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I understand that in COCSA (child-on-child sexual abuse) situations, both children are often considered victims. However, I heard about a case involving an autistic girl whose two perpetrators continued the behavior over a long period. Since COCSA often ends after a short time, does the extended duration suggest that these children might be more aware aggressors rather than victims themselves?

Answer written by a PhD Prepared Mental Health Nurse

This is an important question that touches on the complexities of child-on-child sexual abuse. The answer to this question contains a lot of nuance, but you are right to recognize that the duration of the behavior can be a significant factor in assessing the situation.

In general, COCSA situations that persist over an extended period may indeed indicate a different dynamic than brief or isolated incidents. Prolonged abusive behavior could suggest:

1. More intentional actions: The perpetrators may have a greater understanding of the inappropriate nature of their behavior.

2. Developing patterns: Extended abuse might indicate the formation of problematic behavioral patterns.

3. Increased awareness: Over time, children typically gain more understanding of right and wrong, especially regarding sexual behavior.

However, it's crucial to remember that each situation is unique and requires individual assessment. Several factors need to be considered including the ages and developmental stages of all children involved, any neurodevelopmental conditions (like autism) that might affect understanding or behavior, the specific nature of the acts and how they evolved over time, the home environments these children are exposed to, and any previous potential exposure to inappropriate sexual content or abuse.

Even in cases of prolonged abuse, it's important not to immediately label child perpetrators as "aggressors" in the same way we would adults. They may still be acting out their own trauma or lack full understanding of their actions, even if the behavior persists.

That said, prolonged abusive behavior does often require more intensive intervention. This might include thorough psychological evaluation of all children involved, specialized therapy for both the children engaging in abusive behavior and those being abused, family therapy and parental education, potentially, involvement of child protective services or legal authorities, depending on the severity and circumstances.

Ultimately, while the duration of abusive behavior is an important factor to consider, it's not the only one. Each situation requires careful, professional assessment to determine the most appropriate interventions and support for all children involved. If you encounter or suspect such situations, or are worried about a child in your life, it's crucial to report it to appropriate professionals who can conduct a proper evaluation and ensure the safety and well-being of all children involved. Thank you for asking this question. We appreciate you.

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