"It Went to the Very Heart of Who I Was as a Woman": The Invisible Impacts of Intimate Partner Sexual Violence.

Intimate partner sexual violence (IPSV) sits within the intersection of intimate partner violence and sexual violence. It is prevalent, yet poorly understood. Research consistently shows that IPSV is associated with many mental and physical health issues although the mental health aspects are often the most damaging. Despite this, there is poor understanding of the mechanisms through which IPSV causes trauma and poor mental health. To address this gap, I used interpretative phenomenological analysis of n = 38 in-depth interviews with women in Australia to explore their lived experiences of IPSV. The essence of IPSV was described as "Being attacked from the inside out" and comprised four themes. The first, "Shaken foundations," described devastating betrayal and loss of trust. The second, "A different kind of damage," suggested that sexual violence impacts women differently from physical or psychological violence in a relationship. The third theme, "It kills something inside you," addressed the dehumanizing aspects of IPSV. The final theme, "Lingering scar tissue," focused on the long-term impacts of IPSV on women's sexuality and relationships. The findings of this study highlight the "invisible impacts" of IPSV, which may be the pathways through which it causes trauma.