Intimacy after Sexual Violence

Sexual violence is a significant problem in the military and civilian communities. Sexual assault is the ultimate violation and causes grievous injuries affecting all aspects of self. The impact of the trauma can linger for many years or, for some, a lifetime, and it can have a devastating effect on a person’s ability to feel safe and engage in intimate relationships, whether sexual or nonsexual. This chapter explores the psychological injuries that occur following the trauma of sexual violence and how that trauma affects a person’s ability to be intimate in relationships. It provides information on the scope of sexual violence, adverse childhood experiences and the military and veteran populations, complex trauma, and the intersection of sexual violence and co-occurring conditions. The chapter also addresses the healing and recovery process and discusses implications for practice related to a trauma-informed approach, risk and danger, screening, assessment, and intervention.