A rape victim visited a rape crisis counselor weekly for 8 weeks. At the end of this counseling period, which comment by the victim best demonstrates that reorganization was successful?
a. "I have a rash on my buttocks. It itches all the time."
b. "Now I know what I did that triggered the attack on me."
c. "I'm sleeping better although I still have an occasional nightmare."
d. "I have lost 8 pounds since the attack, but I needed to lose some weight."
ANS: C
Rape-trauma syndrome is a variant of posttraumatic stress disorder. The absence of signs and symptoms of posttraumatic stress disorder suggest that the long-term reorganization phase was successfully completed. The victim's sleep has stabilized; occasional nightmares occur, even in reorganization. The distracters suggest somatic symptoms, appetite disturbances, and self-blame, all of which are indicators that the process is ongoing.
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