It is widely assumed that when forced or unwanted (a minority of) sexual contact does take place, younger minors are especially vulnerable to harm. This is said to manifest itself in the form of multiple psychological impairments in later life. Much like the idea that CSA "syndrome" takes on a certain observable form, these ideas are not supported by quantitative evidence. It instead appears that the perception of having been abused is associated with negative psychological outcomes, regardless of the age at which the perceived abuse took place.
Unrepresentatively sampled and/or coercive CSA studies
Studies which focus on unrepresentative clinical samples rather than the wider population, have occasionally (although inconsistently) shown an association between age and severity of symptoms. This might be because of self-perception (abusive contacts before puberty are far rarer) and/or due to the higher prevalence of forced incestuous contacts at a younger age of first onset (incest is usually associated with more negative outcomes). Such studies often fail to control for confounding variables, or account for pre-existing genetic and/or socialized character traits in victims, which may put them at risk of both early victimization and later development of psychological problems. See also poly-victimization.
- Bulik, C. M., Prescott, C. A., & Kendler, K. S. (2001). Features of childhood sexual abuse and the development of psychiatric and substance use disorders. British Journal of Psychiatry, 179(05), 444–449.
- "Age at the time of first CSA ranged from under 5 to 15 years, with the majority of individuals being between 12-15 years old. [...] We observed no increased risk of later psychopathology related to the age at which an individual was first abused, the number of, or the gender of the perpetrators." [Tables in the paper corroborate this claim - Ed]
- Maker, A. H., Kemmelmeier, M., & Peterson, C. (2001). Child sexual abuse, peer sexual abuse, and sexual assault in adulthood: A multi-risk model of revictimization. Journal of Traumatic Stress, 14(2), 351–368.
- "With regard to the consequences of pre-16 years and post-16 years sexual victimization, we found that that the latter was associated with lower levels of functioning on many of the mental health and behavioral outcomes. By contrast, pre-16 years sexual trauma (CSA or PSA) was only related to some maladaptive behavioral and psychological consequences. The pattern of findings is consistent with the assumption that more recent trauma has a greater impact on psychosocial functioning than more distal child abuse. This does not mean that CSA and PSA are less detrimental, but perhaps that women have had a longer time to cope with the effects of CSA in comparison to that of ASA (cf. Rind et al., 1998)."
- Li, D., Chu, C. M., & Lai, V. (2020). A Developmental Perspective on the Relationship between Child Sexual Abuse and Depression: A Systematic and Meta‐Analytic Review. Child Abuse Review, 29(1), 27–47.
- "The second meta-analysis with 3340 CSA victims showed inconsistent findings when different study characteristics were taken into consideration. Earlier CSA onset was found to be significantly related to the risk for depression with a small-to-moderate effect size in studies using female, adult or clinical/community samples and where CSA onset was measured as a continuous age variable. In contrast, this relationship was not found in studies mixed-gender, younger age or student samples and where CSA onset was measured as a categorical developmental stage. [...] However, it was also noted that the non-significant differences between childhood-onset and adolescent-onset CSA as found in this study were not consistent with these theories. These inconsistent findings caution against the use of a simple linear model between the age at CSA onset and depression. For example, a V-shape relationship was found between the two constructs where the odds of depression were higher for CSA onset at early childhood and adolescence, whereas CSA onset at prepubertal (i.e. 9 and 10 years) was not related to higher odds of depression when compared to the non CSA group (Dunn et al., 2013). Based on these findings, using a simple categorical classification of childhood and adolescence to study the age effects of CSA is not recommended. [...] Confounding variables are a more concerning bias. Our biggest concerns are the disadvantaged family background and the (co-)occurrence of other traumatic experiences, such as other abuse types, low socio-economic status and parental mental health problems (e.g. Bernet and Stein, 1999; Moskvina et al., 2007; Tunnard et al., 2014). On account of the higher likelihood of multiple forms of maltreatment in these households, some of the variance may be attributed to these confounding factors. As a familial disorder, depression in parents could be a risk factor for both CSA and depression in children. As such, the unique contribution of CSA to the onset of depression was not clear from the current analyses."
- Ulibarri, M. D., Ulloa, E. C., & Salazar, M. (2015). Associations between Mental Health, Substance Use, and Sexual Abuse Experiences among Latinas. Journal of Child Sexual Abuse, 24(1), 35–54.
- "Whereas some research focuses primarily on childhood sexual abuse and others focus on adult sexual abuse victimization, the results of the current study suggest that both may have negative consequences for Latinas regardless of how old they were when they were first sexually abused."
Studies which use Rind-type CSA definitions
It should be noted that the above studies (which insist on self-perceived abuse and/or use of force) are fundamentally different to the Rind/Daly type studies which canvass for all legally defined "CSA" regardless of force or perception of abuse, or meta-analyze such data. With the latter type of study, it may well be the case that younger "victims" of legally-defined CSA go on to perceive these events as more negative, however, concrete psychological outcomes have not been observed to follow any significant trend. The reasons for this more negative self-perception may again be related to wider social factors such as the taboo on sex with prepubescent children, higher frequency of incest and a higher frequency of opportunistic, low-quality interactions owing to the underprivileged social position of smaller children. As a result of this, and the tendency of older minors to be more open to initiating a contact, coercive contacts are likely to be overrepresented in the younger age group.
The following study did not insist upon force or use unrepresentative sampling (hence the now familiar absence of negative psychological adjustment in the CSA group).
Excerpt Graphic Library
The EGL on Harm covers some adjacent topics, and we will produce a graphic reviewing this topic soon. Just right click/save and reproduce by uploading in short-form media to bypass character limits.
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Basic Rind Paradox infographic
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Summarized Rind findings
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Rind and Tromovitch (2000) on Iatrogenic Harm
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Research pointing to no intrinsic harm profiled in The Guardian
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What victimologists say about youth perception + admissions of iatrogenic harm
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Self-perception: Importance
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Some reading on secondary harm and perception/situational variables
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More secondary harms
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Intrinsic vs secondary harm
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Daly's 2021 repetition of Rind (1998), finds that self-perception is far more important that abuse status
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Lahtinen Report: Most common reason for not reporting - event not serious enough
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Bender. Sexologist's observations in 1969
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College outcomes: Benefits of college samples
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Arreola 2009 - Psych outcomes for LGBT "CSA" identical to no sex
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Simpler way of expressing Lesbian outcomes (ref to modern feminism)
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Further distillation of Rind's Kinsey analysis
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Finer analysis of Finnish Victimization Survey (Rind)
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General reading on intrinsic harm
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Oellerich on the self-fulfilling prophecy of iatrogenic harm
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Oellerich comments further on iatrogenic harm
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CSA harm was known to be confounded even before Rind
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No "typical" CSA reaction or "syndrome"
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Rind on methodological issues/limitations of victimology
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The Lanning (1992) report - full of hysterical conjecture, nevertheless describes the "most common" forms of offender and victim in banal terms that are applicable to most relationships (in order to prepare investigators to pathologize banality)
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Percy Foundation review of Chloe Taylor: "Foucault, Feminism, & Sex Crimes"
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2022 debate response
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Illinois state investigation finds a "pedophile" was his victims' "best friend"