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Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
Thanks for asking this. It's a question a lot of people find themselves sitting with and the feeling that it's "everywhere once you start looking" is not in your head.
The honest answer is that intrafamilial sexual abuse is far more common than most people realize or are willing to say out loud. It is also one of the least reported forms of sexual violence, which means the numbers we do have are almost certainly an undercount. Of sexual abuse cases reported to law enforcement, 34% of juvenile victims were abused by a family member, and about 90% of child sexual abuse is perpetrated by someone known and trusted by the child or the child's family. Those figures only capture what gets disclosed and documented. The real prevalence is higher.
The reason it's so common comes down to many unfortunate things. Families provide the exact conditions that sexual abuse requires to take root: close physical access, built-in power imbalances, and a structural expectation of privacy that the outside world tends to respect without question. A child doesn't need to be physically threatened to feel unable to say no or to tell someone. The wish to keep the relationship intact, fear of breaking the family apart, emotional and financial dependence, and the authority of the person causing harm all act as invisible walls. Coercion in families often doesn't look like coercion from the outside, which is part of what makes it so hard to interrupt.
Grooming makes this even more complex. Grooming is the process by which a perpetrator selects a vulnerable person, gains access and isolates them, and then builds trust with the child, their family, and the surrounding community, moving the line so gradually that it becomes nearly impossible to name when the line moved at all. Within families, grooming gets woven into everyday caregiving and affection. The person causing harm is often also the person a child depends on for love, safety, and basic needs. Survivors frequently describe not being able to name what was happening even to themselves, sometimes for years. That confusion is a direct result of how grooming works, not a reflection of anything you missed or failed to do.
There is also a real mechanism behind why these patterns can carry across generations. When children grow up in homes where sexual boundaries are absent or distorted, their nervous systems develop without a clear internal template for what safe intimacy feels like. They may not have a reference point for recognizing harm because nothing in their environment named it as harm. Research consistently shows that children abused within familial contexts delay disclosure significantly longer than victims of strangers or acquaintances. A major reason is that the abuse was so embedded in ordinary family life that it took a long time to develop language for it. When distortion is never addressed and no one intervenes, the conditions for harm can persist into the next generation. This provides some context for understanding how silence compounds over time.
Finally, research shows that nearly three quarters of intrafamilial abuse survivors who did disclose reported receiving a negative reaction, with non-offending family members more likely to respond by not believing the survivor, distracting or distressing them, or retaliating. The family unit gets treated as something to preserve, and that instinct can override protecting the most vulnerable people within it. When abuse isn't reported, it isn't counted and the silence is part of what keeps the true prevalence hidden.
Thank you so much for asking this. You are not alone.
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Grounding activity
Find a comfortable place to sit. Gently close your eyes and take a couple of deep breaths - in through your nose (count to 3), out through your mouth (count of 3). Now open your eyes and look around you. Name the following out loud:
5 – things you can see (you can look within the room and out of the window)
4 – things you can feel (what is in front of you that you can touch?)
3 – things you can hear
2 – things you can smell
1 – thing you like about yourself.
Take a deep breath to end.
From where you are sitting, look around for things that have a texture or are nice or interesting to look at.
Hold an object in your hand and bring your full focus to it. Look at where shadows fall on parts of it or maybe where there are shapes that form within the object. Feel how heavy or light it is in your hand and what the surface texture feels like under your fingers (This can also be done with a pet if you have one).
Take a deep breath to end.
Ask yourself the following questions and answer them out loud:
1. Where am I?
2. What day of the week is today?
3. What is today’s date?
4. What is the current month?
5. What is the current year?
6. How old am I?
7. What season is it?
Take a deep breath to end.
Put your right hand palm down on your left shoulder. Put your left hand palm down on your right shoulder. Choose a sentence that will strengthen you. For example: “I am powerful.” Say the sentence out loud first and pat your right hand on your left shoulder, then your left hand on your right shoulder.
Alternate the patting. Do ten pats altogether, five on each side, each time repeating your sentences aloud.
Take a deep breath to end.
Cross your arms in front of you and draw them towards your chest. With your right hand, hold your left upper arm. With your left hand, hold your right upper arm. Squeeze gently, and pull your arms inwards. Hold the squeeze for a little while, finding the right amount of squeeze for you in this moment. Hold the tension and release. Then squeeze for a little while again and release. Stay like that for a moment.
Take a deep breath to end.