Child sexual abuse occurs when a child is used for sexual purposes by an adult or adolescent. It involves exposing a child to any sexual activity or behaviour. Sexual abuse most often involves fondling and may include inviting a child to touch or be touched sexually. Other forms of sexual abuse include sexual child sexual abuse also occurs when an adult indecently exposes their genitalia to a child, asks or pressures a child to engage in sexual activities, displays pornography to a child or uses a child to produce child pornography, intercourse, juvenile prostitution and sexual exploitation through child pornography. Sexual abuse is inherently emotionally abusive and is often accompanied by other forms of mistreatment. It is a betrayal of trust and an abuse of power over the child.Pedophilia is is commonly used to describe all child sexual abuse offenders which an adult experiences a sexual preference for prepubescent children.
In Indonesia Child sexual abuse is largely a hidden crime, so it is difficult to estimate the number of people who are sexually abused at some time during their childhood (the prevalence of child sexual abuse). There are few national statistics on child sexual abuse in Indonesia. Both adults and children may be reluctant to report sexual abuse for many reasons. Their reluctance may be related to the historical norm of keeping such behaviour secret because of the sense of shame associated with it. If the abuser is someone close to them in terms of kinship or other bonds, they may be deterred by the likelihood that criminal charges and penalties may be imposed. Finally, the fact that the victims are young and dependent tends to be a major obstacle to disclosure.
Research consistently reveals that, for reasons such as these, most child victims do not disclose their abuse. Even when they do, additional barriers may be encountered. For many of the same reasons that children do not report the abuse, their families may, in turn, not seek help. If the family does want help, they may still encounter difficulties finding the appropriate services. Victims of child sexual abuse are found in all classes and ethnocultural communities. Children who have physical or mental disabilities are especially vulnerable to sexual abuse.
Pedophilia involves re-occurring sexual arousal and desires or fantasies involving sexual impulses toward a children. A pedophile has either acted on these sexual impulses, or the fantasies and/or sexual arousal and impulses disturb the individual. The pedophile is sexually aroused because the child is a child, regardless of the pedophile’s sexual orientation, or the child’s gender.
Pedophilia has become a topic of increased interest, awareness, and concern for both the medical community and the public at large. Increased media exposure, new sexual offender disclosure laws, Web sites that list the names and addresses of convicted sexual offenders, politicians taking a ‘get tough’ stance on sexual offenders, and increased investigations of sexual acts with children have increased public awareness about pedophilia.
It is important for people including physicians to understand pedophilia, its rate of occurrence, and the characteristics of pedophiles and sexually abused children. In this article, we address research that defines the various types and categories of pedophilia, review available federal data on child molestation and pornography, and briefly discuss the theories on what makes an individual develop a sexual orientation toward children.
This site also examines how researchers determine if someone is a pedophile, potential treatments for pedophiles and sexually abused children, the risk of additional sexual offenses, the effect of mandatory reporting laws on both physicians and pedophiles, and limitations of the current pedophilic literature.
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