What is Intrafamilial abuse?
Intrafamilial sexual abuse means sexual abuse that occurs within the family. In this form of abuse, a family member involves a child in (or exposes a child to) sexual behaviors or activities.
What percentage of sexually abused know their abuser?
A common myth is that child sexual abuse is perpetrated by strangers and pedophiles. But most people who sexually abuse children are our friends, partners, family members, and community members. About 93 percent of children who are victims of sexual abuse know their abuseriii.
What happens when someone is sexually abused?
Childhood sexual abuse has been correlated with higher levels of depression, guilt, shame, self-blame, eating disorders, somatic concerns, anxiety, dissociative patterns, repression, denial, sexual problems, and relationship problems.
What are the odds of being sexually abused?
1 out of every 6 American women has been the victim of an attempted or completed rape in her lifetime (14.8% completed, 2.8% attempted). About 3% of American men—or 1 in 33—have experienced an attempted or completed rape in their lifetime.
What is a fixated child molestor?
According to this theoretical typology, the fixated child molester's sexual attraction to children is an arrestment of his sociosexual maturation that results from unresolved formative issues that undermined his subsequent development and persist in his personality functioning.
What is considered grooming?
One tool common to those who sexually abuse kids is grooming: manipulative behaviors that the abuser uses to gain access to a potential victim, coerce them to agree to the abuse, and reduce the risk of being caught.
At what age does a girl become sexually aware?
By age 10, many children are showing the first signs of puberty, and their interest in what this means increases. Middle School/Junior High. At this time, children become increasingly aware of their own sexual feelings that naturally go along with puberty.
What is revictimization?
Definition of revictimize transitive verb. : to victimize (someone) again : to make a victim of (someone) again "This scam revictimized families who were already suffering from the collapse of the housing market."—
How does childhood trauma affect the brain?
Trauma-induced changes to the brain can result in varying degrees of cognitive impairment and emotional dysregulation that can lead to a host of problems, including difficulty with attention and focus, learning disabilities, low self-esteem, impaired social skills, and sleep disturbances (Nemeroff, 2016).
What is the main cause of abuse?
Factors that may increase a person's risk of becoming abusive include: A history of being abused or neglected as a child. Physical or mental illness, such as depression or post-traumatic stress disorder (PTSD) Family crisis or stress, including domestic violence and other marital conflicts, or single parenting.
Reporting
Evaluating Children For STIs
Initial Examination
- Visual inspection of the genital, perianal, and oral areas for genital discharge, odor, bleeding, irritation, warts, and ulcerative lesions should be performed during initial examination. The clinical manifestations of certain STIs are different for children than for adults. For example, typical vesicular lesions might be absent even in the presence of HSV infection. The following should b…
Treatment
- The risk for a child acquiring an STI as a result of sexual abuse or assault has not been well studied. Presumptive treatment for children who have been sexually assaulted or abused is not recommended because the incidence of most STIs among children is low after abuse or assault, prepubertal girls appear to be at lower risk for ascending infection than adolescent or adult wom…
Other Management Considerations
- Children who are survivors of sexual assault or abuse are at increased risk for future unsafe sexual practices that have been linked to higher risk for HPV acquisition (1426,1453) and are more likely to engage in these behaviors at an earlier age; therefore, ACIP recommends vaccination of these children at age ≥9 years if they have not initiated or...
Follow-Up
- If no infections were identified at the initial examination after the last suspected sexual exposure, and if this exposure was recent, a follow-up evaluation approximately 2 weeks after the last exposure can be considered. Likewise, if no physical examination or diagnostic testing was performed at the initial visit, a complete examination can be scheduled approximately 2 weeks a…
Risk For Acquiring HIV Infection
- HIV has been reported among children for whom sexual abuse was the only known risk factor. Serologic testing for HIV should be considered for sexually abused children. The decision to test for HIV should involve the family, if possible, and be made on a case-by-case basis depending on the likelihood of infection in the assailant (1448,1454). Although data are insufficient concernin…