activity. Roy J. Levin and Willy Van Berlo wrote in an article in the Journal of Clinical Forensic Medicine that slight genital stimulation or stress can create erections "even though no specific sexual stimulation is present". An erection does not mean that the men consent to sex. Males can get erections even in traumatic or painful sexual situations, and this does not indicate consent. Much like female erectile response, male erectile response is involuntary, meaning that a man does not need to be aroused for his penis to become erect; mechanical stimulation is all that is necessary. Arousal and stimulation are distinct things. Stimulation is a physical response to a stimulus. Men can be physically stimulated without feeling aroused and thus causing an erection. Men can be scared and intimidated into an erection, especially if the person is older or an authority. Traumatization One notion is that males are less traumatized by the abuse experience than females are; this includes the belief that males are less negatively affected. Studies show that the long-term effects are damaging for either sex and males may especially be more damaged by social stigma and disbelief of their victimization. It is noted by Eogan and Richardson that male victims tend to feel more intense anger than female victims, while both go through similar feelings of distress after the rape. Frazier (1993) studied 74 male and 1,380 female rape victims. She found that the depression and hostility are more profound on male victims immediately post-rape than on female victims. Trauma recovery counselor Stephanie Baird says men who experience sexual attention as children often explain it to themselves as "I'm a stud, I got laid by ...". Baird explains that they do this in order to feel as if they had some power and say. Carpenter (2009, citing Mezey, 1987) finds that the "male coping strategy characterized by denial and control renders them more prone to later psychiatric problems and reduces the likelihood of seeking help". Sexual orientation Henry Leak, the chairman of the Survivors organization, stated that rape of males, as with females, has more to do with power than sexuality, and does not only happen inside the homosexual community. Sexual orientation is a complex issue, and the majority of male perpetrators who seek out boys are not homosexual. Male sexual assault victims often fear being seen as gay or weak, or believe that their assault