Sexual violence and the girl child.

This article discusses the forms of sexual abuse of female children and the psychosocial impact on the well-being of girls in India. Child sexual abuse statistics reveal an estimated 50% of girls being sexually abused before the age of 15 years. Girl children are abused and then are made to feel personally responsible, guilty, or persecuted. Girls are threatened with violence if they tell about the sexual abuse. Pregnancies arising from sexual abuse result in shame and early marriage. Male children are also abused but they are not made to feel punished. Child sexual abuse is technically any sexual activity (rape, fondling of genitalia, masturbation, forced oral sex, sodomy, or vaginal penetration) that is committed by someone in a position of authority, power, or trust over the child or by a stranger. The World Health Organization estimates that 1 in 10 children worldwide is sexually abused. Rape within the family is particularly difficult for the victim. In almost 60% of rape cases, the victim was unwilling to report the name of the abuser. Families remain silent about sexual offenses in order to protect the family image. Mothers remain silent if the abuser is the father, which interferes with a child's relationship to both parents. Sexual abuse can result in bed wetting, nightmares, sleep disorders, depression, anxiety, running away from home, multiple personality disorders, precocious sexual behavior, or sexual inhibition and low self-esteem. Parental responses tend to be inappropriate discipline or ignoring it. Children may experience flashbacks or other long-term effects. Girls who experience sexual abuse once tend to be more vulnerable to abuse in adult life. Healing is slow and systematic. The first aim is to restore a girl's ability to say no and to teach her to protect herself. Healing is about removing guilt and resolution of the conflict between blame and the grossness of the violation.