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This article provides a review of the literature, including incidence and prevalence of sexual assault of adult males, the motivations of the perpetrators, and the physiology governing involuntary sexual responses of victims. The literature on the subject has grown considerably since the 1980s, suggesting that the sexual assault of men is not as rare as the earlier scarcity of literature on the phenomenon indicated. As of 1982, 39 states in the United States had gender-neutral rape statutes, 5 and currently all but three jurisdictions have such statutes, the exceptions being Georgia, Mississippi, and Idaho. In the United States, it is estimated that only 10 to 20 percent of female victims of sexual assault report the crime, 4 and the percentage of males who report their assaults is assumed to be lower. 3 Cases of forced or nonconsenting anal penetration were covered under the legal statute of buggery, which carried a much lesser penalty. Before 1994, the legal definition of rape in the United Kingdom was limited to cases of forced or nonconsenting vaginal penetration, thus excluding male victims. 1, 2 It is assumed that this statistic is much lower for cases of sexual assault of males. It is estimated that only about 20 to 25 percent of cases of sexual assault of females are reported in the United Kingdom. Attorneys and forensic psychiatrists must be better informed about the physiology of these phenomena to formulate evidence-based opinions.Īlthough adult male sexual assault is increasingly recognized as a problem, the literature unanimously acknowledges the data on the subject to be limited, when compared with data on female victims. Particularly within the criminal justice system, this misconception, in addition to other unfounded beliefs, has made the courts unwilling to provide legal remedy to male victims of sexual assault, especially when the victim experienced an erection or an ejaculation during the assault. Erections and ejaculations are only partially under voluntary control and are known to occur during times of extreme duress in the absence of sexual pleasure. Studies of male sexual physiology suggest that involuntary erections or ejaculations can occur in the context of nonconsensual, receptive anal sex.
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This is incorrectly understood by assailant, victim, the justice system, and the medical community as signifying consent by the victim. Many male victims, either because of physiological effects of anal rape or direct stimulation by their assailants, have an erection, ejaculate, or both during the assault. By comparison, male sexual assault victims have fewer resources and greater stigma than do female sexual assault victims. As a result of the prevalence of such beliefs, there is an underreporting of sexual assaults by male victims a lack of appropriate services for male victims and, effectively, no legal redress for male sexual assault victims. These include perceptions that men in noninstitutionalized settings are rarely sexually assaulted, that male victims are responsible for their assaults, that male sexual assault victims are less traumatized by the experience than their female counterparts, and that ejaculation is an indicator of a positive erotic experience. Myths, stereotypes, and unfounded beliefs about male sexuality, in particular male homosexuality, are widespread in legal and medical communities, as well as among agencies providing services to sexual assault victims.