Still the last great open secret: Sexual harassment as systemic trauma.

Despite being illegal for more than half a century, sexual harassment remains today the most pervasive form of violence against women, often encompassing other forms of violence in its ambit. This stubborn and pernicious persistence rests largely on (1) a pervasive system of attitudes and beliefs, accruing over centuries and embedded in a variety of cultural institutions, that denies and rationalizes systemic abuse of women; and (2), the organizational and institutional actors that serve to maintain this system, a phenomenon that has come to be known as institutional betrayal. These phenomena, the attitudinal aspects of "rape culture" combined with the iatrogenic features of organizations, institutions, make clear that sexual harassment and the cultural system in which it is embedded is best understood as "systemic trauma" requiring multilevel prevention and intervention systems that are yet to be fully identified or understood.