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Reports of sexual abuse in care homes, day schools, boarding schools, and ecclesiastical institutions, particularly those associated with the Roman Catholic church, have caused much public indignation in recent years. According to press Damage caused by sexual abuse, the publicized cases Damage caused by sexual abuse abuse were responsible for people leaving the Catholic church in Germany over the course of a single year.

However, there is also emotional abuse, which, though it receives less attention both in the literature and in public discourse, often has consequences just as severe as those of physical abuse. Forms of emotional abuse include:. The participants were questioned about their experience of maltreatment in childhood and adolescence.

Severe emotional abuse in childhood was reported by 1. These results broadly agree with the findings of an earlier German study carried out by Wetzels 4. German police statistics, which embrace all reported instances in which wrongdoing is suspected, include to cases of physical abuse of children and 12 to 13 cases of sexual abuse of children each year. However, only people were actually convicted of sexual abuse of children in Germany in The remaining perpetrators are children, adolescents, or young adults.

A high proportion of unreported cases is assumed for both offenses. Maltreatment—physical or emotional—often, but not always, has severe consequences. Abuse always leaves a trace in the brain, however. Their general sense of wellbeing is affected, and compared with people who have not been abused they suffer more frequently from:. They frequently have unsatisfactory sexual relationships or tend towards hazardous sexual practices 8.

It cannot be concluded, however, that there is a causal relationship with their illness. First, far too little is known about such events in the lives of patients with other diseases. Second, we know nothing at all about those who were physically or sexually abused in their youth Damage caused by sexual abuse have processed their experience in such a way that no psychological disorders have resulted. Studies of children from orphanages and care homes in Romania have been revealing.

They show not only that the consequences of extreme deprivation and neglect can be significantly ameliorated, not to say compensated, by transfer to an optimal environment, but also that the capacity, or, better, the potential to cope constructively with such experiences varies from child to child. This is attributed to genetic Naked nairobi big boobed moms pics. In addition to this genetic explanation there is a psychological theory that attributes successful coping with such stresses to protective factors located either in the person involved or in Damage caused by sexual abuse environment It is highly likely that these two explanations are linked, and interaction is probable.

Abuse events cannot be considered in isolation from legal controls and trends in society. In situations where corporal punishment of children is allowed or socially acceptable, abuse is always a danger. It was therefore fitting when, some years ago, the German legislature made corporal punishment of children a crime. In families or communities where extremely permissive sexual attitudes are propagated Damage caused by sexual abuse the ideal, there is the danger that sexual abuse of minors will not even be viewed as maltreatment but as an act of liberation from prudish, moribund petty bourgeois sexual morality.

A good example of this is provided by what happened at the Odenwald School, where pedophilia crept in under the guise of progressive education. There is no way of knowing to what extent such attitudes are still held by those who propagated them at the time and are involved in the care of Damage caused by sexual abuse people today. It is unlikely, however, that they are shared by Damage caused by sexual abuse Catholic priests whose sexual acts have come to attention.

Conflict of interest statement. National Center for Biotechnology InformationU. Journal List Dtsch Arztebl Int v. Dtsch Arztebl Int. Published online Apr Helmut RemschmidtProf. Author information Copyright and License information Disclaimer.

Copyright notice. This article has been cited by other articles in PMC. Neurological consequences Maltreatment—physical or emotional—often, but not always, has severe consequences.

Their general sense of wellbeing is affected, and Damage caused by sexual abuse with people who have not been abused they suffer more frequently from: Post-traumatic stress disorders Somatization disorders Eating disorders especially Damage caused by sexual abuse nervosa Alcohol, drug, and medication abuse Depression Borderline disorders Suicidal behavior.

Coping potential Studies of children from orphanages and care homes in Romania have been revealing. Questionable child-raising methods Abuse events cannot be considered in isolation from legal controls and trends in Damage caused by sexual abuse. Acknowledgments Translated from the original German by David Roseveare.

Footnotes Conflict of interest statement The author declares that no conflict of interest exists. References 1. Stutte H. In: Stutte H, editor. Bern: Huber Verlag; Heidelberg: Springer Verlag; Maltreatment Damage caused by sexual abuse childhood and adolescence—results from a survey of a representative sample of the general German population.

Wetzels P. Baden-Baden: Nomos; Gewalterfahrungen in der Kindheit. Neural correlates of memories of childhood sexual abuse in women with and without posttraumatic stress disorder. Am J Psychiatry. MRI and PET study of deficits in hippocampal structure and function in women with childhood sexual abuse and posttraumatic stress disorder. Increased prevalence of electrophysiological abnormalities in children with psychological, physical, and sexual abuse.

J Neuropsychiatry Clin Nerurosci. Long-term correlates of child sexual abuse: Theory and review of the empirical literature; pp.

J Child Psychol and Psychiat. Stuttgart: Schattauer; Sexueller Missbrauch, Misshandlung. Cohn-Bendit D. Trikont; Support Center Support Center. External link. Please review our privacy policy.


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