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Child-on-child sexual abuse is a form of
child sexual abuse 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 (whet ...
in which a prepubescent child is
sexually abused 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 assau ...
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 Emotions are mental states brought on by neurophysiological changes, variously associated with thoughts, feelings, behavioral responses, and a degree of pleasure or displeasure. There is currently no scientific consensus on a definition. ...
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-on-child sexual abuse is differentiated from
normative Normative generally means relating to an evaluative standard. Normativity is the phenomenon in human societies of designating some actions or outcomes as good, desirable, or permissible, and others as bad, undesirable, or impermissible. A norm in ...
sexual play or anatomical curiosity and exploration (e.g. " playing doctor") because child-on-child sexual abuse is an overt and deliberate action directed at sexual stimulation, including
orgasm Orgasm (from Greek , ; "excitement, swelling") or sexual climax is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic, involuntary muscular contractions in the pelvic region chara ...
. When sexual abuse is perpetrated by one sibling upon another, it is known as " inter-sibling abuse". When victims of inter-sibling child-on-child sexual abuse grow up, they often have distorted recall of the act, such as thinking it was
consensual Consent occurs when one person voluntarily agrees to the proposal or desires of another. It is a term of common speech, with specific definitions as used in such fields as the law, medicine, research, and sexual relationships. Consent as und ...
or that they were the initiator.


Causes

In the case of child-on-child sexual abuse, young children who have not matured sexually are incapable of knowing about specific sex acts without an external source. Consequently, children who initiate or solicit overtly sexual acts with other children most often have been sexually victimized by an adult beforehand, Drew Pinsky, MD and Ted Stryker (November 5, 2007
"Loveline"
(audio interview, 0:38:45-0:40:31). lovelineshow.com. Retrieved November 15, 2007.
or by another child who was in turn abused by an adult. More than half have been victimized by two or more perpetrators. In some instances, the perpetrating child was exposed to pornography or repeatedly witnessed sexual activity of adults at a very young age, and this can also be considered a form of
child sexual abuse 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 (whet ...
. In many cases, a child or adolescent may have no intent to cause any harm to another child, and they act merely on a passing impulse. However, this act may still result in harm to the other child and is a form of child-on-child sexual abuse. Furthermore, children who had experienced an unwanted sexual approach may not understand that this act was crime against themselves.


Prevalence

Child-on-child sexual abuse frequently goes unreported because it is not widely known about by the public, and often occurs outside of adults' direct supervision. Even if known by adults, it is sometimes dismissed as harmless by those who do not understand the implications. In particular, inter-sibling abuse is under-reported relative to the reporting rates for parent–child sexual abuse, and disclosure of the
incest Incest ( ) is human sexual activity between family members or close relatives. This typically includes sexual activity between people in consanguinity (blood relations), and sometimes those related by affinity ( marriage or stepfamily), ado ...
by the victim during childhood is rare.


Effects

Children who were sexually victimized by other minors, including inter-sibling abuse, show largely the same problems as children victimized by adults, including
anxiety disorder Anxiety disorders are a cluster of mental disorders characterized by significant and uncontrollable feelings of anxiety and fear such that a person's social, occupational, and personal function are significantly impaired. Anxiety may cause phy ...
s, depression,
substance abuse Substance abuse, also known as drug abuse, is the use of a drug in amounts or by methods which are harmful to the individual or others. It is a form of substance-related disorder. Differing definitions of drug abuse are used in public health, ...
,
suicide Suicide is the act of intentionally causing one's own death. Mental disorders (including depression, bipolar disorder, schizophrenia, personality disorders, anxiety disorders), physical disorders (such as chronic fatigue syndrome), and ...
,
eating disorder An eating disorder is a mental disorder defined by abnormal eating behaviors that negatively affect a person's physical or mental health. Only one eating disorder can be diagnosed at a given time. Types of eating disorders include binge eating d ...
s,
post traumatic stress disorder Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on ...
,
sleep disorder A sleep disorder, or somnipathy, is a medical disorder of an individual's sleep patterns. Some sleep disorders are severe enough to interfere with normal physical, mental, social and emotional functioning. Polysomnography and actigraphy are tests ...
s and difficulty trusting peers in the context of relationships. The victim often thinks that the act was normal, including thinking they were the initiator or that they went through the act voluntarily. Major factors that affect the severity of symptoms include the use of force or coercion, the frequency of the abuse, and the invasiveness of the act. An increased risk of
victimization Victimisation ( or victimization) is the process of being victimised or becoming a victim. The field that studies the process, rates, incidence, effects, and prevalence of victimisation is called victimology. Peer victimisation Peer victimisati ...
later in life has also been reported. The term ''minor sex offenders'' may be used for children under 18 years old that have initiated any non-consensual sexual activity with another person. This population may be viewed as a younger version of sexual perpetrators and may be assessed as part of a same group, when they represent a significant
heterogenous Homogeneity and heterogeneity are concepts often used in the sciences and statistics relating to the uniformity of a substance or organism. A material or image that is homogeneous is uniform in composition or character (i.e. color, shape, size, ...
group. For example, these children tend to exhibit different motivations for their actions than adult sexual offenders and they tend to respond more favorably to treatment.


See also


References

{{Psychological manipulation Child sexual abuse Child sexuality