Recognizing Child Sexual Abuse

Prof. (Dr.) Dharmakanta Kumbhakar

(drkdharmakanta1@gmail.com) 

Millions of girls and boys worldwide are being sexually abused within homes, schools and outside. The estimated global prevalence of child sexual abuse is about 19.7% for females and 7.9% for males. Though child sexual abuse can start at any age, in the majority of the cases, it starts around five years of age, peaks at around 12 to 14 years of age and then begins to decline. However, it can continue into adulthood. The abuser (male or female) may be a family member, close relatives, neighbour, carer, school teacher, swimming trainer, game teacher or a school caretaker.

Child sexual abuse (CSA) is a form of child abuse in which an adult or older adolescent uses a child for sexual stimulation and gratification. This includes fondling, penetration, intercourse, exploitation, pornography, exhibitionism, child prostitution, child grooming, group sex, oral sex or forced observation of sexual acts. It can result in both short-term and long-term harmful effects on the sexually abused child, like physical injury, genital injury and infections, sexually transmitted diseases, teenage pregnancy, chronic or recurrent urinary tract infection, neurological problems like epilepsy, psychological and behavioural problems like depression, anxiety, eating disorder, poor self-esteem, sleep disturbance, attention deficit, hyperactivity disorder, borderline personality disorder, dissociative identity disorder, etc. Later in life, individuals may experience difficulty maintaining relationships, an inability to trust close family members and friends, harmful sexual behaviour, and marital problems.

Though many children disclose sexual abuse to caregivers or others spontaneously, they usually remain silent about it. They feel disbelieved or blamed, or they want to keep the family together, as often the abuser is a family member or very close to the family. As the child grows up loving and trusting that person, the person starts ‘grooming’ the child for sexual abuse by touching him/her in an ‘unsafe’ way. The family remains unaware of this act, and the child is confused. If the family has brought up the children to think that anything to do with the reproductive tract is ‘dirty’ or ‘shameful’, the child will find it very difficult to report CSA. In the meantime, the abuse continues and becomes more severe. The child now feels trapped and thinks, “I didn’t tell anyone when it started. How can I tell now? Everyone will blame me for not resisting or for not telling earlier. Anyhow, I feel too ashamed to explain all of these feelings to my mother/parent/teacher. Maybe it will stop.” The abuser, emboldened by the silence of the child, goes ahead and may use bribes, threats, secrecy, promises and emotional manipulation to keep the child from telling anyone. So the majority of such cases may go unrecognised.

To be able to recognize CSA requires a high index of suspicion and familiarity with the verbal, behavioural and physical indicators that may be suggestive of sexual abuse. One may suspect CSA when one observes a change in the social behaviours of the child – a happy child becomes introverted and silent, refuses to participate in group activities, becomes insecure and clings to a trusted adult, becomes excessively submissive, fearful or excessively violent, and tries to avoid coming in contact with a particular person. A change in the child’s personal grooming can also be marked – he or she may neglect personal appearance (deliberately try to look unhygienic, shabby or unattractive, begin to wear multiple layers of clothing inappropriate for the weather, change eating habits, etc.). There may be changes in academic performance, poor concentration, distraction, feeling sleepy and lack of interest. He or she may replay the abuse with another child generally younger or of the same age.

Let us have zero tolerance for CSA, even minor forms of sexual abuse such as petting, hugging or kissing children. As it is not possible for a parent to look after a child 24 hours a day, it is better to empower the child. The child can be taught about personal safety, personal space rules (the space around our bodies that we consider to be our own), and safe and unsafe touch (a touch the child doesn’t like), just as we teach our children just as we teach our children about how to protect themselves from injury. The child should be asked to inform someone they trust if anyone breaks their body rules. We must explain to the child about personal safety as a choice and introduce the concept in a comfortable and non-threatening manner. The child should be told that “you are the boss of your body. No one can touch you in a way you don’t like.” One may talk especially about private parts and why no one can touch them except to keep themselves clean and healthy (by a mother or a doctor). We need to let them be aware and careful in the presence of a certain individual who has behaved in a reprehensible manner. CSA is outlawed nearly everywhere in the world, generally with severe criminal penalties, including life imprisonment or capital punishment. Adult sexual intercourse with a child below the legal age of consent is defined as statutory rape because a child cannot provide legal consent, rendering any apparent consent invalid. The United Nations Convention on the Rights of the Child (CRC) is an international treaty that legally obliges states to protect children’s rights. Articles 34 and 35 of the CRC require the States to protect children from all forms of sexual exploitation and sexual abuse. In India, presently, the Protection of Children against Sexual Offences Act, 2012, deals with the crime of CSA.

The main reason CSA persists in society is the silence of the abused and those who know about it. Exposing the abuser in a manner that does not traumatise the child can help the child heal and prevent other children from being abused. Social ostracism often works better and faster than legal recourse. It also safeguards other children in the neighbourhood and extended family.

Child sexual abuse (CSA) is a form of child abuse in which an adult or older adolescent uses a child for sexual stimulation and gratification. This includes fondling, penetration, intercourse, exploitation, pornography, exhibitionism, child prostitution, child grooming, group sex, oral sex or forced observation of sexual acts. It can result in both short-term and long-term harmful effects on the sexually abused child like physical injury, genital injury and infections, sexually transmitted diseases, teenage pregnancy, chronic or recurrent urinary tract infection, neurological problems like epilepsy, psychological and behavioural problems like depression, anxiety, eating disorder, poor self-esteem, sleep disturbance, somatization, post-traumatic disorder, attention deficit, hyperactivity disorder, borderline personality disorder, dissociative identity disorder, etc. Later in one’s life, difficulty in maintaining relationships, inability to trust close family members and friends, harmful sexual behaviour and marital problems may also arise.