case histories of human sexual behaviour.

Translations of various editions of this book introduced to English such terms as “sadist” (derived from the brutal sexual practices depicted in the novels of the Marquis de Sade), “masochist”, (derived from the name of Leopold von Sacher-Masoch), “homosexuality”, “bisexuality”, “necrophilia”, and “anilingus”.

Psychopathia Sexualis is a forensic reference book for psychiatrists, physicians, and judges. Written in an academic style, its introduction noted that, to discourage lay readers, the author had deliberately chosen a scientific term for the title of the book and that he had written parts of it in Latin for the same purpose.

Psychopathia Sexualis was one of the first books about sexual practices that studied homosexuality/bisexuality. It proposed consideration of the mental state of sex criminals in legal judgements of their crimes. During its time, it became the leading medico–legal textual authority on sexual pathology.

The twelfth and final edition of Psychopathia Sexualis presented four categories of what Krafft-Ebing called “cerebral neuroses”:

  • Paradoxia, sexual excitement occurring independently of the period of the physiological processes in the generative organs.
  • Anaesthesia, absence of sexual instinct.
  • Hyperaesthesia, increased desire, satyriasis.
  • Paraesthesia, perversion of the sexual instinct, i.e., excitability of the sexual functions to inadequate stimuli.

The term “hetero-sexual” is used, but not in chapter or section headings. The term “bi-sexuality” appears twice in the 7th edition, and more frequently in the 12th.

There is no mention of sexual activity with children in Chapter III, General Pathology, where the “cerebral neuroses” (including sexuality the paraesthesia’s) are covered. Various sexual acts with children are mentioned in Chapter IV, Special Pathology, but always in the context of specific mental disorders, such as dementia, epilepsy, and paranoia, never as resulting from its own disorder. However, Chapter V on sexual crimes has a section on sexual crimes with children. This section is brief in the 7th edition, but is expanded in the 12th to cover Non-Psychopathological Cases and Psychopathological Cases, in which latter subsection the term paedophilia erotica is used.

Krafft-Ebing considered procreation the purpose of sexual desire and that any form of recreational sex was a perversion of the sex drive. “With opportunity for the natural satisfaction of the sexual instinct, every expression of it that does not correspond with the purpose of nature – i.e., propagation, – must be regarded as perverse.” Hence, he concluded that homosexuals suffered a degree of sexual perversion because homosexual practices could not result in procreation. In some cases, homosexual libido was classified as a moral vice induced by the early practice of masturbation. Krafft-Ebing proposed a theory of homosexuality as biologically anomalous and originating in the embryonic and foetal stages of gestation, which evolved into a “sexual inversion” of the brain. In 1901, in an article in the Jahrbuch für sexuelle Zwischenstufen (Yearbook for Intermediate Sexual Types), he changed the biological term from anomaly to differentiation.

Although the primary focus is on sexual behaviour in men, there are sections on Sadism in Woman, Masochism in Woman, and Lesbian Love. Several of the cases of sexual activity with children were committed by women.

Krafft-Ebing’s conclusions about homosexuality are now largely forgotten, partly because Sigmund Freud’s theories were more interesting to physicians (who considered homosexuality to be a psychological problem) and partly because he incurred the enmity of the Austrian Catholic Church when he psychologically associated martyrdom (a desire for sanctity) with hysteria and masochism.

Book: Working with Sexual Issues in Psychotherapy

Book Title:

Working with Sexual Issues in Psychotherapy: A Practical Guide Using a Systemic Social Constructionist Framework (Basic Texts in Counselling and Psychotherapy).

Author(s): Desa Markovic.

Year: 2017.

Edition: First (1st).

Publisher: Red Globe Press.

Type(s): Paperback and Kindle.

Synopsis:

Whilst many psychotherapists work skilfully and creatively with the subject of sex, the lack of professional support systems such as training and supervision mean that the topic is often still treated as taboo in the psychotherapy room.

This secretive treatment may increase clients feelings of shame and embarrassment, thus mirroring the confusing views on sexuality in society and leading to the onset and development of sexual dysfunctions.

Bringing the medical perspective of sexology together with systemic psychotherapy informed by social constructionism, this timely book seeks to fill the gap in psychotherapy literature, research and training by providing a theoretical framework, as well as practical guidance, for effective therapeutic interventions in working with sex and sexual relationships in clinical practice.

Exploring topics such as sexual prejudice, the significance of sexual diversity and the assessment and treatment of sexual dysfunctions, enriched with a wealth of engaging case studies, Working with Sexual Issues in Psychotherapy is a fascinating and important read both for students new to this complex topic, and for practitioners looking for a comprehensive source of reference.