04/22/2025
Childhood sexual abuse (CSA) within families—often called intrafamilial abuse—is particularly complex and damaging. Here are key facts and insights:⸻Prevalence and Dynamics 1. Common but underreported:Intrafamilial CSA is frequently underreported due to shame, fear, loyalty, or threats. Studies suggest a significant portion of CSA is committed by family members, including siblings, parents, step-parents, or extended relatives. 2. Sibling sexual abuse is more common than many realize:Some research indicates that sibling abuse may be the most frequent form of intrafamilial CSA, often overlooked or dismissed as “normal curiosity.” 3. Offenders are often older children or adolescents:While adults can be abusers, abuse by older siblings or cousins is not uncommon. It may be driven by power imbalances, previous victimization, or learned behavior.⸻Psychological and Emotional Impact 4. Trauma is often more severe in intrafamilial cases:Because family is supposed to be a source of safety, betrayal trauma can deeply affect trust, attachment, and emotional development. 5. Victims often stay silent longer:Victims may delay disclosure for years—or never disclose—due to fear of disrupting the family, not being believed, or facing retaliation. 6. Family reactions can compound harm:When abuse is disclosed, family denial, blame, or attempts to keep it secret can cause secondary trauma and isolate the victim.⸻Legal and Protective Factors 7. Mandatory reporting laws exist:In most countries and U.S. states, professionals (teachers, doctors, therapists) are legally obligated to report suspected CSA, even within families. 8. Child protective services intervene carefully:Cases involving family members are complex and may involve therapy, removal of the abuser, or supervised contact, depending on severity and risk.⸻Treatment and Healing 9. Early intervention helps:When detected early, therapy for both the victim and offending minor can prevent further harm and help with healing and behavior correction. 10. Trauma-informed therapy is critical:Survivors often benefit from approaches like Cognitive Behavioral Therapy (CBT), EMDR, and family therapy (when safe and appropriate).