Many experts believe that sexual abuse is the most underreported type of child maltreatment. A victim, especially a very young child, may not know what he or she is experiencing. In many cases the child is sworn to secrecy. Adults who may be aware of the abuse sometimes get involved in a conspiracy of silence.
Child sexual abuse is the ultimate misuse of an adult's trust and power over a child. When the abuser is particularly close to the victim, the child feels betrayed, trapped in a situation where an adult who claims to care for the child is assaulting him or her.
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