Sexual abuse

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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. [1] Sexual abuse is a term used for a persistent pattern of sexual assaults. [2] 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. [3] [4] [5] [6]

Contents

Molestation often refers to an instance of sexual assault against a small child. The perpetrator is called (often pejoratively) [7] a molester. The term also covers behavior by an adult or older adolescent towards a child to sexually stimulate any of the involved. The use of a child for sexual stimulation is referred to as child sexual abuse and, for pubescent or post-pubescent individuals younger than the age of consent, statutory rape.

Sexual abuse can be perpetrated against other vulnerable populations like the elderly, a form of elder abuse, or those with developmental disabilities.

Victims

Spouses

Spousal sexual abuse is a form of domestic violence. When the abuse involves threats of unwanted sexual contact or forced sex by a woman's husband or ex-husband, it may constitute rape, depending on the jurisdiction, and may also constitute an assault. [8]

Children

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. [9] [10] 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. [9] [11] [12]

Effects of child sexual abuse include shame, self-blame, [13] 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. [14] Child sexual abuse is a risk factor for attempting suicide. [15] Additionally, some studies have shown childhood sexual abuse to be a risk factor of the perpetration of intimate partner violence in men. [16] Much of the harm caused to victims becomes apparent years after the abuse happens. With specific regard to addiction, a study by Reiger et al. supports previous findings that adverse life events increase sensitivity to drug rewards and bolster drug reward signaling by exposing an association between heightened limbic response to cocaine cues. [17]

Sexual abuse by a family member is a form of incest, which can result in severe long-term psychological trauma, especially in the case of parental incest. [18]

Globally, approximately 18–19% of women and 8% of men disclose being sexually abused during their childhood. [19] [20] The gender gap may be caused by higher victimization of girls, lower willingness of men to disclose abuse, or both. [19] 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. [21] Child sexual abuse offenders are not pedophiles unless they have a primary or exclusive sexual interest in prepubescent children. [22]

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).

Elderly and people with dementia

Elderly people, especially those with dementia, can be at risk of abuse. There were over 6,000 "safeguarding concerns and alerts" at UK care homes from 2013 to 2015. These included alleged inappropriate touching and worse allegations. Offenders were most often other residents but staff also offended. It is suspected some care homes may deliberately overlook these offenses. [23]

People in poverty

People in poverty, including those from developing countries, are vulnerable to forced prostitution, [24] [25] [26] live streaming sexual abuse, [4] [5] [6] and other forms of molestation. Victims who come from families in poverty often have less connections, power, protection, and education about sex crimes. [27]

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. [28] A qualitative study by Kim et al. discusses the experiences of sexual abuse in the US population of Mexican immigrant women, citing immigration, acculturation, and several other social elements as risk factors for abuse. [29]

Prisoners

This section is an excerpt from Prisoner abuse § Sexual abuse.[ edit ]
Sexual abuse is known to occur in facilities for both genders, however it is especially predominant with female prisoners. Common acts can include arbitrary and extensive strip searches as well as other forms of forced denudation beyond general necessity, excessive vaginal or rectal contraband searches or other internal checks including the oral cavity of a prisoner. In extreme cases even forced insertion of objects into the inmate's vagina or rectum and also forced sexual intercourse is known to occur mostly on female detainees.

Animals

Captive breeding activities are sometimes described as sexual abuse. [30] People for the Ethical Treatment of Animals (PETA) has specifically objected, for example, to SeaWorld's breeding of orcas (Orcinus orca). [30] Captive breeding of animals led to the idea of capturing and enslaving women for involuntary breeding according to Charles Patterson. [31]

Treatment

In the emergency department, contraceptive medications are offered to women raped by men because about 5% of such rapes result in pregnancy. [32] Preventative medication against sexually transmitted infections are given to victims of all types of sexual abuse (especially for the most common diseases like chlamydia, gonorrhea, trichomoniasis and bacterial vaginosis) and a blood serum is collected to test for STIs (such as HIV, hepatitis B and syphilis). [32] Any survivor with abrasions are immunized for tetanus if 5 years have elapsed since the last immunization. [32] Short-term treatment with a benzodiazepine may help with acute anxiety and antidepressants may be helpful for symptoms of PTSD, depression and panic attacks. [32]

Sexual abuse has been linked to the development of psychotic symptoms in abused children. Treatment for psychotic symptoms may also be involved in sexual abuse treatment. [33]

In regards to long term psychological treatment, prolonged exposure therapy has been tested as a method of long-term PTSD treatment for victims of sexual abuse. [34]

Prevention

Child sexual abuse prevention programmes were developed in the United States of America during the 1970s and originally delivered to children. Programmes delivered to parents were developed in the 1980s and took the form of one-off meetings, two to three hours long. [35] [36] [37] [38] [39] [40] In the last 15 years, web-based programmes have been developed.

Survivor

The term survivor is sometimes used for a living victim, including victims of non-fatal harm, to honor and empower the strength of an individual to heal, in particular a living victim of sexual abuse or assault. [41] For example, there are the Survivors Network of those Abused by Priests and The Survivors Trust.

Positions of power

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 religious abuse or religious settings and often cover-up among non-abusers, including cases in the Southern Baptist Convention, [42] Catholic Church, Episcopalian religion, [43] Islam, [44] Jehovah's Witnesses, Lutheran church, [45] Methodist Church, [46] Anabaptist/Mennonite Church, The Church of Jesus Christ of Latter-day Saints, [47] the Fundamentalist Church of Jesus Christ of Latter Day Saints, Orthodox Judaism, [48] other branches of Judaism, [49] various buddhist schools such as Zen and Tibetan, [50] [51] [52] [53] Yoga classes, [54] and various cults.

In October 2020, a powerful member of the United Arab Emirates' royal family, Nahyan bin Mubarak Al Nahyan, was accused of exploiting his authority by a British citizen, Caitlin McNamara, who was working on Abu Dhabi Hay Festival. On February 14 that year, the UAE's Minister of Tolerance called McNamara for a dinner at his villa on private island and sexually abused the woman, who was organizing the literary festival for the country. [55]

Social media

Due to social media censorship algorithms, people wishing to discuss sex and particular sexual assault have adopted the 'algospeak' [56] code word 'mascara' to refer to a boyfriend or romantic partner in a sexual context and then proceed to euphemistically describe bad experiences. The use of such code language can also lead to confusion and embarrassment for those who are unfamiliar with the intended meaning. [57]

Animals

Sexual abuse has been identified among animals as well, for example, among the Adélie penguins. [58]

See also

Related Research Articles

Sexual assault is an act of sexual abuse in which one intentionally sexually touches another person without that person's consent, or coerces or physically forces a person to engage in a sexual act against their will. It is a form of sexual violence that includes child sexual abuse, groping, rape, drug facilitated sexual assault, and the torture of the person in a sexual manner.

Some victims of rape or other sexual violence incidents are male. Historically, rape was thought to be, and defined as, a crime committed solely against females. This belief is still held in some parts of the world, but rape of males is now commonly criminalized and has been subject to more discussion than in the past.

Abuse is the improper usage or treatment of a person or thing, often to unfairly or improperly gain benefit. Abuse can come in many forms, such as: physical or verbal maltreatment, injury, assault, violation, rape, unjust practices, crimes, or other types of aggression. To these descriptions, one can also add the Kantian notion of the wrongness of using another human being as means to an end rather than as ends in themselves. Some sources describe abuse as "socially constructed", which means there may be more or less recognition of the suffering of a victim at different times and societies.

Sexual violence is any harmful or unwanted sexual act—or attempt to obtain a sexual act through violence or coercion—or an act directed against a person's sexuality without their consent, by any individual regardless of their relationship to the victim. This includes forced engagement in sexual acts, attempted or completed, and may be physical, psychological, or verbal. It occurs in times of peace and armed conflict situations, is widespread, and is considered to be one of the most traumatic, pervasive, and most common human rights violations.

A sex offender is a person who has committed a sex crime. What constitutes a sex crime differs by culture and legal jurisdiction. The majority of convicted sex offenders have convictions for crimes of a sexual nature; however, some sex offenders have simply violated a law contained in a sexual category. Some of the serious crimes which result in a mandatory sex-offender classification are sexual assault, statutory rape, bestiality, child sexual abuse, incest, and rape.

Rape can be categorized in different ways: for example, by reference to the situation in which it occurs, by the identity or characteristics of the victim, and by the identity or characteristics of the perpetrator. These categories are referred to as types of rape. The types described below are not mutually exclusive: a given rape can fit into multiple categories, by for example being both a prison rape and a gang rape, or both a custodial rape and the rape of a child.

Rape is a traumatic experience that affects the victim (survivor) in a physical, psychological, and sociological way. Even though the effects and aftermath of rape differ among victims, individuals tend to suffer from similar issues found within these three categories. Long-term reactions may involve the development of coping mechanisms that will either benefit the victim, such as social support, or inhibit their recovery. Seeking support and professional resources may assist the victim in numerous ways.

Pedophilia is a psychiatric disorder in which an adult or older adolescent experiences a primary or exclusive sexual attraction to prepubescent children. Although girls typically begin the process of puberty at age 10 or 11, and boys at age 11 or 12, psychiatric diagnostic criteria for pedophilia extend the cut-off point for prepubescence to age 13. People with the disorder are often referred to as pedophiles.

<span class="mw-page-title-main">Rape</span> Type of sexual assault usually involving sexual intercourse without consent

Rape is a type of sexual assault involving sexual intercourse, or other forms of sexual penetration, carried out against a person without their consent. The act may be carried out by physical force, coercion, abuse of authority, or against a person who is incapable of giving valid consent, such as one who is unconscious, incapacitated, has an intellectual disability, or is below the legal age of consent. The term rape is sometimes casually inaccurately used interchangeably with the term sexual assault.

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.

Rape trauma syndrome (RTS) is the psychological trauma experienced by a rape survivor that includes disruptions to normal physical, emotional, cognitive, and interpersonal behavior. The theory was first described by nurse Ann Wolbert Burgess and sociologist Lynda Lytle Holmstrom in 1974.

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.

Sexual violence refers to a range of completed or attempted sexual acts in which the affected party does not or is unable to consent. Theories on the causes of sexual violence are numerous and have come out of many different disciplines, such as women's studies, public health, and criminal justice. Proposed causes include military conquest, socioeconomics, anger, power, sadism, traits, ethical standards, laws, and evolutionary pressures. Most of the research on the causes of sexual violence has focused on male offenders.

Victimisation is the state or process of being victimised or becoming a victim. The field that studies the process, rates, incidence, effects, and prevalence of victimisation is called victimology.

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.

Research published from 2000 to 2020 illustrates increased prevalence rates of sexual violence against people with intellectual disabilities, compared to the general population.:61 The World Health Organization (WHO) funded a study which concluded that 15% of the adult population worldwide in 2012 had a disability, putting them at increased risk of physical, sexual, and intimate partner violence. Of that 15%, 6.1% had intellectual disability with 5.5% experiencing sexual violence. In another 2012 report, the WHO found that worldwide, children with intellectual disabilities experienced a 4.6 times greater risk of sexual violence than those without disability.

David Lisak is an American clinical psychologist. He received his PhD from Duke University, and is a retired associate professor of psychology at the University of Massachusetts Boston. Lisak's research focuses on "the causes and consequences of interpersonal violence...motives and behaviors of rapists and murderers, the impact of childhood abuse on adult men, and relationship between child abuse and later violence".

Vernon Lewis Quinsey is a Canadian psychologist. He has studied violent crime offenders, sex offenders, sexually violent predators, juvenile delinquency, and ways to predict, assess, and manage individuals with these tendencies. He testified in court that a rapist, Allen Edward Bullock, was "erotically attracted to that kind of behavior".

<span class="mw-page-title-main">Sexual assault of LGBT persons</span>

Sexual assault of LGBT people, also known as sexual and gender minorities (SGM), is a form of violence that occurs within the LGBT community. While sexual assault and other forms of interpersonal violence can occur in all forms of relationships, it is found that sexual minorities experience it at rates that are equal to or higher than their heterosexual counterparts. There is a lack of research on this specific problem for the LGBT population as a whole, but there does exist a substantial amount of research on college LGBT students who have experienced sexual assault and sexual harassment.

<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

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  53. ↑ Sperry, Rod Meade; Atwood, Haleigh (2018-03-30). "Against the Stream to investigate allegations of sexual misconduct by Noah Levine; results expected within a month". Lion's Roar. Archived from the original on 2018-10-22. Retrieved 2019-01-21.
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