Difference between revisions of "Sexual abuse" - New World Encyclopedia

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'''Sexual abuse''' (also referred to as '''molestation''') is defined by the forcing of undesired sexual acts by one person to another or sexual activity with someone that is defined as improper such as child molestation.
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'''Sexual abuse''' (also referred to as '''molestation''') is defined by the forcing of undesired [[human sexuality|sexual]] acts by one person to another, or sexual activity with someone defined as improper, such as a [[child]]. Different types of sexual abuse involve non-consensual, forced physical sexual behavior, such as [[rape]], [[sexual assault]], or [[sexual harassment]], psychological forms of abuse, such as verbal sexual behavior, or [[stalking]], or the use of a [[position of trust]] for sexual purposes. When involving a child, and the perpetrator is a member of their own [[family]], this constitutes [[incest]].
 
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Different types of sexual abuse involve non-consensual, forced physical sexual behavior such as [[rape]] or [[sexual assault]], psychological forms of abuse, such as verbal sexual behavior or [[stalking]], or the use of a [[position of trust]] for sexual purposes.
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Sexual behavior is related to the very purpose of human existence: [[Love]], the production of new [[life]], and the continuation of [[lineage]]. With such significant social ramifications, most societies set limits, through social [[norm]]s and [[taboo]]s, [[moral]] and [[religion|religious]] guidelines, and [[law|legal]] constraints, to protect those who are not ready to participate in a sexual relationship. Sexual abuse violates the sanctity of the individual—physically, emotionally, and spiritually—threatening the core of the victim's being.  
  
 
==Types==
 
==Types==
 
===Spousal sexual abuse===
 
===Spousal sexual abuse===
'''Spousal abuse''' is the term applied to the specific form of [[domestic violence]], where [[physical abuse|physical]] or sexual abuse is perpetrated by one spouse upon another. Frequently this involves forced sex (spousal rape) upon a spouse without their consent.
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'''Spousal abuse''' is the term applied to the specific form of [[domestic violence]], where [[physical abuse|physical]] or sexual abuse is perpetrated by one spouse upon another. Frequently, this involves forced sex (spousal [[rape]]) upon a spouse without their consent.
  
 
===Sexual abuse of minors===
 
===Sexual abuse of minors===
'''Child sexual abuse''' is an umbrella term describing criminal and civil offenses in which an [[adult]] engages in sexual activity with a [[minor]] or exploits a minor for the purpose of sexual gratification.<ref> ''The Sexual Exploitation of Children,'' University of Pennsylvania Center for Youth Policy Studies, U.S. National Institute of Justice, August 2001.</ref> This term includes a variety of sexual offenses, including rape, sexual molestation, or sexual exploitation. Rape occurs when an adult touches a minor for the purpose of sexual gratification; for example, rape, [[sodomy]], and sexual penetration with an object.)<ref>''Child Abuse Reported to the Police,'' Juvenile Justice Bulletin, U.S. Office of Juvenile Justice and Delinquency Prevention, May 2001.</ref> Sexual molestation includes offenses in which an adult engages in non-penetrative activity with a minor for the purpose of sexual gratification; for example, exposing a minor to pornography or to the sexual acts of others.<ref>''Criminal Investigation of Child Sexual Abuse,'' U.S. Office of Juvenile Justice and Delinquency Prevention, March 2001.</ref> Sexual exploitation involves an adult victimizing a minor for advancement, sexual gratification, or profit; for example, prostituting a child,<ref>''Prostitution of Juveniles,'' U.S. Office of Juvenile Justice and Delinquency Prevention, June, 2004.</ref> and creating or trafficking in child pornography.<ref>''Child Sexual Exploitation: Improving Investigations and Protecting Victims,'' Massachusetts Child Exploitation Network, U.S. Office of Juvenile Justice and Delinquency Prevention, January, 1995.</ref>
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'''Child sexual abuse''' is an umbrella term describing criminal and civil offenses in which an [[adult]] engages in sexual activity with a [[minor]] or exploits a minor for the purpose of sexual gratification.<ref>''The Sexual Exploitation of Children,'' University of Pennsylvania Center for Youth Policy Studies, U.S. National Institute of Justice, August 2001.</ref> This term includes a variety of sexual offenses, including [[rape]], sexual molestation, or sexual exploitation. Rape occurs when an adult touches a minor for the purpose of sexual gratification; for example, rape, [[sodomy]], and sexual penetration with an object.<ref>''Child Abuse Reported to the Police,'' Juvenile Justice Bulletin, U.S. Office of Juvenile Justice and Delinquency Prevention, May 2001.</ref> Sexual molestation includes offenses in which an adult engages in non-penetrative activity with a minor for the purpose of sexual gratification; for example, exposing a minor to [[pornography]] or to the sexual acts of others.<ref>''Criminal Investigation of Child Sexual Abuse,'' U.S. Office of Juvenile Justice and Delinquency Prevention, March 2001.</ref> Sexual exploitation involves an adult victimizing a minor for advancement, sexual gratification, or profit; for example, [[prostitution|prostituting]] a child,<ref>''Prostitution of Juveniles,'' U.S. Office of Juvenile Justice and Delinquency Prevention, June 2004.</ref> and creating or trafficking in child pornography.<ref>''Child Sexual Exploitation: Improving Investigations and Protecting Victims,'' Massachusetts Child Exploitation Network, U.S. Office of Juvenile Justice and Delinquency Prevention, January 1995.</ref>
  
In the majority of cultures and countries, sex is legal and acceptable only if both parties give [[consent (criminal)|consent]]. The age of consent, that is, the age at which the law presumes a person has the physical, emotional and sexual maturity to make an informed adult decision to enter into sexual activity, differs from jurisdiction to jurisdiction, from a low teenage in [[Italy]] and [[Spain]] to a mid to high teens age elsewhere, for example 16 in the [[United Kingdom]], 17 in [[Ireland]], 18 in [[India]]. (Some states also provide different ages of consent for homosexual boys as against heterosexual boys and girls.) Yet separately the law may specify a different age where a teenager ceases to be a child and becomes an adult. As a result, where a difference exists, it may be perfectly legal to have sex with a child where the individual, though still deemed a child in law, is above the age of consent specified in local legislation.  In most cases, the age of consent and statutory rape laws aim at protecting children and teenagers from [[exploitation]], particularly physical or psychological exploitation involving sexual behavior.
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==Legal aspects==
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In the majority of cultures and countries, sexual activity is legal and acceptable only if both parties give [[consent (criminal)|consent]]. The age of consent, that is, the age at which the [[law]] presumes a person has the physical, emotional, and sexual maturity to make an informed adult decision to enter into sexual activity, differs from jurisdiction to jurisdiction, from the low teen years in [[Italy]] and [[Spain]] to the mid to high teen years elsewhere, for example 16 in the [[United Kingdom]], 17 in [[Ireland]], 18 in [[India]]. (Some states also provide different ages of consent for [[homosexuality|homosexual]] boys as compared to heterosexual boys and girls.)  
  
====International law====
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Yet, separately the law may specify a different age where a teenager ceases to be a child and becomes an adult. As a result, where a difference exists, it may be perfectly legal to have sex with a child where the individual, though still deemed a child in law, is above the age of consent specified in local legislation. In most cases, the age of consent and statutory [[rape]] laws aim at protecting children and teenagers from [[exploitation]], particularly physical or psychological exploitation involving sexual behavior.
One hundred forty [[United Nations member states|nations]] are signatories to the [[United Nations Convention on the Rights of the Child]]. This international [[treaty]] defines a set of protections which signatories agree to provide for the children of their respective countries.<ref>[http://www.ohchr.org/english/countries/ratification/11.htm ''Signatories to the United Nations on the Convention of the Rights of the Child.'']</ref>
 
Articles 34 and 35 require that signatories protect their nations’ children from all forms of sexual exploitation and sexual abuse. This includes outlawing the coercion of a child to perform sexual activity, the prostitution of children, and the exploitation of children in creating pornography. Signatories also agree to prevent abduction, sale, or trafficking of children.<ref>[http://www.unhchr.ch/html/menu3/b/k2crc.htm ''United Nations Convention on the Rights of the Child.'']</ref>
 
  
====Penalties for child sexual abuse====
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===International law===
Penalties for child sexual abuse vary with the specific offenses for which the perpetrator has been convicted. Criminal penalties may include imprisonment, fines, registration as a sex offender, and restrictions on probation and parole. Civil penalties may include liability for damages, injunctions, involuntary commitment, and, for perpetrators related to their victims, loss of custody or parental rights.  
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One hundred forty [[United Nations member states|nations]] are signatories to the [[United Nations Convention on the Rights of the Child]]. This international [[treaty]] defines a set of protections which signatories agree to provide for the children of their respective countries.<ref>www.ohchr.org, [http://www.ohchr.org/english/countries/ratification/11.htm Signatories to the United Nations on the Convention of the Rights of the Child.] Retrieved September 22, 2007.</ref>
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Articles 34 and 35 require that signatories protect their nations’ children from all forms of sexual exploitation and sexual abuse. This includes outlawing the coercion of a child to perform sexual activity, the [[prostitution]] of children, and the exploitation of children in creating [[pornography]]. Signatories also agree to prevent [[abduction]], sale, or [[human trafficking|trafficking]] of children.<ref>www.unhchr.ch, United Nations Convention on the Rights of the Child.</ref>
  
During the last three decades many state legislatures<ref>''Child Sexual Abuse and the State,'' Ruby Andrew, ''UC Davis Law Review,'' vol. 39, 2006.</ref> have increased prison terms and other penalties for child sex offenders. This trend toward more stringent sentences generally targets those perpetrators who are repeat offenders,<ref>See, for example,''People v. Murphy,'' 19 P.3d 1129  (2001).</ref> who victimize multiple children,<ref>See, for example, ''People v. Hammer,'' 69 P.3d 436 (2003)</ref> or who stood in a position of trust with respect to their victims, such as a guardian, parent, pastor, or teacher.<ref>See, for example, ''Washington v. Grewe,'' 813 P.2d 1238 (1991).</ref>
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===Penalties for child sexual abuse===
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Penalties for child sexual abuse vary with the specific offenses for which the perpetrator has been convicted. Criminal penalties may include imprisonment, fines, registration as a sex offender, and restrictions on probation and parole. Civil penalties may include liability for damages, injunctions, involuntary commitment, and, for perpetrators related to their victims, loss of custody or parental rights.
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In the late twentieth century, many state legislatures increased [[prison]] terms and other penalties for child sex offenders.<ref>Ruby Andrew, Child Sexual Abuse and the State, ''UC Davis Law Review,'' vol. 39, 2006.</ref> This trend toward more stringent sentences generally targets those perpetrators who are repeat offenders,<ref>''People v. Murphy,'' 19 P.3d 1129  (2001).</ref> who victimize multiple children,<ref>''People v. Hammer,'' 69 P.3d 436 (2003).</ref> or who stood in a position of trust with respect to their victims, such as a guardian, parent, pastor, or teacher.<ref>''Washington v. Grewe,'' 813 P.2d 1238 (1991).</ref>
  
 
==Offenders==
 
==Offenders==
Offenders are more likely to be relatives or acquaintances of their victim than strangers.<ref>Fergusson, D. M., Lynskey, M. T., and Horwood L. J. (1996). "Childhood sexual abuse and psychiatric disorder in young adulthood: Prevalence of sexual abuse and factors associated with sexual abuse," Journal of the American Academy of Child and Adolescent Psychiatry, 35(10), 1355-64.</ref> The percentage of incidents of sexual abuse by female perpetrators that come to the attention of the legal system is usually reported to be between 1% and 4%.<ref>Denov, M, S. (2003) The myth of innocence: sexual scripts and the recognition of child sexual abuse by female perpetrators. The Journal of Sex Research, Vol, 40, No, 3, 2003: pp. 303-314.</ref> Studies of sexual misconduct in US schools female sex offenders have showed mixed results with rates between 4% to 43% of female offenders.<ref name="Shakeshaft25">Shakeshaft, C, "Educator Sexual Misconduct: A Synthesis of the Literature," U.S. Department of Education, 2004, p25.</ref> In U.S. schools, educators who offend range in age from "21 to 75 years old, with an average age of 28" with teachers, coaches, substitute teachers, bus drivers and teacher's aids (in that order) totaling 69% of the offenders.<ref>Shakeshaft, C, "Educator Sexual Misconduct: A Synthesis of the Literature," U.S. Department of Education, 2004, p24-25.</ref>
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Offenders are more likely to be relatives or acquaintances of their victim than strangers.<ref>D.M. Fergusson, M.T. Lynskey, and L.J. Horwood, "Childhood sexual abuse and psychiatric disorder in young adulthood: Prevalence of sexual abuse and factors associated with sexual abuse," ''Journal of the American Academy of Child and Adolescent Psychiatry'' 35(10): 1355-64.</ref> The percentage of incidents of sexual abuse by female perpetrators that come to the attention of the legal system is usually reported as between 1 percent and 4 percent.<ref>M.S. Denov, "The myth of innocence: sexual scripts and the recognition of child sexual abuse by female perpetrators," ''The Journal of Sex Research'' 40, 3 (2003): 303-314.</ref> Studies of sexual misconduct in U.S. [[school]]s female sex offenders have showed mixed results with rates between 4 percent to 43 percent of female offenders.<ref>C. Shakeshaft, ''Educator Sexual Misconduct: A Synthesis of the Literature'' (U.S. Department of Education, 2004), p. 25.</ref> In U.S. schools, educators who offend range in age from "21 to 75 years old, with an average age of 28" with teachers, coaches, substitute teachers, bus drivers, and teacher's aids (in that order) totaling 69 percent of the offenders.<ref>Ibid.</ref>
  
 
===Typology===
 
===Typology===
Typologies for child sex offenders have been used since the 1970s. Male offenders are typically classified by their motivation, which is usually assessed by reviewing their offense's characteristics. [[Phallometric]] tests may also be used to determine the abuser's level of [[Pedophilia|pedophilic]] interest.<ref>Terry, Karen J., and Tallon, Jennifer. "[http://www.usccb.org/nrb/johnjaystudy/litreview.pdf Child Sexual Abuse: A Review of the Literature.]"</ref> Groth et al. proposed a simple, dichotomous system in 1982 which classed offenders as either "regressed" or "fixated."<ref>Groth, A.N., Hobson, W.F. and Gary, T.S. (1982). "[http://mhawestchester.org/mhaeducation/incestmono7.asp The child molester: clinical observations.]" In ''Journal of Social Work and Child Sexual Abuse'', 1(1/2), 129-144.</ref> There are generally two types of offenders: regressed and fixated.
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Typologies for child sex offenders have been used since the 1970s. Male offenders are typically classified by their [[motivation]], which is usually assessed by reviewing their offense's characteristics. [[Phallometric]] tests may also be used to determine the abuser's level of [[Pedophilia|pedophilic]] interest.<ref>Karen J. Terry and Jennifer Tallon, [http://www.usccb.org/nrb/johnjaystudy/litreview.pdf Child Sexual Abuse: A Review of the Literature.] Retrieved September 22, 2007.</ref> Groth et al. proposed a simple, dichotomous system in 1982, which classed offenders as either "regressed" or "fixated."<ref>A.N. Groth, W.F. Hobson, and T.S. Gary, The child molester: Clinical observations, ''Journal of Social Work and Child Sexual Abuse'' 1(1/2), 129-144. </ref> There are generally two types of offenders: Regressed and fixated.
  
 
Regressed offenders are primarily attracted to their own age group but are passively aroused by minors.
 
Regressed offenders are primarily attracted to their own age group but are passively aroused by minors.
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*The person's passive interest in children is manifested temporarily upon the consumption of alcohol and acted upon while inhibitions were low.
 
*The person's passive interest in children is manifested temporarily upon the consumption of alcohol and acted upon while inhibitions were low.
  
Fixated offenders are most often adult pedophiles who are [[maladaptive]] to accepted social norms. The sexual acts are typically preconceived and are not alcohol or drug related. Maletzky (1993) found that, of his sample of 4,402 convicted pedophilic offenders, the vast majority were male with only 0.4 percent being female.<ref>Maletzky, B.M. (1993). "Factors associated with success and failure in the behavioral and cognitive treatment of sexual offenders," ''Annals of Sex Research'', 6, 241-258.</ref>
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Fixated offenders are most often adult pedophiles who are [[maladaptive]] to accepted social norms. The sexual acts are typically preconceived and are not alcohol or drug related. Maletzky (1993) found that, of his sample of 4,402 convicted pedophilic offenders, the vast majority were male with only 0.4 percent being female.<ref>B.M. Maletzky, "Factors associated with success and failure in the behavioral and cognitive treatment of sexual offenders," ''Annals of Sex Research'' 6: 241-258.</ref>
  
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==Effects of sexual abuse==
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===Developmental===
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Research has shown that traumatic stress, including stress caused by sexual abuse, causes notable changes in [[brain]] functioning and development.<ref>Daniel Siegel, ''Developing Mind: How Relationships and the Brain Interact to Shape Who We Are'' (Guilford Press, 2001, ISBN 978-1572307407).</ref>
  
==Effects of Sexual Abuse==
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Various studies have suggested that severe child sexual abuse may have a deleterious effect on brain development. Ito et al. (1998) found "reversed hemispheric asymmetry and greater left hemisphere coherence in abused subjects;"<ref>Y. Ito, et al., [http://neuro.psychiatryonline.org/cgi/content/full/10/3/298 Preliminary evidence for aberrant cortical development in abused children: a quantitative EEG study,] ''The Journal of Neuropsychiatry and Clinical Neurosciences,'' 10: 298–307. Retrieved September 22, 2007.</ref> Anderson et al. (2002) recorded abnormal [[Relaxation (NMR)|transverse relaxation]] time in the cerebellar vermis of adults sexually abused in childhood; Teicher et al. (1993) found that child sexual abuse was associated with a reduced [[corpus callosum]] area; various studies have found an association of reduced volume of the left hippocampus with child sexual abuse;<ref>Martin H. Teicher, [http://jillium.nfshost.com/scarsthatwontheal.pdf Scars That Won't Heal: The Neurobiology of Child Abuse], ''Scientific American magazine,'' 2003.</ref> and Ito et al. (1993) found increased electrophysiological abnormalities in sexually abused children.  
Research has shown that traumatic stress, including stress caused by sexual abuse, causes notable changes in brain functioning and development. <ref>Developing Mind, Daniel Siegel, Guilford Press, 1999</ref><ref>Perry, Bruce (2007). ''The Boy Who Was Raised As a Dog.'' ISBN 0465056520</ref>.  
 
  
Various studies have suggested that severe child sexual abuse may have a deleterious effect on brain development. Ito et al. (1998) found "reversed hemispheric asymmetry and greater left hemisphere coherence in abused subjects;"<ref>Ito Y, Teicher MH, Glod CA, et al: [http://neuro.psychiatryonline.org/cgi/content/full/10/3/298 "Preliminary evidence for aberrant cortical development in abused children: a quantitative EEG study,"] ''The Journal of Neuropsychiatry and Clinical Neurosciences'', 10:298–307</ref> Teicher et al. (1993) found that an increased likelihood of "ictal temporal lobe epilepsy-like symptoms" in abused subjects;<ref name="epi">Teicher MH, Glod CA, Surrey J, et al: Early childhood abuse and limbic system ratings in adult psychiatric outpatients. J Neuropsychiatry Clin. Neuroscience 1993; 5:301–306</ref> Anderson et al. (2002) recorded abnormal [[Relaxation (NMR)|transverse relaxation]] time in the cerebellar vermis of adults sexually abused in childhood;<ref>Anderson CM, Teicher MH, Polcari A, et al: Abnormal T2 relaxation time in the cerebellar vermis of adults sexually abused in childhood: potential role of the vermis in stress-enhanced risk for drug abuse. Psychoneuroendocrinology 2002; 27(1-2):231-244</ref> Teicher et al. (1993) found that child sexual abuse was associated with a reduced [[corpus callosum]] area; various studies have found an association of reduced volume of the left hippocampus with child sexual abuse;<ref name="scars">Teicher, Martin H. (2002). "[http://jillium.nfshost.com/scarsthatwontheal.pdf Scars That Won't Heal: The Neurobiology of Child Abuse]," Scientific American magazine.</ref> and Ito et al. (1993) found increased electrophysiological abnormalities in sexually abused children. <ref>Ito Y, Teicher MH, Glod CA, et al (1993). "Increased prevalence of electrophysiological abnormalities in children with psychological, physical, and sexual abuse," ''The Journal of Neuropsychiatry and Clinical Neurosciences'', 5:401–408</ref>
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Navalta et al. (2006) found that the self-reported math [[Scholastic Aptitude Test]] scores of their sample of women with a history of repeated child sexual abuse were significantly lower than the self-reported math SAT scores of their non-abused sample. Because the abused subjects verbal SAT scores were high, they hypothesized that the low math SAT scores could "stem from a defect in hemispheric integration," which, they say, "could be a consequence of reduced corpus callosal area." They also found a strong association between short term [[memory]] impairments for all categories tested (verbal, visual, and global) and the duration of the abuse.<ref>Carryl P. Navalta, et al., "Effects of Childhood Sexual Abuse on Neuropsychological and Cognitive Function in College Women," ''The Journal of Neuropsychiatry and Clinical Neurosciences,'' 18: 45-53.</ref> The authors hypothesized that the development of brain regions which [[myelin]]ate over decades (such as the corpus callosum and [[hippocampus]]) may be disturbed by stress, because stress hormones such as [[cortisol]] suppress the final mitosis of [[granule cells]] and thereby the production of the [[oligodendrocytes]] and [[Schwann cells]] that form the [[myelin sheath]].
  
Some studies indicate that sexual or physical abuse in children can lead to the overexcitation of an undeveloped [[limbic system]].<ref name="scars" />  Teicher et al. (1993)<ref name="epi" /> used the "Limbic System Checklist-33" to measure ictal temporal lobe epilepsy-like symptoms in 253 adults. Reports of child sexual abuse were associated with a 49% increase to LSCL-33 scores, 11% higher than the associated increase of self-reported physical abuse. Reports of both physical and sexual abuse were associated with a 113% increase. Male and female victims were similarly affected.<ref name="epi" /><ref>Arehart-Treichel, Joan (2001). [http://pn.psychiatryonline.org/cgi/content/full/36/5/36 "Psychological Abuse May Cause Changes in Brain,"] Psychiatric News. March 2, 2001</ref>
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===Psychological===
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Sufferers of sexual abuse can experience a wide range of psychological trauma. Problems include [[depression (psychology)|depression]], [[anxiety]], [[guilt]], [[fear]], sexual dysfunction, withdrawal, and acting out. These effects can occur over a very short or long period of time following abuse. Most effects are made manifest within the first two years following abuse. Victims may display regressive behavior, such as thumb sucking or bed wetting. Abuse can also lead to self-destructive behavior such as alcoholism, drug abuse, anxiety attacks or insomnia. Many victims suffer from chronically low [[self-esteem]] and blame themselves for the attacks.<ref>APA Online, [http://www.apa.org/releases/sexabuse/effects.html What are the Effects of Sexual Abuse?] Retrieved September 15, 2007.</ref>
  
A study by Gilbertson found that individuals with a smaller hippocampal volume are more disposed to the development of PTSD.<ref>Gilbertson, M. V., Shenton, M. E., Ciszeskwi, A., Kasai, K., Lasko, N. B., Orr, S. P., and Pitman, R. K. 2002. Smaller hippocampal volume predicts pathologic vulnerability to psychological trauma, Nature Neuroscience, 5, 1242-47.</ref> This is supported by studies which show that those who have shown damage also have a history of neurocognitive abnormalities.<ref>Gurvits, T. V., Gilbertson, M. W., Lasko, N. B., Tarhan, A. S., Simeon, D., Macklin, M. L., Orr, S. P., and Pitman, . K. 2000. Neurological soft signs in chronic posttraumatic stress disorder. Archives of General Psychiatry, 57, 181-186.</ref>  McNally gave his view on the recent research into this area in his book ''Remembering Trauma'': <blockquote> Another myth debunked by recent research is the notion that elevated cortisol in PTSD has damaged the hippocampi of survivors. Not only is cortisol seldom elevated in PTSD, but smaller hippocampi in those with the disorder are best tributed to genetic factors, not traumatic stress. A smaller hippocampus may constitute a vulnerability for the disorder among those exposed to trauma.<ref>McNally, R. J. (2003). Remembering Trauma. The Belknap press of Harvard University press, p. 157</ref></blockquote>  King et al. (2001), studying 5 to 7 year old girls who had been abused within the last two months, found victims of early sexual abuse had significantly lower cortisol levels than control subjects.<ref>King J.A., Mandansky D., King S., et al. (2001) "Early sexual abuse and low cortisol." Psychiatry and Clinical Neurosciences 55:71–4</ref> However, other studies have found an increase in cortisol levels among victims of child sexual abuse and trauma and damage to various parts of the brain.<ref>Developing Mind, Daniel Siegel, Guilford Press, 1999, p. 11, 248.</ref><ref>Perry, Bruce (2007). ''The Boy Who Was Raised As a Dog.'', pg. 64, ISBN 0465056520</ref> "Fear literally arises from the core of the brain, affecting all brain areas and their functions in rapidly expanding waves of neurchemical acticity...also important is a stress hormone called cortisol.," p. 64.
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===Social===
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Victims of sexual abuse often do not interact well with others following abuse. Some victims may develop a [[fear]] or [[anxiety]] about the opposite sex, resulting in strained social interactions. Other victims can exhibit deviant sexual behavior or become hyper-sexualized. This hyper-sexualization may result in promiscuity in some and [[prostitution]] in others. Victims of abuse often have intimacy issues and cannot trust other people. Past victims may have difficulty [[parenting]] and may abuse their own children.<ref>Coolnurse, [http://www.coolnurse.com/sexual_abuse_adult.htm The Effects of Child Sexual Abuse On an Adult Survivor.] Retrieved September 15, 2007.</ref>
  
A short-term longitudinal study of hippocampal volume in thirty-seven trauma survivors by Bonne et al. found no progressive reduction of the hippocampus between 1 week and 6 months after the traumatic incident. Regarding this, they speculated that structural changes to the hippocampus may only occur if the victim's exposure to traumatization is prolonged; that it may take longer than 6 months for any change in volume to manifest; or that a change in volume may have taken place in the period between the incident and the first assessment. They also found that there was no significant difference between the hippocampal volume of survivors of trauma who developed PTSD and those who did not. Because of these findings, they concluded that "smaller hippocampal volume is not a necessary risk factor for developing PTSD and does not occur within 6 months of expressing the disorder."<ref>Quoted from the abstract of Bonne et al. (2001), p.2148</ref> This study did not specifically focus on child sexual abuse victims.<ref>O. Bonne, D. Brandes, A. Gilboa, J.M. Gomori, M.E. Shenton, R.K. Pitman et al. (2001). "[http://ajp.psychiatryonline.org/cgi/reprint/158/8/1248.pdf Longitudinal MRI study of hippocampal volume in trauma survivors with PTSD,]" ''Am J Psychiatry''; 158:1248–1251</ref>
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==Reporting sexual abuse==
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Understanding the pervasiveness of sexual abuse in society is difficult for two reasons: Victims often do not feel comfortable reporting their abuse and abuse often occurs at such an early age that victims cannot accurately remember it.<ref>Psychiatric News, [http://pn.psychiatryonline.org/cgi/content/full/38/12/14 False Sex Abuse Accusations Leads to Revision of Theories.] Retrieved September 15, 2007.</ref> False reports of abuse can be disruptive to all involved from the supposed victim to the alleged attacker whose reputation is then sullied.
  
Navalta et al. (2006) found that the self-reported math [[Scholastic Aptitude Test]] scores of their sample of women with a history of repeated child sexual abuse were significantly lower than the self-reported math SAT scores of their non-abused sample. Because the abused subjects verbal SAT scores were high, they hypothesized that the low math SAT scores could "stem from a defect in hemispheric integration," which, they say, "could be a consequence of reduced corpus callosal area." They also found a strong association between short term memory impairments for all categories tested (verbal, visual, and global) and the duration of the abuse.<ref name="navalta">Navalta, Carryl P., et al. (2006). "Effects of Childhood Sexual Abuse on Neuropsychological and Cognitive Function in College Women," ''The Journal of Neuropsychiatry and Clinical Neurosciences'', 18:45-53</ref> The authors hypothesized that the development of brain regions which [[myelin]]ate over decades (such as the corpus callosum and hippocampus) may be disturbed by stress, because stress hormones such as [[cortisol]] suppress the final mitosis of [[granule cells]] and thereby the production of the [[oligodendrocytes]] and [[Schwann cells]] that form the [[myelin sheath]].<ref name="navalta" />
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The nature of sexual abuse leads many to become overly afraid and suspicious about the possibility, resulting in scares such as the "Daycare Sexual Abuse" hysteria in the 1980s and 1990s, in which daycare workers were accused of ritual sexual abuse of children in America, Canada, and New Zealand. During the scare, concerned [[police]] officers used questionable interrogation tactics on children to elicit tales of abuse by their parents and caregivers, many of which were later found to be untrue.<ref>Frontline, [http://www.pbs.org/wgbh/pages/frontline/shows/innocence/etc/other.html Innocence Lost the Plea.] Retrieved September 16, 2007.</ref>
  
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Victims fear reporting their abuse for a number of reasons. First, they are often abused by a close contact and may have mixed feelings about the person. The victims may feel [[loyalty]] and even [[love]] for their attacker. Often the abuser is seen as an authority figure who tells their victim not to discuss their "secret" with other adults. When the abuser is a member of the victims family, or a trusted adult such as a caregiver, teacher, or priest, it is especially difficult for a child to go against their abuser's direction. These intimate relationships also lead to tensions within families or social circles as the victims often have to see their attackers on a regular or daily basis. Victims fear their social lives may be torn apart by leveling allegations against another person. Second, victims may fear retribution either from their attacker or society in general. This would especially be a problem in situations where the attacker is a family member or close associate with whom the victim has regular contact. Retribution may take the form of physical violence, ostracism, or other forms of psychological attack.
  
 
==Notes==
 
==Notes==
<small><references/></small>
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<references/>
  
 
==References==
 
==References==
* Aba, C. (1992). ''Sexual Assaults on Students.'' London: Harper and Row.
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* Aba, C. 1992. ''Sexual Assaults on Students.'' London: Harper and Row.
* Billie Wright Dzeich and Linda Weiner, 1984 (2nd ed. 1990). ''The Lecherous Professor: Sexual Harassment on Campus.'' Boston: Beacon Press.
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* Dzeich, Billie Wright, and Linda Weiner. 1984. ''The Lecherous Professor: Sexual Harassment on Campus.'' University of Illinois Press. ISBN 978-0252061189.  
* Doris Van Stone, (1990). ''No Place to Cry: The Hurt and Healing of Sexual Abuse.'' Moody Publishers.
+
* Masson, Jeffrey Moussaieff. 2003. ''The Assault on Truth: Freud's Suppression of the Seduction Theory.'' Ballantine Books. ISBN 0345452798.
* [[Jeffrey Moussaieff Masson]]: ''The Assault on Truth: Freud's Suppression of the Seduction Theory'' (1984) ISBN 0-374-10642-8, (2003 Ballantine Books, ISBN 0345452798)
+
* Perry, Bruce. 2007. ''The Boy Who Was Raised As a Dog''. Basic Books. ISBN 0465056520.
* Renvoizé, Jean (1982). ''Incest: A Family Pattern'', London: Routledge & Kegan Paul. ISBN 0-71009-073-0.
+
* Renvoizé, Jean. 1982. ''Incest: A Family Pattern.'' London: Routledge & Kegan Paul. ISBN 0710090730.
* Sorenson,Susan B. (1997). ''Violence and Sexual Abuse at Home: Current Issues in Spousal Battering and Child Maltreatment'', New York: Haworth Press. ISBN 1-56024-681-2.
+
* Siegel, Daniel. 2001. ''Developing Mind: How Relationships and the Brain Interact to Shape Who We Are''. Guilford Press. ISBN 978-1572307407.
 +
* Sorenson, Susan B. 1997. ''Violence and Sexual Abuse at Home: Current Issues in Spousal Battering and Child Maltreatment''. New York: Haworth Press. ISBN 1-56024-681-2.
 +
* Van Stone, Doris. 1992. ''No Place to Cry: The Hurt and Healing of Sexual Abuse.'' Moody Publishers. ISBN 978-0802422781.
  
 
==External links==
 
==External links==
* American Academy of Child and Adolescent Psychiatry, [http://www.aacap.org/publications/factsfam/sexabuse.htm ''Child Sexual Abuse,''] ''Facts for Families,'' vol. 9, 2004.
+
All links retrieved January 26, 2023.
* American Psychological Association, [http://www.apa.org/journals/features/law111194.pdf Disclosure of Child Sexual Abuse,] ''Psychology, Public Policy, and Law.'' vol. 11, 2005.
+
 
 
* Andrew, R.,  [http://papers.ssrn.com/sol3/papers.cfm?abstract_id=904100 ''Child Sexual Abuse and the State,''] ''UC Davis Law Review,'' vol. 39, 2006.
 
* Andrew, R.,  [http://papers.ssrn.com/sol3/papers.cfm?abstract_id=904100 ''Child Sexual Abuse and the State,''] ''UC Davis Law Review,'' vol. 39, 2006.
* U.S. Dept. of Health and Human Services, [http://www.childwelfare.gov/pubs/statsinfo/nis3.cfm Executive Summary of the Third National Incidence Study of Child Abuse and Neglect,] 1996.
 
* U.S. Dept. of Justice, [http://www.ojp.usdoj.gov/bjs/abstract/saycrle.htm ''Sexual Assault of Young Children as Reported to Law Enforcement,''] 2000.
 
 
* U.S. Dept. of Justice, [http://www.ncjrs.gov/html/ojjdp/portable_guides/csa_02/index.html ''Sexually Transmitted Diseases and Child Sexual Abuse,''] 2001.
 
* U.S. Dept. of Justice, [http://www.ncjrs.gov/html/ojjdp/portable_guides/csa_02/index.html ''Sexually Transmitted Diseases and Child Sexual Abuse,''] 2001.
* [[Andrew Vachss|Vachss, A.]], [http://www.vachss.com/av_dispatches/nyt-11202005.html ''The Incest Loophole,''] ''New York Times,'' Nov. 20, 2005.
+
* Vachss, A., [http://www.vachss.com/av_dispatches/nyt-11202005.html ''The Incest Loophole,''] ''New York Times,'' Nov. 20, 2005.
* Vigil, J. et al., [http://web.missouri.edu/~gearyd/Vigiletal%5BDP2005%5D.pdf A Life History Assessment of Early Childhood Sexual Abuse in Women,] ''Developmental Psychology,'' 2005.
+
* [http://www.usdoj.gov/ovw/statesexual.htm List of State Sexual Assault Coalitions]
 
* [http://www.nsopr.gov National Sex Offender Public Registry]
 
* [http://www.theawarenesscenter.org/ The Awareness Center, Inc. (Jewish Coalition Against Sexual Abuse/Assault)]
 
* [http://www.childhelpusa.org/ ChildHelp US (National Child Abuse Hotline)]
 
* [http://www.malesurvivor.org/ MaleSurvivor: National Organization against Male Sexual Victimization]
 
* [http://www.protect.org PROTECT: The National Organization to Protect Children]
 
* [http://www.rainn.org/ RAINN (Rape, Abuse, Incest, National Network)]
 
* [http://www.snapnetwork.org/ SNAP (Survivors Network of those Abused by Priests)]
 
* [http://www.voices-action.org VOICES in Action (Victims of Incest Can Emerge Survivors)]
 
* [http://www.havoca.org/ Help for Adult Victims of Child Abuse] ''UK-based organization.''
 
  
 
{{Credits|Sexual_abuse|143028568|Child_sexual_abuse|142771809|}}
 
{{Credits|Sexual_abuse|143028568|Child_sexual_abuse|142771809|}}

Latest revision as of 19:52, 21 April 2023


Sexual abuse (also referred to as molestation) is defined by the forcing of undesired sexual acts by one person to another, or sexual activity with someone defined as improper, such as a child. Different types of sexual abuse involve non-consensual, forced physical sexual behavior, such as rape, sexual assault, or sexual harassment, psychological forms of abuse, such as verbal sexual behavior, or stalking, or the use of a position of trust for sexual purposes. When involving a child, and the perpetrator is a member of their own family, this constitutes incest.

Sexual behavior is related to the very purpose of human existence: Love, the production of new life, and the continuation of lineage. With such significant social ramifications, most societies set limits, through social norms and taboos, moral and religious guidelines, and legal constraints, to protect those who are not ready to participate in a sexual relationship. Sexual abuse violates the sanctity of the individual—physically, emotionally, and spiritually—threatening the core of the victim's being.

Types

Spousal sexual abuse

Spousal abuse is the term applied to the specific form of domestic violence, where physical or sexual abuse is perpetrated by one spouse upon another. Frequently, this involves forced sex (spousal rape) upon a spouse without their consent.

Sexual abuse of minors

Child sexual abuse is an umbrella term describing criminal and civil offenses in which an adult engages in sexual activity with a minor or exploits a minor for the purpose of sexual gratification.[1] This term includes a variety of sexual offenses, including rape, sexual molestation, or sexual exploitation. Rape occurs when an adult touches a minor for the purpose of sexual gratification; for example, rape, sodomy, and sexual penetration with an object.[2] Sexual molestation includes offenses in which an adult engages in non-penetrative activity with a minor for the purpose of sexual gratification; for example, exposing a minor to pornography or to the sexual acts of others.[3] Sexual exploitation involves an adult victimizing a minor for advancement, sexual gratification, or profit; for example, prostituting a child,[4] and creating or trafficking in child pornography.[5]

Legal aspects

In the majority of cultures and countries, sexual activity is legal and acceptable only if both parties give consent. The age of consent, that is, the age at which the law presumes a person has the physical, emotional, and sexual maturity to make an informed adult decision to enter into sexual activity, differs from jurisdiction to jurisdiction, from the low teen years in Italy and Spain to the mid to high teen years elsewhere, for example 16 in the United Kingdom, 17 in Ireland, 18 in India. (Some states also provide different ages of consent for homosexual boys as compared to heterosexual boys and girls.)

Yet, separately the law may specify a different age where a teenager ceases to be a child and becomes an adult. As a result, where a difference exists, it may be perfectly legal to have sex with a child where the individual, though still deemed a child in law, is above the age of consent specified in local legislation. In most cases, the age of consent and statutory rape laws aim at protecting children and teenagers from exploitation, particularly physical or psychological exploitation involving sexual behavior.

International law

One hundred forty nations are signatories to the United Nations Convention on the Rights of the Child. This international treaty defines a set of protections which signatories agree to provide for the children of their respective countries.[6] Articles 34 and 35 require that signatories protect their nations’ children from all forms of sexual exploitation and sexual abuse. This includes outlawing the coercion of a child to perform sexual activity, the prostitution of children, and the exploitation of children in creating pornography. Signatories also agree to prevent abduction, sale, or trafficking of children.[7]

Penalties for child sexual abuse

Penalties for child sexual abuse vary with the specific offenses for which the perpetrator has been convicted. Criminal penalties may include imprisonment, fines, registration as a sex offender, and restrictions on probation and parole. Civil penalties may include liability for damages, injunctions, involuntary commitment, and, for perpetrators related to their victims, loss of custody or parental rights.

In the late twentieth century, many state legislatures increased prison terms and other penalties for child sex offenders.[8] This trend toward more stringent sentences generally targets those perpetrators who are repeat offenders,[9] who victimize multiple children,[10] or who stood in a position of trust with respect to their victims, such as a guardian, parent, pastor, or teacher.[11]

Offenders

Offenders are more likely to be relatives or acquaintances of their victim than strangers.[12] The percentage of incidents of sexual abuse by female perpetrators that come to the attention of the legal system is usually reported as between 1 percent and 4 percent.[13] Studies of sexual misconduct in U.S. schools female sex offenders have showed mixed results with rates between 4 percent to 43 percent of female offenders.[14] In U.S. schools, educators who offend range in age from "21 to 75 years old, with an average age of 28" with teachers, coaches, substitute teachers, bus drivers, and teacher's aids (in that order) totaling 69 percent of the offenders.[15]

Typology

Typologies for child sex offenders have been used since the 1970s. Male offenders are typically classified by their motivation, which is usually assessed by reviewing their offense's characteristics. Phallometric tests may also be used to determine the abuser's level of pedophilic interest.[16] Groth et al. proposed a simple, dichotomous system in 1982, which classed offenders as either "regressed" or "fixated."[17] There are generally two types of offenders: Regressed and fixated.

Regressed offenders are primarily attracted to their own age group but are passively aroused by minors.

  • The sexual attraction in minors is not manifested until adulthood.
  • Their sexual conduct until adulthood is aligned with that of their own age group.
  • Their interest in minors is either not cognitively realized until well into adulthood or it was recognized early on and simply suppressed due to social taboo.

Other scenarios may include:

  • Not associating their attractions as pedosexual in nature due to cultural differences.
  • Age of consent laws were raised in their jurisdiction but mainstream views toward sex with that age group remained the same, were acted upon, then they were charged with a crime.
  • The person's passive interest in children is manifested temporarily upon the consumption of alcohol and acted upon while inhibitions were low.

Fixated offenders are most often adult pedophiles who are maladaptive to accepted social norms. The sexual acts are typically preconceived and are not alcohol or drug related. Maletzky (1993) found that, of his sample of 4,402 convicted pedophilic offenders, the vast majority were male with only 0.4 percent being female.[18]

Effects of sexual abuse

Developmental

Research has shown that traumatic stress, including stress caused by sexual abuse, causes notable changes in brain functioning and development.[19]

Various studies have suggested that severe child sexual abuse may have a deleterious effect on brain development. Ito et al. (1998) found "reversed hemispheric asymmetry and greater left hemisphere coherence in abused subjects;"[20] Anderson et al. (2002) recorded abnormal transverse relaxation time in the cerebellar vermis of adults sexually abused in childhood; Teicher et al. (1993) found that child sexual abuse was associated with a reduced corpus callosum area; various studies have found an association of reduced volume of the left hippocampus with child sexual abuse;[21] and Ito et al. (1993) found increased electrophysiological abnormalities in sexually abused children.

Navalta et al. (2006) found that the self-reported math Scholastic Aptitude Test scores of their sample of women with a history of repeated child sexual abuse were significantly lower than the self-reported math SAT scores of their non-abused sample. Because the abused subjects verbal SAT scores were high, they hypothesized that the low math SAT scores could "stem from a defect in hemispheric integration," which, they say, "could be a consequence of reduced corpus callosal area." They also found a strong association between short term memory impairments for all categories tested (verbal, visual, and global) and the duration of the abuse.[22] The authors hypothesized that the development of brain regions which myelinate over decades (such as the corpus callosum and hippocampus) may be disturbed by stress, because stress hormones such as cortisol suppress the final mitosis of granule cells and thereby the production of the oligodendrocytes and Schwann cells that form the myelin sheath.

Psychological

Sufferers of sexual abuse can experience a wide range of psychological trauma. Problems include depression, anxiety, guilt, fear, sexual dysfunction, withdrawal, and acting out. These effects can occur over a very short or long period of time following abuse. Most effects are made manifest within the first two years following abuse. Victims may display regressive behavior, such as thumb sucking or bed wetting. Abuse can also lead to self-destructive behavior such as alcoholism, drug abuse, anxiety attacks or insomnia. Many victims suffer from chronically low self-esteem and blame themselves for the attacks.[23]

Social

Victims of sexual abuse often do not interact well with others following abuse. Some victims may develop a fear or anxiety about the opposite sex, resulting in strained social interactions. Other victims can exhibit deviant sexual behavior or become hyper-sexualized. This hyper-sexualization may result in promiscuity in some and prostitution in others. Victims of abuse often have intimacy issues and cannot trust other people. Past victims may have difficulty parenting and may abuse their own children.[24]

Reporting sexual abuse

Understanding the pervasiveness of sexual abuse in society is difficult for two reasons: Victims often do not feel comfortable reporting their abuse and abuse often occurs at such an early age that victims cannot accurately remember it.[25] False reports of abuse can be disruptive to all involved from the supposed victim to the alleged attacker whose reputation is then sullied.

The nature of sexual abuse leads many to become overly afraid and suspicious about the possibility, resulting in scares such as the "Daycare Sexual Abuse" hysteria in the 1980s and 1990s, in which daycare workers were accused of ritual sexual abuse of children in America, Canada, and New Zealand. During the scare, concerned police officers used questionable interrogation tactics on children to elicit tales of abuse by their parents and caregivers, many of which were later found to be untrue.[26]

Victims fear reporting their abuse for a number of reasons. First, they are often abused by a close contact and may have mixed feelings about the person. The victims may feel loyalty and even love for their attacker. Often the abuser is seen as an authority figure who tells their victim not to discuss their "secret" with other adults. When the abuser is a member of the victims family, or a trusted adult such as a caregiver, teacher, or priest, it is especially difficult for a child to go against their abuser's direction. These intimate relationships also lead to tensions within families or social circles as the victims often have to see their attackers on a regular or daily basis. Victims fear their social lives may be torn apart by leveling allegations against another person. Second, victims may fear retribution either from their attacker or society in general. This would especially be a problem in situations where the attacker is a family member or close associate with whom the victim has regular contact. Retribution may take the form of physical violence, ostracism, or other forms of psychological attack.

Notes

  1. The Sexual Exploitation of Children, University of Pennsylvania Center for Youth Policy Studies, U.S. National Institute of Justice, August 2001.
  2. Child Abuse Reported to the Police, Juvenile Justice Bulletin, U.S. Office of Juvenile Justice and Delinquency Prevention, May 2001.
  3. Criminal Investigation of Child Sexual Abuse, U.S. Office of Juvenile Justice and Delinquency Prevention, March 2001.
  4. Prostitution of Juveniles, U.S. Office of Juvenile Justice and Delinquency Prevention, June 2004.
  5. Child Sexual Exploitation: Improving Investigations and Protecting Victims, Massachusetts Child Exploitation Network, U.S. Office of Juvenile Justice and Delinquency Prevention, January 1995.
  6. www.ohchr.org, Signatories to the United Nations on the Convention of the Rights of the Child. Retrieved September 22, 2007.
  7. www.unhchr.ch, United Nations Convention on the Rights of the Child.
  8. Ruby Andrew, Child Sexual Abuse and the State, UC Davis Law Review, vol. 39, 2006.
  9. People v. Murphy, 19 P.3d 1129 (2001).
  10. People v. Hammer, 69 P.3d 436 (2003).
  11. Washington v. Grewe, 813 P.2d 1238 (1991).
  12. D.M. Fergusson, M.T. Lynskey, and L.J. Horwood, "Childhood sexual abuse and psychiatric disorder in young adulthood: Prevalence of sexual abuse and factors associated with sexual abuse," Journal of the American Academy of Child and Adolescent Psychiatry 35(10): 1355-64.
  13. M.S. Denov, "The myth of innocence: sexual scripts and the recognition of child sexual abuse by female perpetrators," The Journal of Sex Research 40, 3 (2003): 303-314.
  14. C. Shakeshaft, Educator Sexual Misconduct: A Synthesis of the Literature (U.S. Department of Education, 2004), p. 25.
  15. Ibid.
  16. Karen J. Terry and Jennifer Tallon, Child Sexual Abuse: A Review of the Literature. Retrieved September 22, 2007.
  17. A.N. Groth, W.F. Hobson, and T.S. Gary, The child molester: Clinical observations, Journal of Social Work and Child Sexual Abuse 1(1/2), 129-144.
  18. B.M. Maletzky, "Factors associated with success and failure in the behavioral and cognitive treatment of sexual offenders," Annals of Sex Research 6: 241-258.
  19. Daniel Siegel, Developing Mind: How Relationships and the Brain Interact to Shape Who We Are (Guilford Press, 2001, ISBN 978-1572307407).
  20. Y. Ito, et al., Preliminary evidence for aberrant cortical development in abused children: a quantitative EEG study, The Journal of Neuropsychiatry and Clinical Neurosciences, 10: 298–307. Retrieved September 22, 2007.
  21. Martin H. Teicher, Scars That Won't Heal: The Neurobiology of Child Abuse, Scientific American magazine, 2003.
  22. Carryl P. Navalta, et al., "Effects of Childhood Sexual Abuse on Neuropsychological and Cognitive Function in College Women," The Journal of Neuropsychiatry and Clinical Neurosciences, 18: 45-53.
  23. APA Online, What are the Effects of Sexual Abuse? Retrieved September 15, 2007.
  24. Coolnurse, The Effects of Child Sexual Abuse On an Adult Survivor. Retrieved September 15, 2007.
  25. Psychiatric News, False Sex Abuse Accusations Leads to Revision of Theories. Retrieved September 15, 2007.
  26. Frontline, Innocence Lost the Plea. Retrieved September 16, 2007.

References
ISBN links support NWE through referral fees

  • Aba, C. 1992. Sexual Assaults on Students. London: Harper and Row.
  • Dzeich, Billie Wright, and Linda Weiner. 1984. The Lecherous Professor: Sexual Harassment on Campus. University of Illinois Press. ISBN 978-0252061189.
  • Masson, Jeffrey Moussaieff. 2003. The Assault on Truth: Freud's Suppression of the Seduction Theory. Ballantine Books. ISBN 0345452798.
  • Perry, Bruce. 2007. The Boy Who Was Raised As a Dog. Basic Books. ISBN 0465056520.
  • Renvoizé, Jean. 1982. Incest: A Family Pattern. London: Routledge & Kegan Paul. ISBN 0710090730.
  • Siegel, Daniel. 2001. Developing Mind: How Relationships and the Brain Interact to Shape Who We Are. Guilford Press. ISBN 978-1572307407.
  • Sorenson, Susan B. 1997. Violence and Sexual Abuse at Home: Current Issues in Spousal Battering and Child Maltreatment. New York: Haworth Press. ISBN 1-56024-681-2.
  • Van Stone, Doris. 1992. No Place to Cry: The Hurt and Healing of Sexual Abuse. Moody Publishers. ISBN 978-0802422781.

External links

All links retrieved January 26, 2023.


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