During a UN-sponsored seminar on sexual violence against men and boys in conflict Dr. Chris Dolan and Alastair Hilton highlight the challenges of determining the scope of male-directed sexual violence in conflict. Chris Dolan is the director of the Refugee Law Project in Uganda. Alastair Hilton is a founder of First Step Cambodia, an NGO dedicated to providing services to male survivors of sexual violence and their supporters.
Defining the scope & challenges of Male-Directed Sexual Violence
1. The United States Mission to the United Nations &
Office of the Special Representative of the Secretary-General on Sexual Violence in Conflict
“Male-Directed Sexual Violence:
Increasing Understanding for a Better Response”
New York, 25th & 26th July 2013
Defining the Scope & Challenges
Dr. Chris Dolan – Refugee Law Project, Uganda
Alastair Hilton - First Step Cambodia
3. Percentage
Prevalence of child physical abuse &
child sexual abuse by sex (Non conflict)
UNICEF EAPRO (2012),
Systematic Review of
Child Maltreatment
5. KEY ISSUES & CHALLENGES
• Invisibility & lack of survivors voices
• Resistance to acknowledging the issue
• Dealing with fears that this will reduce
commitment and resources to women & girls
• Lack of comprehensive research and
understanding (Needs, effective
interventions)
• No knowledge of peace time abuse of males
• Lack of inclusion & analysis – Social & Legal
frameworks
6. • Existing and dominant perceptions of males
• Concerns and difficulties engaging with males
• Understanding boys, men, masculinities &
help seeking behaviours
• Problems with engagement and empathy
• Training, Resources & Support structures
• Lack of choices, services and safe spaces
• Discrimination & homophobia
• Few examples of meaningful support that
meets the needs of men and boys
7. Long term considerations
• Prevention, Protection & development of a
range of sensitive supports specifically
designed for males of different ages
• Outcomes from this conference... across and
within UN family & International Community
• Educating the ‘International Community’
Donors, Governments, stake holders
• Engage those working with refugees &
asylum seekers overseas (e.g. Australia, UK)
• Consideration of the impact of sexual
violence – long term consequences
8. • Research (e.g. Prevention, Resilience,
What works?)
• Avoiding ‘top down’, ‘one size fits all’
approaches, promoting local
knowledge, experiences, perspectives &
strengths
• Addressing our complicity in
perpetuating the ‘silence’ that
surrounds this issue
9. Can we match the
courage of survivors
with the determination
to do what it takes?
13. Sexual Violence Against Men As A Global Phenomenon
• Data Suggest Conflict-Related Sexual Violence Against Men is Widespread
•
Conflict-related sexual
violence against men
has been documented in
over 25 conflicts in the
past decade alone.
Yet the problem is
largely ignored. In 2002,
only 3% of NGOs
working in the area of
“war rape and other
forms of sexual violence”
mentioned male victims.
e.g. ‘We Will Teach You a Lesson’ Sexual
Violence against Tamils by Sri Lankan
Security Forces – HRW 2012
June 23, 2013
In Debate Over Military Sexual Assault, Men Are Overlooked Victims
By JAMES DAO
Sexual assault has emerged as one of the defining issues for the military this
year. Reports of assaults are up, as are questions about whether commanders
have taken the problem seriously. Bills to toughen penalties and prosecution
have been introduced in Congress.
But in a debate that has focused largely on women, this fact is often
overlooked: the majority of service members who are sexually assaulted each
year are men.
In its latest report on sexual assault, the Pentagon estimated that
26,000 service members experienced unwanted sexual contact in
2012, up from 19,000 in 2010. Of those cases, the Pentagon says, 53
percent involved attacks on men, mostly by other men.
14. Work of Lynn Lawry et al (JAMA, August 2008) suggests that we need to
look not just at civilian population, but also (particularly) at former
combatants: In Liberia they found that while 9.2% of civilian women had
experienced sexual violence during conflict, this rose to 42.3% of female
combatants, and while 7.4% of male civilians had experienced sexual
violence during conflict, this rose to 32.6% of male combatants: Need to
shed assumptions about combatants as perpetrators only
Where are we looking?
Initial results from comprehensive screening of refugees presenting at
RLP offices suggest that prevalence amongst male refugees is much
higher than anticipated: Refugee populations should be key sites
for investigation and intervention
Also, sexual exploitation while
refugees; i.e. both a cause of
becoming a refugee, and an
effect of being one
15. The Spaces where Sexual Violence takes place
Torture Cells
Prisons
Military Camps & Training centres
HOMES
16. The Forms Sexual Violence Against Men can take
In addition to anal rape, victims/survivors also mention:
-being gang-raped by captors
-having ropes tied to the genitalia and being pulled around by this rope
-linking two men using ropes tied to their genitalia and making them walk in
opposite directions
-being made to dig holes in the ground, or in trees, and then to rub themselves
in that hole to the point of ejaculation
-being forced to have anal or oral sex with fellow detainees, or with brothers,
or fathers
-being forced into sexual acts while being watched by their own children and
spouses
-being used as a mattress while soldiers rape their family members on top of
them
-being held for lengthy periods of time as sexual slaves
-having electric wires attached to the genitalia
We need to stop
thinking that it is
only or all about
anal rapeWe need to be
aware of direct
and “indirect”
(some of)
17. The Impacts of Sexual Violence on Men and Boys – the Five „P‟s
Physical
Psychological
Psycho-sexual (NB sex worker narratives)
Psycho-Social: Family, Community, Inability to Work
Political
19. Sexual Violence
In Conflict
Physical Damage (e.g. Fistula)
Infection (e.g. STIs, HIV)
Depression
Family
issues
Partner/Husband
Children
Parents/Siblings
“Indirect” Trauma
Community Shaming
Woman as
‘useless’:
“Whore”
Beating
Distancing/
Neglect
Eviction
Forced
Relations
Child of rape
Domestic
Violence in Peace
20. Sexual Violence
In Conflict
Physical Damage (e.g. Fissures)
Castration
Infection (e.g. STIs, HIV)
Depression
Family
issues
Partner/Wife
Children
Parents/Siblings
“Indirect” Trauma
Community Shaming
Man as ‘useless’:
“Gay”(not earning,
not protecting)
Beating
(perp/victim)
Distancing/
Neglect
Abandonment
Social
Humiliation
No respect
from children
No attention to
children
Domestic Violence
in Peace
Impotence
Gender Challenge - Emasculation
Sexuality Challenge “Homosexual”
ECONOMIC Challenge – physical
sequelae
21. What differentiates
Sexual Violence on Men and Boys during Conflict
from
Sexual Abuse of Boys and Men in ‘peace’time?
Conflict “Peace” Time
Public
Common
Pain,
Suffering
Private/Secret
psycho-sexually & Socially more mature psycho-sexually & socially
immature
Enemy Perpetrator
„Friendly‟ Abuser (friend, family
member, respected authority figure, etc
22. Is it worth responding to Sexual Violence Against
Men & Boys in Conflict/Post-Conflict/Exile
settings? Or does it undermine existing important
agendas of working on Violence Against Women &
Girls?
If even one woman is raped, that is too many – but if only one man is raped, it‟s not
really relevant?
We should respond to it on principle:
-As human suffering, with a concomitant right to repair
We should respond to it from an instrumental
perspective:
-As a source of transgenerational trauma… and a
source of social and political dysfunction
23.
24. Political Resistance:
nationhood built through
idealisation of militarised
masculinity: No states want
to admit their own men were
raped, no states want to
admit their own soldiers were
perpetrators
political Resistance:
institutions built through
asserting a monopoly on
victimisation
Challenges & Key Steps
25. Challenges
Silences: Male victims are disproportionately silenced… by
themselves, by their communities, their governments, by service
providers, by media (nb independent re SSI)
Scale: if silence is broken, demand far outstrips supply (nb
programming gaps tomorrow)
Substantive content of intervention:
1) Referral Systems
2) „so you‟ve dealt with our bodies – now what about our minds?‟
(and social relations, and perpetrator accountability?)
Shifting from Gender-exclusive to Gender-Inclusive
Programming
1) Funding
2) Skills-sets
Break Silence – this
meeting is an
important step
Motivate for more
resources, not a
share of existing
Respond to the whole
person – including how he
is situated in society
Reform training of
-Humanitarian workers
-Lawyers
-Medical personnel
-Social Workers
-Media
-Nb Gender Inclusive does not
necessarily mean everyone in the
same space
Document the different
dimensions and the
scale of the issue
Expanding the geographical and
temporal locus of intervention,
from conflict situations to post-
conflict and exile settings: UNDP &
UNHCR as critical partners
Key Steps
26. Building a Wall Against
Domestic Violence by properly addressing
Sexual Violence
Surgical Repair
Diagnosis & Treatment(Counseling) Masculinities (re) Education
Sexuality (re) Education
Couple & Family CounsellingFighting Legal Impunity
Changes in Medical Training
IGAs for Survivors
Structural Changes…
New referral pathwaysMessaging to Men
Refresh „Gender‟
28. Some questions for Group Discussion:
- Which changes are we are aware of in recent years in working
on this set of issues?
- Which are the primary obstacles we encounter?
- Do we think it is possible/advisable to see to make the argument
for more resources rather than sharing existing ones?
- What are the most important roles and strengths of UN, Civil
Society, Gov‟t, Academia?
Editor's Notes
Thank you and welcome, it is a great pleasure to be here at what is without doubt an historic event... Etc... Chris and I have perhaps 30 minutes to share just some of the Scope and Challenges of this problem... I will focus my part of the presentation based on my experiences of working in the UK, Cambodia and emerging findings from research with service providers across five continents, not necessarily within conflict zones... As I believe there is much to be learned from many different contexts. Chris will focus a little more on conflict zones, based on his considerable experiences of the last decade or more. (Can amend after discussion)Without doubt, one of the most significant challenges we encounter in our work is the ‘culture of silence’ and ‘invisibility’ of this issue across the spectrum of humanity. Whilst things are without doubt changing, (as evidenced by us being here today) the sexual abuse of males in any setting is often shrouded in secrecy, the opinions of many are influenced by powerful and in many cases, harmful beliefs and myths; as a result this issue is characterised in many if not most settings by a sense of inertia, a lack of realistic commitment and confusion. Assumptions made about male victims becoming abusers, becoming or being gay, (or both) and their experiences, merely compound the problem.This culture of silence and confusion should not be underestimated; At Government and institutional level, including the ‘international community’, powerful institutions, donors, and of course this also applies to communities, families... and many male victims and survivors themselves. This culture of silence and invisibility ultimately only serves to empower those who perpetrate such abuse, and/or those who wish to keep it secret?Therefore one comment that I would like to make at the beginning of this event, is to reflect for a moment on how the very language we use to describe a problem can often disguise exactly what we are trying to bring into the open?Quite a few people have said to me in the lead up to this event that they were not sure what ‘male directed sexual violence’ means, whilst other assumed that it had something to do with men organising sexual violence... I have been asked on more than one occasion ‘is this about working with perpetrators?’We do not speak of ‘female directed sexual violence’? So I would like to ask if we can begin this important and historic event by at least being clear about what it is we are here to discuss... Which is ... sexual violence committed against men and boys...We must also not forget that this includes sexual minorities, gay men, transgender individuals etc. Important to remember the great diversity of identities of males when we talk about men and boys... this phrase will mean something different to all of us based here today based on our own identity, personal and professional experiences and it crucial that we are inclusive from the outset.
One in Six: it is generally accepted now that prevalence studies of CSA of males suggests that one in six males has experienced sexual abuse at some time in their lives... Studies ranging from 2% - 54% in some cases ( Bangladesh, 38%, Trinidad, Jamaica, men between 19 and 30, (54%) retrospective studies).It often intrigues me as to the prevalence of sexual abuse of boys and men before the conflicts and there seems to be relatively little knowledge about this? (I wonder what would be discovered if we asked that question)I have noted a general reluctance amongst some, perhaps many in the field of development to acknowledge the growing evidence that globally, the sexual abuse of men and boys is considerably underestimated...Many are also uncomfortable at some of the emerging evidence that challenges long established and accepted principles that males are a small number of the total experiencing abuse... I was recently at a regional Unicef meeting in Bangkok where a considerable number of researchers shared their findings that in many cases in the East Asian and Pacific region the evidence seems to suggest that in multiple prevalence studies, boys appear to be abused in greater numbers than girls.This made a number of people I think very uncomfortable indeed...
Back in 1990, Fran Sepler, (quoted in Mathew Mendel’s seminal work ‘The Male Survivor’)She wrote of what she termed ‘the feminisation of victimisation’... Where essentially women and girls are considered victims and men and boys the perpetrators... This leaves little or no room for consideration or analysis of males as victims or females as perpetrators.23 years later this is in many settings and institutions still the most powerful influence on research, policy, legal frameworks, strategic planning, definitions and donor contributions. There are many examples of how this can manifest itself on the ground:Donor Policy: e.g Aus Aid > EVAW (2013), DC donor... Of the hundreds of emails and links I receive each year about potential funding opportunities there are virtually none for supporting sexual abuse of boys and men... Increasing opportunities for engaging men to stop violence which is important... But... Little else, men and boys can rightly say “Why is this so?”South Pacific > sometimes this resistance can take on quite alarming characteristics? (“Don’t expect me to feel sorry for men”) Through to simply not mentioning this issue at all, so ‘invisibility’ as I have said is perhaps our greatest challengeIf we continue to engage with men only or predominantly on the basis of them as violent - without acknowledging their own victimisation, as boys and men, we fail – when men and boys ask ‘Why do people only want to help girls and women?’, what do we say?
How this ‘feminisation of victimisation’ manifests itself in perpetuating the silence – and we have to find ways to address this at all levels.I will now briefly share some of the issues and challenges that I consider to be important to address in the next two days and beyond... This is not an exhaustive list and in many respects we could spend two days on each of these points... But this is based on research, experience and some discussions with colleagues in different settings befor I came to NY.(note to Chris – I will talk briefly to these points before handing over to you)
Survivors who speak out, often in very unsafe circumstances, often many years after have demonstrated considerable courage...One question for all of us is perhaps...Can we match that courage with the determination to do what it takes to find inclusive and effective long term solutions? I hope that in the next two days, we can begin to answer that question...