Child sexuality

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1905 illustration subtitled "put your hand where it shouldn't be" (in French) Martin Van Maele - La Grande Danse macabre des vifs - 34.jpg
1905 illustration subtitled "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 towards sex and the opposite gender, 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, including sexual experiences with other children. [1] These experiences can include fondling, interpersonal genital exploration and masturbation, while intrusive contact (digital penetration, oral or genital contact, etc) are 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 labeled 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 gender 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 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, 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> Type of family

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.

Gender variance or gender nonconformity 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, also referred to as molestation, is abusive sexual behavior by one person upon another. It is often perpetrated using force or by taking advantage of another. Molestation often refers to an instance of sexual assault against a small child, whereas sexual abuse is a term used for a persistent pattern of sexual assaults.

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.

Childhood trauma is often described as serious adverse childhood experiences (ACEs). 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, witnessing abuse of a sibling or parent, or having a mentally ill parent. These events have profound psychological, physiological, and sociological impacts and can have negative, lasting effects on health and well-being such as unsocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Similarly, children whose mothers have experienced traumatic or stressful events during pregnancy have an increased risk of mental health disorders and other neurodevelopmental disorders.

<span class="mw-page-title-main">Questioning (sexuality and gender)</span> Process of self-exploration

The questioning of one's sexual orientation, sexual identity, gender, or all three is a process of exploration by people who may be unsure, still exploring, or concerned about applying a social label to themselves for various reasons. The letter "Q" is sometimes added to the end of the acronym LGBT ; the "Q" can refer to either queer or questioning.

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 when one of the children uses 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, 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.

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Further reading