child abuse, sexual…

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sexual abuse, children, child sexual abuse is defined, the deliberate exposure of minor children to sexual activity, the exception of incestuous relationships, syndrome was not clearly described, late 1970s, problem is far more common than had been realized, indeed, medical literature up, the mid-1970s contained articles, children, sexually transmitted diseases, gonorrhea, was no discussion of where it came, was great reluctance in society to deal, issue, after three decades of examination worldwide, child sexual abuse is now considered a serious issue, difficult, how common child sexual abuse, more secret than physical abuse, way we define sexual abuse, affect the number of people, experienced this, surveys of college-aged women show that 20% to 30% have had a negative sexual experience, most of these experiences, relatively minor, man exposing his genitals to an unsuspecting woman, types of experiences, less likely to have a significant psychologial impact, best estimate, 10% to 12% of women have been significantly abused, estimating the rates of significant abuse in males is more difficult, few reasons, secrecy around this issues, greater, males rarely reveal abuse, age 16, rate of significant abuse of males, 6% to 8%, somewhat lower than, females, abusers, males, know the child, youth who is abused, the case in 80% of youth cases, over 90% in younger children, absuer violating the trust, the younger person makes sexual abuse more psychologically devastating, child sexual abuse occurs in all social, economic classes of people, has the same type of risk factors, physical child abuse, poverty, disordered families, abuse of alcohol, street drugs, abusers were often physically, sexually abused themselves, a small group of repeated abusers suffer, psychiatric disorder of pedophilia, the preferred sexual contact, children, symptoms of child abuse, similar to those seen in clincial depression, severe anxiety, nervousness, recurrent headaches, vague complaints, stomach aches, vague complaints, bowel disorders, soiling oneself, encopresis, eating disorders anorexia nervosa, sleep problems, genital, rectal symptoms, pain, a bowel movement, urination, vaginal itch, discharge, social symptoms include withdrawl from normal activities, excessive fears, school failure, disruptive behaviors, using alcohol, street drugs, engaging in high-risk sexual behaviors, is any suspicion of child sexual abuse, child, examined, by a trained healthcare professional, an examination should not be delayed, many signs of injury, temporary, ideally, examination should occur, 72 hours, the event, discovery, most pediatricians, many family medicine doctors, most emergency room, er, physicians have training in, examining cases involving sexual abuse, document findings appropriately, a second examination, an expert abuse examiner, scheduled thereafter, a physician, nurse specialist, found, child protective services program anywhere, an examination, automatically be scheduled, suspected child sexual abuse is reported to police, child protection agencies, discussion on reporting abuse below, extremely important to document physical findings related to any form of child abuse, a complete physical examination must always be performed, that the examiner, look, signs of physical, sexual abuse, two forms of abuse, co-exist, areas, the mouth, throat, penis, vagina, hymen, thin membrane covering the opening, the vagina, normal variations to this structure, abuse, order blood tests to check, sexually transmitted diseases, syphilis, hiv, help determine treatment, photographs of any injuries, help establish what happened, the physical findings of sexual abuse, same, form of cuts, bruises, scrapes, all children, been sexually abused, traumatized in any way should receive mental health counseling, suspicion of child sexual abuse must be reported to child protective services, police, medical professionals, teachers, child care professionals, required by law to make a report, once a case is reported, child protection agencies, police must investigate, allegation, considered true, child must be protected from further abuse, placement, a non-abusing parent, another relative, a foster home, in physical abuse cases, goal of child protection agencies, re-educate an abusing caretaker, attempt reunification, the family, safe, support groups, abused children, parents, caretakers, strongly recommended, mental health, major issue, outcome depends on psychotherapy, family, social support, nature, length of time the child was abused, individual characteristics, the child, post-traumatic stress disorder, ptsd, depression, eating disorders, sleep disorders, anxiety disorders, participitation in unsafe sexual activities, been abused, children have an increased risk of becoming abusers themselves, they reach adulthood, suspect child abuse in any form, child protective services, police, prevention involves teaching children never to keep secrets, diference between "good", "bad" touches, parents need to begin this work at home, most schools now have programs to teach young school-aged children, sexual abuse, its prevention, teenagers also need education, how to avoid rape, date rape, constant supervision, vigilance by adults is essential to preventing all forms of child abuse.