Parenting a child who has been sexually abused can present
difficult challenges. Children who have been sexually
abused often develop symptoms that can be frustrating for
the family.
It is important for parents not to see their child's
symptomatic behavior as being purposefully bad or naughty.
These symptoms are often reactions to the trauma of being
sexually abused. Try to separate your feelings for your
child from your reactions to the child's behavior. You can
let your child know that some of the things he does are not
OK but that you still love him.
SYMPTOMS OF SEXUAL ABUSE AND HOW TO DEAL WITH THEM
The symptoms most often seen can be divided into three
types: fearful symptoms, sexualized behaviors, and
aggressive behaviors.
Fearful Symptoms
Fearful symptoms may be more common where physical pain,
violence, or threats have been part of the abuse. Possible
symptoms of fear are:
- nightmares
- fear of a person
- fear of a type of person (for example, men with beards)
- becoming withdrawn
- regressive behavior (thumbsucking, baby talk).
As a parent you should:
- Accept your child's fears as real fears.
- Encourage your child to return gradually to her normal
activities.
- Give your child choices in situations where she is
afraid, such as sleeping with a night-light on or the
door open.
- Continue to tell your child that you will protect her as
much as you can.
You should not:
- Force your child to do things she is really afraid of.
- Allow your child's fears to control her life or your
life.
- Punish your child for being afraid.
- Tell your child her fears are silly or stupid.
Sexualized Behaviors
There are several possible reasons why sexually abused
children may act sexually:
- They have learned it as a way to please people.
- They may confuse sexual behavior with affection.
- They may see it as a way to be "in charge" of a sexual
relationship, unlike when they were sexually abused.
Symptoms of sexualized behavior include:
- increased or excessive masturbation
- putting objects inside their genitals
- touching other children in a sexual manner particularly
children younger or smaller than they are
- indiscriminate affection with adults.
As a parent you should:
- Instruct your child about the importance of keeping
genitals private. Make clear rules about not touching
others' genitals.
- Gently remind your child that no one likes to be touched
against their will.
- Depending on the child's age, talk about healthy sex and
the relationship between sex and love.
- Remember that some masturbation is normal for children
and is OK if done in private.
- Make every effort to protect your child from further
victimization. A child showing sexualized behaviors is
at high risk for further abuse.
Aggressive Behavior
Sexually abused children may become aggressive because of
anger. They may be angry at the person who abused them and
angry at others for not being able to protect them. They
may also be angry if changes in their life or family have
occurred, such as their father moving out of the house.
Symptoms of aggressive behavior include:
- hitting, biting, kicking others
- breaking toys
- refusing to obey
- hurting themselves (for example, head banging or hitting
themselves)
- tantrums.
As a parent you should:
- Talk with your child about why he is angry. Let him know
you understand.
- Gently remind your child that no one likes to be hit or
hurt.
- Make clear rules about not hitting others or destroying
property.
- Create healthy ways of releasing anger, such as exercise
or artworks. For example, you could ask your child to
paint a picture of why he is mad.
- Use consistent, fair consequences for aggressive
behavior.
Do not hit your child as punishment for hitting others.
This is confusing to the child.
The fearful symptoms, sexualized behaviors, and aggressive
behaviors listed above may be seen in sexually abused
children. However, they can also be seen in children who
have suffered many other possible traumas including divorce,
physical abuse, death in the family, witnessing domestic
violence etc. Some of the symptoms are seen in children who
have suffered no particular trauma. Such symptoms can simply
be a part of growing.
If your child is experiencing severe symptoms, you should
contact a mental health professional for specific advice.
Working with a mental health professional to help the child
is often recommended for families where sexual abuse has
occurred.
Written by Lawrence R. Ricci, M.D.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
Copyright © 2006 McKesson Corporation and/or one of its subsidiaries. All Rights Reserved.