CHILD SEXUAL ABUSE
Articles for Parents
All Family Resources
Alphabetical List
  1. Children and Divorce
  2. Teenagers with Eating Disorders
  3. Teens: Alcohol and Other Drugs
  4. The Depressed Child
  5. Child Abuse - The Hidden Bruises
  6. Children Who Can't Pay Attention
  7. Children Who Won't Go to School
  8. Children and Grief
  9. Child Sexual Abuse
  10. Teen Suicide
  11. The Child with Autism
  12. Children Who Steal
  13. Children and TV Violence
  14. Children and Family Moves
  15. The Adopted Child
  16. Children with Learning Disabilities
  17. Children of Alcoholics
  18. Bedwetting
  19. The Child with a Long-Term Illness
  20. Making Day Care a Good Experience
  21. Psychiatric Medication for Children and Adolescents Part I: How Medications Are Used
  22. Normality
  23. Mental Retardation
  24. Know When to Seek Help for Your Child
  25. Who can be contacted to seek Help for Your Child
  26. Know Your Health Insurance Benefits
  27. Stepfamily Problems
  28. Responding to Child Sexual Abuse
  29. Psychiatric Medication for Children and Adolescents Part II: Types of Medications
  30. Children and AIDS
  31. When Children Have Children
  32. 11 Questions to Ask Before Psychiatric Hospital Treatment of Children and Adolescents
  33. Conduct Disorders
  34. Children's Sleep Problems
  35. Tic Disorders
  36. Helping Children After a Disaster
  37. Children and Firearms
  38. Bipolar Disorder (Manic-Depressive Illness) in Teens
  39. Children of Parents with Mental Illness
  40. The Influence of Music and Music Videos
  41. Substance Abuse Treatment for Children and Adolescents: Questions to Ask
  42. The Continuum of Care
  43. Discipline
  44. Children and Lying
  45. Lead Exposure
  46. Home Alone Children
  47. The Anxious Child
  48. Problems with Soiling and Bowel Control
  49. Schizophrenia in Children
  50. Panic Disorder in Children and Adolescents
  51. Psychiatric Medications for Children and Adolescents Part III: Questions to Ask
  52. Comprehensive Psychiatric Evaluation
  53. What is Psychotherapy For Children and Adolescents?
  54. Children and Watching TV
  55. Understanding Violent Behavior in Children & Adolescents
  56. Parenting: Preparing for Adolescence
  57. Normal Adolescent Development - Middle School and Early High School Years
  58. Normal Adolescent Development - Late High School Years and Beyond
  59. Children Online
  60. Obsessive-Compulsive Disorder in Children and Adolescents
  61. Children and Sports
  62. Talking to Your Kids About Sex
  63. Gay And Lesbian Adolescents
  64. Foster Care
  65. Children's Threats: When are they serious? 
  66. Helping Teenagers with Stress
  67. Children and The News
  68. Tobacco and Kids
  69. Asperger's Disorder
  70. Posttraumatic Stress Disorder (PTSD)
  71. Multiracial Children
  72. Children with Oppositional Defiant Disorder
  73. Self-Injury in Adolescents
  74. Advocating for Your Child
  75. Pets and Children
  76. Helping Your Teen Become a Safe Driver
  77. Grandparents Raising Grandchildren
  78. When a Pet Dies
  79. Obesity in Children and Teens
  80. Bullying #80
CHILD SEXUAL ABUSE

Child sexual abuse has been reported up to 80,000 times a year, but the number of unreported instances is far greater, because the children are afraid to tell anyone what has happened, and the legal procedure for validating an episode is difficult. The problem should be identified, the abuse stopped, and the child should receive professional help. The long-term emotional and psychological damage of sexual abuse can be devastating to the child.

Child sexual abuse can take place within the family, by a parent, step-parent, sibling or other relative; or outside the home, for example, by a friend, neighbor, child care person, teacher, or stranger. When sexual abuse has occurred, a child can develop a variety of distressing feelings, thoughts and behaviors.

No child is psychologically prepared to cope with repeated sexual stimulation. Even a two or three year old, who cannot know the sexual activity is "wrong," will develop problems resulting from the inability to cope with the overstimulation.

The child of five or older who knows and cares for the abuser becomes trapped between affection or loyalty for the person, and the sense that the sexual activities are terribly wrong. If the child tries to break away from the sexual relationship, the abuser may threaten the child with violence or loss of love. When sexual abuse occurs within the family, the child may fear the anger, jealousy or shame of other family members, or be afraid the family will break up if the secret is told.

A child who is the victim of prolonged sexual abuse usually develops low self-esteem, a feeling of worthlessness and an abnormal or distorted view of sex. The child may become withdrawn and mistrustful of adults, and can become suicidal.

Some children who have been sexually abused have difficulty relating to others except on sexual terms. Some sexually abused children become child abusers or prostitutes, or have other serious problems when they reach adulthood.

Often there are no obvious physical signs of child sexual abuse. Some signs can only be detected on physical exam by a physician.

Sexually abused children may develop the following:

  • unusual interest in or avoidance of all things of a sexual nature
  • sleep problems or nightmares
  • depression or withdrawal from friends or family
  • seductiveness
  • statements that their bodies are dirty or damaged, or fear that there is something wrong with them in the genital area
  • refusal to go to school
  • delinquency/conduct problems
  • secretiveness
  • aspects of sexual molestation in drawings, games, fantasies
  • unusual aggressiveness, or
  • suicidal behavior

Child sexual abusers can make the child extremely fearful of telling, and only when a special effort has helped the child to feel safe, can the child talk freely. If a child says that he or she has been molested, parents should try to remain calm and reassure the child that what happened was not their fault. Parents should seek a medical examination and psychiatric consultation.

Parents can prevent or lessen the chance of sexual abuse by:

  • Telling children that "if someone tries to touch your body and do things that make you feel funny, say NO to that person and tell me right away"
  • Teaching children that respect does not mean blind obedience to adults and to authority, for example, don't tell children to, "Always do everything the teacher or baby-sitter tells you to do"
  • Encouraging professional prevention programs in the local school system

Sexually abused children and their families need immediate professional evaluation and treatment. Child and adolescent psychiatrists can help abused children regain a sense of self-esteem, cope with feelings of guilt about the abuse, and begin the process of overcoming the trauma. Such treatment can help reduce the risk that the child will develop serious problems as an adult.

For more information see Facts for Families

#4 "The Depressed Child,"

#5 "Child Abuse,"

#10 "Teen Suicide," and

#62 "Talking to Your Kids about Sex."

Article #9 Updated 11/98

All Family Resources wishes to thank the (AACAP) for giving us permission to use this article.

The American Academy of Child and Adolescent Psychiatry (AACAP) represents over 6,900 child and adolescent psychiatrists who are physicians with at least five years of additional training beyond medical school in general (adult) and child and adolescent psychiatry.

Facts for Families is developed and distributed by the American Academy of Child and Adolescent Psychiatry (AACAP). Facts sheets may be reproduced for personal or educational use without written permission, but cannot be included in material presented for sale. To order full sets of FFF, contact Public Information, 1.800.333.7636.  Free distribution of individual Facts sheets is a public service of the AACAP Special Friends of Children Fund. Please make a tax deductible contribution to the AACAP Special Friends of Children Fund and support this important public outreach. (AACAP, Special Friends of Children Fund, P.O. Box 96106, Washington, D.C. 20090).
   
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