Sexual epidemic proportion. Although child sexual abuse

Sexualabuse also known as molestation is usually undesired sexual behavior by oneperson upon another.

It is a universal problem with grave life outcomes. Thenumber of case reported in India was found to be high in India as well as throughoutthe world. The child abuse case in India is an unreported offence, which hasnow reached to an epidemic proportion. Although child sexual abuse (CSA) is recognizedas a serious violation of human beings and of the law, yet there is nodeveloped mechanism that ensure that ensure that none of their youth will besexually abused, sadly it is a problem of great magnitude that affect childrenof all ages, sexes, races, ethnicities and socioeconomic classes Child abuse(CSA) actually is broken down into four categories: neglect, physical abuse,sexual abuse and emotional abuse. While having different forms and level of severity,it can be defined as the maltreatment of a child, usually the first thing thatcomes to mind is physical harm, but the issue is actually much more complex.Sexual abuse towards children is a stark reality world. It is amultidimensional problem having social, medical and psychological implications.These acts are performed mainly by trusted friends, family members, and peoplewith all sexual orientation.

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It includes many type of abusive acts towardschildren such as sexual assault, attempted intercoarse, fondling of genitalsdirectly or through clothing, etc.because of increased rate of child sexualabuse there is an increase in the prevalence of sexually transmitted disease (STD)cases among children. Statistically, girls are more often the victim of sexualabuse. However, it is observed that males do not report their case as often.

The gender gap may be caused by higher victimization of girls, lowerwillingness of men to disclose abuse or both. The main reason of sexual abuseis the misuse of the power of their position. For example- sexual harassment ineducation. It might involve a student submitting to sexual advances of a personin power in fear of being given a failing grade or fear of being punished.Child sexual abuse is a traumatic experience affecting the life of the victimin long term measure as well as the life of their close one too. The victim hasto deal with this experience the rest of their lives. It isn’t limited tosexual or physical contact there are examples of noncontact abuse also such asdisplaying pornography, having sexualized conversation with the child, watchinga child undressed.

The physical child abuse effects vary from child to child,depending on the following factors: the severity of the physical abuse, frequencyof the physical abuse, age of the child when physical abuse began ,child’srelationship with the abuser,  and child’sability to cope up with this. The effect of child sexual abuse is wide rangingand last for forever. Children who are victim of sexual abuse often know theperpetrator in some way.  Some may beable to cope up with this but most of the victims cannot cope up emotionally aswell as mentally. Often due to shame or guilt they will they keep the abuse tothemselves and do not tell anyone about the problems they are facing.

Theperson going through all this faces certain attached disorder, for instance, anaversion to touch and physical attention, the child might flinch or even say”ouch “when touched and perceived it as a threat, anger might be expresseddirectly, the child face difficulty in showing affection and care towardsstrangers, the child might act like he or she does not have a conscience andmight fail to show guilt, regret, depression, poor eating disorder. While somechildren may exhibit regressive behavior such as bedwetting. The child maywithdraw from school and social activities and show problem in learning.  The term sexual abuse cannot be clearlydefined with ease. In fact, it is an umbrella term for any sort of situation,whether or not it involves physical contact, in which a sexually immature childis exposed to anything sexual in nature.

Because no child is psychologicallymature enough for sexual stimulation, the complex feelings associated with itare mentally and emotionally disfiguring. As we know the case of child abusethere is a need to educate children about sex and taught themselves self-protectionskills. As Medical professionals have a key role in detecting child sexual abuse,they are often the first point of contact with abused children and their families.As a result of more rigorous research studies in this field our understandingof the impact of childhood sexual abuse is becoming more nuanced and a robustbody of research evidence now clearly demonstrates the link between childsexual abuse and a spectrum of adverse mental health.

An increased risk ofrevictimisation of survivors has also been demonstrated consistently for bothmen and women survivors. More recent research has revealed a link between childabuse and personality, psychotic disorder as well as a heightened risk forsuicide ideation and suicidal behavior. Future research in this area needs tocontinue to tease out gender difference in victim’s experiences of childhoodsexual abuse. This understanding will assist in the identification, treatmentand prevention of child sexual abuse. This knowledge is key to survivors ofchildhood sexual abuse being able to disclose their experience in a safe andsupportive environment and the support they need to deal with those experiencesand all its effects.     

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