The patient has been a victim of a violent, sadistic rape. She is crying, and asks the nurse "Why would someone do something like that?" The nurse should explain that the primary purpose of sadistic rape is to:
1. Take pleasure from the victim's struggle and pain.
2. Express feelings of rage.
3. Feel a sense of power or mastery.
4. Relieve intolerable anxiety.
1
Rationale 1: Sadistic rapists inflict pain on victims; this torture and suffering create pleasure for the rapist. The assailant often has an antisocial personality and enjoys the torture and mutilation. Victim and assailant are usually strangers, but the assault has been planned.
Rationale 2: Anger rape involves brutality and degradation of the victim, and expresses the rapist's sense of rage and unexpressed anger. Attacks on older women are often anger attacks.
Rationale 3: Power rape provides a sense of dominance and mastery over the victim for the rapist, who often believes the victim enjoys the assault.
Rationale 4: Anxiety is not associated with a type of rape.
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