ABSTRACT
Several models have been developed in an attempt to explain the adverse negative impact of CSA [36]. Among the most established conceptual frameworks on the impact of CSA is the Four-Factor Traumagenics Model [37]. This model suggests that CSA alters a child’s cognitive and emotional orientation to the world and causes trauma by distorting their self-concept and affective capacities. This model underscores the issues of trust and intimacy that are particularly pronounced among victims of CSA. The unique nature of CSA as a form of maltreatment is highlighted by the four trauma-causing factors that victims may experience, which are traumatic sexualization, betrayal, powerlessness, and stigmatization. Traumatic sexualization refers to the sexuality of the victims that is shaped and distorted by the sexual abuse. Betrayal is the loss of trust in the perpetrator
who shattered the relationship and in other adults who are perceived as not having protected the child from being abused in the first place, or having not supported her upon disclosure. Powerlessness is experienced through power issues at play in CSA, where victims are unable to alter the situation despite feeling the threat of harm and the violation of their personal space. Stigmatization is the incorporation of perceptions, reinforced by the perpetrator’s manipulative discourse or by dominant social negative attitudes towards victims, of being bad or deserving and responsible for the abuse.
