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I've been studying about child-on-child sexual abuse (COCSA) and I'm struggling with some aspects. COCSA often involves two victims, but sometimes one child uses force or coercion. Can a child who's been victimized or is replicating trauma act violently in this way? Also, is there a term that doesn't imply both children are equally victims? I feel we need a different term for cases with clear aggressors. Are there existing terms for this, or how might we create one?

Dr. Laura

Answer by Dr. Laura

PhD Mental Health Nurse & Sexual Assault Nurse Examiner

Thank you for this thoughtful question on a complex and sensitive topic. Let's start by clarifying what child-on-child sexual abuse (COCSA) means. COCSA involves a minor engaging in sexually abusive behavior towards another minor. The legal definition varies by jurisdiction, but it generally involves any non-consensual sexual activity between minors where one child uses force, coercion, or manipulation against another child. The term COCSA recognizes that one child has perpetrated sexual harm against another child.

The complexity of causes behind why a child might perpetrate sexual harm to another child is why we sometimes discuss experiences of victimhood when referring to both parties. Often, those who cause harm have experienced early sexualization or are replicating their own childhood sexual trauma. However, it's crucial to note that not all children who perpetrate COCSA have experienced sexual harm themselves. There can be various other factors involved, such as exposure to inappropriate sexual content, lack of understanding about boundaries, or other complex psychological or environmental factors.

Understanding these underlying factors is crucial in developing effective interventions and potentially decreasing recidivism. This approach allows for more targeted treatment, addressing the specific causes of the harmful behavior. It can help break potential cycles of abuse by addressing trauma and teaching healthy coping mechanisms where applicable. Also, it promotes a more holistic understanding of the issue, which can lead to better prevention strategies and encourage earlier intervention when risk factors are identified.

However, it's essential to strike a balance. While understanding the causes of harmful behavior is important, we must never minimize the impact on victims. The harm caused by COCSA is real and can have long-lasting effects. Victims need and deserve support, validation, and appropriate interventions. The primary focus should always be on providing appropriate support and ensuring the safety and well-being of those who have been harmed.

Regarding terminology, some professionals use phrases like "sexually harmful behavior in children" or "problematic sexual behavior in youth" to describe these situations. Other terms include "youth-perpetrated sexual harm" or "juvenile sexually abusive behavior." These terms recognize the seriousness of the behavior while also acknowledging that the child exhibiting it may need help.

Each situation is unique and requires careful assessment by trained professionals. The focus should always be on providing appropriate support and intervention for all children involved, while prioritizing the safety and well-being of victims.

Scholarship on this particular type of harm is emerging. If you're continuing to struggle with these concepts, speaking with a professional who specializes in childhood sexual abuse could be helpful. They can provide more detailed insights and help process the complex emotions that often arise when studying this topic.

Thank you so much for asking this question. We appreciate you. 

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