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Part 2 book “ABC of child protection” has contents: Non-organic failure to thrive, non-organic failure to thrive, emotional abuse, fabricated or induced illness, role of the child and adolescent mental health team, medical reports, social workers and child protection, case conferences, child care law, child care law, and other contents. | CHAPTER 11 Child Sexual Abuse: The Problem Christopher Hobbs Table 11.1 Relative commonness of childhood conditions, US Condition Incidence during childhood Sexual abuse Otitis media Syncope Asthma Diabetes Cancer Sickle cell disease 20% girls, 9% boys 70% 15% 10–12% 0.25% 0.1% 0.25% of black children boys was prevalent. There is more recent historic evidence of child sexual abuse. Ambroise Tardieu, an important figure in forensic circles in Europe in 1858–69 cited 11 576 people accused of completed or attempted rape in France. More than nine thousand of the victims were children, mostly girls aged between 4 and 12 years. Freud described his patients’ histories of childhood sexual abuse, though later explained them away as fantasy. Definition No of cases Child sexual abuse has threatened political, religious, and cultural institutions and dominated newspaper coverage in many countries for days and weeks at a time. It has divided families, friends, and communities. Its importance is enormous and yet, apart from infrequent citings of seismic proportions, it remains for the most part hidden in the shadow of secrecy. Society on the one hand rejects and stigmatises the behaviour, while on the other it ignores and denies it. No society condones it. While anthropologists have theorised about the universality of the taboo of incest, suggesting the rarity of actual incest, the cultural reality has been the presence of widespread incest and child molestation in most places at most times (Table 11.1, Figs 11.1 and 11.2). In ancient history the code of Hammurabi (2150 BC) stated that “If a man be known to his daughter, they shall expel that man from the city.” Descriptions of the use of children for sex can be found in the literature of ancient Greece and Rome. Anal intercourse with 100 Girls (599) 80 Boys (301) 60 40 20 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Age (years) Figure 11.1 Distribution of 900 children diagnosed in Leeds (population ≈ 750,000), .
