alwhite comments on The decline of violence as a lens for understanding effective altruism - Less Wrong
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That's a really big question. The very short answer is that shame is experienced on a physiological level the same way trauma is experienced. A lot of people who commit sexual assault are operating under beliefs that no one wants them (shame) and so do experience a kind of threat to their psyche.
(disclaimer. This does not excuse sexual assault and is only meant to inform. If you want to decrease sexual assault, look towards the shame triggers of the perpetrator.)