Which course is used depends on a variety of factors that must be assessed on a case-by-case basis. The definition includes any sexual activity between children that occurs without consent , without equality, or due to coercion ,  whether the offender uses physical force, threats, trickery or emotional manipulation to compel cooperation. Vaginitis has also been reported. Incest Incest between a child or adolescent and a related adult is known as child incestuous abuse,  and has been identified as the most widespread form of child sexual abuse with a huge capacity to damage the young person. When sexual abuse is perpetrated by one sibling upon another, it is known as " intersibling abuse ", a form of incest. Children who received supportive responses following disclosure had less traumatic symptoms and were abused for a shorter period of time than children who did not receive support. Frequently, victims do not make the connection between their abuse and their present pathology. Dissociation psychology and Posttraumatic stress disorder Child abuse , including sexual abuse, especially chronic abuse starting at early ages, has been found to be related to the development of high levels of dissociative symptoms, which includes amnesia for abuse memories. Therefore, the parental caregiver teaches the child to mask his or her issues. Marine Corps service as an infantry officer, trial and defense counsel and military judge as a marine judge advocate; and Director of the Military Law Branch, Headquarters, U. Male and female victims were similarly affected. The rates of self-disclosed abuse for specific continents were as follows: The lovely young Klein has a definite Jennifer Grey quality about her as the girl in love with her step-brother Chad White, who is very protective of her.