N. Tatiana Masters

Cognitive Mediation of Women's Sexual Decision Making: The Influence of Alcohol, Contextual Factors, and Background Variables

Abstract As a result of the current STI epidemic, women are at particularly high risk. Sexual relations with men are the greatest source of risk for women in contracting HIV or other STIs. Because the male condom is still the most effective means of protection against these diseases, prevention efforts for women need to concentrate on the ability to effectively negotiate condom use. To date, research has primarily addressed the role of knowledge, attitudes, and beliefs about condoms in predicting their use rather than the situation within which individuals make sexual decisions. Our first goal is to present a theoretical model focusing on the situational influences and cognitive processes occurring at the time of a womans sexual interaction with a man. The underlying premise for this model is that sexual decision making is mediated by a series of primary and secondary appraisals during the sexual encounter. Our second goal is to discuss specific contextual influences on womens cognitions during the process leading to sexual decision making. We review the literature on the effects of alcohol consumption, relationship status, and sexual arousal on the cognitive appraisal process, as well as on sexual decision making. Finally, although our main interest is the specific situation and context, we also review the influence of background factors and experiences that are especially relevant to the cognitive appraisal process, including alcohol expectancies, sexual victimization, sexuality-related characteristics, relationship-related characteristics, and other personality traits. Examining womens cognitive processes at the time of a sexual encounter can yield information that will enhance womens power to protect themselves against HIV and other STIs.

Women’s Awareness of and Discomfort With Sexual Assault Cues Effects of Alcohol Consumption and Relationship Type

Two studies examined the effects of alcohol and relationship type on women’s sexual assault risk perception. Study 1 participants (N = 62) consumed a moderate alcohol dose or nonalcoholic beverage, then rated their awareness of and discomfort with sexual assault risk cues in a hypothetical encounter with a new or established dating partner. Study 2 (N = 351) compared control, placebo, low, and high alcohol dose conditions using a similar scenario. Intoxicated women reported decreased awareness of and discomfort with risk cues. An established relationship decreased discomfort ratings. Findings indicate that alcohol may increase women’s sexual victimization likelihood through reduced sexual assault risk perception.

Effects of Alcohol Intoxication and Victimization History on Women's Sexual Assault Resistance Intentions: The Role of Secondary Cognitive Appraisals

This study used an experimental paradigm to investigate the role of secondary cognitive appraisals in womens sexual assault resistance and whether these appraisals mediated influences of alcohol and prior victimization. After consuming a beverage (control, placebo, moderate, or high dose), 351 women projected themselves into a simulated interaction with a sexually aggressive man. Four types of secondary appraisals (shock at the mans behavior, concern about his feelings, uncertainty in the situation, conflict about what to do) and three resistance strategies (assertive, polite, passive) were examined. Path modeling revealed that, as expected, intoxication and prior sexual victimization influenced secondary appraisals, which in turn influenced intended resistance. Prior adult sexual assault (ASA) and childhood sexual abuse (CSA) also had direct effects: ASA negatively predicted assertive resistance and CSA positively predicted passivity. Findings suggest that secondary appraisals are key targets for intervention to facilitate effective resistance, thereby reducing the risk of adult sexual victimization.

HOW DOES IT END? WOMEN PROJECT THE OUTCOME OF A SEXUAL ASSAULT SCENARIO

Content and thematic analyses were used to examine womens written responses to a hypothetical attempted sexual assault. A community sample (N = 371) participated in an experiment examining the effects of alcohol on sexual assault resistance. Women received a high-dose alcohol, low-dose alcohol, placebo, or control beverage and then projected themselves into a dating scenario culminating in an attempted sexual assault. Participants wrote their own endings to the story, which were analyzed qualitatively. Content analysis found that verbal and physical assertiveness were the most frequently described actions; calling out for help was less frequent. Three major themes emerged from story endings: gendered sexuality, interpersonal concerns, and empowerment. Findings included contrasting elements: Womens projected outcomes to the sexual assault scenario involved both traditional and alternative sexual scripts. Results supported the position that the current social construction of heterosexuality plays a role in high acquaintance sexual assault rates. Implications for developing effective antirape programs and for sexual assault research are discussed.

Women's responses to sexual aggression: The effects of childhood trauma, alcohol, and prior relationship.

This study examined effects of alcohol consumption (control, moderate dose, high dose) and type of relationship (new, established) on womens responses to escalating male sexual aggression. The role of childhood trauma was also examined. After consuming a beverage, participants (N=220) projected themselves into a story portraying a social interaction with a man that depicted escalating sexual aggression. The story was paused 3 times to assess assertive, polite, and passive resistance as well as consent. Alcohol consumption increased consent and interacted with type of relationship to increase passive resistance and with level of sexual aggression to increase polite resistance. Assertive resistance increased and other responses decreased as the mans sexual aggression escalated. Childhood trauma lowered consent initially and increased passive resistance when rape was threatened.

Alcohol intoxication and condom use self-efficacy effects on women's condom use intentions

Although research has consistently demonstrated that condom use self-efficacy significantly predicts condom use, there has been little investigation of whether acute alcohol intoxication moderates this relationship. Because alcohol intoxication is often associated with increased sexual risk taking, further examination of such moderating effects is warranted. Using a community sample of young heterosexual women (n=436) with a history of heavy episodic drinking, this alcohol administration experiment examined the effects of intoxication and condom use self-efficacy on womens condom negotiation and future condom use intentions. After a questionnaire session, alcohol condition (control, .10% target peak BAL) was experimentally manipulated between subjects. Participants then read and responded to a hypothetical risky sexual decision-making scenario. SEM analyses revealed that alcohol intoxication directly decreased womens intentions to use condoms in the future. Women with greater condom use self-efficacy had stronger intentions to engage in condom negotiation; however, this effect was moderated by intoxication. Specifically, the association between condom use self-efficacy and condom negotiation intentions was stronger for intoxicated women than for sober women. These novel findings regarding the synergistic effects of alcohol intoxication and condom use self-efficacy support continued prevention efforts aimed at strengthening womens condom use self-efficacy, which may reduce even those sexual risk decisions made during states of intoxication.

Explicating Alcohol's Role in Acquaintance Sexual Assault: Complementary Perspectives and Convergent Findings

This article summarizes the proceedings of a symposium presented at the 2004 meeting of the Research Society on Alcoholism (RSA) in Vancouver, British Columbia, Canada. There were four presentations and a discussant. The symposium was co-chaired by Tina Zawacki and Jeanette Norris. The first presentation was made by Jeanette Norris, who found that alcohol consumption and preexisting alcohol expectancies affected womens hypothetical responses to a vignette depicting acquaintance sexual aggression. The second presentation was made by Joel Martell, who reported that alcohol-induced impairment of executive cognitive functioning mediated the effect of intoxication on mens perceptions of a sexual assault vignette. In the third presentation, Antonia Abbey found that the experiences of women whose sexual assault involved intoxication or force were more negative than were the experiences of women whose sexual assault involved verbal coercion. The fourth presentation was made by Tina Zawacki, who reported that men who perpetrated sexual assault only in adolescence differed from men who continued perpetration into adulthood in terms of their drinking patterns and attitudes toward women. William H. George discussed these findings in terms of their implications for theory development and prevention programming.

“He Enjoys Giving Her Pleasure”: Diversity and Complexity in Young Men’s Sexual Scripts

Research on heterosexual men’s sexual expectations has focused on self-described personal traits and culturally dominant models of masculinity. In a pair of studies, we used a sexual scripts perspective to explore the range and diversity of young men’s thoughts about sex and relationships with women and to develop measures for assessing these scripts. In the first study, we conducted semi-structured interviews to elicit young men’s accounts of their sexual relationships. We used these narratives to produce brief sexual script scenarios describing typical sexual situations, as well as conventional survey items assessing sexual behavior themes. In the second study, we administered the scenarios and theme items to an ethnically diverse, national sample of 648 heterosexually active young men in an online survey. Using exploratory factor analysis, we delineated sets of sexual scripts and sexual behavior themes. In the scenarios, we found both a traditional masculine “player” script and a script that emphasized mutual sexual pleasure. Analysis of theme items produced scales of Drinking and Courtship, Monogamy and Emotion, and Sexual Focus and Variety. We discuss the implications of these findings for understanding heterosexual men’s thinking about sexuality and how cultural change in sexual thinking may arise. We also discuss the need for measures of sexual thinking that better integrate perceptions and expectations about the partner as well as the self in relation to the partner, rather than solely self-assessed traits.

Predicting Sexual Assault Perpetration Among Heterosexually Active Young Men

Data from an online community sample of young men were analyzed to test predictors of sexual assault perpetration. We used structural equation modeling to test the relative contributions of specific sub-types of childhood adversity to subsequent sexual aggression. Mediators included hostile masculinity, impersonal sexual behavior and attitudes, and substance use variables. Findings suggested that childhood sexual abuse had direct and mediated effects on sexual assault perpetration, but hostile masculinity was the only proximal factor significantly related to aggression. Childhood polytrauma was also associated with increased perpetration risk, suggesting that prevention efforts may be aided by increased attention to childhood maltreatment.

How Childhood Maltreatment Profiles of Male Victims Predict Adult Perpetration and Psychosocial Functioning

This study used latent class analysis to empirically identify subgroups of men based on their exposure to childhood maltreatment (i.e., emotional neglect and abuse, physical neglect and abuse, and sexual abuse). It then examined subgroups’ differential perpetration of adult intimate partner violence (IPV; both psychological and physical), violence against peers, and sexual assault. Finally, we compared sociodemographic variables and psychosocial functioning across profiles to characterize the adult experiences of men in different maltreatment groups. The community sample consisted of 626 heterosexually active 21- to 30-year-old men. We identified four subgroups: Low Maltreatment (80% of the sample), Emotional and Physical Maltreatment (12%), Emotional and Sexual Maltreatment (4%), and Poly-Victimized (4%). The Low Maltreatment group had significantly lower IPV perpetration rates than the Emotional and Physical Maltreatment group, but groups did not significantly differ on peer violence or sexual assault perpetration rates. Overall, Poly-Victimized men were significantly worse off than the Low Maltreatment group regarding income, education level, and incarceration history. Their rates of recent anxiety and depression symptoms were also higher than those of Low Maltreatment men. Findings support the use of person-oriented techniques for deriving patterns of childhood maltreatment and how these patterns relate to psychological, behavioral, and social factors in adulthood.