Internal and external factors are examined as mediational processes and/or coping strategies that link four aspects of women's rape experiences to the initial and lasting effects on their post-rape adjustment, attitude toward sex and intimacy, and lifestyle changes to prevent future assaults. Data are from a multiethnic community sample of 55 women who had been victims of rape or attempted rape. A measured or observed variable simultaneous path analysis model was used to test the relationships among the traumatic circumstances, mediators, and outcome variables. More self-blame, high involvement of police or other agencies, a greater number of repeated rapes per incident, and severity of abuse predicted women's negative initial and lasting attitudes toward sex and intimacy. The implications of these findings are discussed as they relate to barriers in disclosing attempted and completed incidents of rape.