Child sexuality

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1905 illustration with the caption "Put your hand where it shouldn't be" (in French) Martin Van Maele - La Grande Danse macabre des vifs - 34.jpg
1905 illustration with the caption "Put your hand where it shouldn't be" (in French)

Sexual behaviors in children are common, and may range from normal and developmentally appropriate to abusive. [1] These behaviors may include self-stimulation, interest in sex, curiosity about their own or other genders, exhibitionism (the display of one's body to another child or an adult), voyeurism (attempts at seeing the body of another child or an adult), gender role behaviors, [2] and engagement in interpersonal sexual acts.

Contents

More than 50% of children will engage in a form of sexual behavior before the age of 13 (around puberty), including sexual experiences with other children. [1] These experiences can include fondling, interpersonal genital exploration and masturbation; while intrusive contact (digital penetration, oral or genito-genital contact, etc) is more rare. [3]

Sexual behaviors

Curiosity

Although there are variations between individual children, children are generally curious about their bodies and those of others and explore their bodies through explorative sex play. [4] [5] "Playing doctor" is one example of such childhood exploration; such games are generally considered to be normal in young children. Child sexuality is considered fundamentally different from adult sexual behavior, which is more goal-driven. Among children, genital penetration and oral-genital contact are very uncommon, [6] and may be perceived as imitations of adult behaviors. [7] Such behaviors are more common among children who have been sexually abused. [8]

According to the National Child Traumatic Stress Network, children have a natural curiosity about their own bodies and the bodies of others that ought to be addressed in an age-appropriate manner. According to the report: [9]

Masturbation

Some children partake in genital stimulation at an early age. [11] By the age of 8 or 9, some children become aware that sexual arousal is a specific type of erotic sensation and will seek these pleasurable experiences through various sights, self-touches, and fantasy. [12]

Interpersonal sexual experiences

Many children take part in some sex play, typically with siblings or friends. Sex play with others usually decreases as children go through their elementary school years, yet they still may possess romantic interest in their peers. Curiosity levels remain high during these years, escalating in puberty (roughly the teenage years) when the main surge in sexual interest occurs. [13]

Mutual masturbation or other sexual experimentation between adolescents of similar ages may also occur, though cultural or religious coercion may inhibit or encourage concealment of such activity if there is negative peer pressure or if authority figures are likely to disapprove. [11]

A 1997 study based on limited variables found no correlation between early childhood (age 6 and under) peer sexual play and later adjustment. The study notes that its results do not demonstrate conclusively that no such correlation exists. The study also does not address the question of consequences of intense sexual experiences or aggressive or unwanted experiences. [14]

A Finnish study found that 2.4% of its respondents had sexual experiences with someone at least five years older during childhood. The disclosure of such experiences to adults or peers was conditioned largely by whether violence was employed during the act and the quality of the experience (participants who did not label the experience as abuse, which represented 51% of the sample, were less likely to report it to adults, but not peers). [15]

Discovery of sex differences

"Why do you not want to be a girl? Because I do not want to pee with nothing." Martin Van Maele - La Grande Danse macabre des vifs - 04.jpg
"Why do you not want to be a girl? Because I do not want to pee with nothing."

With the passage of time, children become more aware of sex differences, and tend to choose same-sex friends and playmates, sometimes disparaging the opposite sex. [16] Children may drop their close attachment to their opposite-sex parent and become more attached to their same-sex parent. [10]

During this time, children, especially girls, show increased awareness of social norms regarding sex, nudity, and privacy. [17] Children may use sexual terms to test adult reaction. [10] "Bathroom humor" (jokes and conversation relating to excretory functions), present in earlier stages, continues. [18]

As this stage progresses, the choices of children picking same-sex friends becomes more marked and extends to disparagement of the opposite sex. [19]

Sexual development

Childcare

In childcare settings outside the home there is difficulty in determining what behavior is normal and what may be indicative of child sexual abuse (CSA). In 2018 an extensive study of Danish childcare institutions (which had, in the prior century, been tolerant of child nudity and playing doctor) found that contemporary policy had become restrictive as the result of childcare workers being charged with CSA. However, while CSA does occur, the response may be due to "moral panic" that is out of proportion with its actual frequency and over-reaction may have unintended consequences. Strict policies are being implemented not to protect children from a rare threat, but to protect workers from the accusation of CSA. The policies have created a split between childcare workers who continue to believe that behaviors involving nudity are a normal part of child development and those that advocate that children be closely supervised to prohibit such behavior. [20]

Puberty

Research

Studies on children's sexual behaviors are scarce. [21] Empirical knowledge about child sexual behavior is not usually gathered by direct interviews of children, partly due to ethical consideration. [8] Information about child sexual behavior is gathered by observing children being treated for problematic behavior, such as use of force in sex play, [22] often using anatomically correct dolls; [23] Recollections by adults [24] and observation by caregivers. [25]

Most published sexual research material emanates from the Western world. [26]

Early 20th century

Until Sigmund Freud published his Three Essays on the Theory of Sexuality in 1905, children were often regarded as asexual, having no sexuality until later development. Freud was one of the first researchers to seriously study child sexuality, and his acknowledgment of its existence was a significant change. [13]

Aside from Freud, the modern shift from childhood sexuality being understood as a pathological concept to a normal part of child behavior was also influenced by Albert Moll, Carl Jung, William Stern and Charlotte Bühler. Although Freud is usually regarded as the central figure in the "discovery of childhood sexuality", his work was influenced by an already existing discussion around this topic that started in the second half of the 19th century. [27]

Kinsey

Alfred Kinsey in the Kinsey Reports (1948 and 1953) included research on the physical sexual response of children, including pre-pubescent children (though the main focus of the reports was adults). While there were initially concerns that some of the data in his reports could not have been obtained without observation of or participation in child sexual abuse, [28] the data was revealed much later in the 1990s to have been gathered from the diary of a single pedophile who had been molesting children since 1917. [29] [30] This effectively rendered the data-set nearly worthless, not only because it relied entirely on a single source, but the data was hearsay reported by a highly unreliable observer. In 2000, Swedish researcher Ing-Beth Larsson noted, "It is quite common for references still to cite Alfred Kinsey", due to the scarcity of subsequent large-scale studies of child sexual behavior. [8]

Contemporary issues

In the latter part of the 20th century, sexual liberation probably arose in the context of a massive cultural explosion in the United States of America following the upheaval of the Second World War, and the vast quantity of audiovisual media distributed worldwide by the new electronic and information technology. Children are apt to gain access and be influenced by material, despite censorship and content-control software. [31]

Sex education

The extent of sex education in public schools varies widely around the world, and within countries such as the United States where course content is determined by individual school districts.

A series of sex education videos from Norway, intended for 8–12 year olds, includes explicit information and images of reproduction, anatomy, and the changes that are normal with the approach of puberty. Rather than diagrams or photos, the videos are shot in a locker room with live nude people of all ages. The presenter, a physician, is relaxed about close examination and touching of relevant body parts, including genitals. While the videos note that the age of consent in Norway is 16, abstinence is not emphasized. As of 2015, however, 37 U.S. states required that sex education curricula include lessons on abstinence and 25 required that a "just say no" approach be stressed. Studies show that early and complete sex education does not increase the likelihood of becoming sexually active, but leads to better health outcomes overall. [32]

Social media's role on child sexuality

The impact of social media on adolescent sexuality is a multifaceted concern requiring ongoing research for a comprehensive understanding. Research suggests that exposure to sexual content on social media can influence adolescents' sexual attitudes, beliefs, and behaviors, given their vulnerable state during this developmental period when gender roles, sexual attitudes, and behaviors are actively being shaped. [33] [34] Studies have identified a positive association between high-frequency social media use and increased sexual risk behaviors among adolescents. [34]

Exposure to sexual displays on social media sites has been linked to problematic beliefs and behaviors among both content creators and viewers, particularly affecting adolescents who are more susceptible to these effects and may encourage risky sexual behavior, associated with an increase in sexually transmitted infection rates and unintended pregnancies. [35] [36] Social media can have both positive and negative effects on the sexual orientation of children and adolescents. For instance, it may provide a safe space for sexual identity exploration and expression for LGBTQ+ youth, fostering connectivity, social support, and positive impacts on well-being. [35] [37] While early adopters of the LGBTQ+ identity within the youth use social media to understand their sexuality and connect with like-minded individuals, contributing to improved emotional support and development, [33] it's important to note that social media can also expose children to inaccurate and potentially harmful information about sexuality, perpetuate risky sexual behaviors, and provide anonymity to potential dangers, [38] further covered in the proceeding sections.

Sexualization of children

Over recent decades, children have been subject to a premature sexualization, as indicated by a level of sexual knowledge or sexual behavior not previously normal for their age group. [39] The causes of this premature sexualization that have been cited include portrayals in the media of sex and related issues, especially in media aimed at children; the marketing of products with sexual connotations to children, including clothing; the lack of parental oversight and discipline; access to adult culture via the internet; and the lack of comprehensive school sex education programs. [40] [41] For girls and young women in particular, studies have found that sexualization has a negative impact on their "self-image and healthy development". [42]

Social media has been associated with an increase in child sexual exploitation and abuse. Reports indicate that social media platforms have become a pipeline for the rapid spread of child sexual abuse material (CSAM), leading to an alarming increase in the dissemination of such content. [43] [44] [45] Further, child predators use social media to identify and groom potential victims, and the closed or private social media groups enable them to connect with like-minded peers and trade tips on how to secretly record and share CSAM. [44]

Child sexual abuse

Child sexual abuse is defined as an adult or older adolescent having a sexual relationship with a child. [46] [47] Effects of child sexual abuse include clinical depression, [48] post-traumatic stress disorder, [49] anxiety, [50] propensity to further victimization in adulthood, [51] and physical injury to the child, among other problems. [52]

Child sexual abuse by a family member is a form of incest, and can result in more serious and long-term psychological trauma, especially in the case of parental incest. [40] [53]

Children who have been the victim of child sexual abuse sometimes display overly sexualized behavior, [54] [55] which may be defined as expressed behavior that is non-normative for the culture. Typical symptomatic behaviors may include excessive or public masturbation and coercing, manipulating or tricking other children into non-consensual or unwanted sexual activities, also referred to as "child-on-child sexual abuse". Sexualized behavior is thought to constitute the best indication that a child has been sexually abused. [54]

Children who exhibit sexualized behavior may also have other behavioral problems. [55] Other symptoms of child sexual abuse may include manifestations of post-traumatic stress in younger children; fear, aggression, and nightmares in young school-age children; and depression in older children. [54]

Among siblings

In 1980, a survey of 796 undergraduates, 15 percent of females and 10 percent of males reported some form of sexual experience involving a sibling; most of these fell short of actual intercourse. Approximately one quarter of these experiences were described as abusive or exploitative. [56] A 1989 paper reported the results of a questionnaire with responses from 526 undergraduate college students in which 17 percent of the respondents stated that they had preadolescent sexual experiences with a sibling. [57]

See also

Related Research Articles

<span class="mw-page-title-main">Human sexual activity</span> Manner in which humans engage sexually

Human sexual activity, human sexual practice or human sexual behaviour is the manner in which humans experience and express their sexuality. People engage in a variety of sexual acts, ranging from activities done alone to acts with another person in varying patterns of frequency, for a wide variety of reasons. Sexual activity usually results in sexual arousal and physiological changes in the aroused person, some of which are pronounced while others are more subtle. Sexual activity may also include conduct and activities which are intended to arouse the sexual interest of another or enhance the sex life of another, such as strategies to find or attract partners, or personal interactions between individuals. Sexual activity may follow sexual arousal.

<span class="mw-page-title-main">Sexual orientation</span> Pattern of romantic or sexual attraction

Sexual orientation is an enduring personal pattern of romantic attraction or sexual attraction to persons of the opposite sex or gender, the same sex or gender, or to both sexes or more than one gender. Patterns are generally categorized under heterosexuality, homosexuality, and bisexuality, while asexuality is sometimes identified as the fourth category.

<span class="mw-page-title-main">Adolescence</span> Human transition from puberty to adult

Adolescence is a transitional stage of physical and psychological development that generally occurs during the period from puberty to adulthood. Adolescence is usually associated with the teenage years, but its physical, psychological or cultural expressions may begin earlier or end later. Puberty typically begins during preadolescence, particularly in females. Physical growth and cognitive development can extend past the teens. Age provides only a rough marker of adolescence, and scholars have not agreed upon a precise definition. Some definitions start as early as 10 and end as late as 30. The World Health Organization definition officially designates an adolescent as someone between the ages of 10 and 19.

<span class="mw-page-title-main">Homosexuality and psychology</span> Homosexuality as studied by the field of psychology

The field of psychology has extensively studied homosexuality as a human sexual orientation. The American Psychiatric Association listed homosexuality in the DSM-I in 1952 as a "sociopathic personality disturbance," but that classification came under scrutiny in research funded by the National Institute of Mental Health. That research and subsequent studies consistently failed to produce any empirical or scientific basis for regarding homosexuality as anything other than a natural and normal sexual orientation that is a healthy and positive expression of human sexuality. As a result of this scientific research, the American Psychiatric Association removed homosexuality from the DSM-II in 1973. Upon a thorough review of the scientific data, the American Psychological Association followed in 1975 and also called on all mental health professionals to take the lead in "removing the stigma of mental illness that has long been associated" with homosexuality. In 1993, the National Association of Social Workers adopted the same position as the American Psychiatric Association and the American Psychological Association, in recognition of scientific evidence. The World Health Organization, which listed homosexuality in the ICD-9 in 1977, removed homosexuality from the ICD-10 which was endorsed by the 43rd World Health Assembly on 17 May 1990.

The Rind et al. controversy was a debate in the scientific literature, public media, and government legislatures in the United States regarding a 1998 peer reviewed meta-analysis of the self-reported harm caused by child sexual abuse (CSA). The debate resulted in the unprecedented condemnation of the paper by both chambers of the United States Congress. The social science research community was concerned that the condemnation by government legislatures might have a chilling effect on the future publication of controversial research results.

<span class="mw-page-title-main">Dysfunctional family</span> Family dynamic

A dysfunctional family is a family in which conflict, misbehavior and often child neglect or abuse on the part of individual parents occur continuously and regularly. Children that grow up in such families may think such a situation is normal. Dysfunctional families are primarily a result of two adults, one typically overtly abusive and the other codependent, and may also be affected by substance abuse or other forms of addiction, or sometimes by an untreated mental illness. Parents having grown up in a dysfunctional family may over-correct or emulate their own parents. In some cases, the dominant parent will abuse or neglect their children and the other parent will not object, misleading a child to assume blame.

<span class="mw-page-title-main">Child abuse</span> Maltreatment or neglect of a child

Child abuse is physical, sexual, emotional and/or psychological maltreatment or neglect of a child, especially by a parent or a caregiver. Child abuse may include any act or failure to act by a parent or a caregiver that results in actual or potential wrongful harm to a child and can occur in a child's home, or in organizations, schools, or communities the child interacts with.

<span class="mw-page-title-main">Gender nonconformity</span> Non-conventional expression of gender in humans

Gender nonconformity or gender variance is behavior or gender expression by an individual that does not match masculine or feminine gender norms. A gender-nonconforming person may be variant in their gender identity, being transgender or non-binary, or they may be cisgender. In the case of transgender people, they may be perceived, or perceive themselves as, gender-nonconforming before transitioning, but might not be perceived as such after transitioning. Transgender adults who appear gender-nonconforming after transition are more likely to experience discrimination.

Sexual abuse or sex abuse is abusive sexual behavior by one person upon another. It is often perpetrated using physical force, or by taking advantage of another. Sexual abuse is a term used for a persistent pattern of sexual assaults. The offender is referred to as a sexual abuser. Live streaming sexual abuse involves trafficking and coerced sexual acts, and/or rape, in real time on webcam.

Sibling abuse includes the physical, psychological, or sexual abuse of one sibling by another. More often than not, the younger sibling is abused by the older sibling. Sibling abuse is the most common of family violence in the US, but the least reported. As opposed to sibling rivalry, sibling abuse is characterized by the one-sided treatment of one sibling to another.

Adolescent sexuality is a stage of human development in which adolescents experience and explore sexual feelings. Interest in sexuality intensifies during the onset of puberty, and sexuality is often a vital aspect of teenagers' lives. Sexual interest may be expressed in a number of ways, such as flirting, kissing, masturbation, or having sex with a partner. Sexual interest among adolescents, as among adults, can vary greatly, and is influenced by cultural norms and mores, sex education, as well as comprehensive sexuality education provided, sexual orientation, and social controls such as age-of-consent laws.

The sexuality of US adolescents includes their feelings, behaviors and development, and the place adolescent sexuality has in American society, including the response of the government, educators, parents, and other interested groups.

Childhood trauma is often described as serious adverse childhood experiences. Children may go through a range of experiences that classify as psychological trauma; these might include neglect, abandonment, sexual abuse, emotional abuse, and physical abuse. They may also witness abuse of a sibling or parent, or have a mentally ill parent. These events can have profound psychological, physiological, and sociological impacts leading to lasting negative effects on health and well-being. These events may include antisocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Additionally, children whose mothers have experienced traumatic or stressful events during pregnancy have an increased risk of mental health disorders and other neurodevelopmental disorders.

Child-on-child sexual abuse is a form of child sexual abuse in which a prepubescent child is sexually abused by one or more other children or adolescents, and in which no adult is directly involved. While this includes one of the children using physical force, threats, trickery or emotional manipulation to elicit cooperation, it also can include non-coercive situations where the initiator proposes or starts a sexual act that the victim does not understand the nature of and simply goes along with, not comprehending its implications or what the consequences might be.

Child sexual abuse (CSA), also called child molestation, is a form of child abuse in which an adult or older adolescent uses a child for sexual stimulation. Forms of child sexual abuse include engaging in sexual activities with a child, indecent exposure, child grooming, and child sexual exploitation, such as using a child to produce child pornography.

<span class="mw-page-title-main">Environment and sexual orientation</span> Field of sexual orientation research

The relationship between the environment and sexual orientation is a subject of research. In the study of sexual orientation, some researchers distinguish environmental influences from hormonal influences, while other researchers include biological influences such as prenatal hormones as part of environmental influences.

<span class="mw-page-title-main">Sibling relationship</span> Relationship between siblings

Siblings play a unique role in one another's lives that simulates the companionship of parents as well as the influence and assistance of friends. Because siblings often grow up in the same household, they have a large amount of exposure to one another, like other members of the immediate family. However, though a sibling relationship can have both hierarchical and reciprocal elements, this relationship tends to be more egalitarian and symmetrical than with family members of other generations. Furthermore, sibling relationships often reflect the overall condition of cohesiveness within a family.

The media and American adolescent sexuality relates to the effect the media has on the sexuality of American adolescents and the portrayal thereof.

Adverse childhood experiences (ACEs) include childhood emotional, physical, or sexual abuse and household dysfunction during childhood. The categories are verbal abuse, physical abuse, contact sexual abuse, a battered mother/father, household substance abuse, household mental illness, incarcerated household members, and parental separation or divorce. The experiences chosen were based upon prior research that has shown to them to have significant negative health or social implications, and for which substantial efforts are being made in the public and private sector to reduce their frequency of occurrence. Scientific evidence is mounting that such adverse childhood experiences (ACEs) have a profound long-term effect on health. Research shows that exposure to abuse and to serious forms of family dysfunction in the childhood family environment are likely to activate the stress response, thus potentially disrupting the developing nervous, immune, and metabolic systems of children. ACEs are associated with lifelong physical and mental health problems that emerge in adolescence and persist into adulthood, including cardiovascular disease, chronic obstructive pulmonary disease, autoimmune diseases, substance abuse, and depression.

<span class="mw-page-title-main">Juvenile sex offenders in the United States</span>

A juvenile sex crime is defined as a legally proscribed sexual crime committed without consent by a minor under the age of 18. The act involves coercion, manipulation, a power imbalance between the perpetrator and victim, and threats of violence. The sexual offenses that fall under juvenile sex crimes range from non-contact to penetration. The severity of the sexual assault in the crime committed is often the amount of trauma and/or injuries the victim has suffered. Typically within these crimes, female children are the majority demographic of those targeted and the majority of offenders are male. Juvenile sex offenders are different than adult sex offenders in a few ways, as captured by National Incident Based Reporting System: they are more likely to be committed in school, offend in groups and against acquaintances, target young children as victims, and to have a male victim, whereas they are less likely than their adult counterpart to commit rape.

References

  1. 1 2 Kellogg, Nancy D.; Committee on Child Abuse and Neglect (2009-09-01). "Clinical Report—The Evaluation of Sexual Behaviors in Children". Pediatrics. 124 (3): 992–998. doi:10.1542/peds.2009-1692. ISSN   0031-4005. PMID   19720674. S2CID   6269473.
  2. Friedrich, William N.; Fisher, Jennifer; Broughton, Daniel; Houston, Margaret; Shafran, Constance R. (1998-04-01). "Normative Sexual Behavior in Children: A Contemporary Sample". Pediatrics. 101 (4): e9. doi:10.1542/peds.101.4.e9. ISSN   1098-4275. PMID   9521975. S2CID   5436544.
  3. Ryan, Gail (2000). "Childhood sexuality: a decade of study. Part I—research and curriculum development". Child Abuse & Neglect. 24 (1): 33–48. doi:10.1016/S0145-2134(99)00118-0. PMID   10660008.
  4. SEX PLAY: parenting strategies by Dr. Marilyn Heins Archived 2006-09-07 at the Wayback Machine
  5. PPP: Health and Safety || When Children's Play Involves Sexuality || Sex play is normal Archived 2006-09-05 at the Wayback Machine
  6. Friedrich, William N.; Fisher, Jennifer; Broughton, Daniel; Houston, Margaret; Shafran, Constance R. (1998). "Normative sexual behavior in children: a contemporary sample". Pediatrics. 101 (4): E9. doi:10.1542/peds.101.4.e9. PMID   9521975. S2CID   5436544.
  7. Larsson & Svedin, 1999, op. cit.; Larsson & Svedin, publication data unavailable; cited in Larsson, 2000, op. cit.
  8. 1 2 3 Larsson, IngBeth. Child sexuality and sexual behavior Archived 2012-11-19 at the Wayback Machine (2000), Swedish National Board of Health and Welfare (report), Article number 2000-36-001. English translation (Lambert & Tudball) Article number 2001-123-20.
  9. Sexual Development and Behavior in Children: Information for Parents and Caregivers (Report). American Psychological Association. 2009. doi:10.1037/e736972011-001.
  10. 1 2 3 GH6002 Sexuality and Your Child: For Children Ages 3 to 7, MU Extension
  11. 1 2 Kelly, Garry (2003). Sexuality Today: The Human Perspective Edn 7. McGraw-Hill Tx USA. ISBN   978-0072558357.
  12. Reinisch, June (1991). The Kinsey Institute new report on sex: what you must know to be sexually literate. New York: St. Martin's Press. ISBN   9780312063863.
  13. 1 2 Santrock, J.W. (2008). A Topical Approach to Life-Span Development (4th ed.). New York: McGraw-Hill.
  14. Okami, Paul; Olmstead, Richard; Abramson, Paul R. (1997). "Sexual experiences in early childhood: 18-year longitudinal data from the UCLA family lifestyles project - University of California, Los Angeles". Journal of Sex Research. 34 (4): 339–347. doi:10.1080/00224499709551902.
  15. Lahtinen, Hanna-Mari; Laitila, Aarno; Korkman, Julia; Ellonen, Noora (2018). "Children's disclosures of sexual abuse in a population-based sample". Child Abuse & Neglect. 76: 84–94. doi:10.1016/j.chiabu.2017.10.011. PMID   29096161.
  16. Sex education: Talking to toddlers and preschoolers about sex - MayoClinic.com
  17. Richardson, Justin, M.D., and Schuster, Mark, M.D., Ph.D. Everything You Never Wanted Your Kids to Know About Sex (But Were Afraid They'd Ask) Archived 2006-10-13 at the Wayback Machine , 2003, Three Rivers Press
  18. Planned Parenthood – Sexuality Development Archived 2006-12-02 at the Wayback Machine
  19. "Child & adolescent sexuality". South Easter CASA Centre Against Sexual Assault. 9 March 2012. Archived from the original on 14 July 2014. Retrieved 10 July 2014.
  20. Leander, Else-Marie Buch; Larsen, Per Lindsø; Munk, Karen Pallesgaard (2018). "Children's Doctor Games and Nudity at Danish Childcare Institutions". Archives of Sexual Behavior. 47 (4): 863–875. doi:10.1007/s10508-017-1144-9. ISSN   1573-2800. PMID   29450663. S2CID   46838503 . Retrieved 2020-05-03.
  21. Kaeser, Frederick; DiSalvo, Claudia; Moglia, Ron (2000). "Sexual Behaviors of Young Children That Occur in Schools". Journal of Sex Education and Therapy. 25 (4): 277–285. doi:10.1080/01614576.2000.11074361. ISSN   0161-4576. S2CID   142993207.
  22. Gil & Cavanagh Johnson, 1993, op. cit.; Cavanagh Johnson, T., Feldmeth, J. R. (1993). "Sexual behaviors – a continuum". In I. E. Gil & T. Cavanagh Johnson. Sexualized Children (pp. 39 – 52); Friedrich, W. N., Grambsch, P., Damon, L., Hewitt, S., Koverola, C., Lang, R., Wolfe, V., Broughton, D. (1992). "Child sexual behavior inventory: Normative and clinical comparisons". Psychological Assessment, vol. 4, no.3:303 – 311. Cited in Larsson, 2000, op. cit.
  23. Cohn, D. S. (1991). "Anatomic doll play of preschoolers referred for sexual abuse and those not referred". Child Abuse & Neglect 15:455 – 466.; Everson & Boat, 1991; Jampole, L. & Weber, M. K. (1987). "An assessment of the behavior of sexually abused and nonabused children with anatomically correct dolls". Child Abuse & Neglect: 11 187 – 192.; Sivan, A., Schor, D., Koeppl, G., Noble, L. (1988). "Interaction of normal children with anatomic dolls". Child Abuse & Neglect, 12:295 – 304. Cited in Larsson, 2000, op. cit.
  24. Haugaard, J. J. & Tilly, C (1988). "Characteristics predicting children's responses to sexual encounters with other children". Child Abuse & Neglect 12:209 – 218.; Haugaard, J. J. (1996). "Sexual behaviors between children: Professionals' opinions and undergraduates' recollections". Families in Society: The Journal of Contemporary Human Services, 2:81 – 89.; Lamb & Coakley, 1993; Larsson, Lindell & Svedin, publication datat not available; cited in Larsson, 2000, op. cit.
  25. Friedrich, W. N., Grambsch, P., Broughton, D., Kuiper, J., Beilke, R. L. (1991). "Normative sexual behavior in children". Pediatrics 88: 456 – 464; Phipps-Yonas, S., Yonas, A., Turner, M., Kauper, M, (1993). "Sexuality in early childhood". University of Minnesota Center for Urban and Regional Affairs Reports, 23:1 – 5. ; Lindblad, F., Gustafsson, P., Larsson, I., Lundin, B. (1995). "Preschooler's sexual behaviour at daycare centers: an epidemiological study". Child Abuse & Neglect vol. 19, no. 5:569 – 577.; Fitzpatrick & Deehan, 1995; Larsson, I., Svedin, C-G. (1999). Sexual behaviour in Swedish preschool children as observed by their parents. Manuscript.; Larsson, I., Svedin C-G., Friedrich, W. "Differences and similarities in sexual behaviour among preschoolers in Sweden and USA". Nordic Journal of Psychiatry. Printing information unavailable.; Smith & Grocke, 1995; cited in Larsson, 2000, op. cit.
  26. History of sexual research(PDF) Archived 2011-11-11 at the Wayback Machine
  27. Sauerteig, Lutz D.H. (2012). "Loss of Innocence: Albert Moll, Sigmund Freud and the Invention of Childhood Sexuality Around 1900". Medical History. 56 (2): 156–183. doi:10.1017/mdh.2011.31. ISSN   0025-7273. PMC   3381499 . PMID   23002291.
  28. Salter, Ph.D., Anna C. (1988). Treating Child Sex Offenders and Victims: A Practical Guide. Sage Publications Inc. pp. 22–24. ISBN   978-0-8039-3182-4.
  29. Pool, Gary (Sep–Oct 1996). "Sex, science, and Kinsey: a conversation with Dr. John Bancroft - head of the Kinsey Institute for Research in Sex, Gender, and Reproduction". Humanist. Archived from the original on 2008-03-27. Retrieved 2008-01-07.
  30. "Kinsey Institute director denies allegations by Reisman". Kinseyinstitute.org. Archived from the original on 2014-02-12. Retrieved 2013-12-04.
  31. Dill, Karen (2009). How Fantasy Becomes Reality: Seeing Through Media Influence. Oxford University Press. ISBN   978-0195372083.
  32. Zadrozny, Brandy (May 14, 2015). "Are These the World's Most Graphic Sex-Ed Videos?". The Daily Beast.
  33. 1 2 Joel W Grube, Enid Gruber (2000). "Adolescent sexuality and the media: a review of current knowledge and implications". Western Journal of Medicine. 172 (3): 210–214. doi:10.1136/ewjm.172.3.210. PMC   1070813 . PMID   10734819.
  34. 1 2 Nancy Allen, Matthew Broom (2017). "Social Media and Sexual Behavior Among Adolescents: Is there a link?". JMIR Public Health and Surveillance. 3 (2): e28. doi: 10.2196/publichealth.7149 . PMC   5457530 . PMID   28526670.
  35. 1 2 Collins, Rebecca L; Strasburger, Victor C; Brown, Jane D (2017). "Sexual Media and Childhood Well-being and Health". Pediatrics. 140 (2): S162–S166. doi: 10.1542/peds.2016-1758X . PMID   29093054.
  36. De Ridder, Sander (2017). "Social Media and Young People's Sexualities: Values, Norms, and Battlegrounds". Social Media + Society. 3 (4). doi: 10.1177/2056305117738992 .
  37. Chan, Randolph C.H. (2023). "Benefits and risks of LGBT social media use for sexual and gender minority individuals: An investigation of psychosocial mechanisms of LGBT social media use and well-being". Computers in Human Behavior. 139. doi: 10.1016/j.chb.2022.107531 .
  38. Ripes, Jessie (26 May 2021). "The Pros and Cons of Social Media on Sexuality". Modern Intimacy.
  39. Kaeser, Fred (2001-10-30). "The effects of increasing sexualization on children". Towards a Better Understanding of Children's Sexual Behavior. NYU Child Study Center. Retrieved February 22, 2007. We know that exposure to sexualized messages, particularly those that are incomprehensible, can have several effects on children.
  40. 1 2 Lamb, Sharon; Zurbriggen, Ellen L.; Collins, Rebecca L.; Roberts, Tomi-Ann; Tolman, Deborah L.; Ward, L. Monique; Blake, Jeanne (2007). Report of the American Psychological Association Task Force on the Sexualization of Girls (Report). American Psychological Association (APA).
  41. Lamb, Sharon (2006). Sex, therapy, and kids: addressing their concerns through talk and play. New York: W.W. Norton & Co. ISBN   9780393704792.
  42. Lamb, Sharon; Zurbriggen, Ellen L.; Collins, Rebecca L.; Roberts, Tomi-Ann; Tolman, Deborah L.; Ward, L. Monique; Blake, Jeanne (2007). Report of the American Psychological Association Task Force on the Sexualization of Girls (Report). American Psychological Association (APA). The proliferation of sexualized images of girls and young women in advertising, merchandising, and media is harming girls' self-image and healthy development. This report explores the cognitive and emotional consequences, consequences for mental and physical health, and impact on development of a healthy sexual self-image
  43. Thiel, David; DiResta, Renee (24 July 2023). "Addressing Child Exploitation on Federated Social Media". Stanford University. Cyber Policy Center.
  44. 1 2 "How the Internet is Drowning in Child Sex Abuse Content". Alliance to counter crime online.
  45. Company, Fast; Article, Curated (30 November 2022). "SOCIAL MEDIA IS ACCELERATING THE SPREAD OF CHILD SEXUAL ABUSE MATERIAL". Giving Compass.{{cite web}}: |last1= has generic name (help)
  46. "Child Sexual Abuse". Medline Plus. U.S. National Library of Medicine. 2008-04-02.
  47. "Guidelines for psychological evaluations in child protection matters. Committee on Professional Practice and Standards, APA Board of Professional Affairs". The American Psychologist. 54 (8): 586–93. August 1999. doi:10.1037/0003-066X.54.8.586. PMID   10453704. Abuse, sexual (child): generally defined as contacts between a child and an adult or other person significantly older or in a position of power or control over the child, where the child is being used for sexual stimulation of the adult or other person.
  48. Roosa, Mark W.; Reinholtz, Cindy; Angelini, Patti Jo (February 1999). "The relation of child sexual abuse and depression in young women: comparisons across four ethnic groups". Journal of Abnormal Child Psychology. 27 (1): 65–76. PMID   10197407. Pdf version. Archived 2014-07-14 at the Wayback Machine
  49. Widom, CS; DuMont, K; Czaja, SJ (January 2007). "A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up". Archives of General Psychiatry. 64 (1): 49–56. doi: 10.1001/archpsyc.64.1.49 . PMID   17199054 . Retrieved January 3, 2007.
  50. Levitan, Robert D.; Rector, Neil A.; Sheldon, Tess; Goering, Paula (2003). "Childhood adversities associated with major depression and/or anxiety disorders in a community sample of Ontario: issues of co-morbidity and specificity". Depression and Anxiety. 17 (1): 34–42. doi: 10.1002/da.10077 . PMID   12577276. S2CID   26031006.
  51. Messman-Moore, Terri L.; Long, Patricia J. (2000). "Child Sexual Abuse and Revictimization in the Form of Adult Sexual Abuse, Adult Physical Abuse, and Adult Psychological Maltreatment". Journal of Interpersonal Violence. 15 (5): 489. doi:10.1177/088626000015005003. S2CID   145761598.
  52. Dinwiddie, Stephen H.; Heath, Andrew C.; Dunne, Michael P.; Bucholz, Kathleen K.; Madden, Pamela A.F.; Slutske, W.S.; Bierut, Laura Jean; Statham, Dixie J.; Martin, Nicholas G. (January 2000). "Early sexual abuse and lifetime psychopathology: a co-twin-control study". Psychological Medicine. 30 (1): 41–52. doi:10.1017/S0033291799001373. PMID   10722174. S2CID   15270464.
  53. Courtois, Christine A. (1988). Healing the incest wound: adult survivors in therapy . New York: Norton. p.  208. ISBN   978-0-393-31356-7.
  54. 1 2 3 Friedrich et al., 1992, 1993, op. cit.; Kendall-Tackett, K. E., Williams, L., Finkelhor, D. (1993). "The impact of sexual abuse on children: A review and synthesis of recent empirical studies". Psychological Bulletin, 113:164 – 180.; Cosentino, C. E, Meyer-Mahlenburg, H., Alpert, J., Weinberg, S., Gaines, R. (1995). "Sexual behavior problems and psychopathology symptoms in sexually abused girls". Journal of American Academy Child & Adolescent Psychiatry, 34, 8:1033–1042.; cited in Larsson, 2000, op. cit.
  55. 1 2 Friedrich et al. (1992), op. cit.; cited in Larsson, 2000, op. cit.
  56. Finkelhor, D. (1980). "Sex among siblings: A survey on prevalence, variety, and effects". Archives of Sexual Behavior. 9 (3): 171–194. doi:10.1007/BF01542244. PMID   7396691. S2CID   7206053.
  57. Greenwald, Evan; Leitenberg, Harold (October 1989). "Long-term effects of sexual experiences with siblings and nonsiblings during childhood". Archives of Sexual Behavior. 18 (5): 389–399. doi:10.1007/BF01541971. PMID   2818170. S2CID   43279816.

Further reading