Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.
Child sexual abuse includes any activity that uses a child to create sexual gratification either in you or in others. Although the touching of children as a sign of affection and for hygiene is considered normal and necessary, there is a way to distinguish normal touching from child sexual abuse. The key is the intention by the perpetrator to be sexually aroused by the activity or the intention to create sexual arousal in others. The intent to use children in any way to create sexual arousal is illegal. This is criminal behavior that is aggressively prosecuted and severely punished by our legal system.
Child sexual abuse can include a wide variety of activities. Some are obvious acts of sexual abuse and others must be evaluated to determine if they are designed to create sexual gratification.
Activities can include any conventional adult sexual activity with a child. Also included are acts such as touching the child's genitals or fondling with the intention of arousing sexual feelings.
Child sexual abuse includes prolonged kissing, cuddling, French kissing, and excessive touching. Looking at children either with or without clothes with the intent to be sexually aroused
is also included.
Photographing, videotaping, or filming of children with the intent to create sexual stimulation is a form of child abuse as well.
Other forms of child sexual abuse include exposure of a child to erotic
material in the form of live behavior (excessive nudity), photographs, film, or video. The collection of any photographs or images of children taken by others in suggestive poses is illegal. The collection of any excessive number of photographs of naked children in any pose may draw the attention of law enforcement.
Any efforts to seduce a minor into a sexual relationship, whether the act is accomplished or not, is considered a form of child sexual abuse and can result in severe legal consequences. Inappropriate intimacy with children is also regarded as child sexual abuse.
Most cases of child sexual abuse are ultimately discovered. Once discovered, the perpetrator faces legal prosecution. Broad and flexible laws have been crafted and are aimed at preventing child sexual abuse. These laws give law enforcement personnel and prosecutors great latitude to classify and prosecute cases of perceived child sexual abuse behavior.
Acceptable displays of affection or inadvertent incidents that result in exposure of a child to a sexual act or sexual material (for example, a child walking into a closed bedroom while the parents are having sex or finding an adult magazine) are not considered criminal.
To identify the physical signs of child sexual abuse, parents should know the normal appearance of the genitalia of their child so that they can identify if any changes occur. If a child complains about problems with his or her genitals, take the child to the family doctor for examination. Children in day care, children cared for by others, or children who spend time alone with other people
may be at risk of sexual abuse.
Changes in behavior, including discipline problems, fecal soiling, bed wetting, insomnia, nightmares, depression, or other changes in the way a child normally acts can be signs of sexual abuse. Parents should discuss the possible reasons for such changes in behaviors with professionals who are in a position to properly evaluate the behavioral changes and explore the possibility of child sexual abuse.
Pedophilia is a form of child sexual abuse. It is a condition which is defined as an adult who has sexual interest in children.
Someone with an erotic interest in children may collect material that showcases a child in sexual poses. The person may seek interaction with children with the intention of satisfying an erotic or sexual desire or actively seek a sexual relationship with a child. These nonsexual forms of interaction, even if well intentioned, can be construed as sexual. Adults who seek actual physical sexual relations with children are the most extreme and deviant of the pedophiles.
Using children to create erotic materials or for erotic acts with other adults is another form of child sexual abuse. In this form, the intention is to arouse others and may or may not be used to arouse the abuser as well. The law does not distinguish one from the other. Both are severely prosecuted.
Pedophilia, although a mental disorder, if not resisted, repressed, and treated, will result in the most severe legal consequences. The law does not tolerate pedophilia. It is imperative that any person who feels sexually attracted to children
to immediately seek help from a qualified therapist. People who use children to create sexual arousal for others are already involved in serious criminal activity. Report any suspicions to authorities immediately.
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