Sexual abuse is any form of sexual violence, including rape, child molestation, incest, and similar forms of non-consensual sexual contact. Most sexual abuse experts agree sexual abuse is never only aboutsex. Instead, it is often an attempt to gainpowerover others.
Immediate crisis assistance after sexual assault can prove invaluable and even save lives. A person can report sexual assault by calling local police. Survivors may also wish to get a physical exam at a hospital.
Therapycan also be helpful for those who experienced sexual abuse in the past. Some therapists specialize in addressing the trauma of sexual assault. Long-term assistance may be beneficial to some survivors of sexual abuse.
TYPES OF SEXUAL ASSAULT AND ABUSE
Sexual abuse is common, particularly forwomenand girls. Ninety percent of all rapes are committed against women. One in six women in America have experienced rape. One in five girls and one in 20 boys experience childhood sexual abuse.
Sexual abuse and sexual assault are umbrella terms used to refer to multiple crimes. These crimes include:
Rape: Forced sexual contact with someone who does not or cannot consent. Forcing sex upon someone who does not want it, who is intoxicated, or who is not legally old enough to give consent all count as rape.Date rapeis sexual assualt that occurs between people with an established relationship. A handful of states limit their definition of rape to forcible sexual intercourse. Yet any form of forcible sexual contact can have long-lasting effects on a person. Most states now recognize forced oral sex and similar forms of assault as rape.
Child molestation: Child molestation is any sexual contact with a child. Many children who are molested are too young to know what is happening and may not fight back. Some abusers use the child’s cooperation in these cases as “evidence” that no one was harmed. Examples of child molestation might include fondling or demanding sexual favors from a child.
Incest:Incestdescribes sexual contact between family members who are too closely related to marry. While incestuous sexual activity may occur between consenting adults, this is not common. Most reported incest occurs as child abuse. Over a third of American sexual assault survivors under the age of 18 are abused by a family member, according to latest statistics. However, incest is an underreported crime, so the actual number of incest survivors may be higher.
Non-consensual sexual contact: This category includes any unwanted sexual touching, such as groping or pinching. Attempted rape can also fall into this category.
Non-contact sexual abuse: Not all sexual abuse fits neatly into common legal or psychological definitions. For instance, parents who have sex in front of their children or who make sexually inappropriate comments to their children are engaging in sexual abuse. So-called revengepornographysites, which publish nude photos of people without their consent, are another form of sexual abuse.
The laws governing sexual abuse are constantly changing. For this reason, most professionals who work with sexual abuse survivors rely on the person’s feelings, not the law, when determining whether a sexual assault has occurred. For example, marital rape can be deeply traumatic, especially in an otherwise abusive relationship. Yet marital rape did not become a crime anywhere until the 1970s. It is still a challenging crime to prosecute.
SEXUAL VIOLENCE IN THE MILITARY
Sexual violence occurs in the U.S.militaryin high numbers. According to a 2014 report:
Nearly 5% of all women and 1% of all men on active duty reported experiencing unwanted sexual contact.
Nearly half of reports from women involved penetrative sexual assault (rape or penetration with an object). This rate was 35% for men.
Due to the gender ratios in the military, more men experience sexual violence than women. A man in the military is 10 times more likely to be sexually assaulted than a civilian man.
Most perpetrators commit these crimes out of a desire for domination. Offenders often wish to establish control over their “inferiors.” Sexual attraction is rarely the motivating factor.
Sexual violence among service members is an under-reported crime. Studies suggest only one in four survivors of military sexual assault report their attacks. Among male survivors, an estimated 81% never report their attacks.
People who report their assaults often face retaliation. In 2014, 62% of female reporters said they faced retaliation. Many were shunned by colleagues or blamed for the assault. Survivors of both genders may face consequences in their professional lives. Some are even discharged from the military.
Reporters may also face barriers to mental health treatment. Research suggests the military has falsely diagnosed many sexual assault reporters with personality disruptions as an excuse to discharge them. The Department of Veterans Affairs classifies personality disruptions as a pre-existing condition. Thus, it rarely covers the expense of survivors’ mental health treatment.
MALE VICTIMS OF SEXUAL ASSAULT AND ABUSE
Menwho experience sexual assault can face severestigma. U.S. culture promotes astereotypethat men always want sex. Many people believe men cannot possibly be victims of rape.
When men report sexual assault, they often face doubt and ridicule. Others may blame the abuse on the man’s “weakness” or alleged homosexuality.Victim-blamingis especially likely when a man accuses a woman of sexual abuse.
Due to stigma, male survivors can be reluctant to label their experiences as rape or abuse. Some may not mention the event at all. However, a reluctance to disclose can prevent men from getting treatment. Without professional help, some men resort to substance abuse orself-harmto cope with trauma.
SEXUAL ASSAULT AND ABUSE IN THE LGBTQ+ COMMUNITY
The rates of sexual assault forhomosexualandbisexualindividuals are comparable or higher than the rates forheterosexualpeople. Hate crimes account for many sexual assaults againstLGBTQ+people.
Among cisgender women, the lifetime prevalence rates for rape are:
46% for bisexual women.
13% for lesbian women.
17% for heterosexual women.
Rape statistics among cisgender men are limited. The lifetime prevalence rates for sexual assaults other than rape are:
47% for bisexual men.
40% for gay men.
21% of heterosexual men.
Around 64% oftransgenderpeople will experience sexual assault in their lifetimes. This statistic includes transgender people of all sexual orientations and gender identities. Transgender youth are particularly vulnerable to sexual assault. In a 2011 survey, 12% of trans youth said peers or educational staff had sexually assaulted them in a school setting.
Sexual crimes in the LGBTQ+ community are often not reported. Survivors may fear revealing their gender identity or sexual orientation to others. They may not trust the legal system to protect them. Survivors could also fear inciting further violence.
Like other survivors, LGBTQ+ people often encounter stigma after they report sexual violence.Discriminationin the health care system may prevent survivors from getting care. Friends and family may believe stereotypes about LGBTQ+ people and blame the victim. In cases of domestic violence, members of the local LGBTQ+ community may refuse to believe the survivor or hold the offender accountable.
LGBTQ+ survivors of sexual assault canget help from a therapist. Mental health professionals cannot disclose one’s personal information to others. Therapy is a confidential place where one can find support without judgment.
RACE/ETHNICITY AND SEXUAL ASSAULT
In the U.S., certain races andethnicitiesare more likely to experience sexual assault. According to the National Intimate Partner and Sexual Violence Survey (NISVS), the lifetime prevalence rates for rape are:
9.5% of Asian or Pacific Islander women
15.0% of Hispanic women
19.9% of white women
20.7% of black women
28.9% of American Indian or Alaskan Native women
31.8% for multiracial women
The report in question did not include data on male survivors.
Racismcan place racial/ethnic minorities at higher risk of sexual assault. Many people of color are fetishized as “exotic,” hypersexual beings. As such, survivors are more likely to be labeled “willing” participants. Sexual assaults on white people are often punished more harshly than assaults on people of color.
As such, people of color are much less likely to report their sexual assaults. Some people may not trust the legal system to treat them fairly. Others may fear “betraying” their community by disclosing personal information. In some cases, cultural values create extra stigma for people who report. These factors can also prevent survivors from seeking mental health treatment.
CHILDHOOD SEXUAL ABUSE
The sexual abuse ofchildrencan take many forms. It may involve a stranger or someone as close as a parent. A child doesn’t need to be touched to be sexually abused.Voyeuristic actions, such as watching a child undress or shower, count as sexual abuse. Adults who expose their genitalia to children are also committing abuse.
An adult who sexually abuses children may, in some cases, have asexual attraction to children. Yet sexual attraction is not necessary to commit abuse. Often, a perpetrator abuses a child to gain power over them.
Childhood sexual abuse is common. In the United States:
44% of sexual assault victims are under the age of 18.
Children are most vulnerable to childhood sexual assault between 7 and 13 years old.
10% of American children are abused before the age of 18.
Among children who are sexually abused, 20% experience sexual abuse before age 8.
Despite being common, children who experience abuse do not always report it right away. This may be partly due to power the offender has over the child.
Up to 93% of children who have been sexually abused know their attackers well. An offender will often threaten or manipulate the child to prevent them from disclosing the abuse.
Over a third of abusers are part of the child’s family.
73% of child targets do not disclose the abuse for a year or more.
45% of child targets do not disclose abuse until at least five years have passed.
Although sexual abuse in children can be difficult to recognize, detection is possible. If a child shows the following warning signs, there may be cause for concern:
Sexual behaviors or knowledge that are not age-appropriate
The above signs are not necessarily proof a child is being sexually abused. Children may show these behaviors due to another issue. However, one does not need proof to report child abuse. Finding proof is the job ofChild Protective Services. To report abuse, one only needs “reasonable suspicion” that abuse is taking place.
Reporting sexual abuse may prevent a child from having mental health concerns in adulthood. People who experienced sexual abuse as children are at greater risk of substance abuse or eating and food issues. They are also more likely to be sexually abused as adults.
If you think a child is being abused, you can call your state’s Child Protective Services to investigate. You can also call the Childhelp National Child Abuse Hotline at 1-800-4-A-CHILD (1-800-422-4453).
WHAT IS SEXUAL HARASSMENT?
Sexual harassment often falls under the umbrella of sexual assault. While the definitions of both sexual assault and sexual harassment include non-consensual sexual contact, there are some distinct differences.
The term “sexual harassment” is often used in a legal context. According to the U.S. Equal Employment Opportunity Commission, sexual harassment includes:
Unwanted sexual advances or contact
Harassing a person on the basis of their sex
Making offensive comments or jokes about a particular sex
Pressure to go on a date or perform sexual favors
Sexual harassment can occur anywhere, but many of the laws that protect people who may experience sexual harassment refer to harassment in the workplace. The broader definition of sexual harassment can include cat-calling, making sexual gestures or comments toward a person, staring, referring to someone using demeaning language such as “babe” or “hunk,” and giving unwanted or personal gifts.
MENTAL HEALTH ISSUES RESULTING FROM SEXUAL ASSAULT
After sexual assault, survivors may feel their bodies are not really their own. Survivors often report feelings such asshame, terror, andguilt. Many blame themselves for the assault.
Due to the trauma and negative emotions linked to sexual abuse, survivors may be at risk for mental health conditions. Survivors of sexual abuse may develop:
Depression: The loss of bodily autonomy is often difficult to cope with. It can create feelings of hopelessness or despair. It may also reduce one’s sense of self-worth. Depressive feelings may be mild and fleeting, or they can be intense and long-lasting.
Anxiety: The loss of bodily autonomy can also cause severe anxiety. Survivors may fear the attack could happen again. Some may experience panic attacks. Others may develop agoraphobia and become afraid to leave their homes. In some cases, a survivor may develop a chronic fear of the type of person who harmed them. Someone who was raped by a tall, fair-haired man with blue eyes may instinctively dislike, mistrust, or fear all men who match that description.
Posttraumatic stress (PTSD): Someone who survived sexual assault may experience intense memories of the abuse. In some cases, flashbacks may be so disruptive they cause a survivor to lose track of surroundings. A person may also develop a related condition called complex posttraumatic stress (C-PTSD). C-PTSD yields a chronic fear of abandonment in addition to symptoms of traditional PTSD. Some people with C-PTSD also experience personality disruptions.
Personality disruptions: Sexual abuse can sometimes result in personality disruptions such as borderline personality. The behavior linked with personality disruptions could actually be an adaption to abuse. For instance, a characteristic of borderline personality is a fear of abandonment. That fear might not be adaptive in adulthood. Yet avoiding abandonment might have protected someone from sexual abuse as a child.
Attachment issues: Survivors may find it challenging to form healthy attachments with others. This is especially true among children who have been abused. Adults who were abused as children may have insecure attachment patterns. They could struggle with intimacy or be too eager to form close attachments.
Addiction: Research suggests abuse survivors are 26 times more likely to use drugs. Drugs and alcohol can help numb the pain of abuse. Yet substance abuse often leads to the development of different concerns.
Sexual abuse does not only leave psychological scars. It can also have long-lasting health consequences.
A person who is assaulted may sustain bruises and cuts. They could also have more severe injuries such as knife wounds, broken bones, and damaged genitals. Others may developchronic painwithout an obvious physical cause.
Some survivors experience sexual dysfunction andfertility issues. Others may develop sexually transmitted infections. Contrary to myth, it is possible for a sexual assault to result in pregnancy. In cases where a child becomes pregnant, giving birth may be physically dangerous.
COUNSELING AFTER SEXUAL ASSAULT AND ABUSE
Many survivors develop mental health conditions after sexual assault. Having a mental health concern does not make you “weak” or “broken.” People cope with trauma in different ways.
Child sexual abuse statistics. (n.d.). Retrieved from http://www.d2l.org/site/c.4dICIJOkGcISE/b.6143427/k.38C5/Child_Sexual_Abuse_Statistics.htm
Child sexual abuse statistics. (n.d.). Retrieved from http://www.victimsofcrime.org/media/reporting-on-child-sexual-abuse/child-sexual-abuse-statistics
Incidents of rape in military much higher than previously reported. (2014, December 5).Military Times. Retrieved from http://www.militarytimes.com/story/military/pentagon/2014/12/04/pentagon-rand-sexual-assault-reports/19883155
Marital rape. (n.d.). Retrieved from https://www.rainn.org/public-policy/sexual-assault-issues/marital-rape
NISVCS: An overview of 2010 findings on victimization by sexual orientation. (n.d.) National Center for Injury Prevention and Control. Retrieved from https://www.cdc.gov/violenceprevention/pdf/cdc_nisvs_victimization_final-a.pdf
Paulk, L. (2014, April 30). Sexual Assault in the LGBT Community. Retrieved from http://www.nclrights.org/sexual-assault-in-the-lgbt-community
Rape and sexual assault. (n.d.). Retrieved from http://www.bjs.gov/index.cfm?ty=tp&tid=317
Recognizing child abuse. (n.d.). Pennsylvania Family Support Alliance. Retrieved from http://www.pa-fsa.org/Mandated-Reporters/Recognizing-Child-Abuse-Neglect/Recognizing-Child-Abuse
Reporting rates. (n.d.). Retrieved from https://rainn.org/get-information/statistics/reporting-rates
Sexual Assault & LGBT Survivors. (n.d.). Retrieved from http://sapac.umich.edu/article/58
Sexual Assault: The Numbers | Responding to Transgender Victims of Sexual Assault. (2014, June 1). Retrieved from http://www.ovc.gov/pubs/forge/sexual_numbers.html
Sexual Assault of Young Children as Reported to Law Enforcement: Victim, Incident, and Offender Characteristics. (2000). Bureau of Justice Statistics. Retrieved from http://www.bjs.gov/content/pub/pdf/saycrle.pdf
Sexual harassment. (n.d.). Retrieved from https://www.eeoc.gov/laws/types/sexual_harassment.cfm
“Son, Men Don’t Get Raped.” (2014).GQ.Retrieved from http://www.gq.com/long-form/male-military-rape
Van der Kolk, B. (2014).The body keeps the score: Brain, mind, and body in the healing of trauma(1st ed.). New York, NY: Viking.
What is sexual harassment? (n.d.). Retrieved from http://www.un.org/womenwatch/osagi/pdf/whatissh.pdf
Who are the victims? (n.d.). Retrieved from https://www.rainn.org/get-information/statistics/sexual-assault-victims
Women of color and sexual assault. (n.d.) Connecticut Alliance to End Sexual Violence. Retrieved from https://endsexualviolencect.org/resources/get-the-facts/woc-stats
With the anticipation, similar to days before birth of a first child, another form of publication will soon be released. From our smaller presence in earlier days of the 5 yr Child Abuse Royal Commission (CARC), the need to ‘join the dots’ began to call out. Hopefully, with the increased-global visitors of our RCbbc Blog, we’re now able to Share another media: Newsletters! eNews are becoming a greater extension of the 247 work-cycle, allowing wider varieties of audio, visual, text & combinations of media to be exchanged. A business plan is still being developed, yet many feel that these swapping of ideas is helpful.
It’s the disorder that robs people of their ability to feel whole.
When it comes to the disorder that can splinter people into discrete and fractious personalities, it’s important to note that this complex disorder is not uncommon.
Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder, is often misdiagnosed. For the sufferer, the experience can be deeply confusing, with a distorted sense of self and long periods of time lost to dissociation.
Caused by childhood abuse, incest and neglect, the disorder often develops as a coping mechanism. It allows young kids to compartmentalize abuse so they can survive when caregivers or family members make them feel unsafe.
DID is described as a complex form of post-traumatic stress and dissociation, which causes a discontinuity in one’s self of self.
Professor Warwick Middleton is a leader in research and treatment on the disorder and has been working in the field for decades. Speaking to News.com.au, he recalls first writing a paper on the condition in 1991.
DID can be categorized as a developmental disorder, where a person’s personality fails to integrate as they develop.
It’s defined as an “identity disruption” and you may know it as “multiple personality disorder.” In some cultures, it may be identified as spiritual or demonic possession.
How do you identify dissociative identity disorder?
They have symptoms that you might have seen depicted in movies like “Sybil” or TV shows like “The United States of Tara.”
Sufferers of the disorder have a complex system of dissociation, which Middleton describes as “splitting off at different times into different identity states.”
“The individual might experience this as internal or external voices, which may argue and which may be associated with particular behaviors. Alternative handwritings. A whole spectrum of things,” he said.
What Middleton describes is a form of dissociation where the sufferer splits off into what appears to be a completely different “personalities.” Sufferers usually have at least two distinct personalities at some point in their life, some may have many more.
Middleton says that the majority of sufferers also fulfill criteria for post-traumatic stress disorder, major depression and somatization, while many of them have eating disorders and social phobias.
“Typically they present in their thirties, having bounced around the system for quite a while,” he said. “Because they hear voices … they’re given antipsychotics. From our research, about 20 percent of them are diagnosed with bipolar disorder.”
“If you look a bit closer they don’t have bipolar. That was just someone identifying them switching between different personality states.”
Losing large periods of your life
People who suffer from DID often have trouble remembering things.
In the autobiographical memory of their life, there are gaps where they have no recollection of what happened or what they did — and not in a regularly reported way, like when you drive home and arrive at your door with little recall of your journey.
It’s about losing big parts of your life to your other “personalities” who take over, commandeering your consciousness. While it might sound like the stuff of movies, the disorder is very real.
From Middleton’s research, he suggests it occurs in about 1.1 percent of the adult population. He describes this as being a “relatively common” condition.
What are people with DID like?
“(People with DID) range in a spectrum — (there) are people who sort of live on the fringes of existence who are chronically mentally ill, bouncing around services to people who are very high achieving, who may work in mental health services themselves.”
Sufferers often report weeks or months of their life passing by them where they have no memory and feel no agency over what transpired in that period.”
In the early nineties, the disorder was not often diagnosed and hardly at all identified by mental health professionals. These days it is much more commonly diagnosed.
Treatment for the disorder
Middleton says his interest in the disorder developed because there was “very little clinical awareness” and it wasn’t a diagnosis routinely made.
The other problem was that the issue of family assault and “incest” wasn’t properly acknowledged within Australia, where he is based, at the time.
“We now know that incest is, unfortunately, very common,” Middleton said.
“Basically in every country in the world where systematic research is done into childhood trauma and the presence of dissociative disorders we get very similar patterns.”
He said with standard treatment like cognitive behavioral therapy, the outcomes are very poor for sufferers of this disorder.
Treatment options with good outcomes include phase-orientated treatment.
Middleton was the first person, along with his colleague Dr. Jeremy Butts to publish research linking childhood trauma with the presence of DID. This paper was published over 20 years ago in the Australian and New Zealand Journal of Psychiatry.
He’s been a long-term director of the Society for Trauma and Dissociation.
Their findings showed that across the world, almost all sufferers of DID had, during childhood, suffered from some form of abuse, be it physical, sexual or neglect.
The manner in which the long-term effects of child sexual abuse have come to be conceptualised reflects, in no small measure, the very particular circumstances that surrounded the revelation of child sexual abuse as an all too common event in the lives of our children. The first phase of modern research into child sexual abuse was not triggered by observations on child victims, but by the self-disclosures of adults who had the courage to publicly give witness to their abuse as children. These early self-revealed victims, exclusively women, had often been the victims of incestuous abuse of the grossest kind, and plausibly attributed many of their current personal difficulties to their sexual abuse as children. This contrasts with the emergence of child abuse as a public health and research issue that has been driven by the observations of professionals caring for abused children.
The way child sexual abuse was placed on the public and health agendas put a stronger emphasis on the adult consequences of abuse than on the immediate implications for an abused child. It also emphasised the psychiatric implications of abuse because self-declared victims tended to focus on these, and these revelations often occurred in a broadly therapeutic context with mental health professionals. Early research into the effects of child sexual abuse frequently employed groups of adult psychiatric patients (Carmen et al. 1984; Mills et al. 1984; Bryer et al. 1987; Jacobson and Richardson 1987; Craine et al. 1988; Oppenheimer et al. 1985) which further reinforced the emergence of an adult-focused psychiatric discourse about child sexual abuse. It should also be noted that the manner in which child sexual abuse was rediscovered (for it had been well recognised in the 19th century) and the nature of the advocacy movement which placed child sexual abuse firmly on the social agenda also provided an almost exclusive emphasis on female victims and incestuous abuse. The implications remain largely unexplored of the abuse of boys (which for abuse of the most intrusive kinds involving penetration rivals in frequency that of girls), and of the fact that the majority of abuse is not incestuous.
Child sexual abuse is widely regarded as a cause of mental health problems in adult life. This article examines the impact of child sexual abuse on social, sexual and interpersonal functioning, and its potential role in mediating the more widely recognised impacts on mental health. In discussing the relationship between child sexual abuse and adult psychopathology, the authors evaluate a number of models, including the post-traumatic stress disorder model, the traumatogenic model, and developmental and social models. They look at family risk factors which predispose children from specific population groups to be at greater risk of abuse, and conclude that the fundamental damage caused by child sexual abuse impacts on the child’s developing capacities for trust, intimacy, agency and sexuality.
In little over a decade, child sexual abuse has come to be widely regarded as a cause of mental health problems in adult life. The influences of child sexual abuse on interpersonal, social and sexual functioning in adult life and its possible role in mediating some, if not all, of the deleterious effects on mental health, has attracted less attention and research, but is arguably equally important. For this reason, and because the mental health aspects have been so much more widely canvassed and ably reviewed (Tomison 1996), this review will emphasise the impact of child sexual abuse on social and interpersonal functioning, and its potential role in mediating the more widely recognised impacts on mental health.
Long-term Effects of Child Sexual Abuse by Paul E. Mullen and Jillian Fleming www.aifs.gov
Sixty years later my friend courageously gave evidence to the Royal Commission into Institutional Responses to Child Sexual Abuse. Her life has been a battle to recover from the abuse that was perpetrated against her as a child. Its been an honour to hear and record her story. Now I just need to find a way so you can hear it too.
Research finds that child abuse harms mental and physical health in adulthood.
Child abuse, Signs of Hope & Study findings.
The study’s lead author, Abigail Millings of the University of Bristol, commented in a research summary that researchers sought to examine how caregiving plays out in families: “…how one relationship affects another relationship. We wanted to see how romantic relationships between parents might be associated with what kind of parents they are. Our work is the first to look at romantic caregiving and parenting styles at the same time.”
The research found – no surprise – that “a common skill set underpins caregiving across different types of relationships, and for both mothers and fathers. If you can do responsive caregiving, it seems that you can do it across different relationships.”
Millings added, ”It might be the case that practicing being sensitive and responsive — for example, by really listening and by really thinking about the other person’s perspective — to our partners will also help us to improve these skills with our kids.”
For all of those Survivors, Family-Friends & Caregivers of ChildSexualAbuse at BBC – it pleases me to note that I’ve recently been in contact with a Journalist, previous Old Boys’ (OCA) Staff & another Survivor. Although nothing happens ‘instantly’, particularly re: damages from CSA Perpetrators – it’s releaving to have spoken with some of those effected. It’s possibly more rewarding to help the wider-public realise some truths, which would otherwise have been hidden.