Citation

Steenkamp MM, Litz BT, Dickstein BD, Salters-Pedneault K, Hofmann SG. J. Trauma. Stress 2013; 26(3): 394-396.

Affiliation

Department of Psychology, Boston University, Boston, Massachusetts, USA; VA Boston Healthcare System, Boston, Massachusetts, USA.

Copyright

(Copyright © 2013, International Society for Traumatic Stress Studies, Publisher John Wiley and Sons)

DOI

10.1002/jts.21804

PMID

23737299

Abstract

We respond to Bonanno's (2013) comment on our longitudinal evaluation of sexual assault survivors. Bonanno posits that minor disruption in functioning is the modal response to any stressor or trauma, yet most women we studied had marked initial symptoms in the immediate months following assault, which gradually improved over time. We argue that sexual violence is one example of intentional and malicious victimization, which differs from other experiences studied by Bonanno, such as spinal cord injury. Our study also differed from most previous studies in that it specifically examined the acute reactions period, which is the only period that can distinguish between resilience and recovery: Both trajectories ultimately involve good adaptation, but are distinguished by the degree of initial postevent disruption. We address Bonanno's contention that our results should be dismissed on methodological and statistical grounds. Our findings suggest that prior research about the frequency of resilience may in part be confounded by the degree and type of stress exposure.

Language: en