Human Health — GDP2

What It is: A Concept Analysis of Sexual Coercion, LaNika Wright, Martha Alligood, PHD, RN

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6 thoughts on “Human Health — GDP2

  1. wrightla

    1.) The articles chosen to derive the final definition were articles that specifically offered definitions of sexual coercion.
    2.) The first group is that of factors that increase one’s risk of being a victim of coercion:
    • being of the female gender,
    • being of black or Hispanic decent
    • low socioeconomic status
    • having lower levels of education
    • Living away from parents prior to age 18
    • living in homes where there is a prior history of molestation, or incest,
    • being conceived to unwed parents
    • prior substance dependency, alcohol use
    • marijuana use
    • young age of onset of intercourse
    • increased number of sexual partners
    • engaging in risky sexual behaviors
    • age difference between partners
    • gender power balance and coercion in other areas of the relationship
    • persons with a history of depression, anxiety, and low self esteem
    • victims often share a traditional sex script view
    Risks of being a male perpetrator
    • . Low self esteem
    • hostile masculinity
    • high power motivation
    • sexual jealousy
    • sexual dominance
    • belief in traditional sex scripts
    • adversarial gender beliefs
    • misogynistic beliefs
    • belief in rape myths
    • history of addiction including alcohol abuse
    • addiction to pornography
    • increased number of sexual partners
    • an early age of first coitus
    • aggressive sexual fantasy,
    • sexual compulsivity
    • a desire for impersonal sex
    • dissatisfaction with current sexual experiences
    • prior history of assault
    • delinquency
    • history of aggression,
    • behavioral problems in school and throughout the community
    • problematic dating behaviors
    • partner infidelity
    • risk of cuckoldry (i.e. of becoming emotionally or financially involved with a partner’s child)
    Risk of being a female perpetrator
    • prior victim of coercion
    • hostility toward men
    • a desire for control
    • adversarial gender beliefs
    • Increased sexual activity
    • early age of coital onset
    • sexual dominance
    • sexual compulsivity
    • dissatisfaction with current sexual relationship
    • negative attitudes about sex

  2. kaind

    Hi LaNika–

    I had questions similar to those Dr. Kulas posed and I’ve read your responses to those.

    Question 1. The answer to the question about sources might need to be clarified a little more. On your poster, you included citations for only 5 articles from the 35 you reviewed. How did you pick those 5 to cite from the 35 you reviewed?

    Question 2. I was interested in the section labeled “Antecedents.” There you list types of factors:
    •Factors that increase the risk of being coerced
    •Factors that increase the risk of being a male perpetrator
    •Factors that increase the risk of being a female perpetratorConsequences

    and I wondered whether it might be important to know for each of those types what the factors might be (for example, what are the factors that increase the risk of being coerced?)

    Thank you for sumitting your work.

  3. wrightla

    1. 1.)/ 2.) After examining the articles only 35 were chosen for inclusion in the analysis. The articles used in the evolutionary method have different functions, some define the concept, some help identify surrogate terms, attributes, and related concepts, antecedents and consequences. The articles that defined various aspects sexual coercion were used to create one definition. I feel the final definition offers a thorough definition of the concept.
    3. In evaluating or soliciting a history of sexual coercion from patients, healthcare providers may first ask patients if they have had any history of sexual assault, rape, or sexual abuse. Providers may then ask have you ever had unwanted sex, specifically defining unwanted sex as: sex in exchange for drugs, money, sex you were manipulated with words or gifts or seduced into giving. Providers having an understanding of what sexual coercion is, will help them be able to define it to patients and also increase their willingness to ask patients about sexually coercive experiences.
    4. I feel the final definition is thorough. It includes the most common types of coercion- manipulation (which includes the use of money, blackmail gift giving) and chemical substances (mostly alcohol). It also includes the use of force, though not the most common form of sexual coercion, it is often the type most commonly thought of and portrayed in media.
    5. The most realistic method would be the publication of this manuscript would to inform other healthcare providers of the importance of this topic. However, in a perfect situation a campaign that would be targeted at both college students and college health providers could be implemented on campuses all across the country. The campaign would encompass the use of posters and closed circuit campus televisions which would offer definitions of sexual coercion.

  4. kulasa

    Hello Ms. Wright,
    My name is Tony Kulas and I will be judging your on-line poster. I have a few questions related to your presentation.

    Question #1 and 2: Your identification of the evolutionary method seems to synthesize many different definitions of sexual coercion in a concise manner. In your data courses, you identified approximately 70 articles total that were included for review, but it appears that based on your figure only 5 were included in the compilation. Can you explain a little bit your process of once you identified your articles for review how it is that you arrived at the articles included for the derivation of the definition of sexual coercion? Did this process leave out any important information for your final definition?

    Question #3: Your final definition includes both objective and subjective criteria which nurses or other health care professionals should evaluate. Many times (not all), objective criteria i.e. physical signs may be easily identifiable, whereas more subjective criteria i.e. manipulative tactics and deception are more difficult to evaluate. So taking your presentation a step further to see the big picture, how might health care professionals actually evaluate some of these more subjective criteria?

    Question #4: Your poster does well in arriving at the final definition of sexual coercion that appears to encompass many different facets of sexual coercion. Are there any other facets of sexual coercion that you feel were not included in this definition? These may or may not have been included in your published literature.

    Question #5: Big Picture – the next step. given your definition of Sexual Coercion, how would you go about educating healthcare professionals about this definition so that they can better evaluate whether or not a patient is a potential victim of sexual coercion?

    Thank you for your time.

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