Sexual abuse

For the journal titled Sexual Abuse, see Sexual Abuse: A Journal of Research and Treatment.

Sexual abuse, also referred to as molestation, is forcing undesired sexual behavior by one person upon another. When that force is immediate, of short duration, or infrequent, it is called sexual assault. The offender is referred to as a sexual abuser or (often pejoratively) molester. The term also covers any behavior by any adult or older adolescent towards a child to stimulate any of the involved sexually. When the victim is younger than the age of consent, it is referred to as statutory rape or child sexual abuse.

Forms

Spousal

See also: Domestic violence and Marital rape

Spousal sexual abuse is a form of domestic violence. When the abuse involves forced sex, it may constitute rape upon the other spouse, depending on the jurisdiction, and may also constitute an assault.

Child sexual abuse

Main article: Child sexual abuse

Child sexual abuse is a form of child abuse in which a child is abused for the sexual gratification of an adult or older adolescent. It includes direct sexual contact, the adult or otherwise older person engaging indecent exposure (of the genitals, female nipples, etc.) to a child with intent to gratify their own sexual desires or to intimidate or groom the child, asking or pressuring a child to engage in sexual activities, displaying pornography to a child, or using a child to produce child pornography.

Effects of child sexual abuse include shame and self-blame, depression, anxiety, post-traumatic stress disorder, self-esteem issues, sexual dysfunction, chronic pelvic pain, addiction, self-injury, suicidal ideation, borderline personality disorder, and propensity to re-victimization in adulthood. Child sexual abuse is a risk factor for attempting suicide. Much of the harm caused to victims becomes apparent years after the abuse happens.

Sexual abuse by a family member is a form of incest, and results in more serious and long-term psychological trauma, especially in the case of parental incest.

Globally, approximately 18–19% of women and 8% of men disclose being sexually abused when they were children. The gender gap may be caused by higher victimization of girls, lower willingness of men to disclose abuse, or both. Most sexual abuse offenders are acquainted with their victims; approximately 30% are relatives of the child, most often fathers, uncles or cousins; around 60% are other acquaintances such as friends of the family, babysitters, or neighbors; strangers are the offenders in approximately 10% of child sexual abuse cases. Most child sexual abuse is committed by men; women commit approximately 14% of offenses reported against boys and 6% of offenses reported against girls. Child sexual abuse offenders are not pedophiles unless they have a primary or exclusive sexual interest in prepubescent children.

Abuse of people with developmental disabilities

Main article: Sexual abuse of people with developmental disabilities

People with developmental disabilities are often victims of sexual abuse. According to research, people with disabilities are at a greater risk for victimization of sexual assault or sexual abuse because of lack of understanding (Sobsey & Varnhagen, 1989). Yet most of these cases will go unnoticed.

Treatment

In the emergency room, emergency contraceptive medications are offered to women raped by men because about 5% of such rapes result in pregnancy. Preventative medication against sexually transmitted infections are given to victims of all types of sexual abuse (especially for the most common diseases like chlamydia, gonorhea, trichomoniasis and bacterial vaginosis) and a blood serum is collected to test for STIs (such as HIV, hepatitis B and syphilis). Any survivor with abrasions are immunized for tetanus if 5 years have elapsed since the last immunization. Short-term treatment with a benzodiazepine may help with acute anxiety and antidepressants may be helpful for symptoms of PTSD, depression and panic attacks.

Survivor

The term survivor is sometimes used for a living victim, even of usually non-fatal harm, to honor and empower the strength of an individual to heal, in particular a living victim of sexual abuse or assault. For example, there are the Survivors Network of those Abused by Priests and The Survivors Trust.

Positions of power

See also: Power and control in abusive relationships, Power harassment, and Rankism

Sexual misconduct can occur where one person uses a position of authority to compel another person to engage in an otherwise unwanted sexual activity. For example, sexual harassment in the workplace might involve an employee being coerced into a sexual situation out of fear of being dismissed. Sexual harassment in education might involve a student submitting to the sexual advances of a person in authority in fear of being punished, for example by being given a failing grade.

Several sexual abuse scandals have involved abuse of religious authority and often cover-up among non-abusers, including cases in the Southern Baptist religion, Catholic Church, Episcopalian religion, Islam, Jehovah's Witnesses, Lutheran church, Methodist Church, The Church of Jesus Christ of Latter-day Saints, the Fundamentalist Church of Jesus Christ of Latter Day Saints, Orthodox Judaism, other branches of Judaism, and various cults.

Minorities

Sexual abuse is a problem in some minority communities. In 2007, a number of Hispanic victims were included in the settlement of a massive sexual abuse case involving the Los Angeles archdiocese of the Catholic Church. To address the issue of sexual abuse in the African-American community, the prestigious Leeway Foundation sponsored a grant to develop www.blacksurvivors.org, a national online support group and resource center for African-American sexual abuse survivors. The non-profit group was founded in 2008 by Sylvia Coleman, an African-American sexual abuse survivor and national sexual abuse prevention expert.

Other animals

Main article: Sexual coercion

Sexual abuse has been identified among animals as well; for example, among the Adélie penguins.

See also

4

Further reading

• 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.
• Leigh Ann Reynolds. "People with Mental Retardation & Sexual Abuse. The Arc Q & A", Arc National Headquarters, 1997
• Sobsey, D.(1994). Violence and Abuse in the Lives of People With Disabilities: The End of Silent Acceptance? Baltimore: Paul H. Brookes Publishing Co. ISBN 978-1-55766-148-7
• Sobsey D. and Varnhagen, C.(1989). "Sexual abuse and exploitation of people with disabilities: Toward Prevention and Treatment". In M. Csapo and L. Gougen (Eds) Special Education Across Canada (pp. 199–218). Vancouver Centre for Human Developmental Research
• Valenti-Hien, D. and Schwartz, L.(1995). "The sexual abuse interview for those with developmental disabilities". James Stanfield Company, Santa Barbara: California.
• Baur, Susan (1997), The Intimate Hour: Love and Sex in Psychotherapy. Boston: Houghton-Mifflin Co. viii, 309 p. ISBN 0-395-82284-X
• Walker, Evelyn, and Perry Deane Young (1986). A Killing Cure. New York: H. Holt and Co. xiv, 338 p. N.B.: Explanatory subtitle on book's dust cover: One Woman's True Account of Sexual and Drug Abuse and Near Death at the Hands of Her Psychiatrist. Without ISBN
• White-Davis, Donna (2009). Lovers in the Time of Plague.

External links

• Sexual abuse at DMOZ
• Child Sexual Abuse at the National Institutes of Health