“…Studies in CSA offenders have described high frequencies of mood disorders, anxiety, and substance abuse (Raymond, Coleman, Ohlerking, Christenson, & Miner, 1999), coping difficulties (Marshall, Marshall, Sachdev, & Kruger, 2003), and low self-esteem (Fisher, Beech, & Browne, 1999;Marshall et al, 2003). Although the most common CSA victims are girls around the age of 10 years (Cupoli & Sewell, 1988;Finkelhor, 1994;Jaffe, Dynneson, & ten Bensel, 1975;Marshall, Barbaree, & Christophe, 1986), sexual violation of even younger children appears to be a considerable problem of largely unknown dimensions (Cupoli & Sewell, 1988;Dube & Hebert, 1988;Schetky, 1991). Most CSA crimes brought to court involve severe forms of intrusion, such as oral, anal, and vaginal penetration (Cross, Whitcomb, & De Vos, 1995).…”