Most rape survivors go through two phases of disorganization before regaining their ability to live normally: an acute phase of humiliation and self-blame,and a longer phase marked by

A) strong self-denial.
B) rejection of social and sexual relations with others.
C) extensive exercise and physical activity.
D) phobic reactions

The sentence suggests that after the acute phase of humiliation and self-blame, there is a longer phase that is marked by something else. The only option related to emotions or psychological reactions is phobic reactions, which could be a common symptom after a traumatic event like rape. Therefore, D is the best answer. Options A, B, and C are not supported by the sentence.