During a UN-sponsored seminar on sexual violence against men and boys in conflict Dr. Ernesto Mujica discussed the psychological and biological impacts of this violence.

1. - - - - - - MDSV - - - - - -
Biological, Psychophysiological, Psychol
ogical, and Psychosocial Consequences
 Biological Consequences:
 Infections: UTI's, HIV, Hepatitis, other STDs
 Physical damage to genital areas resulting in
pain, ruptures, sexual dysfunction

2. Psychophysiological Consequences
Psychophysiological Factors of PTSD:
 Hyperarousal – exagerated startle
response, elevated BP, muscular
tension/soreness, hyperventilation, panic
attacks, physical agitation, digestive
problems/frequent stomach upset, difficulty
falling or staying asleep.
 Chronic pain , chronic fatigue
 Sexual Dysfunction: impotence / premature
ejaculation not associated with physical etiology

3. Psychological Consequences
 Flashbacks, nightmares, repetitive dreams of
assault/abuse ( PTSD)
 Recurrent intrusive thoughts, images, smells or
other perceptions, obsessive-compulsive behavior
 Foreshortened sense of future
 Dissociation and derealization
 Emotional numbing or distancing
 Emotional withdrawal, isolation, depression
 Addictions / Substance Abuse

4. Psychosocial Consequences
 Stigmatization: others may blame victim or fear
they may now become a perpetrator
 Sense of shame, anger and guilt for feeling
damaged and having been unable to prevent
assault/abuse, loss of sense of manhood
 Lack of trust of others, fear of being re-
traumatized / Social Isolation/Withdrawal
 Distancing from children and family, loss of
intimate relationships, sense of being
damaged, dirty, contagious
 Loss of Employment (due to symptoms)

6. “I want you to know, Sheila, that you'll always
be more than just another babysitter to me.”

7. “I want you to know, Paul, that you'll always be
more than just another babysitter to me.”

21. em@PsychoanalysisToday.com
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