ABSTRACT
Child sexual abuse (CSA) refers to the use of a child for sexual gratification. Sexual abuse actions may vary in intrusiveness (from viewing or exposure to penetration) and frequency (from a single episode to frequent and chronic abuse). A distinction is made between intrafamilial sexual abuse, the most common form of which is father-daughter incest, and extrafamilial sexual abuse, where the abuser resides outside the family home. An example of a case of intrafamilial sexual abuse is presented in Box 21.1 and a case of extrafamilial abuse is given in Box 21.2.
