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05-Jun-2017 17:38

Children’s intense need for affection and nurturance from older figures makes them vulnerable.

Adults and older children hold a position of tremendous power in their lives.

Children who have actually been abused will often recant their initial statement because they are afraid of their abuser or because their abuser convinces them that this is “their little secret.” And, children who have never been sexually abused will, based on normal child development, go through phases of curiosity and misunderstandings about their genitals and about sexual activity.

Several clues are associated with sexual abuse as opposed to normal development (but many children give no clues except what they say): Hopefully, nothing significant happened to your little girl, but if my daughter came to me with the same story I would not let the situation go uninvestigated.

The most common perpetrator of sexual abuse is either a family member or a close friend of the family. Sexual abuse commonly comes to light through the child’s disclosing the incident of sexual contact to a trusted adult.

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Most children’s hospitals have a sexual abuse team, or will be able to refer you to a specialist in your area.

Since that time she has said nothing else and on gentle questioning she said it did not happen.

There are no behavioral changes and her behavior towards the man in question has not changed at all. I have no idea why she said this and my feeling is that it is completely innocent.

Palo Alto, California Some of the most poignant episodes of my pediatric training were long visits with children victimized by sexual abuse.

I vividly remember sitting with tears streaming down my face after hearing how children had been scarred by those they trusted.The scenario you have described is the most frequent way actual abuse is detected.

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