They are naturally trusting and curious. They enjoy affection and attention from adults. Sexual abuse often starts with a long process where harmless touching gradually crosses over the line to sexual touching. The child may not realize that the touching has become inappropriate. Physical force is seldom used because the child usually trusts or depends upon the offender.
Sexual abuse happens to both boys and girls.
There are seldom witnesses to child sexual abuse. Physical evidence or injuries occur in only a small percentage of child sexual abuse cases. However, medical treatment or examination is often helpful, especially to reassure the child that no physical damage has been done.